Effect of Mosaic Art on Episiotomy Repair Skills, Anxiety, and Learning Attitudes in Midwifery Students (MOSAIC-EPI)
2026年8月31日 更新者：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.
研究概览
研究类型
介入性
注册 (估计的)
106
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
是的
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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.
|
|
有源比较器：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.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Episiotomy Self-Efficacy
大体时间：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
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|
Episiotomy Repair Skill Performance
大体时间：Baseline and immediately post-intervention
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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
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Baseline and immediately post-intervention
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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State Anxiety (STAI Form TX-I)
大体时间：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
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Attitudes Toward Learning
大体时间：Baseline and immediately post-intervention
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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.
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Baseline and immediately post-intervention
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年9月28日
初级完成 (估计的)
2026年12月30日
研究完成 (估计的)
2026年12月30日
研究注册日期
首次提交
2026年8月27日
首先提交符合 QC 标准的
2026年8月31日
首次发布 (实际的)
2026年9月4日
研究记录更新
最后更新发布 (实际的)
2026年9月4日
上次提交的符合 QC 标准的更新
2026年8月31日
最后验证
2026年8月1日
更多信息
与本研究相关的术语
其他研究编号
- KSÜ-MOSAIC-EPI-2026
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