Omaha System-Based Health Application on Improving Knowledge, Attitude, and Behaviors Regarding Infectious Disease Prevention in the Community

NCT07048301 — Not applicable, Not yet recruiting, 112 participants, Kocaeli University

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Developing an Omaha System-Based Health Application on Improving Knowledge, Attitude, and Behaviors Regarding Infectious Disease Prevention in the Community

RegistryNCT07048301
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: double, prevention
Enrollment112 (Estimated)
SponsorKocaeli University (Other); collaborators: Atlas University, Istanbul Medeniyet University, Istanbul University - Cerrahpasa, Hatay Devlet Hastanesi, Health Institutes of Turkey
ConditionsInfectious Diseases, Attitude, Behavior, Knowledge
InterventionsBUHOS app, Control Group (Other)
Datesstart 2025-09-01 (estimated), primary completion 2025-12-01 (estimated), completion 2026-06-01 (estimated), first posted 2025-07-02, last updated 2025-07-02

Related Papers Related Patents Related Grants Related Experts
All trials for Infectious Diseases All trials for Attitude All trials of BUHOS app All trials of Control Group

-Summary

Background: Infectious diseases remain significant public health concerns due to several factors such as climate and environmental changes and natural disasters. Mobile health applications (mHealth apps) can be an appropriate way for fostering community participation, disseminating knowledge, and promoting behavior change toward infectious disease prevention. This study aims to describe a protocol for a pilot randomized controlled study to evaluate the impact of the Omaha System-Based mHealth app (BUHOS) on improving knowledge, attitude, and behaviors (KAB) regarding infectious disease prevention in an earthquake-affected region of Türkiye.

Methods: This study is a two-armed, parallel-group, randomized controlled trial design. A total of 112 eligible participants will be recruited from two separate container cities of an earthquake-affected region. These participants will be randomly allocated to either an intervention group or a control group. BUHOS will be designed based on the Omaha System, a widely recognized standardized taxonomy for the assessment, planning, and evaluation of healthcare services. BUHOS will be a two-week nursing intervention that includes monitoring KAB, employing Education, Guidance and Counseling (education videos), and Surveillance (reminder messages), and assessing the outcomes. Outcome variables will include the Problem Rating Scale for Outcomes, Community Communicable Diseases Knowledge Survey, Communicable Diseases Risk Awareness and Protection Scale and System Usability Scale. Outcome variables will be assessed on the 15th and 30th day after intervention.

Hypotheses:

H1: Among the Omaha System Problems, the Communicable/ Infectious Condition Problem Knowledge score will be higher on the 15th and 30th days compared to the control group.

H2: Infectious diseases risk awareness and prevention score will be higher on the 15th and 30th days compared to the control group.

H3: Communicable/ Infectious Condition Status Behaviour Parameter score will be higher on the 15th and 30th days compared to the control group H4: The knowledge and behaviour of the communicable/ infectious status and the awareness and prevention of the risk of infectious diseases of the experimental group will be higher than before the intervention on the 15th and 30th days.

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+Arms and interventions

ArmTypeInterventionsDescription
BUHOS appExperimentalOther: BUHOS appBUHOS app
Control GroupActive comparatorOther: Control GroupControl Group
  • BUHOS app (Other): In this study, the BUHOS app initiative will be implemented among participants in the intervention group. BUHOS will be a two-weeks nursing intervention that includes monitoring KAB, employing Education, Guidance and Counseling (education videos), and Surveillance (reminder messages), and assessing the outcomes.
  • Control Group (Other): No intervention will be made to the patients in the control group, and the training videos prepared after the study is completed will be shared.

+Outcome measures

Primary outcomes

  • Omaha System- Problem Rating Scale for Outcomes Knowledge parameter [15th and 30th day after intervention]
  • Omaha System- Problem Rating Scale for Outcomes Behavior parameter [15th and 30th day after intervention]
  • Communicable Diseases Risk Awareness and Protection Scale (CDRAPS) [15th and 30th day after intervention]
  • Community Communicable Diseases Knowledge Survey [15th and 30th day after intervention]

Secondary outcomes

  • System Usability Scale (SUS) [30th day after intervention]

+Eligibility

Sex: All, ages: 18 Years to 64 Years, accepts healthy volunteers

Inclusion criteria:

* being aged between 18 and 64 years,
* living in two container cities,
* having a knowledge score of 'very low (1)' and 'low (2)' on the Omaha System Problem Rating Scale for Outcome for Communicable/ Infectious Problem Knowledge Parameter,
* being literate,
* owning a smartphone.

Exclusion criteria:

* having impaired vision or hearing,
* having a mental illness,
* not owning a smartphone,
* being pregnant or postpartum,
* being participants in another scientific study,
* refusing to participate.

+Publications

  • Results publication: Secginli S, Altiner Yas M, Torun G, Ilhan N, Dogru Bolat S. Developing an Omaha System-based health application to improve knowledge, attitude, and behaviors regarding infectious disease prevention in the community: a study protocol for a randomized controlled trial. BMC Public Health. 2025 Nov 27;25(1):4170. doi: 10.1186/s12889-025-25587-8. PMID 41310526

+Investigators

  • Nesrin İlhan, Assoc. Prof., Principal investigator, Istanbul Medeniyet University
  • Selda Seçginli, Study director, Atlas University
  • Seda Doğru Bolat, Msc., Principal investigator, Hatay State Hospital