AI-Based Education and Menstrual Health Behaviors in Adolescents
Effectiveness of Artificial Intelligence Supported Mobile Education Compared With Face-to-Face and Brochure-Based Education on Dysmenorrhea Self-Care and Genital Hygiene Behaviors in Adolescent Girls: A Randomized Controlled Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Sivas
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Merkez, Sivas, Tyrkiet (Türkiye), 58010
- Hacı Mehmet Sabancı Anatolian High School
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Being aged 14-17 years
- Having experienced menarche (having an active menstrual cycle)
- Having experienced dysmenorrhea at least once within the past six months
- Being a high school student and having the cognitive ability to understand the educational materials
- Having access to a smartphone and the internet (mandatory for the AI group; preferred for comparability across groups)
- Willingness to participate in the study voluntarily
- Provision of parental/legal guardian consent due to being under 18 years of age
Exclusion Criteria:
- Having a diagnosed chronic gynecological condition (e.g., endometriosis)
- Regular use of medications that may affect the menstrual cycle
- Having previously received structured menstrual health education (to minimize confounding effects)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: AI-Supported Mobile Education Group
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Participants will receive artificial intelligence-supported personalized mobile education aimed at improving dysmenorrhea self-care and genital hygiene behaviors.
Before the education, participants will complete a pretest including the Sociodemographic Characteristics and Menstruation Information Form, the Genital Hygiene Behaviors Scale, and the Adolescent Dysmenorrhea Self-Care Scale.
Educational content will be delivered in a personalized manner through a ChatGPT-based system.
The initial education session will be administered at baseline, followed by a reinforcement session 2 weeks after baseline.
The educational content will include menstruation knowledge, methods for coping with menstrual pain, healthy genital hygiene behaviors, help-seeking behaviors, and safe self-care practices.
Participants will be re-evaluated using the Genital Hygiene Behaviors Scale and the Adolescent Dysmenorrhea Self-Care Scale at 4 weeks and 8 weeks after baseline.
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Eksperimentel: Face-to-Face Education Group
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Participants will receive face-to-face education delivered by an expert educator aimed at improving dysmenorrhea self-care and genital hygiene behaviors.
Before the education, participants will complete a pretest including the Sociodemographic Characteristics and Menstruation Information Form, the Genital Hygiene Behaviors Scale, and the Adolescent Dysmenorrhea Self-Care Scale.
The educational content will be delivered face-to-face by the researcher using standardized educational materials.
The initial education session will be administered at baseline, followed by a reinforcement session 2 weeks after baseline.
The educational content will include menstruation knowledge, methods for coping with menstrual pain, healthy genital hygiene behaviors, help-seeking behaviors, and safe self-care practices.
Participants will be re-evaluated using the Genital Hygiene Behaviors Scale and the Adolescent Dysmenorrhea Self-Care Scale at 4 weeks and 8 weeks after baseline.
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Aktiv komparator: Brochure-Based Control Group
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Participants will receive an informational brochure aimed at improving dysmenorrhea self-care and genital hygiene behaviors.
During the first meeting, participants will complete a pretest including the Sociodemographic Characteristics and Menstruation Information Form, the Genital Hygiene Behaviors Scale, and the Adolescent Dysmenorrhea Self-Care Scale.
Afterwards, the same standardized informational brochure will be provided to all participants.
The brochure content will include menstruation knowledge, methods for coping with menstrual pain, healthy genital hygiene behaviors, help-seeking behaviors, and safe self-care practices.
Participants will be re-evaluated using the Genital Hygiene Behaviors Scale and the Adolescent Dysmenorrhea Self-Care Scale at 4 weeks and 8 weeks after baseline.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Dysmenorrhea Self-Care Behavior Scale Total Score
Tidsramme: At baseline, 4 weeks after baseline, and 8 weeks after baseline
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Dysmenorrhea self-care behaviors assessed using the Dysmenorrhea Self-Care Behavior Scale.
The Dysmenorrhea Self-Care Scale was developed by Hsieh et al. (2004), and its Turkish adaptation was conducted by Sürücü and Ergün (2023).
The scale is used to evaluate adolescent girls' self-care experiences related to dysmenorrhea.
It consists of 40 items rated on a 6-point Likert-type scale (0 = strongly disagree, 1 = 20% agree, 2 = 40% agree, 3 = 60% agree, 4 = 80% agree, 5 = 100% agree).
The scale includes six subdimensions: information seeking (items 1-4), expression of emotions (items 5-10), seeking help (items 11-14), control of external factors (items 15-21), coping practices (items 22-35), and self-control (items 36-40).
The total score ranges from 0 to 200.
Higher scores indicate better dysmenorrhea self-care behaviors.
The Cronbach's alpha reliability coefficients for the overall scale and subdimensions ranged between 0.62 and 0.89.
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At baseline, 4 weeks after baseline, and 8 weeks after baseline
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Genital Hygiene Behavior Scale Total Score
Tidsramme: At baseline, 4 weeks after baseline, and 8 weeks after baseline
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Genital hygiene behaviors assessed using the Genital Hygiene Behavior Scale.
The Genital Hygiene Behaviors Scale was developed by Karahan (2017), and the Cronbach's Alpha internal consistency coefficient was reported as 0.80.
The scale is a five-point Likert-type instrument (1 = Strongly disagree, 5 = Strongly agree) used to evaluate individuals' genital hygiene behaviors.
The scale consists of 23 items and includes three subdimensions: "General Hygiene Habits" (items 1-12), "Menstrual Hygiene" (items 13-20), and "Awareness of Abnormal Findings" (items 21-23).
Items 7, 14, 19, 20, and 23 are reverse scored.
The total score ranges from 23 to 115.
Higher scores indicate more positive and adequate genital hygiene behaviors.
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At baseline, 4 weeks after baseline, and 8 weeks after baseline
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Armour M, Parry K, Al-Dabbas MA, Curry C, Holmes K, MacMillan F, Ferfolja T, Smith CA. Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: A systematic review and meta-analysis. PLoS One. 2019 Jul 24;14(7):e0220103. doi: 10.1371/journal.pone.0220103. eCollection 2019.
- Vural, P. I., & Çiftçi, F. (2021). Menstrual Practice Needs Scale (MPNS): Reliability and validity of the Turkish version. Cyprus Journal of Medical Sciences, 6(4), 295-303. https://doi.org/10.5152/cjms.2021-166-232
- Trepanier LCM, Lamoureux E, Bjornson SE, Mackie C, Alberts NM, Gagnon MM. Smartphone apps for menstrual pain and symptom management: A scoping review. Internet Interv. 2023 Jan 30;31:100605. doi: 10.1016/j.invent.2023.100605. eCollection 2023 Mar.
- Sürücü, E., & Ergün, A. (2023). The Turkish Validity and Reliability of The Adolescent Dysmenorrhea Self-Care Scale. Clinical and Experimental Health Sciences, 13(2), 299-307. https://doi.org/10.33808/clinexphealthsci.983007
- Rahman MJ, Rahman MM, Sarker MHR, Ahmed A, Ali M, Islam MZ, Bubly JA, Hawlader DH, Shimpuku Y. The Impact of mHealth Education on Changing Menstrual Hygiene Management Knowledge and Practices Among School-Going Adolescent Girls in Rural Bangladesh: A Quasi-experimental Study Protocol. Cureus. 2024 Jan 12;16(1):e52157. doi: 10.7759/cureus.52157. eCollection 2024 Jan.
- Karahan, N. (2017). Genital Hijyen Davranışları Ölçeğinin geliştirilmesi: Geçerlik güvenirlik çalışması. Istanbul Medical Journal, 18(3),157-162.
- Cunningham AC, Prentice C, Peven K, Wickham A, Bamford R, Radovic T, Klepchukova A, Fomina M, Cunningham K, Hill S, Hantsoo L, Payne J, Zhaunova L, Ponzo S. Efficacy of the Flo App in Improving Health Literacy, Menstrual and General Health, and Well-Being in Women: Pilot Randomized Controlled Trial. JMIR Mhealth Uhealth. 2024 May 2;12:e54124. doi: 10.2196/54124.
- Balamurugan SS, Bendigeri N. Community-based study of reproductive tract infections among women of the reproductive age group in the urban health training centre area in hubli, karnataka. Indian J Community Med. 2012 Jan;37(1):34-8. doi: 10.4103/0970-0218.94020.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Smerte
- Neurologiske manifestationer
- Patologiske processer
- Bækkensmerter
- Menstruationsforstyrrelser
- Patologiske tilstande, tegn og symptomer
- Opførsel
- Tegn og symptomer
- Behandlingsoverholdelse og compliance
- Sundhedsadfærd
- Patient Compliance
- Patientaccept af sundhedspleje
- Adhæsionsinterventioner
- Medicinadhærens
- Dysmenoré
- Sundhedsuddannelse
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2025-09/43
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