Background and Purpose: The Social Ecological Model provides a comprehensive perspective on the physical, social, environmental, and individual factors that influence physical activity. This study aimed to evaluate the Turkish validity and reliability of the Physical Activity Correlates Questionnaire from the Social Ecological Model (SEM-PACQ) among university students. Methods: This study was conducted between October 2023 and June 2024 at the faculties of health sciences at state universities in two provinces of Türkiye (N = 335) using a cross-sectional design to evaluate the validity and reliability of the instrument. The scale was translated using translation/back-translation procedures. Content validity was assessed using the content validity index. Following pilot testing, minor wording revisions were made to enhance item clarity. Reliability was evaluated using coefficient alpha, McDonald's omega, item-total correlations, and internal consistency coefficients, and construct validity was examined using confirmatory factor analyses. Convergent and discriminant validity were also examined. Results: The scale consists of 22 items and retains its original, six-factor structure. The content validity index was .95. The item-level content validity ratios ranged from .75 to 1. The coefficient alpha and McDonald's omega values for the scale were .90. The item-total correlation coefficients ranged between .41 and .60, and all items had values greater than .40. Confirmatory factor analysis supported the scale's factor structure. The convergent and discriminant validity results indicated acceptable construct validity across the subscales. The total SEM-PACQ and social support subscale scores were significantly higher among those who engaged in vigorous and moderate physical activity than among those who did not (p < .001). Conclusions: The SEM-PACQ was found to be valid and reliable for Turkish university students.

Objective: Dysmenorrhea is an important reproductive health problem with biopsychosocial effects in adolescents. The aim of this study is to determine the frequency of dysmenorrhea in adolescents, affecting factors, and dysmenorrhea self-care experiences. Methods: This study used a cross-sectional design. Data were collected from students (n=1160) enrolled in seven high schools in a province in Türkiye. Data were analyzed using descriptive statistics, chi-square, one-way analysis of variance, t-test, Mann-Whitney U, Kruskal-Wallis test, and multiple logistic regression tests. Results: In this study, the prevalence of dysmenorrhea was determined as 89.7%. It was determined that dysmenorrhea was affected by age (β = 1.482), stress in life (β = 1.520), menstrual cycle (β = 2.044), menarche attitude (β = 1.598), drug use (β = 2.854) and family dysmenorrhea (β = 2.943). Conclusion: It is recommended that reproductive health and menstruation education begin before adolescence and that health programs be updated to include dysmenorrhea self-care under the title of reproductive health. In addition, it is recommended that interventions be made regarding stress, drug use, and negative attitudes towards menarche, which have modifiable properties that have the potential to affect dysmenorrhea and self-care behaviors.

This study investigated adherence to the WHO 24-h movement guidelines (physical activity—PA, screen time—ST, sleep) among Turkish preschoolers and examined associations with parental factors, an area previously unexplored in Türkiye. This cross-sectional study included 282 preschool children (mean age 4.4 ± 0.7 years) and their parents. Children’s PA was objectively measured using pedometers. ST and sleep were parent-reported. Parental factors were assessed using validated scales: the Parental Attitude Scale for Children’s Screen Time (PAS-CST), the Parental Self-Efficacy Scale for Children’s Physical Activity (PSES-CPA), a single-item measure for self-efficacy in limiting ST, and the Parental Screen Use During Child Activities Scale (PSU-CAS). The prevalence of meeting all three criteria was 16.0

Sexual abuse is a significant public health issue, particularly during childhood, with profound negative effects on children, families, and society. Children with visual impairment face a heightened risk of abuse due to their reliance on tactile perception to navigate their environment and their limited ability to discern appropriate from inappropriate touch. This study aimed to evaluate the impact of nurse-led body protection education on the sexual abuse knowledge levels of students with visual impairments. A randomized controlled trial with pre-test, post-test, and follow-up test was conducted. Fifty-three students with visual impairments were randomly allocated to the intervention group (n = 27) or the control group (n = 26). Data were collected using the Children’s Knowledge of Abuse Questionnaire – Revised, at three points: two weeks before the education, two weeks after the education, and two months post-education. The intervention group received nurse-led body protection education in small groups (3–4 students) during 40-minute sessions. The education utilized verbal explanations, a doll, and a distress whistle. Two weeks after the post-test, a reminder brochure prepared in Braille was distributed to the intervention group. The intervention group demonstrated significantly higher post-test and follow-up scores in the “good touch” and “bad touch” subdimensions compared to the control group (p < .05). Additionally, their post-test and follow-up scores were significantly higher than their pre-test scores (p < .05). Nurse-led body protection education effectively improved the sexual abuse knowledge levels of students with visual impairments. This intervention can be feasibly implemented among students with visual impairments to enhance their awareness and protective skills. It was retrospectively registered at ClinicalTrials.gov ( https://clinicaltrials.gov/study/NCT06497803 ) on July 12, 2024 (NCT06497803).

Objective: Mental health problems are among the most common health problems today. This study was a randomized controlled trial in order to determine the effect of nurse-led mental health first aid training (MHFA) on mental health and mental health literacy (MHL) of office workers in Turkey. Methods: The study was performed with 88 employees in the intervention group and 90 employees in the control group, who were randomly allocated. The data were collected with positive mental health (PMH) scale and MHL scale via online forms. Intervention group received 8-hour MHFA course. The primary outcomes included autonomy, personal satisfaction, problem solving and self-actualization, self-control, prosocial attitude and interpersonal relationship skills of PMH sub-dimensions. The secondary outcome was mental health literacy. Post-test was administered one week following the completion of the MHFA training. Data were analyzed using chi-square, independent sample t test and repeated-measures ANOVA. Results: Following the MHFA training, post-test scores of the PMH scale personal satisfaction, self-control, autonomy, problem solving and self-actualization, prosocial attitude and interpersonal relationship skills were found to increase in favor of the intervention group (p

In Muslim societies, issues related to sexual and reproductive health are rarely discussed and considered sensitive subjects. This study was conducted to assess the acceptability and effectiveness of a sexual health education program in Turkey, a Muslim country. The study was conducted using a one-group quasi-experimental design. The sexual health education program consisted of five sessions of sexual health education, pre-test, post-test, first follow-up (30 days after) and second follow-up (60 days after). The sample of the study consisted of 207 female and 79 male first year Muslim university students. At the end of the program, 96.5% of the Muslim university students stated that they liked the education, 96.2% found the education useful, 86.0% found the online education convenient, and 96.9% would use the information they learned. Muslim university students, in general, found the feasibility of the education to be highly favorable. It was determined that the post-test score of sexual health knowledge was higher than the pre-test score ( p < 0.05). The program in this study was found to be adopted by Muslim university students and it is thought to be valuable in societies with similar religious beliefs and views.

Objective: This study evaluated the effects of the Let's Go! 5-2-1-0 programme on adolescents' nutritional habits, physical activity levels and body mass index (BMI).Methods: Conducted between May 2022 and January 2023, this quasi-experimental study took place at two middle schools in Istanbul. A total of 150 adolescents participated, with one school designated as the intervention group (n = 75) and another as the control group (n = 75). The intervention group received six training sessions. Data were collected using a Descriptive Characteristics Form, a Healthy Habits Questionnaire, a Physical Activity Questionnaire and anthropometric measurements (height and weight). Demographic characteristics of the intervention and control groups were compared using Chi-square and t-tests, while Mann-Whitney U and Wilcoxon signed-rank tests were employed to analyse differences in pre-test, post-test and follow-up scale scores between groups.Results: Subsequent to the programme, the intervention group exhibited a significant decrease in the proportion of students with a BMI greater than 85. Improvements were noted in the consumption of low-fat milk, whole milk and 100% fruit juice, along with increased breakfast frequency, family meal participation and water intake. In addition, there was a decrease in the consumption of soft drinks and ready-made fruit juices/sports drinks. However, no significant differences in physical activity scores were found between the intervention and control groups.Conclusion: The Let's Go! 5-2-1-0 programme promoted healthy eating habits and reduced BMI among adolescents. Nonetheless, its effects on physical activity were limited. Study findings suggest the need for the further development of physical activity initiatives within schools to encourage more active lifestyles among students.

Okul sağlığı ve okul sağlığı hemşireliği tarihi ülkemiz tarihi kadar eskidir. Cumhuriyet’in ilk yıllarından itibaren okul sağlığı adına yapılan girişimleri görmek mümkündür. Okul sağlığı hemşireliği adına atılmış en güncel ve en umut verici gelişme ise Millî Eğitim Bakanlığı Okul Sağlığı Hemşirelerinin Çalışma Usul ve Esasları Hakkında Yönergesidir. Yönerge ile okul hemşirelerinin en az lisans derecesine sahip olacakları netleştirilmiş olup Ortaöğretim Kurumları Yönetim Taslağında yer alan her okulda bir hemşire söylemi hayata geçirilmeye başlanmıştır. Bu doğrultuda Mart 2023 tarihli merkez ve taşra teşkilatı için 500 okul sağlığı hemşiresi alımı yapılmıştır. Bu derlemenin amacı, okul sağlığı hemşireliğinin ülkemizdeki durumunu ve güncel yasal düzenlemeler doğrultusunda okul sağlığı hemşireliği uygulamalarını açıklamaktır.

Objective: The main purpose of this study was to adapt the adolescent Healthy Habits Questionnaire (HHQ) to the Turkish language and to test its validity and reliability. The study was also examined the diet, physical activity, screen time, and sleep habits of adolescents. Methods: This study is a methodological and descriptive design. The sample of the research consists of 320 students. The validity of the HHQ was evaluated by the content validity index, the reliability by test -retest correlations, and the kappa coefficient of agreement. Number and percentage values were used for descriptive features. Results: The content validity index of HHQ was found to be 0.96. The test -retest correlations of questions containing continuous variables were found to be between 0.44 and 0.91. Kappa values of questions containing categorical variables were between 0.7 and 0.94. It was found that 91.8% of the adolescents consumed less than three servings of vegetables, 76.9% of them consumed less than 2 servings of fruit, and 80.5% of them consumed less than 2 glasses of milk. In addition, it was determined 40.2% of the adolescents used screen use more than two hours, 47.6% did less than one hour of physical activity and 30.2% slept less than eight hours. Conclusion: HHQ was found as a valid and reliable measurement tool. It was determined that the adolescents did not consume enough vegetables, fruits, water, and milk and did not engage in sufficient physical activity.

College women are at more risk in terms of sexual behavior than male students. This study was carried out to determine the effect of the transtheoretical model-based Healthy Youth Program on college women's sexual health knowledge and behaviors. The sample of the study, which was conducted with a one-group pretest-posttest quasi-experimental design, consisted of 207 first-year college women. It was determined that the Healthy Youth Program was effective in improving the sexual health knowledge and behaviors of college women. It can be used as a guide in sexual health education in colleges.

Aile içindeki bireylerin birbirleriyle etkileşimini düzenleyen kurallar, aile sistemini oluşturmaktadır. Bu sistem, sağlığı koruma ve geliştirme davranışlarını etkilemektedir. Bu kitap 2010 yılında Hemşirelik Yönetmenliğindeki hemşirelik hizmet kapsamı; hemşirenin görev, yetki ve sorumlulukları ve 2011 yılındaki Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik; çalışılan birim/servis/ünite/alanlara göre hemşirelerin görev, yetki ve sorumlulukları içeriği; birey, aile ve toplumsal yaklaşımlar esas alınarak hazırlanmıştır.

Objective: Insomnia is an important health problem affecting physical, spiritual and social well-being of individuals negatively and it should be early diagnosed as well. The purpose is to appraise the psychometric features of the Turkish version of the Bergen Insomnia Scale (BIS) for adults. Methods: A total of 495 adults were included in the methodological study in Turkey. Turkish form of BIS was designed within the scope of study conducted in adolescent sample. Construct validity was appraised with exploratory, confirmatory factor analysis, convergent and discriminant validity. Internal-consistency and test-retest analysis were used for reliability. Results: According to results of explanatory, confirmatory factor analysis; it was identified that BIS showed a two-factor structure as daytime symptoms (α=.85) and nocturnal symptoms (α=.80). Item-total correlations were found as ≥.59 and test-retest correlation as .83. Conclusions: The Turkish version of the Bergen Insomnia Scale for adults was assessed as valid and reliable.

Amaç: Çalışmanın amacı ebeveynlerin çocukluk çağı aşıları ile COVID-19 aşısına yönelik tutumları arasındaki ilişkinin incelenmesidir. Gereç ve Yöntem: Tanımlayıcı-ilişkisel türde yapılan çalışmanın örneklemini, araştırmaya katılmayı kabul eden ve online soru formunu dolduran öğrenci ebeveynlerinden biri (n=191; %88 anne, % 9.9 baba, % 2.1 diğer) oluşturdu. Veriler 01-30 Haziran 2022 tarih aralığında Sosyo-demografik Tanılama Formu, Ebeveynlerin Çocukluk Aşılarına Yönelik Tutumları Ölçeği ve COVID-19 Aşısına Yönelik Tutum Ölçeği ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler (frekans, yüzde, ortanca ve ortalama) ve Spearman Korelasyon testi kullanıldı. İstatistiksel anlamlılık düzeyi p

Amaç: Bu çalışma, Adolesanlar için Fiziksel Aktivite Ölçeği (AFAÖ)’nin Türkçe versiyonunun oluşturularak, psikometrik özelliklerinin ve faktör yapısının incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Çalışma 750 (16,35±1,06 yaş) lise (9-12.sınıf) öğrencisi ile yapıldı. Ölçeğin geçerlilik analizinde içerik ve yapı geçerliliği incelendi. İçerik geçerliliği için içerik geçerlilik indeksinden, yapı geçerliliği için açıklayıcı ve doğrulayıcı faktör analizinden yararlanıldı. Güvenilirlilik, iç tutarlılık güvenilirlilik katsayısı (Cronbach alfa) ve sınıf içi korelasyon katsayısı ile test edildi. Madde analizi için düzeltilmiş madde toplam korelasyonları hesaplandı. Bulgular: Adolesanlar için Fiziksel Aktivite Ölçeği'nin içerik geçerlilik indeksi sonucu 0,95 bulundu. Yapı geçerliliği için öncelikle açıklayıcı faktör analizi yapıldı ve iki faktörlü bir yapı elde edildi. Daha sonra ölçeğin tek faktörlü ve iki faktörlü modeli doğrulayıcı faktör analizi ile incelendiğinde tek faktörlü modelin uyum katsayılarının daha iyi olduğu saptandı. Tek faktörlü Adolesanlar için Fiziksel Aktivite Ölçeği'nin faktör yükleri 0,35-0,84 arasında sıralandı. Uyum indeksi değerleri RMSEA=0,085, CFI=0,968, AGFI=0,91 ve RMR= 0,05 bulundu. Cronbach alfa katsayısı 0,85, test-tekrar test güvenilirliği için sınıf içi korelasyon katsayısı 0,90 olarak hesaplandı. Tüm örnek için düzeltilmiş madde toplam korelasyonları 0,28'in üzerinde bulundu. Sonuç: Çalışma, Adolesanlar için Fiziksel Aktivite Ölçeği'nin Türk adolesanların genel fiziksel aktivite düzeyini değerlendirmek için kullanılabilecek geçerli ve güvenilir bir araç olduğunu gösterdi. Adolesanlar için Fiziksel Aktivite Ölçeği, çalışmalarda fiziksel aktivite düzeyini değerlendirmek için kullanılabilir.

Objective: Dysmenorrhea is a common health problem that negatively affects daily life and academic skills when not managed well. This study was conducted to examine the Turkish validity and reliability of the Adolescent Dysmenorrhea Self-Care Scale. Methods: This methodological study was conducted in 7 high schools in Bursa, Turkey. The research was carried out with 1041 high school students who met the participation criteria. The Adolescent Dysmenorrhea Self-Care Scale was adapted to Turkish by using translation-back translation method. The validity of the scale was evaluated with the content validity index, confirmatory factor analysis, similarity and discriminant validity coefficients and reliability, item-total correlation, internal consistency coefficient and test-retest analysis. Results: According to the evaluations of the 10 experts whose opinions were taken for the Content Validity, it is determined that each item scored above 3 (3.52-4.00), and the mean score was 3.92 ± 0.14 and the content validity index was .98. Cronbach’s alpha reliability coefficient was found α = .96. Confirmatory factor analysis fit indexes and similarity and discriminant validity coefficients showed that the scale has sufficient compatibility with the theoretical six-factor structure. Item total correlations of subdimensions were r = .20-.68 and Cronbach's alpha coefficients were .77-.65. Test-retest correlations of the Adolescent Dysmenorrhea Self-Care Scale and its subdimensions were found r = .87-.99. Conclusion: Turkish Adolescent Dysmenorrhea Self-Care Scale is a valid and reliable data collection tool consisting of 40 items and six subdimensions.

Amaç: Ailelerin beslenme alışkanlıklarının çocukluk obezitesine katkısının olduğu gösterilmiştir. Bu nedenle çocuklar ve ebeveynlerinin yeme davranışlarının birlikte incelenmesi önemlidir. Çalışma çocuklar açısından ev ortamındaki obezojenik faktörleri ve ebeveynler ile çocuğun yeme alışkanlıkları arasındaki ilişkiyi belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Çalışma Eylül-Aralık 2018 tarihleri arasında iki ilkokul ve iki ortaokulda eğitim gören 1235 çocuk ve ebeveynleri ile yapılmış ilişki arayıcı tipte bir araştırmadır. Çalışma verileri, çocukların ebeveynlerinden “Çocuk-Ebeveyn Bilgi Formu” ve “Aile Beslenme Alışkanlıkları Soru Formu” ile toplandı. Bulgular: Çalışmada çocukların %13,7’sinin fazla kilolu, %17,6'sının obez olduğu belirlendi. Ebeveynlerin belirttiğine göre “salon/oturma odasında yemek” ve “televizyon izlerken, okurken, çalışırken yemek” anne, baba ve çocuk arasında en sık paylaşılan beslenme alışkanlıklarıdır. Ailelerin evlerindeki tuzlu ve tatlı atıştırmalık sayısı 0 ile 10 arasında değişmektedir ve ebeveynlerin %42,6’sı bu yiyecekleri kolay ulaşılabilen yerlerde bulundurmaktadır. Çocukların %47,8’i ebeveynlerinden izinsiz bazen tatlı ve tuzlu atıştırmalık tüketmektedir. Anne, baba ve çocuğun yeme alışkanlıkları arasında maddeye göre değişen orta veya düşük düzeyde pozitif korelasyon bulundu (p0.05). Sonuç: Çalışmaya katılan ailelerin ev ortamı obezojenik yiyecekler bakımından zengindir. Ebeveynler ile çocuklarının obeziteye katkı sağlayacak şekilde benzer yeme alışkanlıkları vardır. Aile tabanlı obezite önleme programlarında çocukların ve ebeveynlerinin yeme alışkanlıklarının birlikte ele alması sağlıklı beslenme davranışının geliştirilmesinde etkili olacaktır.

Objective: For healthy sexuality and effective sexual health education, it is important to know the sexual health perception of individuals, their sexual education needs, and the affecting factors. The purpose of this research is to learn in-depth the perceptions of young men about sexual health and sexual education. Methods: This study was carried out in a health vocational school of a foundation university. The study was constituted using an in-depth interview method, and interviews were conducted with 16 students, 2 of whom were pilots. Content analysis was used to assess the obtained data. Results: Sexual education with sexual behavior and health were determined as the main themes. The male students indicated level of sexual knowledge was insufficient, and they needed to receive comprehensive sexual education from a qualified specialist. In addition, they stated that education should be given to men and women separately, and in small groups. It was also found that friends, religious and cultural values were important factors in sexual knowledge and behavior. Conclusion: As a result, it has been revealed that male university students need sexual education, and the correct information can only be learned through a comprehensive and socio-cultural norms-sensitive education.

Objective: This study aimed to test the validity and reliability of the work readiness scale for graduate nurses among senior-class Turkish nursing students.Methods: This is a study of methodological design.A method of translation-back translation, pilot testing, and exploring content validity through a review of 10 raters-was used to create the Turkish version of the work readiness scale.The work readiness scale for graduate nurses was applied to 1008 senior nursing students enrolled in 15 universities in Turkey.Demo version of SPSS 28 and Lisrel 9.2 for Windows was used for statistical analysis.Reliability was evaluated with Cronbach's alpha, and the scale's factor construct was explored with confirmatory factor analysis. Results:The content validity index of the scale was found to be 0.97.Confirmatory factor analysis revealed that the general fit coefficients related to a 4-factor model were acceptable.The convergent and discriminant validity results obtained from factor loadings were largely supported .The Cronbach alpha reliability coefficient of the scale was found to be 0.93. Conclusion:The Turkish version of the work readiness scale for graduate nurses was found to be valid and reliable and can be used in the Turkish population to assess work readiness.

Amaç: Bu çalışma lise öğrencilerinin akılcı ilaç kullanımına yönelik bilgi ve davranışlarını incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışmanın evrenini 2019-2020 eğitim-öğretim yılında İstanbul’da bir ilçede öğrenim gören (N=10226) lise öğrencileri oluşturmuştur. Araştırma; Anadolu imam hatip liselerinden 201, mesleki ve teknik Anadolu liselerinden 316, Anadolu liselerinden 318 olmak üzere toplam 835 öğrenci ile tamamlanmıştır. Araştırmada veriler Kişisel Bilgi Formu ve Akılcı İlaç Kullanımı Ölçeği ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve Ki-Kare testi kullanılmıştır. Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 16.12±1.27 ve %54.9’u erkektir. Öğrencilerin %46.2’sinin reçetesiz ilaç kullandığı, %59.1’inin reçetesiz ilaç kullanma nedeninin ağrı olduğu belirlenmiştir. İlaç kullanım bilgisinin %48.3 ile sağlık çalışanından, %36.3 ile eczacıdan alındığı saptanmıştır. Öğrencilerin Akılcı İlaç Kullanımı Ölçeği puan ortalamasının 34.02±5.12 olduğu ve %45’inin akılcı ilaç kullanım bilgisinin yetersiz olduğu bulunmuştur. Akılcı ilaç kullanım bilgi düzeyi yeterli olan kız öğrencilerin oranının erkek öğrencilerden istatistiksel olarak anlamlı yüksek olduğu saptanmıştır (p