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Not yet recruitingNCT07461974Updated Aug 5, 2026

Evaluation of the Effects of Traditional and E-Learning Methods in Cancer Pain Care Education on Learning Outcomes and Institutional Costs

An interventional study of e-learning and traditional group in Cancer Pain, Nursing Students and Nursing Education, sponsored by Bilecik Seyh Edebali Universitesi. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by Bilecik Seyh Edebali Universitesi · Not applicable, Interventional, and Other

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Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Cancer pain is a significant clinical problem that directly affects patients' quality of life and requires nurses to be equipped with adequate knowledge and skills to provide effective care. The current shift in knowledge and skill acquisition from traditional teaching methods toward e-learning-based approaches has increased the importance of comparing the effects of these educational methods on learning outcomes in cancer pain management education.

Within this context, the course content on cancer pain management will be developed using both traditional and e-learning methods based on the ADDIE instructional design model. The effects of these two methods on students' learning outcomes and institutional teaching costs will be evaluated. Thus, this study aims to contribute to identifying effective and cost-efficient teaching strategies in nursing education.

Read the detailed description

Nursing education prepares qualified nurses to meet the care needs of individuals, families, and communities using evidence-based practices. Curricula in line with Türkiye and European Union standards provide both theoretical and clinical education and use various models: traditional, integrated, and problem-based learning. Recently, the pandemic, natural disasters, and fast technological changes have driven interest in student-centered and digital teaching. E-learning that uses digital tools like simulation, virtual reality, augmented reality, and gamification boosts learning motivation and enriches education.

Traditional teaching, used worldwide, has key advantages for classroom management and discipline. Its teacher-centered structure ensures systematic transfer of fundamental knowledge. This method achieves learning goals for knowledge and comprehension and delivers broad information quickly. Some research finds e-learning benefits knowledge and skills, while other studies report no significant learning difference from traditional methods.

However, studies comparing the costs of traditional and e-learning methods remain limited. Although the use of technology in education is often emphasized as cost-effective, most existing studies have focused on simulation costs and have not provided comprehensive quantitative cost analyses to support this claim. This gap highlights the importance of conducting detailed cost analyses in order to objectively evaluate the true cost-effectiveness of educational practices. Furthermore, the use of instructional design models is recommended to develop effective, systematic, and standardized teaching processes in both traditional and digital learning environments.

Within the scope of this study, the course content on cancer pain management will be developed using both traditional and e-learning methods based on the ADDIE instructional design model. The effects of these two methods on students' learning outcomes and institutional teaching costs will be evaluated. In this way, the study aims to contribute to identifying effective and cost-efficient teaching strategies in nursing education.

02

Conditions studied

  • Cancer Pain
  • Nursing Students
  • Nursing Education

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Keywords

  • Nursing
  • Traditional Learning Methods
  • E-Learning Methods
  • Education
  • Cost
03

In context

Cancer Pain

310 studies on the registry are indexed under Cancer Pain; 73 are open to participants now.

This study's planned enrollment of 100 is above the median of 62 across 235 interventional studies indexed under Cancer Pain.

Browse Cancer Pain studies →

Lead sponsor

Bilecik Seyh Edebali Universitesi is the lead sponsor of 62 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Students who have access to the internet and a computer/mobile phone,
  • Students who have successfully completed the Fundamentals of Nursing course,
  • Students who are taking the Internal Medicine Nursing course for the first time,
  • Students who voluntarily agree to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Students who are repeating the Internal Medicine Nursing course,
  • Students who have taken the Palliative Care and Nursing or Oncology Nursing courses,
  • Students who have been diagnosed with cancer themselves or have a relative diagnosed with cancer,
  • Students who were admitted to the nursing department through the Vertical Transfer Exam (DGS) after graduating from an associate degree program in a health-related field,
  • Students who graduated from a Vocational Health High School,
  • Students who were admitted through the International Student Examination.
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    e-learning group

    For the e-learning method, the cancer pain management course will be delivered through a web-based platform designed according to the ADDIE model, using artificial intelligence-supported avatar lectures and gamified case scenarios.

    Behavioral: e-learning

  • Active comparator
    traditional group

    For the traditional method, the cancer pain management course will be delivered through classroom lectures and case scenarios designed according to the ADDIE model.

    Behavioral: traditional group

Interventions

  • Behaviorale-learning

    For the e-learning method, the cancer pain management course will be delivered through a web-based platform designed according to the ADDIE model, using artificial intelligence-supported avatar lectures and gamified case scenarios.

    Also known as: Educational intervention in cancer pain management training

  • Behavioraltraditional group

    For the traditional teaching method, the cancer pain management course will be delivered through classroom lectures and case scenarios designed according to the ADDIE model.

    Also known as: Educational intervention in cancer pain management training

06

What researchers measure

Primary outcomes

  1. Cancer Pain Knowledge Test

    The test, which will be developed by the researchers based on the literature, was prepared in two stages. In the first stage, multiple-choice questions were developed by the researchers based on the expected learning outcomes related to the cancer pain topic taught in the Internal Medicine Nursing course and the resources used in the course. In the second stage, an expert panel consisting of five faculty members from the field of Internal Medicine Nursing was formed to evaluate the content validity of the test. The experts assessed the content validity of the test using the Davis technique, and their suggestions for revision or modification were obtained. The expert evaluations were analyzed using the Content Validity Index, and the final version of the knowledge test was established based on the experts' feedback. The test consists of 20 questions, with scores ranging from a minimum of 0 to a maximum of 100. Higher scores indicate greater knowledge.

    Time frame: Twice, once at the end of the training (day 1) and again after 4 weeks.

  2. Scenario-Based Assessment of Practical Skills Form

    The learning outcomes related to cancer pain education identified by the researchers were used as the basis for developing a scenario lasting approximately 25-30 minutes and a corresponding skill evaluation checklist. The prepared scenario and checklist will be evaluated in terms of scope and content by a group of experts in the field. During the implementation phase, students will provide care to a patient with cancer pain described in the scenario. The students' practical skills during the scenario will be assessed using the skill evaluation checklist by one evaluator and one observer, who are nursing educators and are independent of the researchers. The maximum score that can be obtained from the application is 100, and the minimum score is 0. Higher scores indicate higher skill levels.

    Time frame: Twice, once at the end of the training (day 1) and again after 4 weeks.

  3. Motivation Scale Regarding Instructional Material

    The scale was developed by Keller in 2006 to measure motivation toward instructional materials. In 2016, it was adapted into Turkish by Dinçer and Doğanay. The original version of the scale consists of 36 items in a five-point Likert format; however, during the Turkish adaptation process, three items were removed. The scale consists of four subdimensions: attention, relevance, confidence, and satisfaction. Items 3, 7, 12, 15, 19, 22, 26, 29, 31, and 34 are negatively worded and require reverse scoring. The minimum possible score on the scale is 36 and the maximum score is 180, with a midpoint of 108.00. The internal reliability coefficient of the scale was calculated as 0.93.

    Time frame: once at the end of the training (day 1)

  4. Institutional Cost Information Form

    To determine the cost of education, a Cost Information Form was developed based on the literature and expert opinions, taking into account the institutional costs incurred for students' education. The expenditure items included in the form will be calculated in Turkish Lira.

    Time frame: at the end of the study

  5. Visual Analog Scale

    Students will evaluate the instructor's performance by marking a point between 0 and 10 on a continuous line between two endpoints. Higher scores indicate better educator performance, while lower scores indicate poorer educator performance.

    Time frame: once at the end of the training (day 1)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Dec 2026, 3 months later.

Of 72 non-industry interventional studies with no phase under Cancer Pain, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 3 months is below that.

Counting every sponsor, half of 75 studies reached it within 18 months; a quarter within 10 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 4, 2026
First posted
Mar 10, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Aug 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07461974
Lead sponsor
Bilecik Seyh Edebali Universitesi
Responsible party
Semanur Bilgiç (Research Assistant, Bilecik Seyh Edebali Universitesi) — Principal investigator
First posted
Mar 10, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Aug 5, 2026

Study contacts

Semanur Bilgiç, Research Asisstant
Contact
semanurblgc@gmail.com
+905395966328

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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