Flipped Classroom Sexual Health Education Trial

January 19, 2026 updated by: Hafize Dağ Tüzmen, KTO Karatay University

The Effect of Sexual Health Education Provided Using the Flipped Classroom Method on University Students' Sexual Health Literacy Levels: A Randomised Controlled Trial

Sexual health is an integral component of individuals' physical, emotional, mental, and social well-being. Lack of knowledge and cultural taboos negatively affect individuals' ability to make informed decisions and adopt protective behaviors. Therefore, effective sexual health education is of great importance. The flipped learning method, a student-centered approach, promotes active participation and long-term learning. This study aimed to examine the effect of sexual health education delivered through the flipped learning method on university students' sexual health knowledge levels and sexual health literacy.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This study is a randomized controlled experimental research designed using quantitative methods and was conducted between September and November 2025 at two private universities in Konya and Mersin. The study included individuals aged 18 and over who were nursing or midwifery students, had access to online education, and had not previously received structured sexual health education. Those who did not attend more than 20% of the training, did not complete the assessment tools, had previously received formal sexual health education, and withdrew from the study without justification were excluded.

The intervention group received structured sexual health education based on a flipped classroom approach; weekly 90-minute online sessions were conducted for 10 weeks, including pre-learning materials and active learning methods. The control group received the same curriculum using traditional teaching methods, matched to the intervention group in terms of duration and number of sessions.

Data were collected using the Personal Information Form (PIF) and the Sexual Health Literacy Scale (SHLS).

Study Type

Interventional

Enrollment (Actual)

96

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Being 18 years of age or older
  • Being enrolled in a health-related department at a university
  • Having internet access and the technical equipment required to follow online training sessions
  • Not having previously participated in a structured sexual health education program with similar content

Exclusion Criteria:

  • Studying in health departments where the instructors of the training are teaching
  • Attending less than 80% of the training sessions (missing 3 or more sessions)
  • Failing to complete the assessment tools without a valid excuse during the study
  • Having previously received formal sexual health education
  • Voluntarily withdrawing from the study without providing a reason

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Flipped Classroom
The intervention group received a structured sexual health education program based on a flipped classroom approach. The program was supported by videos, reading materials, and digital presentations during the pre-learning phase; synchronous sessions utilized active learning methods such as case discussions, role-playing, and group activities. The training was conducted weekly for 10 weeks as 90-minute online sessions.
Behavioral: Flipped learning
Students in this group will be offered a sexual health education programme developed in line with structured learning objectives and organised according to the flipped learning approach. The training will be supported by video lectures, reading materials and digital presentations during the pre-learning phase, while active learning strategies such as case discussions, role-playing and group activities will be implemented in synchronous sessions. The training will be conducted over a total of 10 weeks, with 90-minute online sessions held once a week. All content will be prepared by researchers and subject matter experts, and content validity will be ensured.
No Intervention: CONTROL
Students in the control group received the same sexual health curriculum using traditional teaching methods. Instruction was delivered through question-and-answer sessions and synchronous online classes; 10 sessions, each lasting 90 minutes, were matched to the session durations of the intervention group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sexual Health Literacy
Time Frame: Baseline (pretest), Week 5 (follow-up test), Week 10 (posttest)
It will be measured using the Sexual Health Literacy Scale.The minimum score obtainable on the scale is 17, while the maximum score is 85. An increase in scores indicates that the individual has a high level of sexual health literacy.
Baseline (pretest), Week 5 (follow-up test), Week 10 (posttest)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

KTO Karatay University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 2, 2025

Primary Completion (Actual)

December 17, 2025

Study Completion (Actual)

January 19, 2026

Study Registration Dates

First Submitted

December 12, 2025

First Submitted That Met QC Criteria

December 26, 2025

First Posted (Actual)

December 29, 2025

Study Record Updates

Last Update Posted (Actual)

January 21, 2026

Last Update Submitted That Met QC Criteria

January 19, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SHL KARATAY

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

The data supporting the findings of this study are available from the corresponding author upon reasonable request.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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