Effectiveness of a Digital Educational Booklet on Mothers' Colostomy Care Knowledge and Practices

NCT07662707 | Completed

• 1 other identifier: ERCNMA 1000/5/11/181/25
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effectiveness of a digital education and simulation-supported training intervention on mothers' knowledge and practices regarding colostomy care for their children. A randomized controlled trial was conducted among 120 mothers of children with colostomy recruited from the pediatric general surgical unit and outpatient clinic at Monufia University. Participants were randomly assigned to either a study group (n = 60) or a control group (n = 60). The intervention consisted of a multi-component educational program including a digital booklet delivered via WhatsApp, voice-over explanations, animated videos, interactive simulations, researcher demonstration using a simulation model, supervised hands-on practice, daily postoperative supervision, and WhatsApp follow-up support. The control group received routine hospital care. Data were collected using a structured knowledge questionnaire and an observational practice checklist at baseline, immediately post-intervention, before discharge, and at 12-week follow-up.

Conditions

Mothers of Children With Colostomy; A Multi-component Educational Program; Digital Booklet; WhatsApp; Voice-over Explanations; Animated Videos

Keywords

children with colostomy; a multi-component educational program; digital booklet

Outcome Measures

Primary Outcomes (2)

• knowledge and practice scores related to colostomy care

  Knowledge: A nine items addressing the definition and importance of colostomy, types of colostomies, types of colostomy bags, characteristics of a normal stoma, appropriate clothing, child nutrition, signs of complications, and follow-up visits. Practice: 11 items assessing mothers' practices related to hand hygiene before and after care, cleaning the stoma and surrounding skin, proper changing and emptying of the colostomy bag, waste disposal, selecting suitable loose-fitting clothing, allowing normal child activities, providing care when a colostomy bag was unavailable, preparing the required supplies before care, ensuring child comfort and safety during procedures, monitoring the stoma and stool characteristics, and recognizing complications requiring medical consultation

  12 weeks follow up

• knowledge and practice scores related to colostomy care

  for Knowledge: A nine items addressing the definition and importance of colostomy, types of colostomies, types of colostomy bags, characteristics of a normal stoma, appropriate clothing, child nutrition, signs of complications, and follow-up visits. For Practice: A checklist included 11 items assessing mothers' practices related to hand hygiene before and after care, cleaning the stoma and surrounding skin, proper changing and emptying of the colostomy bag, waste disposal, selecting suitable loose-fitting clothing, allowing normal child activities, providing care when a colostomy bag was unavailable, preparing the required supplies before care, ensuring child comfort and safety during procedures, monitoring the stoma and stool.

  12 weeks

Study Arms (1)

intervention group

EXPERIMENTAL

The intervention consisted of a multi-component educational program including a digital booklet delivered via WhatsApp, voice-over explanations, animated videos, interactive simulations, researcher demonstration using a simulation model, supervised hands-on practice, daily postoperative supervision, and WhatsApp follow-up support

Other: digital education and simulation-supported training intervention

Interventions

digital education and simulation-supported training intervention OTHER

Mothers assigned to the study group received the digital educational booklet during the preoperative phase. The booklet was delivered through WhatsApp using a secure downloadable link. The researchers guided mothers through the educational content, including voice-over explanations, animated videos, illustrated diagrams, and interactive simulation activities. The knowledge component covered essential information related to colostomy care, including the definition and types of colostomy, colostomy bags, nutrition and hydration, normal stoma characteristics, signs of complications, follow-up visits, and indications for seeking medical assistance. Interactive knowledge checks with immediate feedback and motivational reinforcement were integrated throughout the booklet.

intervention group

Eligibility Criteria

• Gender Eligibility Details: A mother who are providing care for a child with colostomy
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• A mother and a child with colostomy

You may not qualify if:

• None

Sponsors & Collaborators

• King Saud Bin Abdulaziz University for Health Sciences: lead

Study Sites (1)

Cairo Univerity

Cairo, 12613, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Profewssor

Study Record Dates

• First Submitted: June 17, 2026
• First Posted: June 23, 2026
• Study Start: November 15, 2025
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: June 23, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)