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Effects of Concurrent Irrelevant Visual Stimuli on Learning Outcomes in Midwifery Education

2 november 2026 uppdaterad av: Fatma Şule Bilgiç

Split Attention in Midwifery Education: Effects of Concurrent Irrelevant Visual Stimuli - A Randomised Controlled Trial

This randomized controlled trial was designed to evaluate the effects of concurrent instructionally irrelevant visual stimuli on learning-related outcomes among third-year midwifery students. Participants were assigned to either a split-screen educational condition or a standard instructional condition. Both groups received the same 45-minute theoretical session on delivery-room management of the newborn. The intervention group was exposed to an unrelated soap-cutting video displayed concurrently with the educational presentation, whereas the control group received standard PowerPoint-supported instruction. The primary outcome was attitude toward learning. Secondary outcomes included theoretical knowledge, state anxiety, academic motivation, and satisfaction with the teaching method. Outcomes were assessed immediately after the educational session.

Studieöversikt

Detaljerad beskrivning

The study used a two-arm, parallel-group, post-test-only randomized controlled design.

Eligible third-year midwifery students who had not previously completed the Newborn and Child Health course were randomly allocated to intervention and control groups using a computer-generated sequence prepared through Randomizer.org.

The educational session addressed physiological transition from fetal to neonatal life, prenatal and delivery-room preparation, thermal management, rapid neonatal assessment, umbilical-cord management, initial newborn care, and early skin-to-skin contact.

Both groups received standardized theoretical instruction delivered by the same instructor using identical educational materials and session duration.

In the intervention group, an instructionally irrelevant soap-cutting video was presented in the lower portion of the screen while the lecture slides remained visible above it. The control group received conventional PowerPoint-supported instruction without additional visual stimulation.

The educational intervention lasted 45 minutes. Outcome measures were administered immediately after the session.

The study was designed to investigate whether concurrent irrelevant visual stimulation influenced students' attitudes toward learning and related educational outcomes.

Studietyp

Interventionell

Inskrivning (Faktisk)

103

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

Inte äldre än 18 år (Barn, Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Kvinna

Beskrivning

Inclusion Criteria:

Third-year midwifery students. Students who had not previously completed the Newborn and Child Health course. Willingness to participate and provision of written informed consent. Ability to attend the entire educational session.

Exclusion Criteria:

Previous completion of the Newborn and Child Health course. Severe visual or hearing impairment preventing participation in the audiovisual educational session.

Inability to attend the complete teaching session.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Arm 1 - Experimental: Split-Screen Instruction

Participants received a 45-minute PowerPoint-supported educational session on delivery-room management of the newborn while an unrelated soap-cutting video was displayed concurrently beneath the presentation slides.

A standardized 45-minute theoretical educational session accompanied by a concurrent, instructionally irrelevant soap-cutting video displayed beneath the lecture slides.

Övrig: Arm 2 - Active Comparator: Standard Instruction

Participants received the same 45-minute PowerPoint-supported educational session without any additional irrelevant visual stimulus.

Participants received a standardized 45-minute theoretical educational session on delivery-room management of the newborn using PowerPoint presentations without additional irrelevant visual stimuli.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Attitude Toward Learning Scale (ATLS) Score
Tidsram: Immediately after completion of the 45-minute educational session.

Attitude toward learning was assessed using the 40-item Attitude Toward Learning Scale. Items are rated using a five-point Likert response format. Higher total scores indicate more positive attitudes toward learning.

Immediately after completion of the 45-minute educational session.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Theoretical Knowledge Score
Tidsram: Immediately after the educational session.

Theoretical knowledge regarding delivery-room management of the newborn was assessed using a researcher-developed 10-item multiple-choice test. Total scores range from 0 to 10, with higher scores indicating greater knowledge.

Immediately after the educational session.
State Anxiety Score
Tidsram: Immediately after the educational session.

State anxiety was assessed using the 20-item State Anxiety subscale of the State-Trait Anxiety Inventory. Total scores range from 20 to 80, with higher scores indicating greater state anxiety.

Immediately after the educational session.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 maj 2016

Primärt slutförande (Faktisk)

10 april 2026

Avslutad studie (Faktisk)

1 maj 2026

Studieregistreringsdatum

Först inskickad

23 oktober 2026

Först inskickad som uppfyllde QC-kriterierna

23 oktober 2026

Första postat (Faktisk)

29 oktober 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

2 november 2026

Senast verifierad

1 oktober 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

De-identified individual participant data underlying the published results, including demographic characteristics, study group allocation, attitude toward learning, theoretical knowledge, state anxiety, academic motivation, and satisfaction scores, will be available from the corresponding author upon reasonable request, subject to ethical and institutional requirements.

Tidsram för IPD-delning

De-identified individual participant data will be available beginning six months after publication of the study results and will remain available for five years.

Kriterier för IPD Sharing Access

De-identified data will be available to qualified researchers upon reasonable request to the corresponding author. Requests will be evaluated based on scientific purpose, ethical considerations, and data confidentiality requirements.

IPD-delning som stöder informationstyp

  • SAV
  • ICF
  • ANALYTIC_CODE
  • CSR

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