Evaluation of Breastfeeding Education Using the Role-Play Technique

January 9, 2026 updated by: Ayşegül Ciftçiler, Hasan Kalyoncu University

Evaluation of Breastfeeding Education Delivered Using the Role-Play Technique Among Adolescent Pregnant Women: A Randomized Controlled Study

Adolescence is defined as a period of rapid biological and physical development, as well as sexual and psychosocial maturation, during which the individual gains independence and social productivity. This developmental period largely corresponds to the age range of 10 to 19 years, consistent with the WHO (World Health Organization) definition of adolescence. Adolescent pregnancy is considered a public health issue by the WHO due to its biopsychosocial effects on maternal and child health. Adolescents often seek antenatal care late due to a lack of information, limited access to healthcare, social pressure, and fear of stigma. There are many increased risks for both mother and newborn during adolescent pregnancy. The low educational level of adolescent pregnant women also negatively affects access to necessary healthcare services. Breastfeeding is the most appropriate way to provide breast milk to the baby for healthy development. It is the healthiest, easiest, most natural, and most economical method of feeding the baby. The World Health Organization (WHO) recommends initiating breastfeeding within the first hour after birth . Providing planned education to protect and improve the health of individuals, families, and communities, and to ensure they acquire correct health behaviors, is among the fundamental duties of nurses, who are in the most contact with healthy/sick individuals in the community.

Role-playing is among the educational methods used to increase awareness in nursing. Role-playing is used in education as a skill-oriented teaching method that enables social communication skills, active listening, empathy for emotions, and seeing excerpts from real life in teaching knowledge and skills. Especially in educational groups with low education levels, the effectiveness of education can be increased by using the role-playing technique.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

100

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

  • Turkey (Türkiye)
    • Şanlıurfa
      • Sanliurfa, Şanlıurfa, Turkey (Türkiye), 6363
        • Şanlıurfa Eyyübiye Ilçe Sağlık Müdürlüğü

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

  • Child
  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Adolescent pregnant women
  • Not having received any formal breastfeeding education previously

Exclusion Criteria:

  • Pregnant women outside the adolescent age range
  • Having previously received breastfeeding education

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: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Adolescent Pregnant Women Receiving Standard Breastfeeding Education
Participants in this cohort receive standard breastfeeding education as part of routine prenatal care. The education is delivered using conventional instructional methods and does not include the role-play technique.
Other: Standard Breastfeeding Education
Participants receive standard breastfeeding education delivered according to routine prenatal care practices using conventional instructional methods.
Experimental: Adolescent Pregnant Women Receiving Role-Play-Based Breastfeeding Education
Participants in this cohort receive breastfeeding education delivered using the role-play technique as part of prenatal care. The intervention includes interactive role-play scenarios designed to improve breastfeeding knowledge, skills, and self-efficacy.
Behavioral: Role-Play-Based Breastfeeding Education
Participants receive breastfeeding education delivered using role-play techniques as part of routine prenatal care. The intervention includes interactive role-play scenarios designed to improve breastfeeding knowledge, practical skills, and breastfeeding self-efficacy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Breastfeeding Knowledge Level
Time Frame: Baseline (pre-intervention) and immediately after the intervention
Change in breastfeeding knowledge level assessed using a structured questionnaire developed to evaluate breastfeeding-related knowledge.
Baseline (pre-intervention) and immediately after the intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Breastfeeding Self-Efficacy Level
Time Frame: Baseline (pre-intervention) and immediately after the intervention
Change in breastfeeding self-efficacy level assessed using the Prenatal Breastfeeding Self-Efficacy Scale (PBSES). The scale evaluates mothers' confidence in their ability to breastfeed.
Baseline (pre-intervention) and immediately after the intervention

Collaborators and Investigators

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

Sponsor

Hasan Kalyoncu 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)

April 29, 2025

Primary Completion (Estimated)

April 29, 2026

Study Completion (Estimated)

December 1, 2026

Study Registration Dates

First Submitted

December 24, 2025

First Submitted That Met QC Criteria

January 9, 2026

First Posted (Estimated)

January 12, 2026

Study Record Updates

Last Update Posted (Estimated)

January 12, 2026

Last Update Submitted That Met QC Criteria

January 9, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2025/019 Ethics Committee Appr

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be shared due to ethical and institutional restrictions and to protect participant confidentiality.

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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