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The world's elderly population is increasing. It is possible to prepare for the old age period by starting to develop the level of Health Literacy (HL) in the 45-64 age group. In this context, this study is planned to be conducted as a randomized controlled study with an active control group in order to compare the effect of European Health Literacy-based education and e-Pulse education (HELP) on the level of health literacy in adults aged 45-64 with insufficient-limited health literacy. The study was planned to include a total of 140 participants from the intervention group (HELP) (n:70) and the active control group (e-Pulse) (n:70). Interactive group training consisting of six modules and 90 minutes each will be given to the HELP group. Individual e-Pulse instruction will be given to the active control group. European Health Literacy Scale scores will be considered as the primary outcome of the research. Scores from the eHealth Literacy Scale will be considered as the secondary outcome of the research.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HEalth Literacy, e-Pulse (HELP) | Experimental |
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| e-Pulse | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health education:Interactive group training | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| European Health Literacy Scale | This scale is a self-report measure used to evaluate the health literacy level for individuals over 15 years old. It includes three topics (treatment, prevention from diseases and improving health) and 47 items. Each item has four possible answers: 1 = Very difficult, 2 = Difficult, 3 = Easy and 4 = Very easy. A 'Don't know' answer is coded as 5. Health literacy level is evaluated in four categories according to the score obtained: (0-25) points: insufficient health literacy; (>25-33) : problematic - limited health literacy; (>33-42) : adequate health literacy; (>42-50) : indicates excellent health literacy. | Baseline-Second month |
| Measure | Description | Time Frame |
|---|---|---|
| eHealth Literacy Scale | The eHEALS is an 8-item measure of eHealth literacy developed to measure consumers' combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems. | Baseline-Second month |
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Inclusion Criteria:
Exclusion Criteria:
• Those who do not speak Turkish
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Soğuksu Yaşlı Evi | Antalya | Antalya | 07058 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39887466 | Derived | Gozum S, Asi E, Siklaroglu M, Sahin S, Oncel S, Imamoglu D, Kanli S. The Effect of European Health Literacy-Based e-Pulse Education and e-Pulse Instructional Materials on Health Literacy Levels in Adults Aged 45-64: A Randomized Controlled Trial. Res Nurs Health. 2025 Jun;48(3):324-336. doi: 10.1002/nur.22450. Epub 2025 Jan 30. |
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| Health education: Individually training | Other | To introduce e-pulse software, which is a personal health record system, to provide training materials such as video-brochures about e-pulse. This education will be done individually. |
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