Video-Supported Flipped Learning for Episiotomy Training in Midwifery Students

NCT07530692 | Not Yet Recruiting

• 1 other identifier: 2023/1237
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the effect of a video-supported flipped learning model on anxiety and skill levels of midwifery students in episiotomy education. Episiotomy is an important clinical skill in midwifery education, and the method used to teach this skill may influence students' anxiety and performance. This randomized controlled educational study will be conducted with midwifery students who are enrolled in the episiotomy course. Participants will be randomly assigned to either an intervention group or a control group. Students in the intervention group will receive episiotomy education using a video-supported flipped learning model, in which theoretical content is provided through instructional videos prior to in-class activities. The control group will receive traditional classroom-based education. Students' anxiety levels and episiotomy skill performance will be assessed using validated measurement tools before and after the educational intervention. The findings of this study are expected to contribute to evidence-based teaching strategies in midwifery education and support the use of innovative learning models to improve student outcomes.

Conditions

Anxiety; Episiotomy; Midwifery; Clinical Competence

Keywords

Episiotomy; Video-Based Learning; Midwifery Students; Simulation Training; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (2)

• State Anxiety Level

  State (situational) anxiety will be assessed using the State subscale of the State-Trait Anxiety Inventory (STAI) to determine students' momentary anxiety related to episiotomy skills training. Higher scores indicate higher state anxiety.

  Immediately before and immediately after the training session, up to 1 day

• Episiotomy Skill Performance Score

  Episiotomy skill performance will be evaluated using the Episiotomy Skill Assessment Form (ESAF), a 40-step procedure scored from 0 to 100, where higher scores indicate higher skill performance.

  Immediately after completion of the training session, up to 1 da

Study Arms (2)

Video-Supported Flipped Learning Episiotomy Education

EXPERIMENTAL

Participants in this arm will receive episiotomy education using a video-supported flipped learning model. Theoretical content will be provided through instructional videos before face-to-face sessions, followed by interactive discussions and supervised skills practice in the skills laboratory.

Behavioral: Video-Supported Flipped Learning Model

Control

NO INTERVENTION

Traditional Classroom-Based Episiotomy Education

Interventions

Video-Supported Flipped Learning Model BEHAVIORAL

An educational intervention in which episiotomy-related theoretical content is delivered through instructional videos prior to classroom sessions, with in-class time dedicated to interactive learning and supervised skills practice.

Video-Supported Flipped Learning Episiotomy Education

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Midwifery 3rd-year student who is taking the Normal Birth course
• Willing to participate and provides informed consent
• Has not received prior education in the health field during associate or undergraduate education
• Has access to the internet and has a computer and/or smartphone

You may not qualify if:

• Incomplete completion of data collection forms
• Has received prior education in the health field during associate or undergraduate education
• No access to the internet, computer, or smartphone
• Does not participate in the study procedures/intervention sessions
• Requests to withdraw from the study at any time

Sponsors & Collaborators

• Karabuk University: lead

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Central Study Contacts

Reyhan Aydin Dogan, Associate Professor

CONTACT

+905422666568; reyhanaydin@karabuk.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ASSOCIATE PROFESSOR

Model Details: Participants will be randomly assigned to one of two parallel groups: an intervention group receiving video-supported flipped learning-based episiotomy education and a control group receiving traditional classroom-based education. Each participant will be assigned to a single study arm and will receive only the educational approach allocated to that arm throughout the study.

Study Record Dates

• First Submitted: January 18, 2026
• First Posted: April 15, 2026
• Study Start: April 15, 2026
• Primary Completion: May 20, 2026
• Study Completion (Estimated): July 20, 2026
• Last Updated: April 15, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share