ROLE-PLAYİNG BASED TRAİNİNG ON OBSTETRİC VİOLENCE AWARENESS

THE EFFECTİVENESS OF OBSTETRİC VİOLENCE AWARENESS TRAİNİNG FOR MİDWİFERY STUDENTS: A ROLE-PLAYİNG-BASED APPROACH

This study was conducted to determine the effects of obstetric violence awareness training given to midwifery students through the role-playing technique on the students' perception levels of obstetric violence and midwifery care behaviors.The study was conducted as a randomized controlled experimental study with 126 senior students (63 experimental, 63 control) studying midwifery at two public universities during the 2024-2025 academic year. Students in the experimental group received role-playing-based obstetric violence awareness training, while the control group received no intervention. Data were collected using the Student Personal Information Form, PercOV-S Q, and CBI-30. The effectiveness of the obstetric violence awareness training was assessed using pre-test and post-test measurements. Research hypotheses:

H1: Awareness training on preventing obstetric violence, delivered through role-playing techniques, enhances midwifery students' perceptions of obstetric violence.

H2: Awareness training on preventing obstetric violence, delivered through role-playing techniques, enhances midwifery students' perceptions of caring behaviors.

Study Overview

• Status: Completed
• Conditions: Midwifery; Violence Against Women; Obstetric
• Intervention / Treatment: Behavioral: Obstetric Violence Awareness Training Program

• Study Type: Interventional
• Enrollment (Actual): 126
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Malatya, Turkey (Türkiye)
    • Inonu University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:• Being a final year midwifery student,

• Successfully completing the Pregnancy and Childbirth courses,
• Volunteering to participate in the research.

Exclusion Criteria:• Having previously received training on obstetric violence

• Having given birth before

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Sequential Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental-Awareness group; In the study, the Obstetric Violence Awareness Training Program (OVATP), structured around role-playing, was administered to students as group training by researcher. The OVATP program was completed in 8 sessions over 4 weeks for the students in the experimental group, with 2 sessions per day, once a week. To ensure active student participation, role-playing exercises were used in the sessions; scenarios involving obstetric violence and those consistent with a respectful birthing approach were dramatized. The role-playing activities were conducted with five third-year midwifery students from the same university. The scenarios were specially prepared by the researcher and finalized after obtaining the opinions of five experts working in the field. The scenarios were rehearsed by the researcher before implementation. The researcher manag	Behavioral: Obstetric Violence Awareness Training Program; The group that was not intervened; Other Names: Control
No Intervention: control; The control group received no training; the students continued with standard midwifery education processes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perception of Obstetric Violence in Students	The Perception of Obstetric Violence in Students Questionnaire (PercOV-S Q) was used to measure the perception levels of midwifery students regarding obstetric violence. This scale was developed by Mena-Tudela et al., and its adaptation into Turkish and a validity-reliability study were carried out by Yeniocak et al. A high total score on the scale indicates a high perception level of obstetric violence among students; a low score indicates a low perception level. The scale consists of 33 items and 2 subscales. These subscales were classified under two areas: "Protocolized-visible Obstetric Violence" and "Non-protocolized-invisible Obstetric Violence". The Cronbach's Alpha coefficient of the scale was determined to be 0.92.	1 year
Perception of Obstetric Violence in Students Questionnaire	The Perception of Obstetric Violence in Students Questionnaire (PercOV-S Q) was used to measure the perception levels of midwifery students regarding obstetric violence. This scale was developed by Mena-Tudela et al. and its adaptation into Turkish and a validity-reliability study were carried out by Yeniocak et al. A high total score on the scale indicates a high perception level of obstetric violence among students; a low score indicates a low perception level. The scale consists of 33 items and 2 subscales. These subscales were classified under two areas: "Protocolized-visible Obstetric Violence" and "Non-protocolized-invisible Obstetric Violence". The Cronbach's Alpha coefficient of the scale was determined to be 0.92.	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Caring Behaviors Inventory	The Caring Behaviors Inventory-30 (CBI-30) was used to measure students' perceptions of midwifery care. This scale was developed by Wolf et al, and its Turkish adaptation and validity-reliability study were conducted by Gül and Dinç. A high score on the scale indicates a high perception of midwifery care, while a low score indicates a low perception of midwifery care. The scale consists of 30 items and 3 subscales: "Respect for Others", "Professional Knowledge and Attitudes", and "Accessibility to the Individuals". The Cronbach's alpha coefficient of the scale was determined to be 0.97.	1 year

Collaborators and Investigators

• Sponsor: Inonu University
• Investigators: Principal Investigator: Kamile Esin TAŞDEMİR, Research Assistant, Amasya University; Study Director: Esra SABANCI BARANSEL, Assistant Professor, Inonu University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2024
• Primary Completion (Actual): May 1, 2025
• Study Completion (Actual): August 29, 2025

Study Registration Dates

• First Submitted: January 6, 2026
• First Submitted That Met QC Criteria: January 14, 2026
• First Posted (Actual): January 22, 2026

Study Record Updates

• Last Update Posted (Actual): January 22, 2026
• Last Update Submitted That Met QC Criteria: January 14, 2026
• Last Verified: January 1, 2026

More Information

Terms related to this study

• Keywords: Midwifery; Role-playing,; Obstetric Violence; Awareness Training
• Other Study ID Numbers: 2024/6669

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No patient

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No