Hybrid Episiotomy Training and Student Outcomes

NCT07582302 | Completed

• 1 other identifier: E-22686390-050.99-87329
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to evaluate the effects of a hybrid episiotomy repair training model on self-efficacy, anxiety, and cognitive load in third-year midwifery students. The main questions it aims to answer are: Does standardized sponge-based training improve students' episiotomy skills self-efficacy and cognitive load? Is there a difference between chicken tissue-based training and virtual reality-based training in terms of self-efficacy, anxiety, and cognitive load outcomes? Researchers will compare chicken tissue-based training and virtual reality-based training to determine whether there are differences in educational outcomes between these two advanced simulation methods. Participants will:

• complete baseline assessments of anxiety, self-efficacy, and cognitive load,
• receive standardized episiotomy repair training using a sponge model,
• be randomly assigned to either chicken tissue-based hands-on training or virtual reality-based video training,
• complete post-training assessments following each training phase.

Conditions

Episiotomy; Midwifery Education; Simulation Training; Self- Efficacy

Keywords

Episiotomy; Simulation training; Midwifery education; Self-efficacy

Outcome Measures

Primary Outcomes (1)

• Episiotomy Skills Self-Efficacy

  Scores range from 19 to 76, with higher scores indicating greater self-efficacy in episiotomy repair skills.

  Baseline and immediately after training

Secondary Outcomes (2)

• Anxiety (STAI)

  Baseline and immediately after training

• Cognitive Load (DTCLS)

  Baseline and immediately after training

Study Arms (2)

Chicken Tissue-Based Episiotomy Repair Training

EXPERIMENTAL

Participants in this arm received standardized episiotomy repair training using sponge models, followed by hands-on episiotomy repair practice on chicken tissue under instructor supervision. Final assessments of self-efficacy, anxiety, and cognitive load were conducted after completion of the training.

Behavioral: Sponge-Based Episiotomy Repair Training; Behavioral: Chicken Tissue-Based Episiotomy Repair Training

Virtual Reality-Based Episiotomy Repair Training

EXPERIMENTAL

Participants in this arm received standardized episiotomy repair training using sponge models, followed by non-interactive virtual reality-based video training demonstrating episiotomy repair procedures. Final assessments of self-efficacy, anxiety, and cognitive load were conducted after completion of the training.

Behavioral: Sponge-Based Episiotomy Repair Training; Behavioral: Virtual Reality-Based Episiotomy Repair Training

Interventions

Sponge-Based Episiotomy Repair Training BEHAVIORAL

Standardized theoretical and practical training on episiotomy repair using sponge models to establish baseline psychomotor skills.

Chicken Tissue-Based Episiotomy Repair Training; Virtual Reality-Based Episiotomy Repair Training

Virtual Reality-Based Episiotomy Repair Training BEHAVIORAL

Non-interactive virtual reality-based video training demonstrating episiotomy repair procedures to support cognitive and visual learning.

Virtual Reality-Based Episiotomy Repair Training

Chicken Tissue-Based Episiotomy Repair Training BEHAVIORAL

Hands-on episiotomy repair training using chicken tissue to provide realistic tactile practice under instructor supervision.

Chicken Tissue-Based Episiotomy Repair Training

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Being a third-year midwifery student
• Having completed theoretical education on episiotomy and perineal repair
• Voluntary agreement to participate in the study
• Providing written informed consent

You may not qualify if:

• Having previously performed episiotomy repair actively in a clinical setting
• Having any physical condition that may affect surgical hand skills
• Not attending any of the training sessions during the study
• Not completing the data collection process

Sponsors & Collaborators

• Atlas University: lead

Study Sites (1)

Istanbul Atlas University

Istanbul, Istanbul, 34408, Turkey (Türkiye)

Location

Study Officials

• Ece NİLÜFER, MSc Candidate

  Atlas University

  PRINCIPAL INVESTIGATOR

• Meserret ASLAN, PhD Candidate

  Atlas University

  STUDY DIRECTOR

• Gülay RATHFISCH

  Atlas University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 6, 2026
• First Posted: May 12, 2026
• Study Start: December 30, 2025
• Primary Completion: January 28, 2026
• Study Completion: February 25, 2026
• Last Updated: May 12, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)