Journal of Education and Health Promotion最新文献

{"title":"The effect of self-study training on resilience and effective coping style of women involved in domestic violence.","authors":"Simin Karimifar, Fatemeh Zargar, Zahra Boroumandfar","doi":"10.4103/jehp.jehp_2203_24","DOIUrl":"https://doi.org/10.4103/jehp.jehp_2203_24","url":null,"abstract":"<p><strong>Background and objective: </strong>Intimate partner violence (IPV) is a serious yet preventable public health issue. Resilience plays a significant role in helping women overcome the effects of IPV. The aim of this study was to investigate the effect of self-help training on the resilience of women exposed to IPV.</p><p><strong>Material and methods: </strong>In this clinical trial, 62 female survivors of violence who were attending comprehensive health service centers in 2022, randomly assigned to either an intervention or a control group. Data collection instruments included a demographic characteristics questionnaire, the Violence Against Women Scale, the Connor-Davidson Resilience Scale (CD-RISC), and the problem-focused coping subscale of the Ways of Coping Questionnaire (WOCQ) by Lazarus and Folkman. The training in this study was delivered in person using lectures, group discussions, and question-and-answer sessions. The total number of sessions was 14 sessions of 60 min each, for two groups of 16 participants. Data were analyzed using SPSS software (version 21), independent <i>t</i>-tests, and analysis of variance with repeated measures (ANOVA).</p><p><strong>Results: </strong>The results demonstrated a significant increase in resilience scores in the intervention group over time, (baseline 58.27 ± 19.83, immediately 65.79 ± 17.77, one month 66.68 ± 17.49, and two months 66.44 ± 17.61, post-intervention) (<i>P</i> value: 0.002). And in effective coping style scores (baseline 35.51 ± 11.64, immediately 43.13 ± 12.47, one month 43.37 ± 12.39, and two months 43.86 ± 12.65, post-intervention) (<i>P</i> value: 0.008).</p><p><strong>Conclusion: </strong>Verbal self-instruction improves resilience scores and effective coping styles, but its impact is greater on resilience. This training method can be included in counseling and support programs to optimize healthcare services for women affected by domestic violence.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"359"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence as a transformative tool for empowering the role of clinical informationists in healthcare systems.","authors":"Alireza Rahimi, Ahmad Papi, Saeid Shirvani, Hosein Beigi-Harchegani","doi":"10.4103/jehp.jehp_1496_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1496_25","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"385"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's outcome instrument for maternal health care (WOICE) of Iranian pregnant women after 35: A cross-sectional study.","authors":"Marjan Havaei, Shahnaz Torkzahrani, Malihe Nasiri, Nooshin Eshraghi, Zohreh Keshvarz","doi":"10.4103/jehp.jehp_552_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_552_25","url":null,"abstract":"<p><strong>Background: </strong>Exploring the health dimensions of pregnant women over 35 opens a window into a deeper understanding of the physical and psychological challenges of this critical period and paves the way for targeted interventions. This study aimed to make the voices of pregnant women aged 35 and older heard.</p><p><strong>Materials and methods: </strong>This study was conducted in 2024 at three major hospitals in Tehran. The sample size consisted of 300 pregnant women. The participants were selected from among pregnant women older than 35 years. We utilized the women's outcome instrument for maternal health care instrument, which was developed by the World Health Organization (WHO). Data analysis was performed using SPSS (Version 22).</p><p><strong>Results: </strong>The participants, with a mean age of 38.37 ± 2.61 years, were included in the study. Most had more than a high school education (65%). 36.7% reported sexual dissatisfaction. The overall rate of anxiety was 28.9%, while 25% showed symptoms of depression. Additionally, 3.6% had experienced violence, 3.3% of participants had a history of substance abuse or smoked cigarettes, and 2.3% reported impaired functioning. Furthermore, 38.5% reported a medical condition or other health problem.</p><p><strong>Conclusion: </strong>Considering the results of the study and the problems of pregnant women in the field of maternal complications in pregnant women over 35 years of age, it seems that policymakers should make the necessary revisions in the policies and laws of the youth population to meet the needs of physical health, care facilities, and improve social support and counseling specific to pregnant women and the necessary training for spouses.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"361"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life among patients with type 2 diabetes mellitus using EuroQol five-dimension five level: A cross-sectional study from an urban health training center, Coimbatore, India.","authors":"Suganathan Soundararajan, R Senthil Kumar, Merlin Veronika, S L Ravi Shankar, Ramakrishnan Nanjundan","doi":"10.4103/jehp.jehp_27_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_27_26","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus significantly impacts health-related quality of life (HRQoL). Data from urban primary care settings in South India remain limited. This study assessed HRQoL among type 2 diabetes mellitus (T2DM) patients and identified demographic and clinical determinants associated with EuroQol five-dimension five level (EQ-5D-5L) index and EQ visual analogue scale (EQ-VAS) scores.</p><p><strong>Materials and methods: </strong>A hospital-based cross-sectional study was conducted (April-July 2025) at the urban health training center (UHTC), Coimbatore, Tamil Nadu, India. A total of 279 T2DM patients (aged ≥18 years) were enrolled using consecutive sampling. HRQoL was assessed using the licensed Tamil and English EQ-5D-5L questionnaire. Data were analyzed using R software; Chi-square tests and independent <i>t</i>-tests were applied (<i>P</i> < 0.05).</p><p><strong>Results: </strong>Mean EQ-5D-5L index was 0.63 ± 0.37 and EQ-VAS was 72.6 ± 18.0. Pain/discomfort (52.1%) and anxiety/depression (43.2%) were the most affected dimensions. Microvascular complications (neuropathy <i>P</i> = 0.001; nephropathy <i>P</i> = 0.001; retinopathy <i>P</i> = 0.003), longer disease duration (<i>P</i> = 0.001), hospitalization (<i>P</i> = 0.001), and lower income (<i>P</i> = 0.003) were significantly associated with poorer HRQoL.</p><p><strong>Conclusion: </strong>Pain/discomfort and psychological distress are the most impaired HRQoL domains in urban South Indian T2DM patients. Microvascular complications, longer disease duration, hospitalization, and lower socioeconomic status are key determinants. These findings support integrating HRQoL monitoring within primary care non-communicable diseases (NCD) programmers under the National Programmed for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) framework.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"381"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of music therapy on diabetes distress and bio-physiological parameters in patients with diabetic foot ulcer.","authors":"Anju Ullas, Prabha Adhikari, K C Leena, Vijayalakshmi Subramaniam","doi":"10.4103/jehp.jehp_1331_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1331_25","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcer (DFU) is a common and significant complication of uncontrolled diabetes mellitus (DM), frequently resulting in increased physiological suffering and emotional burden. Music therapy, as a complementary intervention, has shown potential in lowering stress and improving general well-being, but its influence on patients with DFU is unknown. The present study aimed to identify the impact of music therapy on diabetes distress and bio-physiological parameters among patients with DFU.</p><p><strong>Methods and materials: </strong>The study was conducted in a selected tertiary care hospital in South India, and a Quasi-experimental pretest-posttest control group research design was used. A non-probability purposive sampling was used to select 159 participants with DFU into three groups: Group I (n = 53) received patient-selected music therapy, Group II (n = 53) received researcher-selected music, and the control group (n = 53) received routine treatment only. The intervention involved listening to music for 20 minutes twice daily over 21 consecutive days, along with standard medical care. Ethical clearance was obtained from the institutional review board and ethics committee. Data were analyzed by descriptive and inferential statistics using SPSS version 26.</p><p><strong>Results: </strong>The study shows a statistically significant (p ˂ 0.001) difference within Groups I, II, compared to the control group for diabetes distress and all the bio-physiological parameters. However, the mean posttest scores of diabetes distress and bio-physiological parameters in Groups I and II were considerably reduced from the mean pretest scores compared to the control group.</p><p><strong>Conclusion: </strong>The study finding helps to integrate music therapy as a complementary therapy for people with DFU to preserve good physical and mental health.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"348"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the effect of vitamin C supplementation on bacterial vaginosis: A systematic review and meta-analysis.","authors":"Parvin Abedi, Mina Iravani, Somayeh Makvandi, Solmaz Mohammadi, Maryam Zahedian, Parvin Esfandiarinezhad","doi":"10.4103/jehp.jehp_787_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_787_25","url":null,"abstract":"<p><p>Bacterial vaginosis (BV), the most common type of vaginitis, results from reduced vaginal lactobacilli and increased anaerobic bacteria. Vitamin C may aid BV treatment by promoting lactic acid production. This study evaluated the effectiveness of vitamin C in treating BV. To this aim, a systematic search of PubMed, Scopus, Web of Science, and Iranian databases identified randomized clinical trials published up to October 29, 2024. The protocol for this systematic review is registered. Risk of bias was assessed using the Verhagen tool. Mean differences and their 95% confidence intervals (CIs) were calculated using the random-effects model. The quality of the evidence was evaluated with GRADEpro Guideline Development Tool, and statistical analyses were conducted using Review Manager (RevMan v5.3). Substantial heterogeneity (I² >50%) prompted the use of the random-effects model, subgroup analyses, and sensitivity analyses to investigate its origins. The meta-analysis included six randomized controlled trials of varying quality. Vitamin C showed a nonsignificant positive effect on the Whiff test (relative risk [RR] =1.19, 95% CI: 0.97-1.47, <i>P</i> = 0.09) but significantly improved vaginal pH < 4.5 (RR = 1.57, 95% CI: 1.21-2.03, <i>P</i> = 0.0006). While no significant reduction in vaginal discharge was observed (RR = 1.23, 95% CI: 0.94-1.60, <i>P</i> = 0.13), vitamin C significantly reduced the number of clue cells (RR = 1.34, 95% CI: 1.06-1.68, <i>P</i> = 0.01). Based on these findings, vitamin C supplementation may aid in achieving a vaginal pH < 4.5 and reducing clue cells in BV. However, further large-scale studies are warranted to confirm these results and elucidate the underlying mechanisms.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"355"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of helicopter teaching in nursing education and approaches to foster independent learning: A narrative review.","authors":"Kalpana Thakur, Suresh K Sharma, Thungchanbeni Ezung","doi":"10.4103/jehp.jehp_1326_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1326_25","url":null,"abstract":"<p><p>The 'helicopter teaching' in nursing education can be harmful to the development of clinical judgement, decision-making, and autonomy among nursing students because it involves excessive control, constant supervision, and over-dependence. This narrative review examines the impact of helicopter teaching on the academic and professional development of nursing students. It also discusses evidence-based approaches that encourage independent learning and resilience. We searched databases such as PubMed, CINAHL, and Scopus with a mixture of search terms and Medical Subject Headings to analyze the evidence between 2010 and 2024. The review identified several contributing factors behind this helicopter style of teaching including faculty anxiety, a lack of confidence in student competency, and institutional pressures relating to patient safety. The study also examined how such practices can negatively impact student learning and these include reduced confidence, limited thinking and dependence on instructors. The article also focused on educational theories like Vygotsky's Zone of Proximal Development or experiential learning models to propose evidence-based strategies for countering overprotection including scaffolded education, safe-to fail environments, reflection debriefings, growth zone challenges and peer coaching between faculty. These approaches can help nursing educators create a learning environment that balances patient care with the development of competent and independent future nurses to enter real-world clinical practices. Institutions must prioritize faculty development, curriculum changes and supervised autonomy as core components of nursing education.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"367"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of video-enhanced educational intervention for fluid management on knowledge, practice, and adherence among patients undergoing hemodialysis: A randomized controlled trial.","authors":"S Hepsi Prabha, Joan Freeda Honey Sellapandian, S Janarthanan, Ramesh Chandrababu","doi":"10.4103/jehp.jehp_434_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_434_26","url":null,"abstract":"<p><strong>Background: </strong>Fluid management remains a cornerstone of hemodialysis care; however, suboptimal adherence frequently precipitates life-threatening complications, including hypertension and cardiovascular morbidity. While educational interventions are essential to mitigate these risks, empirical evidence regarding the efficacy of video-enhanced instruction in this population remains limited. This study aimed to evaluate the impact of a structured video-enhanced educational intervention on knowledge, practice, and fluid adherence among patients undergoing hemodialysis.</p><p><strong>Materials and methods: </strong>This randomized controlled trial evaluated outcomes using a knowledge questionnaire (reliability 0.88), a practice checklist (0.79), and intradialytic weight gain (IDWG) in 128 hemodialysis patients at South Indian tertiary hospital. Participants (<i>n</i> = 64 per experimental and control group, block randomized) received video-enhanced fluid management education or standard care; analysis included <i>t</i>-test, repeated measures of ANOVA, and Bonferroni tests (<i>P</i> < 0.05 significant).</p><p><strong>Results: </strong>The experimental group showed significant improvements in mean knowledge scores (11.4 ± 2.2) vs control, <i>P</i> = 0.001) and practice scores (13.6 ± 1.0 vs control 9.1 ± 1.5, <i>P</i> = 0.001) from pretest to post-test 2. Repeated measures ANOVA confirmed differences in practice scores within (<i>F</i> = 102.76, <i>P</i> = 0.001) and between groups (<i>F</i> = 8121.19, <i>P</i> = 0.001), with fluid adherence also improving significantly in the experimental group (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Video-enhanced instruction is an effective strategy to improve clinical outcomes in hemodialysis patients. Integrating a structured audiovisual tool into routine dialysis care can enhance patient outcomes and support healthcare policy initiatives to improve chronic disease management.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"383"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pedagogical determinants of cognitive flexibility among pre-service school counselors in Indonesia: A multisite cross-sectional study.","authors":"Luthfita Cahya Irani, Nur Hidayah, M Ramli, Nur Eva, Nordin Bin Mamat, Widya Juwita Sari","doi":"10.4103/jehp.jehp_2122_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_2122_25","url":null,"abstract":"<p><strong>Background: </strong>School counselors are mental-health service providers for students, working in complex and unpredictable situations that demand rapid adaptive responding. Cognitive flexibility is the core adaptive skill for this work, but how counselor education can cultivate cognitive flexibility in pre-service school counselors is still not well established. This study aims to investigate the association between the levels of cognitive flexibility and the pedagogical quality of counseling courses that have been implemented in counselor education programs in Indonesia.</p><p><strong>Materials and methods: </strong>A total of 846 pre-service school counselors who had completed theoretical and practical counseling courses under supervision were recruited in this multisite cross-sectional survey study (M_Age = 21.44, SD = 2.64). The respondents in our study came from 21 universities in Indonesia. An ordinal logistic regression model was used for statistical analysis.</p><p><strong>Results: </strong>The study found that (a) the scores of theoretical and practical counseling courses under supervisors, (b) students' ratings of their practical counseling course skills, (c) learning materials, (d) learning models, and (e) evaluation learning process significantly contribute to the levels of cognitive flexibility. Odds ratio analysis showedthat respondents who rated their counseling skills as \"<i>very good</i>,\" used \"<i>real cases</i>\" as learning material, adopted an \"<i>active learning model</i>,\" and used \"<i>self-reflection</i>\" for learning evaluation were more likely to demonstrate higher levels of their cognitive flexibility (CI = 95%).</p><p><strong>Conclusions: </strong>This study contributes evidence-based insights for counselor educators and university policy makers to enhance pre-service counselor students' cognitive flexibility through real cases, active learning, and self-reflective evaluation.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"346"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telenutrition health education program to increase nutritional awareness, attitude, and dietary diversity among secondary high school adolescent girls in rural area of Bangladesh: A quasi-experimental study protocol.","authors":"Israth Jahan Tama, Mayumi Kako, Md Moshiur Rahman, Bilkis Banu, Md Jiaur Rahman, Md Jowel Rana, Asma Begum, Hitoshi Okamura","doi":"10.4103/jehp.jehp_1413_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1413_25","url":null,"abstract":"<p><strong>Background: </strong>Telenutrition, using telehealth technologies for remote nutritional care, has proven effective in primary care. Nutritional deficiencies constitute a global health burden, characterized by chronic undernutrition and micronutrient deficiencies, especially in adolescent girls in impoverished nations such as Bangladesh. Telenutrition, which uses digital technologies to provide remote nutritional treatment, is a promising strategy to decrease this burden. This study aims to determine the impact of telenutrition education on improving nutritional awareness, attitude, and dietary diversity among school going adolescent girls in rural Bangladesh.</p><p><strong>Materials and methods: </strong>A school-based quasi-experimental study was conducted among 190 adolescent girls (95 intervention, 95 control) from two higher secondary schools in Sakhipur, Bangladesh. Schools were allocated into intervention and control groups using a coin toss method to reduce selection bias and to mitigate the risk of contamination of health education information among students within the same school. Interviewers used structured questionnaires to gather baseline data on socio-demographic traits, nutrition-related knowledge, attitudes, and practices, dietary diversity, food hygiene, sanitation, and menstrual hygiene. The intervention group received six months of nutrition-focused education, covered video sessions, text messages, and follow-up phone calls, while the control group received no intervention. The primary outcome of this study is changes in nutritional awareness, attitudes, and practice scores among adolescents. Additionally, secondary outcomes include improvements in dietary diversity and changes in BMI, hip-waist circumference, and MUAC that will be compared across groups over time. The effects of the intervention will be evaluated over time using mixed-effects models in STATA 18.5.</p><p><strong>Results: </strong>Data analysis will commence after implementation collection, with findings prepared for publication.</p><p><strong>Conclusion: </strong>Telenutrition education is expected to effectively enhance knowledge and promote healthy behaviors among adolescent girls. Digital health programs, policy-driven approaches, and school-based nutrition education are essential for improving nutritional awareness.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"375"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}