Peer Education Based on Integrated Change Model on Nursing Students' STI-Related Behaviors (ICM-STI-PE)

June 18, 2026 updated by: Sakarya University

The Effect of Peer Education Prepared Based on the Integrated Change Model on Nursing Students' Behaviors, Attitudes, and Knowledge Regarding Sexually Transmitted Infections: A Randomized Controlled Trial

This study aims to compare the effectiveness of two peer education models on nursing students' behaviors, attitudes, and knowledge regarding sexually transmitted infections (STIs).

First-year nursing students will be randomly assigned to one of two groups. The intervention group will receive a peer education program developed based on the Integrated Change Model (ICM), while the control group will receive standard peer education. Both programs will be delivered by a fourth-year nursing student (peer educator) in four weekly sessions of 30 minutes each.

The ICM integrates key principles from major behavior change theories including the Theory of Planned Behavior, Social Cognitive Theory, the Transtheoretical Model, and the Health Belief Model. By combining peer education with this theoretical framework, the study seeks to promote lasting positive changes in STI-related protective behaviors among nursing students.

Data will be collected using validated scales measuring STI-related behaviors, attitudes, and knowledge before and after the intervention. The study will contribute to the development of more effective STI prevention programs in university settings.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

36

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)
    • Türkiye/Sakarya
      • Sakarya, Türkiye/Sakarya, Turkey (Türkiye)
        • Sakarya University

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:

  • First-year nursing student enrolled at Sakarya University Faculty of Health Sciences in the 2025-2026 academic year
  • No prior formal education on sexually transmitted infections within the undergraduate curriculum
  • Voluntary written informed consent to participate

Exclusion Criteria:

  • Participation in another sexual health education program during the study period
  • Absence from more than one of the four education sessions

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group (ICM-Based Peer Education)
Participants receive a 4-session peer education program developed based on the Integrated Change Model (ICM). Each session lasts 30 minutes and is delivered weekly by a trained fourth-year nursing student.
Behavioral: ICM-Based Peer Education Program
A 4-session peer education program developed based on the Integrated Change Model (ICM). Sessions cover: (1) STI awareness and types, (2) reliable information sources and prevention methods, (3) myths and communication skills, (4) barriers and action planning. Each session lasts 30 minutes and is delivered weekly by a trained fourth-year nursing student peer educator.
Other Names:
  • Intervention Group (ICM-Based Peer Education)
Active Comparator: Control Group (Standard Peer Education)
Participants receive a 4-session standard peer education program on STIs. Each session lasts 30 minutes and is delivered weekly by the same trained fourth-year nursing student.
Behavioral: Standard Peer Education Program
A 4-session standard peer education program on sexually transmitted infections (STIs). Content includes STI types, transmission routes, prevention methods, and safe sexual behaviors. Each session lasts 30 minutes and is delivered weekly by the same trained fourth-year nursing student peer educator using presentation and discussion methods.
Other Names:
  • Control Group (Standard Peer Education)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
STI-Related Protective Behaviors
Time Frame: Baseline (Week 0) and immediately after the intervention (Week 4)
Measured by the Scale for Behaviors Towards Protection from Sexually Transmitted Diseases (21 items, 5-point Likert scale; score range 21-105). Higher scores indicate better STI-protective behaviors. Cronbach's alpha=0.91.
Baseline (Week 0) and immediately after the intervention (Week 4)

Collaborators and Investigators

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

Sponsor

Sakarya University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

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)

September 1, 2025

Primary Completion (Actual)

April 1, 2026

Study Completion (Actual)

May 30, 2026

Study Registration Dates

First Submitted

June 11, 2026

First Submitted That Met QC Criteria

June 18, 2026

First Posted (Actual)

June 24, 2026

Study Record Updates

Last Update Posted (Actual)

June 24, 2026

Last Update Submitted That Met QC Criteria

June 18, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • E-61923333-050.99-478519

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

No. Individual participant data will not be publicly shared due to the nature of the study (undergraduate student research project). De-identified data may be available upon reasonable request to the corresponding author.

Study Data/Documents

  1. Study Protocol
    Information comments: Study protocol available upon reasonable request from the corresponding author.

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.

Clinical Trials on Health Behavior

Clinical Trials on ICM-Based Peer Education Program

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Guatemala

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe