The Effect of Health Protection and Promotion Training Programs on the Health Behavior of Older People

NCT ID: NCT06419465

Last Updated: 2024-05-20

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 108 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-11-01
• Study Completion Date: 2025-08-31

Brief Summary

Protecting and improving health is an important intervention in preventing diseases, controlling chronic diseases and delaying their progression. Therefore, appropriate health promotion programs specific to elderly individuals need to be developed. Educational intervention is known to be effective in achieving behavioral change. This study differs from previous studies in that both peer (Intervention-1) and nurse-led (Intervention-2)-led education programs are planned as interventions. This research was designed as a mixed method study to compare the effects of Peer and Nurse Led Health Protection and Promotion Training Programs Based on Social Cognitive Theory (SCT) on the health behaviors of older people. The research will be carried out in two stages. The first phase was planned as a parallel two-arm non-randomized experimental study. This phase is planned to be carried out between November 2024 and January 2025 in two separate elderly homes in Muratpasa district of Antalya province, where older people are concentrated. The sample size was calculated as 108 older people (Intervention-1: 54, Intervention-2: 54). Intervention will be implemented for 12 weeks with the Health Protection and Promotion Training Program Based on SCT under peer leadership in the Intervention-1 group, and the same interventions will be carried out in the Intervention-2 group under the leadership of a nurse. Primary results of the research; health protection and promotion behavior practice, health promotion behavior practice level, self-efficacy belief and health seeking behavior. Secondary measurement results are; It is an assessment of blood pressure, blood sugar, body mass index and cardiovascular disease risk. Results will be measured before and 12 weeks after the intervention with the Health Protection and Promotion Behavior Checklist, Elderly Health Promotion Scale, General Self-Efficacy Scale, and Health Seeking Behavior Scale. In the second stage, it was planned to conduct two qualitative phenomenological design studies. In the first qualitative study, the investigators aimed to deeply understand the views of older people who received peer leader intervention and nurse intervention; In the second qualitative study, it was aimed to understand in depth the experiences of the older people as peer leaders in the health protection and promotion training program based on SCT. In the qualitative phase, the data will be based on the maximum diversity sampling method and will be collected through face-to-face in-depth individual interviews in the workshops of both elderly homes with Semi-Structured Interview Forms in February 2025.

Conditions

Older People; Health Promotion

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Peer-Led Health Protection and Promotion Training Program

Group Type: EXPERIMENTAL

Peer-Led Health Protection and Promotion Training Program

Intervention Type: BEHAVIORAL

Multiple teaching methods will be used throughout 12 weeks; interactive group trainings on health protection and promotion issues and health seeking behavior methods, demonstration and demonstration using Google Fit and E-Nabiz mobile applications and downloading the applications to their phones, establishing WhatsApp groups to interact with peers, encouraging physical activity using the Google Fit mobile application. In order to provide social interaction, walking with peer leaders, health protection and development issues, receiving questions and opinions and giving guidance by individual phone calls regarding E-Nabiz and Google Fit mobile applications, holding peer group meetings and any of the Health Protection and Development Training Program targets. It consists of interventions such as giving a success badge for the relevant behavior if it reaches someone. Individual phone calls are also included in the intervention program.

Health Protection and Promotion Training Program under the Leadership of a Public Health Nurse

Group Type: EXPERIMENTAL

Health Protection and Promotion Training Program under the Leadership of a Public Health Nurse

Intervention Type: BEHAVIORAL

Multiple teaching methods will be used throughout 12 weeks; interactive group trainings on health protection and promotion issues and health seeking behavior methods, demonstration and demonstration using Google Fit and E-Nabiz mobile applications and downloading the applications to their phones, establishing WhatsApp groups to interact with nurses, encouraging physical activity using the Google Fit mobile application. To achieve any of the Health Protection and Development Training Program targets by walking with the nurse, taking individual phone calls regarding health protection and promotion issues, E-Nabiz and Google Fit mobile applications, receiving questions and opinions and giving guidance, holding group meetings in order to provide social interaction and social interaction. It consists of interventions such as giving a success badge for the relevant behavior. Individual phone calls are also included in the intervention program.

Interventions

Peer-Led Health Protection and Promotion Training Program

Multiple teaching methods will be used throughout 12 weeks; interactive group trainings on health protection and promotion issues and health seeking behavior methods, demonstration and demonstration using Google Fit and E-Nabiz mobile applications and downloading the applications to their phones, establishing WhatsApp groups to interact with peers, encouraging physical activity using the Google Fit mobile application. In order to provide social interaction, walking with peer leaders, health protection and development issues, receiving questions and opinions and giving guidance by individual phone calls regarding E-Nabiz and Google Fit mobile applications, holding peer group meetings and any of the Health Protection and Development Training Program targets. It consists of interventions such as giving a success badge for the relevant behavior if it reaches someone. Individual phone calls are also included in the intervention program.

Intervention Type: BEHAVIORAL

Health Protection and Promotion Training Program under the Leadership of a Public Health Nurse

Multiple teaching methods will be used throughout 12 weeks; interactive group trainings on health protection and promotion issues and health seeking behavior methods, demonstration and demonstration using Google Fit and E-Nabiz mobile applications and downloading the applications to their phones, establishing WhatsApp groups to interact with nurses, encouraging physical activity using the Google Fit mobile application. To achieve any of the Health Protection and Development Training Program targets by walking with the nurse, taking individual phone calls regarding health protection and promotion issues, E-Nabiz and Google Fit mobile applications, receiving questions and opinions and giving guidance, holding group meetings in order to provide social interaction and social interaction. It consists of interventions such as giving a success badge for the relevant behavior. Individual phone calls are also included in the intervention program.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Low (for women: 0-4 points; for men: 0-3 points) or moderate (for women: 5-8 points; for men: 4-6 points) from the first part of the Health Protection and Promotion Behavior Checklist. Individuals aged 65 and over who score,
• Those who come to the elderly home where the research will be conducted at least once a week,
• Those residing in Antalya province,
• Those who have and can use a smartphone,
• Those who can speak and understand Turkish,
• Those who do not have dementia according to the Mini Mental State Assessment Test Short Form (those who score 9 points and above),
• Those who are independent according to the Katz Activities of Daily Living Scale (those who score 3 points and above),
• Those who agreed to participate in the study voluntarily,
• One elderly person from the same household will be included in this study.

Exclusion Criteria

• Those who have previously received training on health protection will not be included in the research.

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Akdeniz University

OTHER

Sponsor Role: lead

Responsible Party

Merve SIKLAROGLU

Research Assistant Merve SIKLAROGLU

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Merve SIKLAROGLU, Research Assistant

Role: CONTACT

merveipek@akdeniz.edu.tr

+90-532-176-1440

Other Identifiers

0286

Identifier Type: -

Identifier Source: org_study_id