Health Promotion Education on Adolescent Digital Addiction and Lifestyle

The Impact of Health Promotion Model-Based Education on Digital Addiction and Nutrition-Exercise Behaviors Among Adolescents

Adolescence is defined as a unique period between the ages of 10 and 19, essential for the construction of development and health. During this stage, adolescents exhibit rapid physical, cognitive, and psychosocial growth. However, significant health problems may arise during this period that can adversely affect their development.

In the contemporary era, the frequency of digital device use among adolescents is increasing, leading to a heightened risk of digital addiction. Digital addiction has negative impacts on nutritional and exercise behaviors, many of which are preventable and treatable. To improve and promote their health, adolescents require essential education regarding healthy lifestyle behaviors, accessibility to health services, and a safe, supportive environment. Therefore, opportunities must be provided to adolescents to protect and enhance their health. In this context, public health nurses have critical responsibilities within the scope of preventive services. Furthermore, beyond identifying risky health behaviors, public health nurses play a vital role in protecting and promoting adolescent health through their clinical approaches to existing risky behaviors.

Public health nurses can raise awareness among youth regarding healthy nutrition, participation in physical and social activities, the harms of substance abuse (tobacco, alcohol, drugs), violence, and accident prevention. Preventive interventions by nurses targeting the risky health behaviors observed during this period and the potential health problems in adulthood will contribute significantly to the formation of healthy societies.

Study Overview

• Status: Completed
• Conditions: Exercise; Nutrition; Digital Addiction
• Intervention / Treatment: Behavioral: Health Promotıon Model-Based Health Education Program

• Study Type: Interventional
• Enrollment (Actual): 76
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Merkez
    • Siirt, Merkez, Turkey (Türkiye), 56100
      • Secondary Schools affiliated with Siirt Provincial Directorate of National Education

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Being a student in the 5th, 6th, or 7th grade.
• Having signed the informed consent form specifically prepared for the students.
• Having the informed consent form signed by the parents/legal guardians.
• Maintaining active student status throughout the duration of the research.
• Scoring 48 or higher on the Digital Addiction Scale.
• Having no hearing or visual impairments.

Exclusion Criteria:

• Failure of the student to provide signed informed consent.
• Failure of the parent or legal guardian to provide signed informed consent.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; Adolescents in this group receive a structured education program based on the Health Promotion Model (HPM), focusing on digital addiction prevention, healthy nutrition, and physical exercise.	Behavioral: Health Promotıon Model-Based Health Education Program; Nursing is a specialized profession dedicated to protecting individual and community health through a holistic approach. Supporting adolescents, who represent the future of society, against addiction and risky behaviors is crucial for public health. Within this framework, providing health education is a fundamental nursing responsibility. Current literature lacks integrated programs that simultaneously mitigate digital addiction and enhance healthy nutrition and exercise behaviors among adolescents. Accordingly, an educational model grounded in Pender's Health Promotion Model has been designed, targeting the appropriate utilization of digital devices alongside healthy lifestyle habits. This study aims to evaluate the efficacy of this model through empirical data. Upon establishing its effectiveness, the ultimate goal is to implement this intervention as a standard practice on both national and international scales to improve adolescent well-being.
No Intervention: Control Group; Adolescents in this group do not receive the HPM-based education program and continue with their routine daily activities.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Child-Adolescent Digital Addiction Scale (CADAS) Score	Seema et al. (2022) developed the CADAS to evaluate the behaviors and emotions of adolescents aged 11-19 years toward digital devices. Factor loadings ranged from .598 to .759. Cronbach's alpha coefficient was .83. The scale consists of a total of 10 items. Example items: "If I can't use my digital device, I feel bored", "If I can't use my digital device, I get grumpy", and "As soon as I put my digital device away, I feel the urge to use it again". There are no reverse items in the scale. The scale is a seven-point Likert-type scale; 1 = never, 2 = rarely, 3 = somewhat rarely, 4 = so-so, 5 = often, 6 = somewhat often, 7 = very often. The total score obtained from the scale gives the CADAS score.	14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).
The personal information form	The personal information form is a form that includes the socio-demographic characteristics of adolescents.	14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nutrition-Exercise Behavior Scale Score (Follow-up)	The Nutrition-Exercise Behavior Scale (NEBS) is a valid and reliable instrument developed by Yurt (2005) to measure the nutritional and exercise behaviors of individuals aged 11-14. The NEBS is a self-report instrument consisting of 45 items and 4 sub-factors, utilizing a 5-point Likert-type scale. Participants evaluate their behaviors by selecting one of the following responses: (1) 'Does not describe me at all,' (2) 'Describes me a little,' (3) 'Describes me somewhat,' (4) 'Describes me well,' or (5) 'Describes me completely.' The total score is calculated based on the responses given to each item.	14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).

Collaborators and Investigators

• Sponsor: Ataturk University

Study record dates

Study Major Dates

• Study Start (Actual): October 29, 2025
• Primary Completion (Actual): November 7, 2025
• Study Completion (Actual): March 1, 2026

Study Registration Dates

• First Submitted: February 24, 2026
• First Submitted That Met QC Criteria: February 27, 2026
• First Posted (Actual): March 2, 2026

Study Record Updates

• Last Update Posted (Actual): March 20, 2026
• Last Update Submitted That Met QC Criteria: March 18, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Adolescent; Health Promotion; Nutrition; Physical Exercise; Pender's Health Promotion Model; Digital Addiction
• Additional Relevant MeSH Terms: Behavior; Motor Activity
• Other Study ID Numbers: B.30.2.ATA.0.01.00/253

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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