Effects of Web-Based Adolescent Health Promotion Program in Hearing Impaired Adolescents

Study Overview
=================
Brief Summary
-----------------
Our research is to evaluate the effect and applicability of the adolescent health promotion program, which includes multiple behavioral interventions, on physical activity, nutrition and mental health of hearing impaired adolescents living in the community.

Detailed Description
-----------------
Purpose of the research; To evaluate the effect and applicability of the Web-Based Adolescent Health Promotion program, which includes multiple health behavior initiatives, on physical activity, nutrition, and stress management of hearing impaired adolescents in making healthy choices, assuming their own health responsibilities and acquiring healthy lifestyle behaviors. Materials and methods; The research is a full experimental study with pretest-posttest control group, repeated measurement design, random groups. Research sample; A total of 70 hearing-impaired adolescents aged 12-18, studying at Abdurrahman Gazi Sağlar Primary School, Van Special Education Vocational High School and Duyus Special Education and Rehabilitation Center affiliated to the Ministry of National Education in the city center of Van. The data of the research; Sociodemographic Characteristics Information Form, Body Mass Index (BMI), Adolescent Nutrition Information Scale, Adolescent Physical Activity Information Scale, Adolescent Lifestyle Scale, Adolescent Healthy Lifestyle Choices Scale, Renewed Child Anxiety and Depression Scale, Daily Food Consumption Form, Beverage Consumption Form, Pedometer were collected. In the study; descriptive statistics will be evaluated with mean, standard deviation, percentage and frequency analysis. Comparisons between groups will be analyzed using Pearson's chi-square, Student's t-test, Mann Whitney-U test, Kruskal Wallis test, analysis of variance and Cohen's d effect size. The results of this study; Physical Variables: Body Mass Index (BMI) and Weight Behavioral Variables: Weekly average number of steps and change, fruit and vegetable consumption amount, amount of water consumed, amount of sugary and acidic beverages consumed, Adolescent Lifestyle scale score average, Adolescent Lifestyle Choices scale score average, Cognitive Variables: Adolescent Nutrition Knowledge scale mean score, Adolescent Physical Activity Knowledge scale mean score, Regenerated Child Anxiety and Depression scale mean score will be evaluated.

Official Title
-----------------
Effects of Web-Based Adolescent Health Promotion Program on Physical Activity, Nutrition and Mental Health in Hearing Impaired Adolescents

Conditions
-----------------
Health Promotion

Intervention / Treatment
-----------------
* Behavioral: Experimental group


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Hearing impairment, In the 12-18 age group, Ability to access communication tools such as computers, tablets and smartphones and use the internet with these tools, Able to communicate in visual, sign language and written, Does not have a physical condition or disease that may prevent exercise, Volunteer to participate in the research, Permitted to participate in the research by their parents. Exclusion Criteria: who want to withdraw from the research

Ages Eligible for Study
-----------------
Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study was in the design type with pretest-posttest control group, repeated measures in randomized groups.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: (Intervention group) Hearing impaired adolescent experimental group<br>Hearing Impaired Adolescent Group implemented Web-Based Adolescent Health Promotion Education Program | Behavioral: Experimental group<br>* Web Based Adolescent Health Promotion Education Program<br>* Other names: ASGE-FABES;|
| No Intervention: (Control group) Hearing impaired adolescent control Group<br>Hearing Impaired Adolescent Group that did not apply Web-Based Adolescent Health Promotion Education Program | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical Variables: | Body Mass Index (BMI- kg/m^2) and Weight (kg) | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavioral Variables: | The mean score of Adolescent Lifestyle Scale is used for behavioral change; The scale requires a 4-point Likert-type response for each item. 1 for Never, 2 for Sometimes, 3 for Often and 4 for Always The maximum score obtained from the scale is 160 and the minimum score is 40. The scale does not have a cut-off point, as the score increases, the level of positive health behavior increases | 9 months | 
| Cognitive Variables 1: | The mean score of Adolescent Nutrition Knowledge Scale will be evaluated. Scoring Highlighted answer is correct Recode items If answer don't know (2), recode as no (0) If answer is correct, recode as (1) If answer is incorrect, recode as (0) After recoding, sum items 1-12 Summed total will reflect the number of items answered correctly. | 9 months | 
| Cognitive Variables 2: | The mean score of Adolescent Physical Activity Knowledge Scale will be evaluated. Scoring Highlighted answer is correct Recode items If answer don't know (2), recode as no (0) If answer is correct, recode as (1) If answer is incorrect, recode as (0) After recoding, sum items 1-12 Summed total will reflect the number of items answered correctly. | 9 months | 
| Cognitive Variables 3: | The mean score of Regenerated Child Anxiety and Depression Scale will be evaluated. The RCADS consists of 47 items developed to measure DSM-IV based symptoms of anxiety disorders and depression in children and adolescents. The subscales correspond to SAD (7 items), SP (9 items), GAD (6 items), PD (9 items), OCD (6 items), and MDD (10 items). It is scored on a 4-point scale (0 =never, 1 = sometimes, 2 = often, and 3 = always). | 9 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Hearing Impaired, Adolescent health, Health Promotion, Web-based, ASGE- FABES