Gamification Method on the Menstruation and Genital Hygiene Behaviors of Female Students

NCT07370259 | Completed

• 1 other identifier: genital hijyen
• Study Type: interventional
• Target: 77
• Locations: 1 country
• Sites: 1

Brief Summary

This quasi-experimental study aimed to evaluate the effect of a gamification-based educational intervention on menstruation and genital hygiene behaviors among female students. The study was conducted with 77 female students aged 10-15 years who were attending a public secondary school in Ankara, Türkiye, during the 2023-2024 academic year. The intervention consisted of a web-based gamified education program developed by the researchers using Web 2.0 tools and implemented through an interactive online platform in four sessions. Data were collected before and one month after the intervention using the Menstrual Hygiene Behaviors Form and the Genital Hygiene Behaviors Scale (GHBS). Findings indicated a significant improvement in general hygiene, menstrual hygiene, and awareness of abnormal findings after the intervention (p \< 0.05). The study suggests that gamified online education can be an effective and engaging approach to improving menstrual and genital hygiene behaviors among adolescent girls.

Conditions

Menstrual Hygiene; Genital Hygiene Behaviors; Adolescent Health; Gamification; Health Education

Keywords

Adolescent Health; Gamification; Genital Hygiene; Menstrual Hygiene

Outcome Measures

Primary Outcomes (1)

• Change in Genital Hygiene Behaviors Scale (GHBS) Total Score

  The Genital Hygiene Behavior Scale (GHBS) is a 23-item Likert-type instrument designed to assess genital hygiene behaviors across three subdomains: general hygiene, menstrual hygiene, and awareness of abnormal genital findings. Each item is scored on a 5-point Likert scale, yielding a total score ranging from 23 to 115, with higher scores indicating better genital hygiene behaviors.

  From baseline (pre-test) to 1 month after completion of the gamified educational program

Secondary Outcomes (4)

• Change in General Hygiene Subscale Score (GHBS)

  Baseline to 1 month post-intervention

• Change in Menstrual Hygiene Subscale Score (GHBS)

  Baseline to 1 month post-intervention

• Change in Awareness of Abnormal Findings Subscale Score (GHBS)

  Baseline to 1 month post-intervention

• Change in Menstrual Hygiene Behaviors Form Score

  Baseline to 1 month post-intervention

Study Arms (1)

Gamified Training Group

EXPERIMENTAL

All participants received the web-based gamified educational program designed to improve menstruation and genital hygiene behaviors. The program included four interactive online sessions of approximately 20 minutes each, incorporating gamification elements such as avatars, badges, levels, and virtual rewards to enhance engagement. Pre- and post-test assessments were administered to evaluate changes in hygiene behaviors.

Behavioral: Gamified Training Program

Interventions

Gamified Training Program BEHAVIORAL

The intervention consisted of a web-based gamified educational program developed using Web 2.0 tools. The program included four interactive online sessions, each lasting approximately 20 minutes, and aimed to improve menstruation and genital hygiene behaviors among female students. Gamification elements such as avatars, badges, levels, and virtual rewards were integrated following the D6 design model (Discover, Define, Design, Develop, Deploy, Determine). The training combined visuals, videos, and quizzes to enhance engagement and motivation. Post-intervention assessments were conducted one month after the completion of all sessions to evaluate behavioral outcomes.

Gamified Training Group

Eligibility Criteria

• Age: 10 Years - 15 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Female students enrolled in a public secondary school in Ankara
• Aged between 10 and 15 years
• Having experienced menarche (menstruating)
• Able to read and understand Turkish
• Having internet access to complete online training
• Willing to participate voluntarily in the study
• Parental written consent provided

You may not qualify if:

• Students who have not yet experienced menarche
• Incomplete questionnaire or missing data
• Lack of parental consent
• Students who did not complete all four gamified education sessions
• Students with any condition limiting participation in online learning activities

Sponsors & Collaborators

• Lokman Hekim University: lead

Study Sites (1)

Lokman Hekim University Etlik Hospital

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Health Education

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Ozlem Ulku Bulut, Assistant Professor

  Lokman Hekim University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: his study was conducted as a one-group pretest-posttest quasi-experimental design without any masking procedure. Participants and investigators were aware of the intervention since the educational program was delivered through an interactive, web-based gamified platform. Outcome assessments were based on self-reported questionnaires administered before and one month after the training. No blinding was feasible due to the educational nature of the intervention.
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Profesor

Model Details: The study was planned as a one-group pretest-posttest quasi-experimental study so as to evaluate the effect of gamification method on menstruation and genital hygiene behaviors of female students.

Study Record Dates

• First Submitted: January 18, 2026
• First Posted: January 27, 2026
• Study Start: September 1, 2023
• Primary Completion: January 15, 2024
• Study Completion: June 1, 2024
• Last Updated: January 28, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)