AI-Supported E-Learning for Pressure Injury Prevention

NCT07658209 | Completed DMC

• 1 other identifier: kilis22222
• Study Type: interventional
• Target: 162
• Locations: 1 country
• Sites: 1

Brief Summary

Brief Summary Pressure injuries are damage to the skin and underlying tissue that may occur in patients who stay in bed for long periods, have limited mobility or use medical devices. These injuries are often preventable. They may cause pain, infection, longer hospital stays and increased care costs. For this reason, it is important that nurses and nursing students have accurate knowledge, confidence and positive attitudes about preventing pressure injuries. The aim of this study is to compare two different methods of teaching pressure injury prevention to nursing students. One group of students received the education in a face-to-face classroom session. The other group completed the same topic through an artificial intelligence-supported modular e-learning programme. The e-learning programme included short videos, clinical examples, question-and-answer activities, short quizzes and feedback. The educational materials prepared with artificial intelligence support were checked by experts before being used with students. Undergraduate nursing students took part in the study. The students were randomly assigned to one of two groups. In both groups, measurements were taken before the education, immediately after the education and four weeks later. The study assessed students' knowledge of pressure injury prevention, their confidence in managing pressure injury prevention and their attitudes towards prevention. This study does not provide a treatment or direct intervention to patients. However, its findings may help improve how nursing students and future healthcare professionals are educated about pressure injury prevention. In the long term, better education may support safer patient care, help prevent pressure injuries and improve the quality of care.

Conditions

Conditions or Focus of Study; Pressure Injury Prevention; Pressure Ulcer Prevention; Nursing Education

Keywords

Pressure injury prevention; Pressure ulcer prevention

Outcome Measures

Primary Outcomes (1)

• Change in Pressure Injury Prevention Knowledge Score

  Outcome Measure Description: Pressure injury prevention knowledge will be assessed using the Turkish version of the Pressure Injury Knowledge Assessment Tool 2.0 (PIKAT 2.0-Tr). The tool evaluates evidence-based knowledge of pressure injury prevention, including aetiology, classification and observation, risk assessment, nutrition, prevention, and care for special patient groups. The total score ranges from 0 to 24, with higher scores indicating higher levels of pressure injury prevention knowledge.

  Baseline, immediately after the intervention, and 4 weeks after the intervention.

Secondary Outcomes (2)

• Change in Pressure Injury Prevention Self-Efficacy Score

  Baseline, immediately after the intervention, and 4 weeks after the intervention.

• Change in Attitudes Towards Pressure Injury Prevention Score

  Baseline, immediately after the intervention, and 4 weeks after the intervention.

Study Arms (2)

Face-to-Face Instruction

ACTIVE COMPARATOR

Participants assigned to this arm received conventional face-to-face classroom instruction on pressure injury prevention. The session covered the causes of pressure injuries, classification and observation, risk assessment, nutrition, preventive interventions, care for special patient groups, and medical device-related pressure injuries. The education was delivered using standardised presentation materials.

Behavioral: Face-to-Face Pressure Injury Prevention Education

AI-Supported Modular E-Learning Programme

EXPERIMENTAL

Participants assigned to this arm completed an artificial intelligence-supported modular e-learning programme on pressure injury prevention. The programme included short video presentations, clinical examples, question-and-answer activities, short quizzes and feedback sections. The content covered the same core pressure injury prevention topics as the face-to-face instruction and was reviewed by experts before implementation.

Behavioral: AI-Supported Modular E-Learning Programme

Interventions

Face-to-Face Pressure Injury Prevention Education BEHAVIORAL

Participants received conventional face-to-face classroom instruction on pressure injury prevention. The session was delivered using standardised presentation materials and covered the causes of pressure injuries, classification and observation, risk assessment, nutrition, preventive interventions, care for special patient groups, and medical device-related pressure injuries.

Also known as: Face-to-face instruction Conventional classroom instruction

Face-to-Face Instruction

AI-Supported Modular E-Learning Programme BEHAVIORAL

Participants completed an artificial intelligence-supported modular e-learning programme on pressure injury prevention. The programme included short video presentations, clinical examples, question-and-answer activities, short quizzes and feedback sections. The content covered the same core pressure injury prevention topics as the face-to-face instruction and was reviewed by experts before implementation.

Also known as: AI-supported e-learning programme Modular e-learning programme

AI-Supported Modular E-Learning Programme

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Being an undergraduate nursing student.
• Being aged 18 years or older.
• Voluntarily agreeing to participate in the study.
• Providing written informed consent.
• Being able to participate in the allocated educational intervention and scheduled outcome assessments.

You may not qualify if:

• Refusing to participate in the study.
• Having previously received additional structured education on pressure ulcer or pressure injury prevention outside the standard curriculum.
• Being unable to complete the educational intervention due to absence or withdrawal before intervention delivery.

Sponsors & Collaborators

• Kilis 7 Aralik University: lead

Study Sites (1)

Kilis 7 Aralık University, Yusuf Şerefoğlu Faculty of Health Sciences, Department of Nursing

Kilis, Kilis, 79000, Turkey (Türkiye)

Location

Related Publications (4)

• Beeckman D, Defloor T, Demarre L, Van Hecke A, Vanderwee K. Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP). Int J Nurs Stud. 2010 Nov;47(11):1432-41. doi: 10.1016/j.ijnurstu.2010.04.004. Epub 2010 May 14.

  PMID: 20466370 BACKGROUND

• Dellafiore F, Arrigoni C, Ghizzardi G, Baroni I, Conte G, Turrini F, Castiello G, Magon A, Pittella F, Caruso R. Development and validation of the pressure ulcer management self-efficacy scale for nurses. J Clin Nurs. 2019 Sep;28(17-18):3177-3188. doi: 10.1111/jocn.14875. Epub 2019 Apr 21.

  PMID: 30938908 BACKGROUND

• Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020 May;105:103546. doi: 10.1016/j.ijnurstu.2020.103546. Epub 2020 Jan 31.

  PMID: 32113142 RESULT

• Manderlier B, Van Damme N, Vanderwee K, Verhaeghe S, Van Hecke A, Beeckman D. Development and psychometric validation of PUKAT 2.0, a knowledge assessment tool for pressure ulcer prevention. Int Wound J. 2017 Dec;14(6):1041-1051. doi: 10.1111/iwj.12758. Epub 2017 May 26.

  PMID: 28547752 RESULT

Study Officials

• İSLAM ELAGÖZ, PhD

  Kilis 7 Aralik University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking was used because the educational delivery methods were visibly different. Participants, the intervention provider and the outcome assessors were aware of group allocation.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr

Model Details: Model Description This is a single-centre, two-arm, parallel-group randomised educational trial with 1:1 allocation. Undergraduate nursing students were randomly assigned to either face-to-face instruction or an artificial intelligence-supported modular e-learning programme for pressure injury prevention education. Outcomes were assessed before the intervention, immediately after the intervention and four weeks after the intervention.

Study Record Dates

• First Submitted: June 9, 2026
• First Posted: June 18, 2026
• Study Start: May 30, 2025
• Primary Completion: June 15, 2025
• Study Completion: June 20, 2025
• Last Updated: June 18, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)