Araştırma Makalesi
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The Effect of a School-Based Health Belief Model Intervention on Safety Measures Behaviors in School Accidents Among Elementary School Students

Yıl 2025, Cilt: 27 Sayı: 3, 199 - 211, 31.12.2025
https://doi.org/10.69487/hemarge.1686220

Öz

Objective: This study aimed to investigate the effect of a Health Belief Model-based intervention on elementary school students’ behaviors regarding safety measures in school accidents.
Method: This research was a quasi-experimental study (ClinicalTrials ID: NCT05576987) with a pretest-posttest control group design. According to the power analysis, the minimum required number of participants was 87 for both the experimental and control groups. Considering missing and erroneous data and participant absenteeism, the study was conducted with 100 students in each group. Students selected for the experimental group received education prepared based on the components of the Health Belief Model, delivered by the researcher once a week for 20 minutes over a period of four weeks. At the beginning and end of the study, a personal data identification form and a behavior scale regarding safety measures in school accidents were administered to both groups.
Results: The mean age of the students was 9.3 years. Among the participants, 47% were girls and 53% were boys. In both the pretest (p <0.001) and posttest (p <0.001) assessments, girls scored significantly higher than boys. No statistically significant difference was observed between the groups in behavior scores following the intervention (p = 0.141), nor was a significant within-group change detected from pretest to posttest (p = 0.443).
Conclusion: The Health Belief Model-based education on school accidents did not create an effect on students’ behaviors regarding safety measures in school accidents. Further research with longer education durations and the inclusion of parents is needed.

Kaynakça

  • Akçay, D., & Yıldırımlar, A. (2018). Investigation of children’s school accident and behavior of their parents safety measures. DEUHFED, 11(1), 48–55.
  • Berkhout, C., Berbra, O., Favre, J., Collins, C., Calafiore, M., Peremans, L., & Van Royen, P. (2022). Defining and evaluating the hawthorne effect in primary care, a systematic review and meta-analysis. Frontiers in Medicine, 9, 1033486. https://doi.org/10.3389/fmed.2022.1033486
  • Cao, Z.J., Chen, Y., & Wang, S.M. (2014). Health belief model based evaluation of school health education programme for injury prevention among high school students in the community context. BMC Public Health, 14(1), 26. https://doi.org/10.1186/1471-2458-14-26
  • Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669. https://doi.org/10.1080/10410236.2010.521906
  • Dilek, S., & Öncel, S. (2018). The effect of the "accident-free days" education program aimed at preventing school accidents on students' knowledge and behaviors [Akdeniz Üniversitesi, Sağlık Bilimleri Enstitüsü]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=f5_0YFE_RVwCeY8sGDEw6A&no=ri1rhENG5rbpOAxmJzvH6g
  • Eraslan, R., & Aycan, S. (2008). The study of the freqency of the school accıdents in the secondary school children. Turkish Journal of Pediatric Disease, 2(1), 8–18.
  • Farhadi, Z., Roshanaei, G., Bashirian, S., & Rezapur-Shahkolai, F. (2014). The effect of an educational program on school injury prevention in junior high school students of famenin based on the health belief model. Journal of Education and Community Health, 1(3), 1–11. https://doi.org/10.20286/jech-010371
  • Gambarte, M. I. G., Mendía, R. S., García, V. M. I., & García, J. M. G. (2014). Assessing Segurika school: An injury prevention multimedia tool for schools. Procedia- Social and Behavioral Sciences, 132, 654–660. https://doi.org/10.1016/j.sbspro.2014.04.368
  • Gevrek Akar, S., & Kökcü Doğan, A. (2021). Investigation of the effects of security measures taken in Primary Education Institutions on school accidents. GUJHS, 10(1), 114–122. https://doi.org/10.37989/gumussagbil.701566
  • Gözüm, S., & Çapık, C. (2014). A Guide in the development of health behaviours: Health belief model (HBM). DEUHYO ED, 7(3), 230–237.
  • Gür, K., & Yıldız, A. (2009). Öğrencilerin okul kazalarında güvenlik önlemlerine yönelik bilgi ve davranış ölçeklerinin geçerlik ve güvenirliği. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2(1),10-21.
  • Holm, A., Jaani, J., Eensoo, D., & Piksööt, J. (2018). Pedestrian behaviour of 6th grade Estonian students: Implications of social factors and accident-prevention education at school. Transportation Research Part F: Traffic Psychology and Behaviour, 52, 112–119. https://doi.org/10.1016/j.trf.2017.11.005
  • Kılınç, E., & Gür, K. (2020). Behaviours of adolescents towards safety measures at school and in traffic and their health beliefs for injuries. International Journal of Nursing Practice, 26(5), e12861. https://doi.org/10.1111/ijn.12861
  • Lally, P., Van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998–1009. https://doi.org/10.1002/ejsp.674
  • McCambridge, J., Witton, J., & Elbourne, D. R. (2014). Systematic review of the hawthorne effect: New concepts are needed to study research participation effects. Journal of Clinical Epidemiology, 67(3), 267–277. https://doi.org/10.1016/j.jclinepi.2013.08.015
  • Orton, E., Whitehead, J., Mhizha-Murira, J., Clarkson, M., Watson, M. C., Mulvaney, C. A., … Kendrick, D. (2016). School-based education programmes for the prevention of unintentional injuries in children and young people. Cochrane Database of Systematic Reviews, 12. CD010246. https://doi.org/10.1002/14651858.CD010246.pub2
  • Rezapur-Shahkolai, F., Ebrahimikhah, M., Hazavehei, S. M. M., & Moghimbeigi, A. (2017). Using health belief model on preventive behaviors related to road traffic injuries among primary school students. JRH, 7(4), 908 – 914. https://doi.org/10.18869/acadpub.jrh.4.908
  • Scharfen, J., Peters, J. M., & Holling, H. (2018). Retest effects in cognitive ability tests: A meta-analysis. Intelligence, 67, 44–66. https://doi.org/10.1016/j.intell.2018.01.003
  • Şengel, A., Gür, K., & Kilinç, E. (2020). The Epidemiology of students injuries in a private primary school in Turkey from 2012 to 2018. Clinical and Experimental Health Sciences, 10(4), 362–368. https://doi.org/10.33808/clinexphealthsci.649682
  • Ülger, K. (2023). The investigation of the creative thinking development of the students between 05 and 14 years old into the studies using the torrance tests of creative thinking figural forms in the Türkiye. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 67, 21–51. https://doi.org/10.21764/maeuefd.1132715
  • Vollrath, M., Landolt, M. A., & Ribi, K. (2003). Personality of children with accident‐related injuries. European Journal of Personality, 17(4), 299–307. https://doi.org/10.1002/per.479
  • World Health Organization: Older children and young adolescent mortality (5 to 14 years). (n.d.). Retrieved from 27 April 2025, from https://www.who.int/news-room/fact-sheets/detail/older-children-and-young-adolescent-mortality-(5-to-14-years)

İlköğretim Öğrencilerinde Okul Temelli Sağlık İnanç Modeline Dayalı Girişimin Okul Kazalarında Güvenlik Önlemleri Davranışlarına Etkisi

Yıl 2025, Cilt: 27 Sayı: 3, 199 - 211, 31.12.2025
https://doi.org/10.69487/hemarge.1686220

Öz

Amaç: Bu çalışmada ilkokul öğrencilerinde Sağlık İnanç Modeli temelli girişimin öğrencilerin okul kazalarında güvenlik önlemlerine yönelik davranışlarına etkisinin araştırılması amaçlanmıştır.
Yöntem: Bu araştırma, öntest-sontest kontrol gruplu yarı deneysel bir çalışmadır (ClinicalTrials ID: NCT05576987). Güç analizine göre, deney ve kontrol gruplarının her biri için gerekli minimum katılımcı sayısı 87 olarak belirlendi. Çalışma katılımcı devamsızlığı, eksik ve hatalı veriler düşünülerek her iki grupta da 100 öğrenci ile yürütüldü. Sağlık İnanç Modeli bileşenleri temel alınarak hazırlanan eğitim, deney grubuna seçilen öğrencilere, araştırmacı tarafından haftada bir gün 20 dakika süreyle ve dört hafta verildi. Her iki gruba çalışma başlangıcında ve sonunda kişisel veri tanımlama formu ile okul kazalarında güvenlik önlemlerine yönelik davranış ölçeği uygulandı.
Bulgular: Öğrencilerin %47’si kız, %53’ü erkekti. Öğrencilerin yaş ortalaması 9,3’dü. Hem ön test (p <0.001) hem de son testte (p <0.001) kız öğrencilerin puanı erkek öğrencilerden yüksekti. Eğitim müdahalesinden sonra davranış puanlarının gruplara göre farklılık göstermediği ve (p=0,141) eğitim sonrası davranış puanında eğitim öncesine göre anlamlı bir farkın olmadığı saptandı (p=0,443).
Sonuç: Sağlık inanç modeli temelli okul kazalarına yönelik eğitimin öğrencilerin okul kazalarında güvenlik önlemlerine yönelik davranışlarında bir etki oluşturmadı. Eğitim süresinin daha uzun olduğu ve ebeveynlerin de çalışmaya dahil edildiği araştırmalara ihtiyaç vardır.

Kaynakça

  • Akçay, D., & Yıldırımlar, A. (2018). Investigation of children’s school accident and behavior of their parents safety measures. DEUHFED, 11(1), 48–55.
  • Berkhout, C., Berbra, O., Favre, J., Collins, C., Calafiore, M., Peremans, L., & Van Royen, P. (2022). Defining and evaluating the hawthorne effect in primary care, a systematic review and meta-analysis. Frontiers in Medicine, 9, 1033486. https://doi.org/10.3389/fmed.2022.1033486
  • Cao, Z.J., Chen, Y., & Wang, S.M. (2014). Health belief model based evaluation of school health education programme for injury prevention among high school students in the community context. BMC Public Health, 14(1), 26. https://doi.org/10.1186/1471-2458-14-26
  • Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669. https://doi.org/10.1080/10410236.2010.521906
  • Dilek, S., & Öncel, S. (2018). The effect of the "accident-free days" education program aimed at preventing school accidents on students' knowledge and behaviors [Akdeniz Üniversitesi, Sağlık Bilimleri Enstitüsü]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=f5_0YFE_RVwCeY8sGDEw6A&no=ri1rhENG5rbpOAxmJzvH6g
  • Eraslan, R., & Aycan, S. (2008). The study of the freqency of the school accıdents in the secondary school children. Turkish Journal of Pediatric Disease, 2(1), 8–18.
  • Farhadi, Z., Roshanaei, G., Bashirian, S., & Rezapur-Shahkolai, F. (2014). The effect of an educational program on school injury prevention in junior high school students of famenin based on the health belief model. Journal of Education and Community Health, 1(3), 1–11. https://doi.org/10.20286/jech-010371
  • Gambarte, M. I. G., Mendía, R. S., García, V. M. I., & García, J. M. G. (2014). Assessing Segurika school: An injury prevention multimedia tool for schools. Procedia- Social and Behavioral Sciences, 132, 654–660. https://doi.org/10.1016/j.sbspro.2014.04.368
  • Gevrek Akar, S., & Kökcü Doğan, A. (2021). Investigation of the effects of security measures taken in Primary Education Institutions on school accidents. GUJHS, 10(1), 114–122. https://doi.org/10.37989/gumussagbil.701566
  • Gözüm, S., & Çapık, C. (2014). A Guide in the development of health behaviours: Health belief model (HBM). DEUHYO ED, 7(3), 230–237.
  • Gür, K., & Yıldız, A. (2009). Öğrencilerin okul kazalarında güvenlik önlemlerine yönelik bilgi ve davranış ölçeklerinin geçerlik ve güvenirliği. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2(1),10-21.
  • Holm, A., Jaani, J., Eensoo, D., & Piksööt, J. (2018). Pedestrian behaviour of 6th grade Estonian students: Implications of social factors and accident-prevention education at school. Transportation Research Part F: Traffic Psychology and Behaviour, 52, 112–119. https://doi.org/10.1016/j.trf.2017.11.005
  • Kılınç, E., & Gür, K. (2020). Behaviours of adolescents towards safety measures at school and in traffic and their health beliefs for injuries. International Journal of Nursing Practice, 26(5), e12861. https://doi.org/10.1111/ijn.12861
  • Lally, P., Van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998–1009. https://doi.org/10.1002/ejsp.674
  • McCambridge, J., Witton, J., & Elbourne, D. R. (2014). Systematic review of the hawthorne effect: New concepts are needed to study research participation effects. Journal of Clinical Epidemiology, 67(3), 267–277. https://doi.org/10.1016/j.jclinepi.2013.08.015
  • Orton, E., Whitehead, J., Mhizha-Murira, J., Clarkson, M., Watson, M. C., Mulvaney, C. A., … Kendrick, D. (2016). School-based education programmes for the prevention of unintentional injuries in children and young people. Cochrane Database of Systematic Reviews, 12. CD010246. https://doi.org/10.1002/14651858.CD010246.pub2
  • Rezapur-Shahkolai, F., Ebrahimikhah, M., Hazavehei, S. M. M., & Moghimbeigi, A. (2017). Using health belief model on preventive behaviors related to road traffic injuries among primary school students. JRH, 7(4), 908 – 914. https://doi.org/10.18869/acadpub.jrh.4.908
  • Scharfen, J., Peters, J. M., & Holling, H. (2018). Retest effects in cognitive ability tests: A meta-analysis. Intelligence, 67, 44–66. https://doi.org/10.1016/j.intell.2018.01.003
  • Şengel, A., Gür, K., & Kilinç, E. (2020). The Epidemiology of students injuries in a private primary school in Turkey from 2012 to 2018. Clinical and Experimental Health Sciences, 10(4), 362–368. https://doi.org/10.33808/clinexphealthsci.649682
  • Ülger, K. (2023). The investigation of the creative thinking development of the students between 05 and 14 years old into the studies using the torrance tests of creative thinking figural forms in the Türkiye. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 67, 21–51. https://doi.org/10.21764/maeuefd.1132715
  • Vollrath, M., Landolt, M. A., & Ribi, K. (2003). Personality of children with accident‐related injuries. European Journal of Personality, 17(4), 299–307. https://doi.org/10.1002/per.479
  • World Health Organization: Older children and young adolescent mortality (5 to 14 years). (n.d.). Retrieved from 27 April 2025, from https://www.who.int/news-room/fact-sheets/detail/older-children-and-young-adolescent-mortality-(5-to-14-years)
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Cahide Çevik 0000-0002-9924-4536

Arif Kolay 0009-0001-1088-604X

Gönderilme Tarihi 29 Nisan 2025
Kabul Tarihi 3 Kasım 2025
Yayımlanma Tarihi 31 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 27 Sayı: 3

Kaynak Göster

APA Çevik, C., & Kolay, A. (2025). The Effect of a School-Based Health Belief Model Intervention on Safety Measures Behaviors in School Accidents Among Elementary School Students. Hemşirelikte Araştırma Geliştirme Dergisi, 27(3), 199-211. https://doi.org/10.69487/hemarge.1686220