Effect of Mosaic Art on Episiotomy Repair Skills, Anxiety, and Learning Attitudes in Midwifery Students (MOSAIC-EPI)
31. august 2026 opdateret af: Mine Gokduman Keles, Kahramanmaras Sutcu Imam University
The Effect of Mosaic Art Practice on Fine Motor Skills, Anxiety Levels, and Learning Attitudes in Episiotomy Repair Among Midwifery Students: A Randomized Controlled Trial
Objective: The aim of this study is to evaluate the effect of mosaic art in midwifery education on episiotomy repair performance, self-efficacy, and anxiety: a randomized controlled trial.
Method/Data Collection Techniques: The study was planned in a two-parallel-group randomized controlled experimental design including pre-test and post-test measurements.
The study will be conducted with third-year students studying in the Midwifery Department of the Faculty of Health Sciences at Kahramanmaraş Sütçü İmam University during the fall semester of the 2026-2027 academic year.
The sample size was calculated using the G*Power 3.1.9.7 program, and based on Cohen's effect size d=0.55,
α=0.05, and 80% power, a total of 106 students were planned to be included in the study, with 53 students in each group.
Participants will be assigned to intervention and control groups using a simple randomization method.
The intervention group will receive structured mosaic art training for six weeks, with two sessions per week, while the control group will not receive any art-based application during this period.
Following the intervention, both groups will receive theoretical and practical training in standard episiotomy repair.
Data will be collected using the Participant Information Form, State Anxiety Scale (STAI-TX I), Episiotomy Self-Efficacy Scale, Attitudes Towards Learning Scale, and Episiotomy Repair Skill Assessment Form.
Appropriate descriptive statistics and parametric or non-parametric comparison tests will be used in the analysis of the data, with a statistical significance level of p<0.05.
Expected Results: This research is expected to provide scientific evidence regarding the use of art-based teaching methods in midwifery education by revealing the effect of mosaic art application on midwifery students' episiotomy repair skills, self-efficacy, attitudes towards learning, and state anxiety levels.
It is anticipated that the research results will contribute to the development of effective teaching strategies in psychomotor skills training and the strengthening of midwifery education programs.
Studieoversigt
Status
Ikke rekrutterer endnu
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
106
Fase
- Ikke anvendelig
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Ja
Beskrivelse
Inclusion Criteria:
- Being enrolled as a third-year student in the Department of Midwifery, Faculty of -Health Sciences, Kahramanmaraş Sütçü İmam University, during the Fall -semester of the 2026-2027 academic year.
- Volunteering to participate in the study.
- Providing written informed consent.
- Having no previous clinical practice experience in episiotomy repair.
- Having no previous participation in a structured training program involving mosaic art or similar activities requiring fine motor skills.
Exclusion Criteria:
- Having previous clinical practice experience in episiotomy repair.
- Having previously participated in a structured mosaic art training program or a similar structured program requiring fine motor skills.
- Having a condition that prevents participation in the mosaic art activities or episiotomy repair simulation practice.
- Declining or withdrawing consent to participate in the study
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Mosaic Art Group
Participants in this group will receive the planned mosaic art intervention before episiotomy repair training.
The mosaic art program will be conducted for 6 weeks, with two 45-minute sessions per week.
Following the intervention, participants will receive the standard theoretical and practical episiotomy repair training.
|
Participants assigned to the intervention group will participate in a structured mosaic art program for six weeks before episiotomy repair training.
The program will consist of two 45-minute sessions per week (12 sessions in total).
Participants will engage in mosaic art activities requiring coordinated hand and finger movements and fine motor control.
After completion of the mosaic art program, participants will receive the same theoretical and practical episiotomy repair training provided to the control group.
Participants will receive standardized theoretical and practical episiotomy repair training.
The training will include 2 hours of theoretical instruction and 6 hours of practical training using a silicone episiotomy repair model.
The same standardized episiotomy repair training will be provided to participants in both study groups.
|
|
Aktiv komparator: Control Group
Participants in the control group will not receive the mosaic art intervention.
They will receive the same standard theoretical and practical episiotomy repair training as the intervention group
|
Participants will receive standardized theoretical and practical episiotomy repair training.
The training will include 2 hours of theoretical instruction and 6 hours of practical training using a silicone episiotomy repair model.
The same standardized episiotomy repair training will be provided to participants in both study groups.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Episiotomy Self-Efficacy
Tidsramme: Immediately before and immediately after the episiotomy repair training
|
Episiotomy self-efficacy will be assessed using the Episiotomy Self-Efficacy Scale developed by Yolcu et al. (2025).
The scale consists of 17 items across four subdimensions: cognitive (5 items), affective (5 items), motivation (3 items), and psychomotor (4 items).
Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree).
There are no reverse-scored items.
The total score ranges from 17 to 85, with higher scores indicating greater episiotomy self-efficacy.
|
Immediately before and immediately after the episiotomy repair training
|
|
Episiotomy Repair Skill Performance
Tidsramme: Baseline and immediately post-intervention
|
Episiotomy repair skill performance will be assessed using the Episiotomy Repair Skill Assessment Form developed by the researchers based on the relevant literature and expert review.
The form consists of 20 procedural steps assessing the performance of
|
Baseline and immediately post-intervention
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
State Anxiety (STAI Form TX-I)
Tidsramme: Baseline and immediately post-intervention
|
State anxiety will be assessed using the State-Trait Anxiety Inventory, State Anxiety Form (STAI Form TX-I).
The scale consists of 20 items rated on a 4-point scale.
Total scores range from 20 to 80, with higher scores indicating higher levels of state anxiety.
|
Baseline and immediately post-intervention
|
|
Attitudes Toward Learning
Tidsramme: Baseline and immediately post-intervention
|
Attitudes toward learning will be assessed using the Attitudes Toward Learning Scale developed by Kara (2010).
The scale consists of 40 items and four subdimensions: Nature of Learning (7 items), Anxiety About Learning (13 items), Expectations About Learning (9 items), and Openness to Learning (11 items).
Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
Eleven negatively worded items are reverse scored.
Higher scores indicate more positive attitudes toward learning.
|
Baseline and immediately post-intervention
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
28. september 2026
Primær færdiggørelse (Anslået)
30. december 2026
Studieafslutning (Anslået)
30. december 2026
Datoer for studieregistrering
Først indsendt
27. august 2026
Først indsendt, der opfyldte QC-kriterier
31. august 2026
Først opslået (Faktiske)
4. september 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
4. september 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
31. august 2026
Sidst verificeret
1. august 2026
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- KSÜ-MOSAIC-EPI-2026
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .