Clinical trials

The term nomophobia, which can also be defined as a symptom, has emerged with the excessive use of smartphones. Nomophobia is the anxiety and fear that people feel when they are away from their phones for any reason. Nomophobia is defined as the "fear of being deprived of phone or internet access." According to DSM5, "situational phobias are excessive, irrational fears accompanied by anxiety and distress towards a specific object or situation." Considering the anxiety, stress, and worry it creates on individuals, Bragazzi and Del Puente (2014) stated that nomophobia should be added to the DSM-5 due to the dimensions of the anxiety, stress, and worry it creates on individuals and the speed at which it spreads. They explained the symptoms of nomophobia as follows; spending most of the day with a smartphone, constantly checking the battery, in case of being away from the smartphone, thoughts such as the battery or credit running out and not being able to find the phone create anxiety in individuals, staying away from places and spaces where it is not possible to use a smartphone, constantly checking whether notifications or messages have arrived, keeping the smartphone on and nearby even while sleeping, communicating using digital tools because face-to-face conversation creates anxiety, incurring extraordinary expenses for a smartphone or getting into excessive debt. In addition to making life easier, nomophobia, which occurs with excessive and uncontrolled use of smartphones, can cause some problems. Increasing individuality and the resulting weakening of face-to-face communication bring about addictive applications, depression, headache, visual impairments, sleep problems, musculoskeletal problems, and physiological and psychological problems. To cope with and manage the symptoms of an addictive condition such as nomophobia, it is envisaged that young adults should be supported with self-compassion practices. Self-compassion exists from the essence of awareness when we encounter painful and distressing situations. Self-compassion tells individuals to be kind to themselves when they encounter pain and distress. When people encounter an adverse life event, they blame themselves, criticize themselves, react to themselves, and make harmful decisions. A happy and peaceful life emerges thanks to self-compassion, a sense of security, and health. If individuals can accept and tolerate many positive and negative life events and be kind and tolerant towards themselves, they can stop limiting and ignoring their feelings and thoughts. In this way, they can avoid over-identifying by realizing that the experiences experienced are experiences that many people can experience. Individuals with high levels of self-compassion have low levels of depression, anxiety, stress, perfectionism, rumination, and suppressing thoughts. In addition, since they do not judge themselves, their happiness, optimism, enjoyment of life, and motivation are high. In line with this information, self-compassion practices can be supportive during this period when young adults encounter a problem such as nomophobia and have to manage many physiological symptoms. This study aimed to determine the effect of self-compassion practices on nomophobia symptoms in young adults.

Background: Climate change awareness among nurse managers is crucial for enhancing healthcare efficiency and mitigating environmental and societal impacts. This study aims to develop and implement an educational program to improve nurse managers' awareness of climate change. Methods: A randomized controlled trial will be conducted with 108 nurse managers (54 experimental, 54 control) from two major hospitals in Istanbul, Turkey: Kartal Dr. Lütfi Kırdar City Hospital (n=71) and Göztepe Prof. Dr. Süleyman Yalçın City Hospital (n=58). Sample size was determined using G\*Power 3.1.9.7, referencing the study by Alvarez-Nieto et al. (2022), assuming an effect size of 0.79, a significance level of α=0.05, and 95% power. The required sample size was calculated as 90, increased by 20% to account for potential attrition, resulting in 108 participants. Participants will be recruited through full enumeration sampling due to the limited number of nurse managers. Data will be collected via face-to-face administration of a Demographic Information Form (12 items) and the Climate Change Awareness Scale (Ataklı \& Kuran, 2022), which consists of 52 items rated on a 5-point Likert scale, with a reliability coefficient (α) of 0.92. Intervention: Following institutional approval from the Provincial Health Directorate, education nurses will disseminate information about the study via digital communication platforms. Nurse managers will be enrolled in separate digital groups for experimental and control conditions. Pre-test data will be collected face-to-face before the intervention. The educational program will be delivered to the experimental group, while the control group will receive no intervention. Post-test data collection will occur four weeks after the intervention. Statistical Analysis: Nominal and ordinal data will be presented as frequencies and percentages, while scale scores will be reported as means and standard deviations or medians and ranges. Normality of data distribution will be assessed using the Kolmogorov-Smirnov test. Independent Samples T-Test and One-Way ANOVA will be used for normally distributed variables, while Mann-Whitney U and Kruskal-Wallis tests will be used for non-normally distributed data. Analyses will be conducted using SPSS 26 with a significance level set at p\<0.05. Expected Outcomes: The study will evaluate the effectiveness of the educational program in enhancing climate change awareness among nurse managers. Findings will contribute to the development of targeted training programs to integrate environmental awareness into nursing leadership. Ethical Considerations: Ethical approval and institutional permissions will be obtained prior to study commencement.

This study aims to evaluate the validity and reliability of the Dr. Goniometer application for measuring elbow flexion by comparing it with a manual goniometer. Conducted at Beykent University, the study will include 60 participants without upper extremity issues. Measurements will be taken on the dominant arm using both a manual goniometer and Dr. Goniometer, each repeated twice. Dr. Goniometer measurements will be performed twice by two different evaluators. Validity will be assessed using the Pearson correlation coefficient, while reliability will be evaluated with ICC and SEM. Measurement differences will be analyzed using a paired t-test. The results will contribute to determining the clinical applicability of the Dr. Goniometer application.

Ankle injuries are among the most common musculoskeletal injuries, affecting both athletes and the general population. Various methods are used to prevent such injuries, but the effectiveness of different kinesio taping applications on joint position sense and balance remains unclear. This study aims to investigate the effects of different kinesio taping techniques on proprioception and postural stability in healthy young adults. By identifying changes in balance and proprioception before injuries occur, the findings may provide clinical insights into the potential role of kinesio taping in rehabilitation and injury prevention.

Diabetes is a chronic metabolic disorder characterized by high blood sugar due to problems with insulin production or function. Its prevalence has increased significantly in recent decades due to sedentary lifestyles, unhealthy diets, and increasing obesity rates. Type 2 diabetes, in particular, is a major global and national health problem with projections showing that it continues to grow. Effective diabetes management requires patients to adopt healthy behaviors such as following a diet plan, monitoring blood sugar, increasing physical activity, and avoiding risky habits such as smoking. Inadequate adherence to treatment can lead to serious complications such as cardiovascular disease and kidney damage, which can be a burden to patients, families, and healthcare systems. Motivational interviewing, a patient-centered approach, helps individuals overcome resistance to behavioral change. This study was designed experimentally to determine the effect of motivational interviewing on diabetes self-management in patients with type 2 diabetes.

This randomized, prospective study aims to evaluate the effectiveness and cost-efficiency of a Virtual Reality (VR)-assisted hypnotherapy program on quality of life in patients with chronic low back pain. The study compares a VR-assisted hypnotherapy group to a standard treatment group. Both groups will undergo a conventional physical therapy program supervised by physiotherapists for 3 weeks (15 sessions). The VR-assisted hypnotherapy group will receive additional sessions utilizing the HypnoVR software, which delivers relaxing virtual environments. Outcomes will be assessed immediately after treatment, at 1 month, and at 3 months post-treatment. Primary endpoints include pain reduction measured by the Visual Analog Scale (VAS). Secondary endpoints include functionality, quality of life, anxiety, depression, sleep quality, healthcare costs, and treatment adherence. Statistical analyses will determine the efficacy and economic impact of this innovative therapy for chronic low back pain management.

This randomized, prospective study aims to evaluate the effectiveness and cost-efficiency of a Virtual Reality (VR)-assisted hypnotherapy program on quality of life in patients with chronic neck pain. The study compares a VR-assisted hypnotherapy group to a standard treatment group. Both groups will undergo a conventional physical therapy program supervised by physiotherapists for 3 weeks (15 sessions). The VR-assisted hypnotherapy group will receive additional sessions utilizing the HypnoVR software, which delivers relaxing virtual environments. Outcomes will be assessed immediately after treatment, at 1 month, and at 3 months post-treatment. Primary endpoints include pain reduction measured by the Visual Analog Scale (VAS). Secondary endpoints include functionality, quality of life, anxiety, depression, sleep quality, healthcare costs, and treatment adherence. Statistical analyses will determine the efficacy and economic impact of this innovative therapy for chronic neck pain management.

The purpose of this clinical trial is to determine if a time management training program can effectively reduce procrastination behavior among intern nursing students. It will also explore the impact of this training on students' academic performance and well-being. The main questions it aims to answer are: Does the training reduce procrastination behavior in nursing students? How does the training impact time management skills and academic outcomes? Researchers will implement a time management training program based on the Effective Teaching Model to analyze changes in procrastination behavior. Participants will: Attend a five-day training program, with daily sessions covering specific topics on time management and procrastination Complete a pre-test and post-test to measure changes in procrastination behavior Provide feedback on the training program and engage in practical workshops The study will be conducted at a private university in Istanbul over a four-month period from November 2024 to March 2025, targeting all intern nursing students (N=70). Data will be collected using a general procrastination scale and analyzed for significant changes in time management and procrastination behaviors using SPSS software.

Diabetic foot causes hospitalization, amputation and serious health problems in individuals. This situation also leads to loss of productivity of the individual, negatively. diabetic foot can be reduced by 85% with good foot care, education and a multidisciplinary team approach. Diabetes is observed in the majority of hemodialysis patients. Foot care becomes even more important if you have more than one chronic disease. The aim of this study is; To determine the effect of "Diabetic foot care training" given to diabetic hemodialysis patients on foot care behavior. The study was planned as a randomized controlled experimental study. It was planned for diabetic hemodialysis patients who were treated in a dialysis center with a study permit.

geism is a multidimensional term that includes different attitudes, prejudices, behaviors and actions shown to a person simply because of his or her age. Today, in most societies in the world, elderly individuals are discriminated against. This discrimination stems from the negative attitudes of family members and society in general towards older individuals and aging. In most societies, old age and the changes that occur with aging are generally viewed negatively. Old age is seen as a process of decline in productivity, competence, individuality and independence in all areas of life. The elderly and old age can be viewed with stereotypes, prejudice and discrimination. Age discrimination includes beliefs and attitudes that can turn into discriminatory actions. Words synonymous with being old/aging generally carry negative content. These are generally negative situations such as dementia, weakness, disease, aging, deterioration, wear and tear, and inability to function. This research was designed as a randomized controlled study to determine the effect of elderly care training given to nursing students of a foundation university on their attitudes towards ageism. The population of the research consists of 150 first and second year nursing students of a foundation university in Istanbul between the 2023-2024 academic years. Power analysis was performed using the G\*Power (v3.1.9) program to determine the sample size. It was calculated that there should be at least 26 participants in each group. The sample was planned with 120 students (60 experimental and 60 control groups) who met the study criteria and agreed to participate in the study. Number, percentage, mean and standard deviation will be used as descriptive statistical methods in the evaluation of the data. A normal distribution test will be applied to determine whether the research variables have a normal distribution. In case the research variables do not show normal distribution (p\<0.05). In the analysis of variables for which the normality assumption is not met, non-parametric analysis methods Mann Whitney U (for comparisons of two groups) and Kruskal Wallis (for comparisons of three or more groups) will be used. Spearman correlation analysis will be performed to determine the relationship between the continuous variables of the research.