Effects of Health Education Based on the Roy Adaptation Model on the Healthy Lifestyle Behaviors and Self-Esteem of Working Adolescents: A Randomized Controlled Trial.
Nilüfer Tatoğlu, Tülay Kuzlu Ayyildiz
PMID 40029064WHAT IT FOUND
Working adolescents who received six health education sessions scored higher on healthy lifestyle behaviours right after the programme, but not six weeks later.
Self-esteem scores differed between groups only at six weeks, with lower scores indicating better self-esteem.
Key findings
01Right after the programme, the education group had significantly higher total healthy lifestyle scores and higher health responsibility, spiritual development, interpersonal relationships, and stress management scores than the control group.
02At the six-week follow-up, total healthy lifestyle scores and all healthy lifestyle dimensions did not differ significantly between groups.
03Self-esteem scores differed significantly between groups at the six-week follow-up, but self-esteem scores did not change significantly over time.
STILL TO COME
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What it does not show
The study was done at one vocational apprenticeship centre in Turkey with adolescents aged 14-18, so it may not apply to other countries, workplaces, age groups, or adolescents with disabilities. Participants were volunteers who could speak and understand Turkish and had no cognitive, auditory, or visual disability, so the sample may not represent all working adolescents. Only 66 of the 76 randomised participants were analysed, and some were excluded for missing sessions or measurements. Outcomes were self-reported, and the paper does not report objective measures of behaviour change. The healthy lifestyle effect was seen immediately after the programme but not at six weeks, and the self-esteem group difference at six weeks was not supported by a significant within-group change over time. The text describes a four-week programme with two sessions per week and also refers to a six-week programme, while Table 1 lists six sessions, so the exact intervention dose is unclear.
Declared interests
The authors declare no conflict of interest. No funding source is reported.
The easy way to misread this
Do not conclude that this programme produced lasting healthy lifestyle behaviour change or a clear increase in self-esteem. The healthy lifestyle score difference was significant only immediately after the programme and was not significant at six weeks, and self-esteem scores did not change significantly over time.