Evidence map›Paper›PMID 40264049›Full record

Trial reportBMC pediatrics2025

BASNEF behavioral transformation: effect of empowerment program on children's knowledge, attitude, self-efficacy, and practice of nail biting.

Zohour Ibrahim Rashwan, Hamida Ahmed Mostafa Darweesh, Fatma Ahmed Elsobky, Samah Abdallah Mohamed Amer, Mabrouka Attia Ali Nada

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06471153 (BASNEF Behavioral Transformation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06471153 nacompletednot on this map

BASNEF Behavioral Transformation: Effect of Empowerment Program on Children's Knowledge, Attitude, Self-Efficacy, and Practice of Nail Biting.

TypeinterventionalSponsorAlexandria UniversityRan2023 to 2023Enrolled135ConditionsNail BitingArmsEmpowerment Program Based on BASNEF Model, Routine Health Education
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zohour Ibrahim RashwanPediatric Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Hamida Ahmed Mostafa DarweeshNursing Education Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Fatma Ahmed ElsobkyDepartemrnt of Nursing, College of Applied Medical Science, University of Jeddah, Jeddah, Saudi Arabia.
Samah Abdallah Mohamed AmerPediatric Nursing Department, Faculty of Nursing, Benha University, Benha, Egypt.
Mabrouka Attia Ali NadaPediatric Nursing Department, Menoufia University Hospital, Menoufia University, Menoufia, Egypt. mabrouka.atya@med.menofia.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNail-biting or onychophagia is a common phenomenon affecting children. Excessive nail biting is associated with several adverse consequences beyond mere appearance. The aim of this study is to evaluate the effect of an empowerment program based on the BASNEF model on children's knowledge, attitude, self-efficacy, and nail-biting practice.

methodA quasi-experimental study was conducted in the pediatric wards of Menoufia University Hospital and Benha University Hospital. A convenience sample of 135 children (6 to 18 years) was randomly assigned to the study or control group who received routine care. To effectively measure the dependent variables, four questionnaires were developed and tested for content validity, stability reliability and internal consistency. Exploratory Factor Analysis (EFA) identified the underlying factors while the findings of the Confirmatory Factor Analysis (CFA) demonstrated a satisfactory fit. The researcher developed the session objectives, learning activities and designed a booklet with relevant content. The participants of the study group were divided into sub-groups (six children and their mothers) who attended four empowerment sessions based on the BASNEF model, emphasizing (a) age-appropriate information, (b) fostering a positive attitude towards quitting nail-biting, (c) discovering the subjective norms, perceived social expectations, and influences of nail-biting behaviors, and (d) equipping children with enabling factors to quit. The comparison between the two groups was done using the Mann-Whitney (U) test, while the Wilcoxon Signed Rank test conducted for the intragroup comparison.

resultsThere was a significant improvement in knowledge about nail-biting among children in both groups and a noticeable decline in the nail-biting habits/practices among children in the study group (22.42 ± 5.69) compared to the control group (42.76 ± 6.75). The attitude scores towards nail-biting significantly improved among children in the study group compared to the control group with appositive impact on children's self-efficacy in controlling the habit (P < 0.001 for each).

conclusionThe empowerment program based on the BASNEF model effectively improved children's knowledge, attitude, self-efficacy, and practice of nail biting. TRIAL REGISTRATION NUMBER: Trial registration number: NCT06471153, ClinicalTrails.gov, Retrospectively registered June 18th, 2024), URL of trial registry record: https://clinicaltrials.gov/ct2/show/NCT06471153 .

Indexed as

EmpowermentHealth Knowledge, Attitudes, PracticeNail BitingSelf EfficacyAdolescentChildFemaleHumansMaleSurveys and QuestionnairesBASNEF ModelChildrenKnowledgeNail bitingPracticeSelf-efficacy

Identifiers

PMID40264049
PMCPMC12013016

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.