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.
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,
having impaired vision or hearing,
having a mental illness,
not owning a smartphone,
being pregnant or postpartum,
Parallel
BUHOS app
Other interventionIn 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 interventionNo intervention will be made to the patients in the control group, and the training videos prepared after the study is completed will be shared.
Omaha System- Problem Rating Scale for Outcomes Knowledge parameter
Omaha System- Problem Rating Scale for Outcomes Behavior parameter
Communicable Diseases Risk Awareness and Protection Scale (CDRAPS)
Community Communicable Diseases Knowledge Survey
System Usability Scale (SUS)
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Kocaeli University
Lead sponsor
Atlas University
Collaborator
Istanbul Medeniyet University
Collaborator
Istanbul University - Cerrahpasa
Collaborator
Hatay Devlet Hastanesi
Collaborator
Health Institutes of Turkey
Collaborator
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