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- Klinische proef NCT07598929
AI-Based Education and Menstrual Health Behaviors in Adolescents
14 mei 2026 bijgewerkt door: 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.
Studie Overzicht
Toestand
Actief, niet wervend
Conditie
Studietype
Ingrijpend
Inschrijving (Geschat)
120
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Sivas
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Merkez, Sivas, Turkije (Türkiye), 58010
- Hacı Mehmet Sabancı Anatolian High School
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
Accepteert gezonde vrijwilligers
Ja
Beschrijving
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)
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Onderzoek naar gezondheidsdiensten
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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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Experimenteel: 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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Actieve vergelijker: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Dysmenorrhea Self-Care Behavior Scale Total Score
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
20 april 2026
Primaire voltooiing (Geschat)
20 mei 2026
Studie voltooiing (Geschat)
19 juni 2026
Studieregistratiedata
Eerst ingediend
5 mei 2026
Eerst ingediend dat voldeed aan de QC-criteria
14 mei 2026
Eerst geplaatst (Werkelijk)
20 mei 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
20 mei 2026
Laatste update ingediend die voldeed aan QC-criteria
14 mei 2026
Laatst geverifieerd
1 mei 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pijn
- Neurologische manifestaties
- Pathologische processen
- Bekkenpijn
- Menstruatiestoornissen
- Pathologische aandoeningen, tekenen en symptomen
- Gedrag
- Tekenen en symptomen
- Therapietrouw en therapietrouw
- Gezondheidsgedrag
- Naleving van de patiënt
- Patiëntacceptatie van gezondheidszorg
- Naleving van interventies
- Medicatie therapietrouw
- Dysmenorroe
- Gezondheidsopleiding
Andere studie-ID-nummers
- 2025-09/43
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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