Effectiveness of Education on Preventive Measures Against Acute Respiratory Tract Infections in School-Age Children

NCT07654712 | Completed

• 1 other identifier: 2025/11
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effectiveness of an animation video-supported education program on preventive measures against acute respiratory tract infections among first-grade primary school children.

Conditions

Acute Respiratory Tract Infections; Respiratory Infection Prevention; Hand Hygiene; Respiratory Hygiene; Health Education

Keywords

Acute respiratory tract infections; Respiratory hygiene; Hand hygiene; School health; Primary school children; Health education; Cluster randomized controlled trial

Outcome Measures

Primary Outcomes (3)

• Change in Knowledge Score on Preventive Measures Against Respiratory Tract Infections

  Children's knowledge regarding preventive measures against respiratory tract infections was assessed using the Knowledge Form on Preventive Measures Against Respiratory Tract Infections. The form consists of 7 items. Each correct answer is scored as 1 point and each incorrect answer is scored as 0 points. Total scores range from 0 to 7, with higher scores indicating a higher level of knowledge.

  Baseline and two weeks after completion of the intervention

• Change in Coughing/Sneezing Hygiene Skill Score

  Children's coughing/sneezing hygiene skills were assessed using the Coughing/Sneezing Skill Checklist developed by the researchers. The checklist evaluates appropriate protective behaviors during coughing or sneezing. Items are scored as "performed" = 2 points, "partially performed" = 1 point, and "not performed" = 0 points. Higher scores indicate better coughing/sneezing hygiene skills. Skill performances were video-recorded and evaluated by two independent experts.

  Baseline and two weeks after completion of the intervention

• Change in Hand Hygiene Skill Score

  Children's hand hygiene skills were assessed using the Hand Hygiene Skill Checklist developed by the researchers. The checklist consists of 12 items. Each item is scored as "performed" = 2 points, "partially performed" = 1 point, and "not performed" = 0 points. Higher scores indicate better hand hygiene skills. Children demonstrated handwashing behavior using a standardized handwashing station, and performances were video-recorded and evaluated by two independent experts.

  Baseline and two weeks after completion of the intervention

Secondary Outcomes (1)

• Change in Parent-Rated Independent Performance of Preventive Behaviors

  Baseline and four weeks after completion of the intervention

Study Arms (2)

Animation Video-Supported Education Group

EXPERIMENTAL

Participants in the intervention group received an animation video-supported education program on preventive measures against acute respiratory tract infections. The program was delivered in a classroom setting over three weeks, in three sessions, with a total duration of 120 minutes. The content included respiratory infection transmission, actions to be taken during illness, hand hygiene, coughing/sneezing etiquette, avoidance of touching the face, social distancing, and healthy lifestyle recommendations.

Behavioral: Animation Video-Supported Education on Preventive Measures Against Acute Respiratory Tract Infections

Control Group

NO INTERVENTION

Participants in the control group did not receive any education on preventive measures against acute respiratory tract infections during the data collection period. After completion of the post-test measurements, the education program was also provided to the control group.

Interventions

Animation Video-Supported Education on Preventive Measures Against Acute Respiratory Tract Infections BEHAVIORAL

The intervention consisted of an animation video-supported education program developed for first-grade primary school children. The program included a 15-minute animation video, question-and-answer activities, demonstration and practice of coughing/sneezing etiquette, and demonstration and practice of hand hygiene using a handwashing station. The education was delivered in three sessions over three weeks, with a total duration of 120 minutes.

Animation Video-Supported Education Group

Eligibility Criteria

• Age: 6 Years - 7 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Being enrolled in the first grade of the primary school where the study was conducted
• Being able to speak and understand Turkish
• Having written informed consent from a parent or legal guardian
• Being willing to participate in the study

You may not qualify if:

• Having an acute respiratory tract infection during data collection
• Having any chronic disease
• Having a physical or cognitive impairment that prevents communication, watching the educational materials, or completing the measurement tools
• Not having written informed consent from a parent or legal guardian
• Not being willing to participate in the study

Sponsors & Collaborators

• Istanbul Medeniyet University: lead

Study Sites (1)

Istanbul Medeniyet University

Istanbul, Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Health Education

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Aynur Aytekin Özdemir, Professor

  İstanbul Medeniyet University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Due to the nature of the educational intervention, participants and the researcher delivering the intervention could not be blinded. However, skill performances were video-recorded and evaluated by two independent experts.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 12, 2026
• First Posted: June 17, 2026
• Study Start: November 1, 2025
• Primary Completion: January 16, 2026
• Study Completion: January 16, 2026
• Last Updated: June 17, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)