Article Gold Open Access 2025

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

Public Health Nursing
Journal · Vol. 42 · Issue 3 · pp. 1288-1301
Abstract

Background: While adolescents are an at-risk group that is in a process of developmental crisis and requires guidance for adjustment. They may be traumatized by challenging conditions due to the negative experiences they are socially exposed to. Having to work is one of the most important social problems that increases the risk situation of this group. Roy's Adaptation Model is also quite suitable for use in interventions and research addressing developmental groups. It is believed that the adaptation of the individual to a new situation in their life contributes to their capacity to improve their health and increase their quality of life. Objective: This study was conducted to determine the effects of a Health Education Program based on Roy's Adaptation Model on the healthy lifestyle behaviors and self-esteem levels of working adolescents. Design: This study was designed as a randomized controlled trial. Method: The study was conducted at a vocational training center in Turkey between March 14 and June 13, 2022. The sample consisted of 66 adolescents aged 14–18 years (intervention: 30; control: 36) trained at the Vocational Apprenticeship and Training Center. The adolescents in the intervention group participated in an 8-session program for 4 weeks. Data were collected using a Personal Information Form, the Healthy Lifestyle Behaviors Scale II, and the Rosenberg Self-Esteem Scale (RSE). Data collection took place before the program started, immediately after its completion, and 3 months later. This document was prepared in accordance with the Preferred Reporting Items for Analyses of Randomized Controlled Trials (CONSORT) guidelines. Results: A significant difference was found between the intervention and control groups in favor of the intervention group in terms of their Healthy Lifestyle Behaviors Scale II scores in the 2nd measurement and their RSE score in the 3rd measurement. Conclusion: The Health Education Program based on Roy's Adaptation Model is effective in increasing the healthy lifestyle behaviors and self-esteem of working adolescents. Patient or Public Contribution: No patient or public contribution. Impact: Roy's Adaptation Model can provide a conceptual framework for holistic studies to promote health for developmental groups. © 2025 The Author(s). Public Health Nursing published by Wiley Periodicals LLC.

Keywords

Author Keywords

Nursing adolescent healthy lifestyle self-esteem

Index Keywords

female human male procedures psychology questionnaire Humans Surveys and Questionnaires adolescent apprenticeship Article Vocational education self concept controlled study vocation clinical practice guideline practice guideline therapy conceptual framework randomized controlled trial adolescent behavior Health education quality of life self esteem education program Adaptation psychological adjustment Adaptation, Psychological community health nursing healthy lifestyle high risk population identifiable information Rosenberg Self-Esteem Scale Roy Adaptation Model social problem health behavior turkey (bird) Turkey
Author Affiliations
Department of Child Health and Illness Nursing, Zonguldak Bulent Ecevit University, Zonguldak, Zonguldak, Turkey
Funding & Acknowledgements
No funding information
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