The Effect of Gamification-Based Peer Education on Sexual Health Literacy and Sexual Health Attitudes in Nursing Students: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 94
- 主要终点
- Sexual Health Literacy
研究概览
简要总结
This randomized controlled trial aimed to examine the effect of gamification-based peer education on sexual health literacy and sexual health attitudes among nursing students. Sexual health is a fundamental component of overall well-being, and knowledge and attitudes developed during young adulthood influence lifelong health behaviors. However, university students often have limited sexual health knowledge and are influenced by misconceptions and sexual myths, increasing the risk of unsafe sexual practices, sexually transmitted infections, and unintended pregnancies.
Improving sexual health literacy and promoting positive attitudes are essential for preventive healthcare. Although educational interventions are effective, traditional approaches may not sufficiently engage students. Gamification, which incorporates elements such as points, tasks, and feedback into learning environments, has been shown to enhance motivation, participation, and knowledge retention. Peer education further supports learning by facilitating communication and behavioral change among individuals of similar age groups.
The study was conducted with third-year nursing students during the 2025-2026 academic year. Participants were randomly assigned to intervention and control groups. The intervention group received a gamification-based peer education program covering sexual health, contraception, sexually transmitted infections, safe sexual practices, consent, and communication skills, delivered through interactive activities. The control group received no intervention.
Data were collected at baseline and one month after the intervention using validated scales. The findings are expected to contribute to the development of innovative and student-centered educational strategies in nursing education.
详细描述
This study is designed as a randomized controlled trial to evaluate the effectiveness of a gamification-based peer education program on sexual health literacy and sexual health attitudes among nursing students. Sexual health is a key component of overall well-being, encompassing physical, psychological, and social dimensions. During young adulthood, individuals develop knowledge, attitudes, and behaviors that significantly influence their future sexual health outcomes. However, previous research indicates that university students often have insufficient knowledge about sexual health and are influenced by misconceptions and sexual myths, which may lead to risky sexual behaviors, sexually transmitted infections, and unintended pregnancies.
Improving sexual health literacy is essential for enabling individuals to access, understand, evaluate, and use reliable health information. In addition, fostering positive sexual health attitudes contributes to safer behaviors and increased utilization of healthcare services. Although educational interventions have demonstrated effectiveness, traditional didactic methods may not fully engage learners or support active participation. Therefore, innovative and interactive approaches are needed.
Gamification is an emerging educational strategy that integrates game design elements such as points, badges, levels, tasks, and feedback into non-game contexts to enhance motivation, engagement, and learning outcomes. Peer education is another effective approach that facilitates communication and learning among individuals of similar age and social backgrounds. Combining gamification with peer education offers a comprehensive and interactive model that supports both cognitive and behavioral learning processes.
The study will be conducted during the 2025-2026 academic year with third-year nursing students enrolled in the Faculty of Health Sciences. Participants will be randomly assigned to intervention and control groups using a computer-based randomization method. The intervention group will receive a gamification-based peer education program delivered by trained peer educators. The training will include topics such as basic sexual health concepts, sexual health literacy, contraceptive methods, sexually transmitted infections, safe sexual practices, consent, and communication skills. The program will be delivered through interactive and gamified activities, including scenario-based case exercises, group competitions, task completion activities, and question-answer sessions.
The intervention will consist of two sessions, each lasting approximately 60 minutes. The control group will not receive any educational intervention during the study period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being a third-year nursing student Enrollment in the Faculty of Health Sciences during the 2025-2026 academic year Having completed the Women's Health and Diseases Nursing course Willingness to participate in the study Providing written informed consent
排除标准
- •Refusal to participate in the study Incomplete data or failure to complete study forms
研究组 & 干预措施
Intervention group - Gamification-Based Peer Education
The education to be applied to the intervention group will be conducted using a gamification-based peer education model. The training sessions will be delivered by 14 peer educators selected from the senior internship group of the Department of Nursing (Gynecology Nursing), who will be trained in advance by the researchers. Prior to the study, peer educators will receive standardized training on the content, educational methods, and gamification applications.
The training module will be structured using gamification components, including:
The training module will be structured using gamification components, including:
Scenario-based case games Task completion activities Group competitions Point and level systems Badges/achievement cards Question-answer tournaments Participants will be divided into small groups and actively engaged in the process through interactive methods. Each training session will be planned and conducted by peer educators.
干预措施: Gamification-Based Peer Education (Behavioral)
Control group
No educational intervention will be applied to the students in the control group during the study period.
结局指标
主要结局
Sexual Health Literacy
时间窗: 1 month
Measured using the Sexual Health Literacy Scale at baseline (pre-test) and 1 month after the intervention (post-test).
次要结局
- Sexual Health Attitudes(1 month)