The Effect of a Psychosocial Adjustment Program on Healthy Lifestyle Behaviors and Sleep Deprivation in Ninth-Grade Boarding Female Students

The Effect of a Psychosocial Adjustment Program on Healthy Lifestyle Behaviors and Sleep Deprivation in Ninth-Grade Boarding Female Students:A Non-Randomized Controlled Study

The World Health Organization defines adolescence as the ages between 10 and 19, emphasizing that supporting both the mental and physical health of this age group is crucial for determining the individual's future quality of life. Problems such as stress, anxiety, depression, maladjustment, substance use, and sleep disorders faced by adolescents can negatively affect the development of healthy lifestyle behaviors.

In this context, students living in boarding school settings represent a more vulnerable group in terms of the need for psychosocial support, as they live away from their families. Boarding students experience difficulties in adaptation due to homesickness, lack of social support, academic pressures, and a strictly regulated lifestyle, and this situation directly affects their health behaviors.

In this study, the effectiveness of a psychosocial adjustment program will be evaluated with intervention and control groups formed on a voluntary basis from ninth-grade female boarding students studying at two public boarding science high schools located in Antalya, Türkiye. The intervention group will participate in a psychosocial adjustment program developed by the researcher, consisting of five sessions, while the control group will not receive any intervention. The program includes structured and interactive group activities on themes such as adopting healthy lifestyle habits, stress and anxiety management, social support, sleep hygiene, effective communication, academic adjustment, and emotional relaxation.

The data will be collected in three phases as pre-test, post-test, and follow-up test; the data collection tools will include the Personal Information Form, the Health-Promoting Lifestyle Profile II (HPLP II), and the Sleep Deprivation Scale for Children and Adolescents. The data will be analyzed using the SPSS program, and depending on normal distribution, parametric or non-parametric tests will be applied. The effect of the intervention will be measured with Cohen's d to calculate the effect size. This study holds original value as it develops a school-based intervention model under the leadership of a school health nurse, and it may provide an innovative contribution based on a holistic nursing approach to adolescents by taking its place among the limited psychosocial intervention studies conducted in boarding school settings.

Study Overview

• Status: Completed
• Conditions: Sleep Deprivation; Healthy Lifestyle; Psychosocial Adjustment
• Intervention / Treatment: Behavioral: Implementation of the Psychosocial Adaptation Program

• Study Type: Interventional
• Enrollment (Actual): 52
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Antalya, Turkey (Türkiye)
    • Akdeniz Universitesi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion criteria Being newly enrolled in the ninth grade Residing in the school dormitory as a boarding student Having a parent/guardian signed informed consent form Not having any absences during the research process Exclusion criteria Those who have not given voluntary consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Psychosocial Adaptation Program; In the study, while the intervention group will participate in a five-day psychosocial adjustment program, no intervention will be conducted in the control group.	Behavioral: Implementation of the Psychosocial Adaptation Program; It is a five-day psychosocial adjustment program designed for female boarding high school students. It focuses on promoting healthy lifestyle and improving sleep comfort. The program includes group education sessions and activity-based interventions tailored to this age group.
No Intervention: Control group; No intervention will be administered to the control group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Healthy Lifestyle Behaviors Scale II	Healthy Lifestyle Behaviors Scale II: The Healthy Lifestyle Behaviors Scale II is used to evaluate individuals' healthy lifestyle behaviors. The scale consists of a total of 52 items and includes six subscales: spiritual growth, health responsibility, physical activity, nutrition, interpersonal relations, and stress management. The overall score of the scale indicates the level of healthy lifestyle behaviors. As the total score increases, it is interpreted that the individual has more healthy lifestyle behaviors.	Baseline, 4 weeks after baseline, 17 weeks after baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Sleep Deprivation Scale for Children and Adolescents	Sleep Deprivation Scale for Children and Adolescents: This scale is used to assess sleep deprivation in participants. Measurements will be taken before and after the intervention. The scale consists of 15 items rated on a Likert-type scale ranging from "strongly agree" to "strongly disagree." Scores on the scale range from 15 to 60. Higher scores indicate worse sleep deprivation.	Time Frame: Baseline, 4 weeks after baseline, 17 weeks after baseline

Collaborators and Investigators

• Sponsor: Akdeniz University
• Investigators: Study Director: Habibe ARSLAN, Bağlantısız

Publications and helpful links

Helpful Links

• Related Info
• Relevant publications on the study topic from PubMed

Study record dates

Study Major Dates

• Study Start (Actual): September 12, 2025
• Primary Completion (Actual): October 10, 2025
• Study Completion (Actual): October 10, 2025

Study Registration Dates

• First Submitted: September 5, 2025
• First Submitted That Met QC Criteria: November 20, 2025
• First Posted (Actual): November 24, 2025

Study Record Updates

• Last Update Posted (Actual): March 4, 2026
• Last Update Submitted That Met QC Criteria: March 2, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Sleep deprivation; Healthy lifestyle study; Boarding high school education
• Additional Relevant MeSH Terms: Neurologic Manifestations; Nervous System Diseases; Mental Disorders; Sleep Wake Disorders; Dyssomnias; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Sleep Deprivation
• Other Study ID Numbers: TBAEK-714

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The study was conducted with adolescent participants, and to protect participant confidentiality, IPD (Individual Participant Data) sharing is not planned.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No