Health LiteracyNCT06819722
The Effect of Parents' Health Literacy on Primary School Students' Health Screening Results
An observational study of Health Literacy and Health Screening, run by Duzce University at 1 site in Turkey (Türkiye).
Trial summary
Health literacy (HL) is defined by the World Health Organization (WHO) as "the achievement of a level of knowledge, personal skills, and confidence to take action to improve individual and community health by changing personal lifestyles and living conditions". Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Health Literacy, Health Screening
- How many people
- 376 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 24 Oct 2024to 13 May 2026
- How long will I take part?
- 1 Month
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: The research will be conducted at Sancaklar Primary School, located in the centre of Düzce, between September 2024 and June 2025. A total of 188 students and their parents attending Sancaklar Primary School will be included in the study.
Who may be able to join
- Students and parents attending Sancaklar Primary School located in Düzce city centre.
- Voluntary participation in the study.
Who cannot join
- Parents who do not agree to participate in the study and their children will be excluded from the research.
Trial locations and contacts
1 site in 1 country.
About this study
Health literacy (HL) is defined by the World Health Organization (WHO) as "the achievement of a level of knowledge, personal skills, and confidence to take action to improve individual and community health by changing personal lifestyles and living conditions". Health literacy is described as a concept encompassing various skills that enhance individuals' quality of life, such as accessing accurate health information, developing healthy living behaviours, utilizing healthcare services, and making health-related decisions. To improve the health literacy of society, it is essential first to identify and enhance the health literacy of families, the smallest unit of the community. Adult family members are responsible for their health and play a critical role in fostering healthy behaviours in their children and addressing their health needs.
Aim: Health screenings, particularly for the early diagnosis of health issues in children, are crucial for health preservation and the creation of a healthy society in the future. Therefore, the aim of this study is to determine the health literacy of parents and its impact on the health screening results of students.
Read the detailed description
Health literacy (HL) is defined by the World Health Organization (WHO) as "the achievement of a level of knowledge, personal skills, and confidence to take action to improve individual and community health by changing personal lifestyles and living conditions". Health literacy is a concept encompassing various skills that enhance individuals' quality of life, such as accessing accurate health information, developing healthy living behaviours, utilizing healthcare services, and making health-related decisions. To improve the health literacy of society, it is essential first to identify and enhance the health literacy of families, the smallest unit of the community. Adult family members are responsible for their health and play a critical role in fostering healthy behaviours in their children and addressing their health needs. It is also known that parents act as role models in developing children's positive health behaviours and enhancing their quality of life. Low health literacy is known to be associated with negative health outcomes in adults. In this context, it is stated that parents who struggle to take responsibility for their health may also face difficulties in meeting their children's health needs, and consequently, inevitably, children frequently encounter health problems. Studies have found that parents with low health literacy struggle with meeting their children's health needs, using healthcare services, taking preventive measures against health risks, proper medication use and monitoring side effects, managing chronic diseases, and encouraging their children to adopt healthy living behaviours. In particular, during the school-age period, which is one of the critical periods for the healthy and successful development of society, as children rapidly develop socially, physically, and cognitively, it is stated that early detection of children's health needs and problems by their parents and the timely receipt of necessary health services can prevent more serious problems that may arise later. In Turkey, recently, the continuous monitoring of the health of schoolchildren, early detection of health risks, and the continuity of practices aimed at promoting health was addressed by the Ministry of National Education, which published the "Regulations on the Working Procedures and Principles of School Health Nurses" on 20/04/2020. As a result, school health nurses have been employed by this regulation. Under the "Regulation on the Amendment of the Nursing Regulation" published by the Ministry of Health in 2011, school health nursing, which is a dimension of public health nursing, includes health screenings as one of the practices that can be carried out independently. Health screenings are crucial for the early diagnosis of children's health problems, health preservation, and the creation of a healthy society in the future. Therefore, the aim of this study is to determine the health literacy of parents and its impact on the health screening results of students. It is believed that the study could contribute to the development of health services and policies aimed at increasing public health and health literacy, preventing health inequalities, and increasing the visibility of school health nursing activities, which are becoming increasingly important. This, in turn, would contribute to the protection and improvement of both parental and child health.
- Conditions
- Health Literacy, Health Screening
- Keywords
- Health literacy, Health screening, Primary school students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Parents | This group consists of parents of students studying in primary school. The Personal Information Form and the Turkey Health Literacy Scale will be completed by the parents. | |
| Students | This group consists of students studying in primary school. The Student General Health Form and the Student Screening Follow-up Form will be completed for the student. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Health literacy
The Turkey Health Literacy Scale was developed by Okyay and Abacıgil in 2016 to assess health literacy, in line with the European Health Literacy Research Consortium. The scale consists of 32 questions. It has a 2x4 matrix structure, with two dimensions (treatment and services, and disease prevention/health promotion) and four processes (accessing health-related information, understanding health-related information, evaluating health-related information, and using/applying health-related information), making a total of eight components. The Cronbach's Alpha value of the scale is 0.927. The scale is rated as follows: "1. Very Easy, 2. Easy, 3. Neither easy nor difficult, 4. Difficult, 5. Very Difficult." The health literacy level is categorized into four groups based on the score obtained: (0-25) points: Inadequate health literacy, (>25-33) points: Problematic - limited health literacy, (>33-42) points: Adequate health literacy, (>42-50) points: Excellent health literacy.
Measured: one day
Health Screening (Height)
The height (m) of primary school students will be measured by meter
Measured: From March 2025 to May 2025
Health Screening (Weight)
Primary school students' weight (kg) will be measured by scales
Measured: From March 2025 to May 2025
Health Screening (Body Mass Index)
Body mass index (kg/m^2) will be calculated after weight and height measurement.
Measured: From March 2025 to May 2025
Health Screening (The temperature)
The temperature of primary school students will be measured with a thermometer
Measured: From March 2025 to May 2025
Health Screening (Pulse rate)
The pulse rate per minute (beats/min) of primary school students will be measured.
Measured: From March 2025 to May 2025
Health Screening (The respiratory rate)
The respiratory rate per minute of primary school students will be measured.
Measured: From March 2025 to May 2025
Health Screening (Blood Pressure)
Primary school students' blood pressure will be measured with child-friendly blood pressure monitors.
Measured: From March 2025 to May 2025
Health Screening (Oral and Dental Health Screening)
Oral and dental health screenings will be conducted for primary school students.
Measured: From March 2025 to May 2025
Health Screening (Hair, Ear and Nail Evaluation)
Hair, ear and nail health screenings will be conducted for primary school students.
Measured: From March 2025 to May 2025
Health Screening (Scabies)
Primary school students will be screened for scabies.
Measured: From March 2025 to May 2025
Health Screening (Eye Screening)
Eye screening of primary school students will be done using Snellen and Snellen E charts.
Measured: From March 2025 to May 2025
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2025
- Study start24 Oct 2024
- Primary completion13 May 2026
- Study completion13 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Health LiteracyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 376 participants (actual)
- Target duration
- 1 Month
Sponsor and investigators
- Lead sponsor
- Duzce University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Merve Cakar, PhD, Principal investigator, Duzce University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06819722
- Sponsor's protocol ID
- Duzce-U-merve0004
- Status last verified
- May 2026
- First submitted
- 10 Dec 2024
- Last updated
- 18 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Parents' Health Literacy on Primary School Students' Health Screening Results
- ClinicalTrials.gov ID
- NCT06819722
- Acronym / sponsor ID
- Duzce-U-merve0004
- Conditions
- Health Literacy, Health Screening
- Keywords
- Health literacy, Health screening, Primary school students
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 376 participants (actual)
- Lead sponsor
- Duzce UniversityUniversity, hospital or other
- Study start
- 24 Oct 2024 (actual)
- Primary completion
- 13 May 2026 (actual)
- Study completion
- 13 May 2026 (actual)
- First posted
- 11 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Health literacy (HL) is defined by the World Health Organization (WHO) as "the achievement of a level of knowledge, personal skills, and confidence to take action to improve individual and community health by changing personal lifestyles and living conditions". Health literacy is described as a concept encompassing various skills that enhance individuals' quality of life, such as accessing accurate health information, developing healthy living behaviours, utilizing healthcare services, and making health-related decisions. To improve the health literacy of society, it is essential first to identify and enhance the health literacy of families, the smallest unit of the community. Adult family members are responsible for their health and play a critical role in fostering healthy behaviours in their children and addressing their health needs.
Aim: Health screenings, particularly for the early diagnosis of health issues in children, are crucial for health preservation and the creation of a healthy society in the future. Therefore, the aim of this study is to determine the health literacy of parents and its impact on the health screening results of students.
Detailed description
Health literacy (HL) is defined by the World Health Organization (WHO) as "the achievement of a level of knowledge, personal skills, and confidence to take action to improve individual and community health by changing personal lifestyles and living conditions". Health literacy is a concept encompassing various skills that enhance individuals' quality of life, such as accessing accurate health information, developing healthy living behaviours, utilizing healthcare services, and making health-related decisions. To improve the health literacy of society, it is essential first to identify and enhance the health literacy of families, the smallest unit of the community. Adult family members are responsible for their health and play a critical role in fostering healthy behaviours in their children and addressing their health needs. It is also known that parents act as role models in developing children's positive health behaviours and enhancing their quality of life. Low health literacy is known to be associated with negative health outcomes in adults. In this context, it is stated that parents who struggle to take responsibility for their health may also face difficulties in meeting their children's health needs, and consequently, inevitably, children frequently encounter health problems. Studies have found that parents with low health literacy struggle with meeting their children's health needs, using healthcare services, taking preventive measures against health risks, proper medication use and monitoring side effects, managing chronic diseases, and encouraging their children to adopt healthy living behaviours. In particular, during the school-age period, which is one of the critical periods for the healthy and successful development of society, as children rapidly develop socially, physically, and cognitively, it is stated that early detection of children's health needs and problems by their parents and the timely receipt of necessary health services can prevent more serious problems that may arise later. In Turkey, recently, the continuous monitoring of the health of schoolchildren, early detection of health risks, and the continuity of practices aimed at promoting health was addressed by the Ministry of National Education, which published the "Regulations on the Working Procedures and Principles of School Health Nurses" on 20/04/2020. As a result, school health nurses have been employed by this regulation. Under the "Regulation on the Amendment of the Nursing Regulation" published by the Ministry of Health in 2011, school health nursing, which is a dimension of public health nursing, includes health screenings as one of the practices that can be carried out independently. Health screenings are crucial for the early diagnosis of children's health problems, health preservation, and the creation of a healthy society in the future. Therefore, the aim of this study is to determine the health literacy of parents and its impact on the health screening results of students. It is believed that the study could contribute to the development of health services and policies aimed at increasing public health and health literacy, preventing health inequalities, and increasing the visibility of school health nursing activities, which are becoming increasingly important. This, in turn, would contribute to the protection and improvement of both parental and child health.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Target follow-up
- 1 Month
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Parents | – | –This group consists of parents of students studying in primary school. The Personal Information Form and the Turkey Health Literacy Scale will be completed by the parents. |
| Students | – | –This group consists of students studying in primary school. The Student General Health Form and the Student Screening Follow-up Form will be completed for the student. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- The research will be conducted at Sancaklar Primary School, located in the centre of Düzce, between September 2024 and June 2025. A total of 188 students and their parents attending Sancaklar Primary School will be included in the study.
Key inclusion criteria (2 listed)
- Students and parents attending Sancaklar Primary School located in Düzce city centre.
- Voluntary participation in the study.
Key exclusion criteria (1 listed)
- Parents who do not agree to participate in the study and their children will be excluded from the research.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Health literacy
Time frame: one day
The Turkey Health Literacy Scale was developed by Okyay and Abacıgil in 2016 to assess health literacy, in line with the European Health Literacy Research Consortium. The scale consists of 32 questions. It has a 2x4 matrix structure, with two dimensions (treatment and services, and disease prevention/health promotion) and four processes (accessing health-related information, understanding health-related information, evaluating health-related information, and using/applying health-related information), making a total of eight components. The Cronbach's Alpha value of the scale is 0.927. The scale is rated as follows: "1. Very Easy, 2. Easy, 3. Neither easy nor difficult, 4. Difficult, 5. Very Difficult." The health literacy level is categorized into four groups based on the score obtained: (0-25) points: Inadequate health literacy, (>25-33) points: Problematic - limited health literacy, (>33-42) points: Adequate health literacy, (>42-50) points: Excellent health literacy.
Health Screening (Height)
Time frame: From March 2025 to May 2025
The height (m) of primary school students will be measured by meter
Health Screening (Weight)
Time frame: From March 2025 to May 2025
Primary school students' weight (kg) will be measured by scales
Health Screening (Body Mass Index)
Time frame: From March 2025 to May 2025
Body mass index (kg/m^2) will be calculated after weight and height measurement.
Health Screening (The temperature)
Time frame: From March 2025 to May 2025
The temperature of primary school students will be measured with a thermometer
Health Screening (Pulse rate)
Time frame: From March 2025 to May 2025
The pulse rate per minute (beats/min) of primary school students will be measured.
Health Screening (The respiratory rate)
Time frame: From March 2025 to May 2025
The respiratory rate per minute of primary school students will be measured.
Health Screening (Blood Pressure)
Time frame: From March 2025 to May 2025
Primary school students' blood pressure will be measured with child-friendly blood pressure monitors.
Health Screening (Oral and Dental Health Screening)
Time frame: From March 2025 to May 2025
Oral and dental health screenings will be conducted for primary school students.
Health Screening (Hair, Ear and Nail Evaluation)
Time frame: From March 2025 to May 2025
Hair, ear and nail health screenings will be conducted for primary school students.
Health Screening (Scabies)
Time frame: From March 2025 to May 2025
Primary school students will be screened for scabies.
Health Screening (Eye Screening)
Time frame: From March 2025 to May 2025
Eye screening of primary school students will be done using Snellen and Snellen E charts.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Merve Cakar, PhD principal investigator
Duzce University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Health Literacy and Health Screening, run by Duzce University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Health literacy (time frame: one day). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2026; AzTrials last refreshed its copy on 8 Nov 2026.