The Effect of Technology-Based Programmes on Changing Health Behaviours of Adolescents: Systematic Review.

Technology-based applications in the health field have been increasing in recent years. Since they attract adolescents' attention, technology-based applications can be used in health-promoting interventions. This systematic literature review was conducted to determine the effect of technology-based programmes in changing adolescent health behaviors. In the literature review, 16 randomized controlled empirical studies with full text published in English between 2011 and 2016 in the PubMed and Science Direct databases were investigated. The sample of the studies investigated under the scope of this study consisted of adolescents in the age range of 12-24 years. The intervention time was determined to be a minimum of two weeks and a maximum of 24 months. When the resulting studies were examined, the model was used in some of the studies. The intervention methods used for adolescents were generally presented as informing, counseling services, protection, behavioral change development, self-assessment, goal development and problem-solving. It was observed that the majority of the studies were Internet and computer-based, and some were mobile phone-based. In 56.25% of the studies, the development in the studied health behaviors was found to be significant. In addition, 62.5% of the adolescents stated that they were satisfied with technology-based programmes. In the studies, some of the difficulties in the use of technology included the participants' withdrawing from the research, their having difficulties in accessing the website, and other technical problems. The use of technology in health promotion is becoming widespread, especially among adolescents, which increases the success of behavioural change. However, further randomized controlled studies are needed in the field to increase evidence-based knowledge.

Emotional indicators and anxiety levels of immigrant children who have been exposed to warfare.

PROBLEM: Little is known about the emotional reactions of children who have migrated to another country fleeing a war in their home. PURPOSE: This descriptive study was conducted to compare the emotional indicators and anxiety levels of Syrian children who have migrated to Turkey following the war with anxiety levels of Turkish children. METHODS: The study has been completed with 125 children who migrated from Syria and 168 children who are living in Turkey. The demographic data form, the Spielberger state and trait anxiety inventory (STAI) and Koppitz Draw-A-Person test were used for data collection. FINDINGS: The average ages of Syrian and Turkish children who participated in the study are 9.14 ± 1.11; 8.89 ± 0.76, respectively. Emotional indicators such as impulsivity, anxiety, and anger appear more frequently in Syrian children's drawings compared to the drawings of Turkish children. State anxiety scores were 47.44 ± 8.09 in Syrian children and 32.16 ± 10.46 in Turkish children. Trait anxiety scores were 49.08 ± 7.98 in Syrian children and 39.76 ± 8.58 in Turkish children. The STAI score of Syrian children was higher compared to the score of Turkish children. CONCLUSIONS: Anxiety scores of children who have migrated are significantly higher than those of children residing in their country of origin. The physical and psychological evaluation of children who have witnessed warfare and have migrated is an important nursing initiative.