{
  "abstract": "Background\n\nTeenage girls, who are a vulnerable group, require special care and attention, particularly when puberty begins. A consistent teaching program about menstruation should be offered to adolescent girls with visual disabilities.Aim\n\nThe goal of this research was to evaluate the self-concept and healthy behavior of teenage girls with visual impairment after conducting an audio instructional program regarding puberty.Methods\n\nA Quasi-experimental research design. The study was carried out in Al- Nor and Al- Aml schools in Port-Said city & Damietta city, one school in each city. Purposive sampling included 46 visually impaired teenage girls representing all eligible participants in the setting who met the inclusion criteria (25) at Port-Said City and (21) at Damietta City. Data collection instruments: Survey for Structured Interviews, Adolescents' Self-concept Short Scale, Puberty Healthy Behavior Questionnaire.Results\n\nSignificant improvements were observed in knowledge, self-concept, and menstrual health practices across pre, post, and follow-up phases. The mean total knowledge score increased from 16.43 ± 6.60 pre-intervention to 21.63 ± 6.33 post-intervention and 22.91 ± 5.80 at follow-up (F = 63.33, p < 0.001). The total self-concept score also improved significantly from 95.76 ± 6.42 to 106.91 ± 4.94 and 109.96 ± 6.88, respectively (F = 189.81, p < 0.001). Similarly, total health practices improved from 36.15 ± 5.07 pre-intervention to 40.35 ± 3.48 post-intervention and 41.67 ± 3.67 at follow-up (F = 18.51, p < 0.001), with consistent improvements across all domains. Significant correlations were found between knowledge, self-concept and health practices (p < 0.001).Conclusion\n\nThe results of this investigation revealed that visually impaired adolescent girls had low knowledge, self-concept, and menstrual hygiene practices at puberty before the intervention. All measured outcome variables showed a significant improvement after the implementation of the audio instructions program, and such improvement was maintained at follow-up (p < 0.001).Clinical trial registration\n\nThis trial was registered on 22/ March /2026 at ClinicalTrials.gov, identifier [NCT07496606].",
  "abstract_shown": true,
  "affiliations": [
    "College of Pharmacy, Nursing & Medical Sciences, Riyadh Elm University, Riyadh, Saudi Arabia.",
    "Faculty of Nursing, Middle East University, Amman, Jordan.",
    "Faculty of Nursing, Philadelphia University, Amman, Jordan.",
    "Department of Pharmaceutical Sciences, Faculty of Pharmacy, Jadara University, Irbid, 21110, Jordan.",
    "Department of Clinical Nursing, School of Nursing, the University of Jordan, Amman, Jordan.",
    "Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.",
    "Nursing Department, Faculty of Health Professions, Al- Quds University, Jerusalem, Palestine. ageisha@staff.alquds.edu."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Amira Mohamed Abdelfatah",
      "orcid": "0000-0001-6162-0412"
    },
    {
      "affs": [
        1
      ],
      "name": "Fathia Mahmoud AbdElmenim Sayed",
      "orcid": "0009-0002-1229-6147"
    },
    {
      "affs": [
        2
      ],
      "name": "Fatma Kamal Ali",
      "orcid": "0000-0001-9799-7350"
    },
    {
      "affs": [
        2
      ],
      "name": "Rabia Hani Haddad",
      "orcid": "0000-0002-5963-824X"
    },
    {
      "affs": [
        3
      ],
      "name": "Razan Haddad",
      "orcid": "0000-0001-5437-6394"
    },
    {
      "affs": [
        4
      ],
      "name": "Wafaa J Tohol",
      "orcid": "0009-0009-8809-3187"
    },
    {
      "affs": [
        5
      ],
      "name": "Nehmedo Ezzat Osman",
      "orcid": "0000-0001-8398-5818"
    },
    {
      "affs": [
        6
      ],
      "name": "Ashraf Jehad Abuejheisheh",
      "orcid": "0000-0002-9437-3304"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/eqv6rj5hey5xn.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-28945-2",
  "fulltext_url": "https://europepmc.org/articles/PMC13729284",
  "id": "eqv6rj5hey5xn",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://europepmc.org/article/MED/42972387",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "3600|Adolescent Sexual and Reproductive Health"
    ]
  ],
  "openalex": "W7172535038",
  "pdf_url": "https://europepmc.org/articles/PMC13729284?pdf=render",
  "pmcid": "PMC13729284",
  "pmid": "42972387",
  "published": "2026-08-06",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/eqv6rj5hey5xn.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:49Z",
      "native_id": "MED:42972387",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42972387"
    },
    {
      "first_seen": "2026-11-07T12:22:04Z",
      "native_id": "PMC13729284",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12889-026-28945-2"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1471-2458",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Changes in self-concept and healthy behaviors following an audio instructional program on puberty among teenage girls with visual impairment: a quasi-experimental study.",
  "title_text": "Changes in self-concept and healthy behaviors following an audio instructional program on puberty among teenage girls with visual impairment: a quasi-experimental study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:04Z",
  "url": "https://research.draconitic.com/paper/eqv6rj5hey5xn",
  "venue": "BMC public health",
  "versions": []
}