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AI-Based Education and Menstrual Health Behaviors in Adolescents

14 mai 2026 mis à jour par: Nermin Altunbaş, Cumhuriyet University

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

This study is designed as a randomized controlled trial aiming to compare the effectiveness of different educational approaches in improving dysmenorrhea self-care and genital hygiene behaviors among adolescent girls. Participants will be allocated into three groups: an artificial intelligence-supported mobile education group, a face-to-face education group, and a brochure-based control group. The intervention process will be conducted using a pretest-posttest design, with assessments performed at baseline, 4 weeks after baseline, and 8 weeks after baseline. In the artificial intelligence-supported mobile education group, participants will receive individualized and interactive content, while the same content will be delivered directly by the researcher in the face-to-face education group, and written informational materials will be provided to the control group. Valid and reliable instruments assessing dysmenorrhea self-care behaviors and genital hygiene practices will be used for data collection. The findings are expected to provide evidence on the effectiveness of digital health interventions in adolescent health and contribute to the development of nursing practices and health education programs.

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Estimé)

120

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • Sivas
      • Merkez, Sivas, Turquie (Türkiye), 58010
        • Hacı Mehmet Sabancı Anatolian High School

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant

Accepte les volontaires sains

Oui

La description

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)

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Recherche sur les services de santé
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: AI-Supported Mobile Education Group
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.
Expérimental: Face-to-Face Education Group
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.
Comparateur actif: Brochure-Based Control Group
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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Dysmenorrhea Self-Care Behavior Scale Total Score
Délai: At baseline, 4 weeks after baseline, and 8 weeks after baseline
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.
At baseline, 4 weeks after baseline, and 8 weeks after baseline
Genital Hygiene Behavior Scale Total Score
Délai: At baseline, 4 weeks after baseline, and 8 weeks after baseline
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.
At baseline, 4 weeks after baseline, and 8 weeks after baseline

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Publications et liens utiles

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Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

20 avril 2026

Achèvement primaire (Estimé)

20 mai 2026

Achèvement de l'étude (Estimé)

19 juin 2026

Dates d'inscription aux études

Première soumission

5 mai 2026

Première soumission répondant aux critères de contrôle qualité

14 mai 2026

Première publication (Réel)

20 mai 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

20 mai 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

14 mai 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

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Informations sur les médicaments et les dispositifs, documents d'étude

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Étudie un produit d'appareil réglementé par la FDA américaine

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