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Effectiveness of Play-Based Nasal Hygiene Education in Preschool Children

12 juin 2026 mis à jour par: Aynur Aytekin Ozdemir, Istanbul Medeniyet University

Determination of the Effectiveness of Play-Based Nasal Hygiene Education in Preschool Children: A Cluster Randomized Controlled Trial

This study aimed to determine the effectiveness of a play-based nasal hygiene education program on nasal hygiene knowledge and skills among preschool children.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

This completed cluster randomized controlled trial evaluated the effectiveness of a play-based nasal hygiene education program on nasal hygiene knowledge and skills among preschool children. The study was conducted in the kindergarten level of a public primary school in Istanbul, Türkiye. Two preschool classrooms were randomly assigned to the intervention and control groups. The intervention group received a structured nasal hygiene education program including visual educational materials, an animation-based video, and play-based skill practice activities, while the control group received no education during the data collection period. Outcomes were assessed at baseline and two weeks after completion of the intervention using performance-based and video-recorded assessments. After post-test measurements, the education program was also provided to the control group.

Type d'étude

Interventionnel

Inscription (Réel)

40

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant

Accepte les volontaires sains

Oui

La description

Inclusion Criteria:

  • Being enrolled in the preschool/kindergarten class of the school where the study was conducted
  • Being able to speak and understand Turkish
  • Having written informed consent from a parent or legal guardian
  • Being willing to participate in the study

Exclusion Criteria:

  • Having an active disease that could affect nasal hygiene practice during data collection
  • Having any chronic disease
  • Having structural anomalies that may cause nasal obstruction
  • Having a physical or cognitive impairment that prevents communication, watching the educational materials, or completing the measurement tools
  • Having previously participated in a structured education program on nasal hygiene or nose-blowing skills
  • Not having written informed consent from a parent or legal guardian
  • Not being willing to participate in the study

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Play-Based Nasal Hygiene Education Group
Participants in the intervention group received a structured play-based nasal hygiene education program designed for preschool children. The program included visual educational materials, an animation-based educational video, and play-based skill development activities. The intervention aimed to improve children's nasal hygiene knowledge and performance, and hand hygiene after nasal cleaning.
Comportemental: Play-Based Nasal Hygiene Education Program
The intervention consisted of a structured nasal hygiene education program developed for preschool children. The program included group-based education using visual educational materials, an animation-based educational video, and demonstration of nasal hygiene steps. It also included individual play-based practice stations: nasal air pressure development activities, nasal airflow performance activities, nasal hygiene sequencing cards, and a simulated nasal hygiene practice station. The program targeted both cognitive learning and psychomotor skill development.
Aucune intervention: Control Group
Participants in the control group did not receive any nasal hygiene education during the data collection period. After completion of the post-test measurements, the nasal hygiene education program was also provided to the control group.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in Nasal Hygiene Knowledge Score
Délai: Baseline and two weeks after completion of the intervention
Children's nasal hygiene knowledge was assessed using the Nasal Hygiene Knowledge Sequencing Test. The test consists of eight visual cards representing the steps of nasal hygiene. Children were asked to place the cards in the correct order. Each correctly ordered card was scored as 1 point and each incorrectly ordered card was scored as 0 points. Higher scores indicate a higher level of nasal hygiene knowledge.
Baseline and two weeks after completion of the intervention
Change in Nasal Air Pressure Performance
Délai: Baseline and two weeks after completion of the intervention
Nasal air pressure performance was assessed using the Nasal Air Pressure Measurement Test. A lightweight paper strip was fixed to the child's nasal bridge, and the child was asked to blow through the nose with the mouth closed. Performance was evaluated based on the angle difference between the baseline position of the paper and the maximum elevation angle achieved during nasal blowing. Higher angle differences indicate better nasal air pressure performance.
Baseline and two weeks after completion of the intervention
Change in Nasal Airflow Performance
Délai: Baseline and two weeks after completion of the intervention
Nasal airflow performance was assessed using the Nasal Airflow Performance Test. A lightweight pom-pom ball was placed inside a cardboard tube attached to a pediatric respiratory mask. Children were asked to blow through the nose with the mouth closed to move the pom-pom out of the tube. Performance was evaluated using two parameters: success in expelling the pom-pom from the tube and the time required to expel the pom-pom. Successful expulsion and shorter completion time indicate better nasal airflow performance.
Baseline and two weeks after completion of the intervention
Change in Nasal Hygiene Skill Score
Délai: Baseline and two weeks after completion of the intervention
Children's nasal hygiene skills were assessed using the Nasal Hygiene Skill Assessment Checklist. The checklist evaluates children's performance of nasal hygiene steps in a simulated environment. Each skill step was scored as "performed" = 3 points, "partially performed" = 2 points, and "not performed" = 1 point. Higher scores indicate better nasal hygiene skill performance. The performance was video-recorded and evaluated by independent observers.
Baseline and two weeks after completion of the intervention

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in Parent-Rated Independent Nasal Hygiene Performance
Délai: Baseline and four weeks after completion of the intervention
Parents evaluated children's independent nasal hygiene performance using a visual analog scale. Higher scores indicate a higher level of independent nasal hygiene performance.
Baseline and four weeks after completion of the intervention

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Istanbul Medeniyet University

Les enquêteurs

  • Chercheur principal: Aynur Aytekin Özdemir, Professor, Istanbul Medeniyet University

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

1 novembre 2025

Achèvement primaire (Réel)

16 janvier 2026

Achèvement de l'étude (Réel)

16 janvier 2026

Dates d'inscription aux études

Première soumission

12 juin 2026

Première soumission répondant aux critères de contrôle qualité

12 juin 2026

Première publication (Réel)

17 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

17 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

12 juin 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 2025/020-14

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

Individual participant data will not be shared due to the involvement of child participants, video-recorded performance assessments, and confidentiality restrictions.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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