Effects of the Health Promotion Program on Health Literacy, Physical and Mental Health Status, and Quality of Life

NCT ID: NCT07306520

Last Updated: 2025-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-25

Study Completion Date

2031-03-31

Brief Summary

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This study aims to evaluate the physical and mental health status, prevalence of chronic diseases, health literacy, and health behaviors of residents in Gandaki Province, Nepal, and to assess the effectiveness of a community-based health promotion program integrating health education, exercise, and auricular acupressure. The intervention is designed to improve quality of life, health literacy, and chronic disease management among rural populations with limited healthcare access.

This is a prospective interventional cohort study conducted over seven years (2025-2031) in two rural villages of Pokhara, Gandaki Province: Belchautara (experimental) and Rupakot (control). A total of 400 residents aged 19 years and older will be screened and enrolled (200 per village). Participants will be recruited through local nursing colleges and health centers.

Year 1 involves mixed methods research (descriptive-correlational and qualitative) to identify community health needs.

Years 2-7 will employ a quasi-experimental design with annual interventions and follow-up evaluations.

Interventions

1. Health Education Program:

Frequency: 12 weekly sessions (1 hour each), repeated three times per year. Content: hygiene, nutrition, stress management, lifestyle modification. Measures: health literacy, blood pressure, glucose, cholesterol, anthropometry, quality of life, and PHQ-9.
2. Exercise Program:

Frequency: 8 weekly sessions (1 hour each), repeated three times per year. Activities: muscle stretching, sit-ups, push-ups, sit-to-stand, and grip strength training.

Measures: Sit and Reach Test, push-up and sit-up counts, grip strength.
3. Auricular Acupressure:

Indications: back pain, dysmenorrhea, or perimenopausal symptoms. Frequency: once per week for 2 weeks. Measures: Numeric Rating Scale (NRS), Oswestry Disability Index, Menstrual Distress Questionnaire, and Perimenopause Symptom Scale.

Exclusion: pregnancy, metal allergy, or ear disease.

Data will be collected at baseline and post-intervention through structured questionnaires and physical measurements.

Detailed Description

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Conditions

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Health Promotion

Keywords

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physical health mental health chronic disease quality of life health literacy health behavior health education program exercise auricular acupressure Cohort health promotion program Quasi-experimental study Nepal

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

PRECEDE-PROCEED Model
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Health Education Group

Obesity, DM, hypertension, cholesterol

Group Type EXPERIMENTAL

Health education

Intervention Type BEHAVIORAL

Frequency: 12 sessions, once per week, one hour Will repeat three times a year.

Health Education Control Group

Obesity, DM, hypertension, cholesterol

Group Type NO_INTERVENTION

No interventions assigned to this group

Auricular Acupressure Group1

Back pain

Group Type EXPERIMENTAL

Auricular acupressure

Intervention Type DEVICE

Frequency: 2 sessions, once per week for 2 weeks

Auricular Acupressure Control Group1

Back pain

Group Type NO_INTERVENTION

No interventions assigned to this group

Auricular Acupressure Group2

Dysmenorrhea

Group Type EXPERIMENTAL

Auricular acupressure

Intervention Type DEVICE

Frequency: 2 sessions, once per week for 2 weeks

Auricular Acupressure Control Group2

Dysmenorrhea

Group Type NO_INTERVENTION

No interventions assigned to this group

Auricular Acupressure Group3

Perimenopausal symptoms

Group Type EXPERIMENTAL

Auricular acupressure

Intervention Type DEVICE

Frequency: 2 sessions, once per week for 2 weeks

Auricular Acupressure Control Group3

Perimenopausal symptoms

Group Type NO_INTERVENTION

No interventions assigned to this group

Exercise Group

Obesity, DM, hypertension, cholesterol

Group Type EXPERIMENTAL

Exercise

Intervention Type BEHAVIORAL

Frequency: 8 sessions, once per week, one hour Will repeat three times a year

Exercise Control Group

Obesity, DM, hypertension, cholesterol

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Health education

Frequency: 12 sessions, once per week, one hour Will repeat three times a year.

Intervention Type BEHAVIORAL

Auricular acupressure

Frequency: 2 sessions, once per week for 2 weeks

Intervention Type DEVICE

Exercise

Frequency: 8 sessions, once per week, one hour Will repeat three times a year

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

people who

* aged 19 and older
* are able to read and respond to the questionnaire


people who

* aged 19 and older
* who are able to read and respond to the questionnaire


adults ls who reported a pain score of 3 or higher on the Numeric Rating Scale for symptoms (NRS) will be asked about their willingness to participate.


Residents aged 19 and older who are able to read and respond to the questionnaire will be recruited for health screenings and surveys.

Exclusion Criteria

people who are not able to read and respond to the questionnaire

\[Health Education\]


people who are not able to read and respond to the questionnaire

\[Auricular Acupressure\]


* those who are pregnant
* those with a metal allergy
* those with ear-related disorders.

\[Exercise\]
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Inha University Hospital

OTHER

Sponsor Role lead

Responsible Party

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EUN JIN LEE

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Inha University Hospital

Incheon, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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241015-1A

Identifier Type: -

Identifier Source: org_study_id