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Effectiveness of Education on Preventive Measures Against Acute Respiratory Tract Infections in School-Age Children

Investigation of the Effectiveness of Education on Preventive Measures Against Acute Respiratory Tract Infections in School-Age Children: A Cluster Randomized Controlled Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07654712
Enrollment
48
Registered
2026-06-17
Start date
2025-11-01
Completion date
2026-01-16
Last updated
2026-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Respiratory Tract Infections, Hand Hygiene, Health Education, Respiratory Hygiene, Respiratory Infection Prevention

Keywords

Acute respiratory tract infections, Respiratory hygiene, Hand hygiene, School health, Primary school children, Health education, Cluster randomized controlled trial

Brief summary

This study aimed to evaluate the effectiveness of an animation video-supported education program on preventive measures against acute respiratory tract infections among first-grade primary school children.

Detailed description

This study aimed to evaluate the effectiveness of an animation video-supported education program on preventive measures against acute respiratory tract infections among first-grade primary school children. The study was conducted as a cluster randomized controlled trial in a public primary school in Istanbul, Türkiye. Two first-grade classrooms were selected and randomly assigned to the intervention and control groups. The intervention group received an animation video-supported education program on preventive measures against acute respiratory tract infections, 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. The primary outcomes included children's knowledge scores regarding preventive measures against respiratory tract infections, coughing/sneezing hygiene skill scores, and hand hygiene skill scores.

Interventions

BEHAVIORALAnimation Video-Supported Education on Preventive Measures Against Acute Respiratory Tract Infections

The intervention consisted of an animation video-supported education program developed for first-grade primary school children. The program included a 15-minute animation video, question-and-answer activities, demonstration and practice of coughing/sneezing etiquette, and demonstration and practice of hand hygiene using a handwashing station. The education was delivered in three sessions over three weeks, with a total duration of 120 minutes.

Sponsors

Istanbul Medeniyet University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Masking description

Due to the nature of the educational intervention, participants and the researcher delivering the intervention could not be blinded. However, skill performances were video-recorded and evaluated by two independent experts.

Eligibility

Sex/Gender
ALL
Age
6 Years to 7 Years
Healthy volunteers
Yes

Inclusion criteria

* Being enrolled in the first grade of the primary 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 acute respiratory tract infection during data collection * Having any chronic disease * Having a physical or cognitive impairment that prevents communication, watching the educational materials, or completing the measurement tools * Not having written informed consent from a parent or legal guardian * Not being willing to participate in the study

Design outcomes

Primary

MeasureTime frameDescription
Change in Knowledge Score on Preventive Measures Against Respiratory Tract InfectionsBaseline and two weeks after completion of the interventionChildren's knowledge regarding preventive measures against respiratory tract infections was assessed using the Knowledge Form on Preventive Measures Against Respiratory Tract Infections. The form consists of 7 items. Each correct answer is scored as 1 point and each incorrect answer is scored as 0 points. Total scores range from 0 to 7, with higher scores indicating a higher level of knowledge.
Change in Coughing/Sneezing Hygiene Skill ScoreBaseline and two weeks after completion of the interventionChildren's coughing/sneezing hygiene skills were assessed using the Coughing/Sneezing Skill Checklist developed by the researchers. The checklist evaluates appropriate protective behaviors during coughing or sneezing. Items are scored as "performed" = 2 points, "partially performed" = 1 point, and "not performed" = 0 points. Higher scores indicate better coughing/sneezing hygiene skills. Skill performances were video-recorded and evaluated by two independent experts.
Change in Hand Hygiene Skill ScoreBaseline and two weeks after completion of the interventionChildren's hand hygiene skills were assessed using the Hand Hygiene Skill Checklist developed by the researchers. The checklist consists of 12 items. Each item is scored as "performed" = 2 points, "partially performed" = 1 point, and "not performed" = 0 points. Higher scores indicate better hand hygiene skills. Children demonstrated handwashing behavior using a standardized handwashing station, and performances were video-recorded and evaluated by two independent experts.

Secondary

MeasureTime frameDescription
Change in Parent-Rated Independent Performance of Preventive BehaviorsBaseline and four weeks after completion of the interventionParents evaluated children's independent performance of preventive behaviors against acute respiratory tract infections using a visual analog scale. Higher scores indicate a higher level of independent performance of preventive behaviors.

Countries

Turkey (Türkiye)

Contacts

PRINCIPAL_INVESTIGATORAynur Aytekin Özdemir, Professor

İstanbul Medeniyet University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 18, 2026