School Nurse-Led Help-Seeking Program in Middle School Students (HELP-MID)
The Effect of a School Nurse-Led Symptom Awareness and Appropriate Help-Seeking Program on Health Behaviors of Middle School Students: A Randomized Controlled Pilot Study
This study aims to evaluate the effect of a school nurse-led symptom awareness and appropriate help-seeking program on the health behaviors of middle school students. In school settings, middle school students frequently experience common symptoms such as headache, abdominal pain, or fatigue but may have difficulty recognizing their significance and seeking appropriate help. Improving symptom awareness and help-seeking behaviors in middle school students is essential for promoting health and preventing potential complications.
This cluster randomized controlled pilot study will be conducted among middle school students. Classes will be randomly assigned to either the intervention or control group. The intervention group will receive a structured, school nurse-led education program consisting of four sessions focusing on recognizing body signals, understanding common symptoms, and making appropriate help-seeking decisions. The control group will continue with routine school activities without receiving the intervention.
Data will be collected at baseline and after the intervention using a scenario-based help-seeking assessment and a help-seeking attitude form. The results of this study are expected to provide evidence for the effectiveness of school nurse-led interventions in improving students' health behaviors and contribute to the development of school health programs.
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
Middle school years represent a critical developmental period during which health behaviors and help-seeking patterns begin to take shape. Middle school students frequently experience common physical symptoms such as headache, abdominal pain, dizziness, and fatigue; however, they may have difficulty recognizing these symptoms as meaningful body signals and deciding when and from whom to seek help. Inadequate symptom awareness and inappropriate help-seeking behaviors in this age group may lead to delayed care, increased health risks, and ineffective use of school health services. Therefore, school-based interventions targeting symptom awareness and appropriate help-seeking behaviors are essential in school health nursing practice.
This study is designed as a cluster randomized controlled pilot trial to evaluate the effectiveness of a school nurse-led symptom awareness and appropriate help-seeking program on the health behaviors of middle school students (approximately aged 10-13 years). Randomization will be conducted at the class level to minimize contamination between students within the same school environment. Classes will be randomly assigned to either the intervention group or the control group.
The intervention group will receive a structured education program delivered by a school nurse over four sessions. The program focuses on recognizing body signals, understanding common symptoms, interpreting symptom severity, and making appropriate help-seeking decisions within the school context (e.g., seeking help from a teacher, school nurse, or family member). The content is designed to be age-appropriate, interactive, and supportive of students' active participation. The control group will continue with routine school activities without receiving any additional intervention.
Data will be collected at two time points: baseline (pre-test) and post-intervention (post-test). The primary outcome is help-seeking behavior, assessed using a scenario-based help-seeking test. Secondary outcomes include help-seeking attitudes and school health office visit records. The scenario-based assessment evaluates students' ability to recognize symptom severity and choose appropriate help-seeking strategies in common school-related situations.
The findings of this study are expected to provide preliminary evidence regarding the effectiveness and feasibility of school nurse-led interventions in improving symptom awareness and help-seeking behaviors among middle school students. The results will contribute to the development of evidence-based school health programs and support the role of school nurses in promoting early recognition of health problems and appropriate use of health services.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Karabük, Turquía (Türkiye)
- Karabuk University
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Being between 10 and 13 years of age (5th-7th grade students)
- Providing written informed consent from parents and assent from the student
- Regular school attendance
- No condition preventing participation in group sessions
Exclusion Criteria:
- Presence of a diagnosed neurological or psychiatric condition that may prevent participation in group activities
- Cognitive or developmental impairments that significantly affect communication
- Planned long-term school absence during the study period
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: School Nurse-Led Education Program
Students in this group will receive a school nurse-led symptom awareness and appropriate help-seeking education program consisting of four structured sessions.
The program focuses on recognizing body signals, understanding common symptoms, interpreting symptom severity, and making appropriate help-seeking decisions within the school setting.
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This intervention is a structured, school nurse-led education program designed to improve symptom awareness and appropriate help-seeking behaviors among middle school students. The program consists of four sessions delivered in a classroom setting. The content includes recognizing body signals, identifying common symptoms such as headache, abdominal pain, dizziness, and fatigue, interpreting symptom severity, and making appropriate help-seeking decisions within the school environment (e.g., seeking help from a teacher, school nurse, or family member). The sessions are designed to be age-appropriate, interactive, and student-centered, incorporating discussions and real-life scenarios to enhance understanding and engagement. The program aims to support students in developing the ability to recognize when a symptom requires attention and to choose appropriate sources of help. |
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Sin intervención: Routine School Activities
Students in this group will continue with routine school activities and will not receive any additional intervention during the study period.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Help-Seeking Behavior Score (Scenario-Based Assessment)
Periodo de tiempo: Baseline and 4 weeks (post-intervention)
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The primary outcome is students' help-seeking behavior, assessed using a scenario-based help-seeking test developed for middle school students.
The assessment evaluates students' ability to recognize symptom severity and select appropriate help-seeking actions in common school-related situations (e.g., seeking help from a teacher, school nurse, or family member).
Scores range from 0 to 10, with higher scores indicating more appropriate help-seeking behavior.
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Baseline and 4 weeks (post-intervention)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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School Health Office Visits
Periodo de tiempo: During the 4-week intervention period
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The number of visits to the school health office will be recorded to provide supportive data on students' health-related behaviors during the study period.
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During the 4-week intervention period
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Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- KBU-HEM464-503441
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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