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Social Learning Theory-Based Menstruation Education in Visually Impaired Women

2026년 5월 19일 업데이트: Aylin Olgun

The Effectiveness of Social Learning-Based Planned Education on Menstruation in Visually Impaired Young Women

The aim of this study is to evaluate the effect of face-to-face practical training based on social learning theory on developing and changing skills and behaviors in providing genital and menstrual hygiene and improving menstrual self-care skills of visually impaired young women.

Our hypotheses are:

H1: There is a difference between the mean Menstruation Symptom Questionnaire scores of the intervention group at the pre- and post-training follow-ups.

H2: There is a difference between the mean Genital Hygiene Behaviors Scale scores of the intervention group at the pre- and post-training follow-ups.

H3: There is a difference between the mean Menstruation Symptom Questionnaire scores of the intervention and control groups at the post-training follow-ups.

H4: There is a difference between the mean Genital Hygiene Behaviors Scale scores of the intervention and control groups at the post-training follow-ups.

H5: The mean Menstrual Self-Care Skill List scores of the intervention group after the training were higher than before the training. Researchers compared the knowledge and behavioral changes of the experimental and control groups after the training.

Participants did the following:They fully participated in the planned training, performed the skill applications, and answered the survey questions completely. They were expected to apply the knowledge and skills they learned in the training in their daily lives for 9 months. At the end of the 9th month, a follow-up interview was conducted, and an attitude assessment was performed.

연구 개요

상태

완전한

정황

개입 / 치료

연구 유형

중재적

등록 (실제)

32

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 어린이
  • 성인

건강한 자원 봉사자를 받아들입니다

예

설명

Inclusion Criteria:

  • Female participants aged 15-30 years
  • For totally blind participants: visual acuity of 20/200 or less in the better eye and/or a visual field of 20 degrees or less
  • For low vision participants: visual acuity between 20/70 and 20/200 in the better eye
  • Having experienced menstruation at least once
  • No other disabilities, such as hearing or orthopedic impairments
  • Voluntary participation with informed consent

Exclusion Criteria:

  • Amenorrhea due to systemic or metabolic conditions (e.g., hypogonadotropic hypogonadism, hypothyroidism, hyperthyroidism, Turner syndrome)
  • Visual conditions such as night blindness, color blindness, or monocular blindness that do not meet the defined visual impairment criteria
  • Incomplete participation in the training or follow-up phases

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 건강 서비스 연구
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 하나의

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Intervention Group
Participants in the intervention group received a structured, face-to-face, half-day education based on Bandura's Social Learning Theory. The training included verbal explanation, modeling, interactive games, tactile materials, and audio-described educational videos. The content focused on menstrual symptoms, genital hygiene behaviors, and menstrual self-care skills. Education was designed to be accessible for visually impaired participants.
This is a structured, face-to-face menstrual and hygiene education program based on Bandura's Social Learning Theory, developed for visually impaired young women. The intervention aims to improve menstrual self-care skills, genital hygiene behaviors, and symptom management. The training includes verbal instruction, modeling, reinforcement techniques, tactile materials, and audio-described educational videos. Interactive games and small-group activities (max 4 participants) are used to support engagement and skill development. Each session lasts approximately half a day (3-4 hours). Educational content was reviewed by experts and piloted for accessibility. The program addresses cognitive, behavioral, and sensory learning needs to support independent menstrual hygiene management in visually impaired women.
간섭 없음: Control Group
Participants in the control group did not receive any training. Only data collection was performed using the same forms and at the same time points as the intervention group. They were blinded to group allocation.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Menstruation Symptom Questionnaire
기간: Baseline and 9 months after intervention
Developed by Chesney and Tasto (1975) to assess menstrual pain and symptoms, the scale was updated by Negriff et al. (2009) by re-evaluating its factor structure and usability in adolescents. Turkish validity and reliability were established by Güvenç et al. (2014). The scale is a 5-point Likert-type scale consisting of 22 items. Participants are asked to rate their menstrual symptoms on a scale of 1 (never) to 5 (always). The scale consists of three sub-dimensions: Negative Effects/Somatic Complaints (Items 1-13), Menstrual Pain Symptoms (Items 14-19), and Coping Mechanisms (Items 20-22). The lowest possible score is 22, and the highest is 110. The average of the total scores obtained from the items on the scale provides the scale score. An increase in the average score indicates an increase in the severity of menstrual symptoms. The score obtained from the sub-dimensions of the scale is calculated by calculating the average total score of the item
Baseline and 9 months after intervention
Genital Hygiene Behavior Scale
기간: Baseline and 9 months after intervention
Genital Hygiene Behavior Scale Developed by Karahan in 2017, this scale measures women's genital hygiene behaviors. It consists of three sub-dimensions: "General Hygiene " (12 items), "Menstrual Hygiene" (8 items), and " abnormal finding awareness" (3 items). The minimum scale score is 23, and the maximum is 115. The scale has 23 items, using a five-point Likert scale. Items are rated from "strongly agree = 5" to "strongly disagree = 1". As the score on the scale increases, the rate at which women exhibit correct genital hygiene behavior also increases. The Cronbach's alpha values for the scale are 0.80 for "Genital Hygiene Behaviors Scale", 0.70 for "Genital Hygiene Habits", 0.74 for "Menstrual Hygiene", and 0.8 for " abnormal finding awareness", respectively (Karahan, 2017).
Baseline and 9 months after intervention
Menstrual Self-Care Skills Checklist
기간: Evaluated before and immediately after the intervention.

The researcher prepared this skills checklist based on the literature. It consists of three sections: Menstruation Tracking Skills, Pad Changing Skills, and Genital Hygiene Skills. "No" is scored as "0", "Partially knowing" as "1", and "Yes" as "2". Expert evaluation was obtained to assess the content validity of the checklists.

Menstruation Tracking Skills; There are 7 items related to knowing the signs that menstruation, determine the day menstruation will begin, knowing the duration of menstrual bleeding, the frequency of menstruation, monitoring bleeding, and noticing pad fullness. The Pad Changing Skill consists of eight items in total. The steps are: removing the soiled pad from the underwear, removing and discarding the packaging of the clean pad, placing the clean pad into the underwear, and securing it to the underwear. Genital Hygiene Skills; This section includes seven items related to hand washing and genital cleaning.

Evaluated before and immediately after the intervention.

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

수사관

  • 수석 연구원: Özlem Demirel Bozkurt, Associate Professor, PhD, RN, Ege University Nursing Faculty

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2024년 4월 2일

기본 완료 (실제)

2025년 2월 24일

연구 완료 (실제)

2025년 5월 29일

연구 등록 날짜

최초 제출

2025년 7월 12일

QC 기준을 충족하는 최초 제출

2026년 5월 19일

처음 게시됨 (실제)

2026년 5월 26일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 5월 26일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 5월 19일

마지막으로 확인됨

2026년 5월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • AYLINOLGUN_VISUALLYIMPAİRMENT
  • 125S056 (기타 보조금/기금 번호: The Scientific and Technological Research Council of Türkiye (TÜBİTAK))
  • 1219/1199 (기타 식별자: İzmir Bakırçay University Non-Interventional Clinical Research Ethics Committee)

개별 참가자 데이터(IPD) 계획

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미정

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

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