Video-Supported Flipped Learning for Episiotomy Training in Midwifery Students

April 8, 2026 updated by: Reyhan Aydin Doğan, Karabuk University

The Effect of Video-Supported Flipped Learning Model in Episiotomy Education on Anxiety and Skill Levels of Midwifery Students

This study aims to evaluate the effect of a video-supported flipped learning model on anxiety and skill levels of midwifery students in episiotomy education. Episiotomy is an important clinical skill in midwifery education, and the method used to teach this skill may influence students' anxiety and performance.

This randomized controlled educational study will be conducted with midwifery students who are enrolled in the episiotomy course. Participants will be randomly assigned to either an intervention group or a control group. Students in the intervention group will receive episiotomy education using a video-supported flipped learning model, in which theoretical content is provided through instructional videos prior to in-class activities. The control group will receive traditional classroom-based education.

Students' anxiety levels and episiotomy skill performance will be assessed using validated measurement tools before and after the educational intervention. The findings of this study are expected to contribute to evidence-based teaching strategies in midwifery education and support the use of innovative learning models to improve student outcomes.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This study is designed as a randomized controlled educational trial to evaluate the effectiveness of a video-supported flipped learning model in episiotomy education for midwifery students. The study will be conducted in a single academic center with undergraduate midwifery students who meet the predefined eligibility criteria and provide informed consent.

Participants will be randomly assigned to one of two parallel groups: an intervention group or a control group. The intervention group will receive episiotomy education using a video-supported flipped learning model. In this model, theoretical content related to episiotomy is delivered through instructional videos that students can access prior to face-to-face sessions. Classroom time will focus on interactive learning activities, discussion, and supervised skills practice in the skills laboratory. The control group will receive episiotomy education through traditional classroom-based teaching methods, including lectures and standard in-class instruction, followed by routine skills practice.

Data collection will occur before and after the educational intervention. Students' anxiety levels will be assessed to determine the impact of the educational model on situational anxiety related to episiotomy training. Skill performance in episiotomy will be evaluated during practical sessions using a standardized skill assessment approach. Sociodemographic characteristics of participants will also be collected to describe the study population.

The primary outcomes of the study are changes in anxiety levels and episiotomy skill performance following the educational intervention. The study does not involve pharmacological agents, medical devices, or invasive procedures and is considered to pose minimal risk to participants. The results are expected to inform evidence-based educational practices and support the integration of innovative teaching models in midwifery education.

Study Type

Interventional

Enrollment (Estimated)

60

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 Contact

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
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Midwifery 3rd-year student who is taking the Normal Birth course
  • Willing to participate and provides informed consent
  • Has not received prior education in the health field during associate or undergraduate education
  • Has access to the internet and has a computer and/or smartphone

Exclusion Criteria:

  • Incomplete completion of data collection forms
  • Has received prior education in the health field during associate or undergraduate education
  • No access to the internet, computer, or smartphone
  • Does not participate in the study procedures/intervention sessions
  • Requests to withdraw from the study at any time

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Video-Supported Flipped Learning Episiotomy Education
Participants in this arm will receive episiotomy education using a video-supported flipped learning model. Theoretical content will be provided through instructional videos before face-to-face sessions, followed by interactive discussions and supervised skills practice in the skills laboratory.
Behavioral: Video-Supported Flipped Learning Model
An educational intervention in which episiotomy-related theoretical content is delivered through instructional videos prior to classroom sessions, with in-class time dedicated to interactive learning and supervised skills practice.
No Intervention: Control
Traditional Classroom-Based Episiotomy Education

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
State Anxiety Level
Time Frame: Immediately before and immediately after the training session, up to 1 day
State (situational) anxiety will be assessed using the State subscale of the State-Trait Anxiety Inventory (STAI) to determine students' momentary anxiety related to episiotomy skills training. Higher scores indicate higher state anxiety.
Immediately before and immediately after the training session, up to 1 day
Episiotomy Skill Performance Score
Time Frame: Immediately after completion of the training session, up to 1 da
Episiotomy skill performance will be evaluated using the Episiotomy Skill Assessment Form (ESAF), a 40-step procedure scored from 0 to 100, where higher scores indicate higher skill performance.
Immediately after completion of the training session, up to 1 da

Collaborators and Investigators

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

Sponsor

Karabuk 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 (Estimated)

April 15, 2026

Primary Completion (Estimated)

May 20, 2026

Study Completion (Estimated)

July 20, 2026

Study Registration Dates

First Submitted

January 18, 2026

First Submitted That Met QC Criteria

April 8, 2026

First Posted (Actual)

April 15, 2026

Study Record Updates

Last Update Posted (Actual)

April 15, 2026

Last Update Submitted That Met QC Criteria

April 8, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2023/1237 (Other Identifier: Karabuk University Non-Interventional Clinical Research Ethics Committee Approval (06 January 2023))

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data (IPD) will not be shared because the study involves student-level educational and psychological data collected within a single-center academic research project. Data confidentiality and participant privacy will be protected in accordance with ethical approval and institutional policies. Only de-identified, aggregated results will be reported and made publicly available.

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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