Gamification-Based Peer Education in Nursing Students: Effects on Sexual Health Literacy and Attitudes

NCT07516340 | Not Yet Recruiting

• 1 other identifier: Gamification
• Study Type: interventional
• Target: 94
• Locations: 0 countries
• Sites: N/A

Brief Summary

This randomized controlled trial aimed to examine the effect of gamification-based peer education on sexual health literacy and sexual health attitudes among nursing students. Sexual health is a fundamental component of overall well-being, and knowledge and attitudes developed during young adulthood influence lifelong health behaviors. However, university students often have limited sexual health knowledge and are influenced by misconceptions and sexual myths, increasing the risk of unsafe sexual practices, sexually transmitted infections, and unintended pregnancies. Improving sexual health literacy and promoting positive attitudes are essential for preventive healthcare. Although educational interventions are effective, traditional approaches may not sufficiently engage students. Gamification, which incorporates elements such as points, tasks, and feedback into learning environments, has been shown to enhance motivation, participation, and knowledge retention. Peer education further supports learning by facilitating communication and behavioral change among individuals of similar age groups. The study was conducted with third-year nursing students during the 2025-2026 academic year. Participants were randomly assigned to intervention and control groups. The intervention group received a gamification-based peer education program covering sexual health, contraception, sexually transmitted infections, safe sexual practices, consent, and communication skills, delivered through interactive activities. The control group received no intervention. Data were collected at baseline and one month after the intervention using validated scales. The findings are expected to contribute to the development of innovative and student-centered educational strategies in nursing education.

Conditions

Sexual Health

Keywords

Health Literacy; Sexual Health; Peer Group; Gamification

Outcome Measures

Primary Outcomes (1)

• Sexual Health Literacy

  Measured using the Sexual Health Literacy Scale at baseline (pre-test) and 1 month after the intervention (post-test).

  1 month

Secondary Outcomes (1)

• Sexual Health Attitudes

  1 month

Study Arms (2)

Intervention group - Gamification-Based Peer Education

EXPERIMENTAL

The education to be applied to the intervention group will be conducted using a gamification-based peer education model. The training sessions will be delivered by 14 peer educators selected from the senior internship group of the Department of Nursing (Gynecology Nursing), who will be trained in advance by the researchers. Prior to the study, peer educators will receive standardized training on the content, educational methods, and gamification applications. The training module will be structured using gamification components, including: The training module will be structured using gamification components, including: Scenario-based case games Task completion activities Group competitions Point and level systems Badges/achievement cards Question-answer tournaments Participants will be divided into small groups and actively engaged in the process through interactive methods. Each training session will be planned and conducted by peer educators.

Behavioral: Gamification-Based Peer Education

Control group

NO INTERVENTION

No educational intervention will be applied to the students in the control group during the study period.

Interventions

Gamification-Based Peer Education BEHAVIORAL

The intervention consists of a gamification-based peer education program designed to improve sexual health literacy and attitudes among nursing students. The training is delivered by 14 trained peer educators selected from senior nursing students, who receive standardized preparation on educational content, teaching methods, and gamification techniques prior to the study. The educational module includes topics such as basic sexual health concepts, sexual health literacy, access to reliable information, contraceptive methods, sexually transmitted infections, safe sexual practices, consent, and communication skills. The program is structured using gamification elements, including scenario-based case activities, task completion exercises, group competitions, point and level systems, badges/achievement cards, and interactive question-answer sessions. Participants are divided into small groups and actively engaged through interactive learning methods.

Intervention group - Gamification-Based Peer Education

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a third-year nursing student Enrollment in the Faculty of Health Sciences during the 2025-2026 academic year Having completed the Women's Health and Diseases Nursing course Willingness to participate in the study Providing written informed consent

You may not qualify if:

• Refusal to participate in the study Incomplete data or failure to complete study forms

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Related Links

• PubMed article related to sexual health education and literacy

Study Officials

• Beyzanur İşbay Aydemir, Msc

  İstanbul Aydın University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Beyzanur İşbay Aydemir, Msc

CONTACT

+905456078994; bisbay94@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 1, 2026
• First Posted: April 8, 2026
• Study Start: May 1, 2026
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: April 8, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share