The Effect of Healthy Environment Education on Primary School Students' Attitudes Towards Environment

NCT07658781 | Completed DMC

• 1 other identifier: Healthy Environment Education
• Study Type: interventional
• Target: 113
• Locations: 1 country
• Sites: 1

Brief Summary

It is important to explain environmental literacy to every age group and segment of society and to raise awareness. Environmental education provided to younger age groups in particular teaches children to live in harmony with nature and not to become disconnected from it. Educational interventions in younger age groups can lead to them growing up with an awareness that, when they reach adulthood, enables them to behave consciously towards both their own lives and their environment. This is, in a sense, an important investment in the future. For this reason, the aim is to investigate the effect of Environmental Education on the Environmental Attitudes of Primary School Students and to examine the impact of the environmental education program titled "I Love and Protect My Environment" on the environmental attitudes and awareness levels of third-grade primary school students. The study predicts that the experimental group students will achieve a significant increase in their environmental attitudes and awareness scores compared to the control group. Furthermore, this effect is expected to be sustainable in follow-up measurements. The research results are expected to emphasize the importance of environmental education at the elementary school level and contribute to its integration into educational curricula.The purpose of this study is to examine the effect of Healthy Environment Education on the environmental attitudes of elementary school students. This study was designed as a three-month follow-up randomized controlled experimental design with pre-test and post-test. The population of the study consists of third-grade students attending Atatürk Elementary School in the central district of Kütahya province. The sample size was calculated using the G\*Power 3.1 program based on a 95% confidence level (α = .05), 80% test power (1-β = .80), and a medium effect size (Cohen's d = 0.5). According to these parameters, at least 57 participants are required for each group. In this regard, taking into account participant loss, 5% of participants will be added to each group, and 60 participants will be included in each group to increase the reliability of the analyses. The Introductory Information Form, Primary School Environmental Attitude Scale, and Primary School Environmental Awareness Scale developed by the researchers will be used as data collection tools. Data will be collected in the form of pre-tests, post-tests, and one- and three-month follow-up measurements. Descriptive statistical methods such as percentage, mean, mode, median, etc. will be used in statistical analyses. Depending on whether the study data are normally distributed, the Shapiro-Wilk or Kolmogorov-Smirnov test will be used to examine the sample size. If the study data show a normal distribution, t-tests (between two groups) or one-way ANOVA (for more than one group) will be used for group comparisons. If the data do not show a normal distribution, the Mann-Whitney U test or Kruskal-Wallis test will be used. Pearson or Spearman correlation analysis will be performed to determine the relationship between demographic factors and environmental attitudes. When it is necessary to examine the relationships between environmental attitudes and demographic and other independent variables, analyses will be performed using multiple regression analysis. Within the scope of the research, a 6-week "I Protect My Environment" education program will be implemented for the experimental group, while no intervention will be made for the control group throughout the study. It is planned to implement the education program for the students in the control group after the completion of the study.

Conditions

Environmental Health Education; Environmental Awareness and Sensitivity; Climate Change Awareness; Health Knowledge, Attitudes, Practice

Keywords

environmental health; health education; environment and public health; public health nursing; Primary school students School-Based Intervention

Outcome Measures

Primary Outcomes (1)

• Environmental Attitude Scale for Elementary School Students

  To measure elementary school students' attitudes toward the environment, we plan to use the "Environmental Attitude Scale for Elementary School Students," developed by Artvinli and Demir in 2018. The scale consists of three subscales-Positive Environmental Behaviors (27 items), Environmental Knowledge and Awareness (10 items), and Negative Environmental Behaviors (6 items)-for a total of 43 questions. The scale is a 3-point Likert-type scale rated as "1: Agree," "2: Somewhat Agree," and "3: Disagree." The Cronbach's Alpha coefficients for the scale's sub-dimensions and the scale as a whole are as follows: Positive Environmental Behavior: 0.94, Environmental Knowledge and Awareness: 0.75, Negative Environmental Behaviors: 0.71, and the overall Cronbach's Alpha coefficient for the scale is 0.93.

  Baseline, immediately after intervention, 1 month after intervention, and 3 months after intervention.

Secondary Outcomes (1)

• Elementary School Environmental Awareness Scale

  Baseline, immediately after intervention, 1 month after intervention, and 3 months after intervention.

Other Outcomes (1)

• Information Form

  Baseline, immediately after intervention, 1 month after intervention, and 3 months after intervention.

Study Arms (2)

experimental group

EXPERIMENTAL

The "I Love and Protect My Environment" educational program, developed by researchers based on a literature review and expert opinions, was conducted for third-grade elementary school students over a six-week period, on the same day and during the same class period each week.

Behavioral: "I Love and Protect My Environment" Education Program

control group

EXPERIMENTAL

No intervention was performed on the control group.

Behavioral: Control Group

Interventions

"I Love and Protect My Environment" Education Program BEHAVIORAL

The "I Love and Protect My Environment" educational program, developed by researchers through a literature review and expert consultations, was implemented over a period of six weeks.

experimental group

Control Group BEHAVIORAL

No intervention was performed on the control group

control group

Eligibility Criteria

• Age: 8 Years - 10 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may not qualify if:

• Preschool, 1st, 2nd, and 4th-grade students enrolled at Atatürk Elementary School during the 2025-2026 academic year
• Student absences due to health or other reasons

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes University, Faculy of Nursing, Division Public Health Nursing

Kütahya, Merkez, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hypersensitivity; Behavior; Health Education

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer, PhD student

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: June 11, 2026
• First Posted: June 22, 2026
• Study Start: September 23, 2025
• Primary Completion: October 28, 2025
• Study Completion: February 17, 2026
• Last Updated: June 22, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 6 months after publication
• Access Criteria: Relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.

Locations

TU (1)