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Not yet recruitingNCT07516340Updated Apr 8, 2026

Gamification-Based Peer Education in Nursing Students: Effects on Sexual Health Literacy and Attitudes

An interventional study of Gamification-Based Peer Education in Sexual Health, sponsored by Saglik Bilimleri Universitesi. Not yet recruiting. Open to participants aged 18 Years to 25 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-08.

Sponsored by Saglik Bilimleri Universitesi · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
94
Allocation
Randomized
Ages
18 Years to 25 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

Data will be collected at baseline and one month after the intervention using validated instruments, including a Sociodemographic Characteristics Form, the Sexual Health Literacy Scale, and the Sexual Health Attitudes Scale. Statistical analyses will be conducted to assess within-group and between-group differences.

The findings of this study are expected to provide evidence on the effectiveness of gamification-based peer education and contribute to the development of innovative, student-centered educational strategies in nursing education, particularly in the field of sexual health.

02

Conditions studied

  • Sexual Health

Keywords

  • Health Literacy
  • Sexual Health
  • Peer Group
  • Gamification
03

In context

Lead sponsor

Saglik Bilimleri Universitesi is the lead sponsor of 430 studies on the registry; 137 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 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

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate in the study Incomplete data or failure to complete study forms
05

Study design

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

Study arms

  • Experimental
    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.

    Behavioral: Gamification-Based Peer Education

  • No intervention
    Control group

    No educational intervention will be applied to the students in the control group during the study period.

Interventions

  • BehavioralGamification-Based Peer Education

    The intervention consists of a gamification-based peer education program designed to improve sexual health literacy and attitudes among nursing students. The training is delivered by 14 trained peer educators selected from senior nursing students, who receive standardized preparation on educational content, teaching methods, and gamification techniques prior to the study. The educational module includes topics such as basic sexual health concepts, sexual health literacy, access to reliable information, contraceptive methods, sexually transmitted infections, safe sexual practices, consent, and communication skills. The program is structured using gamification elements, including scenario-based case activities, task completion exercises, group competitions, point and level systems, badges/achievement cards, and interactive question-answer sessions. Participants are divided into small groups and actively engaged through interactive learning methods.

06

What researchers measure

Primary outcomes

  1. Sexual Health Literacy

    Measured using the Sexual Health Literacy Scale at baseline (pre-test) and 1 month after the intervention (post-test).

    Time frame: 1 month

Secondary outcomes

  1. Sexual Health Attitudes

    Measured using the Sexual Health Attitudes Scale at baseline and 1 month after the intervention.

    Time frame: 1 month

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07516340
Lead sponsor
Saglik Bilimleri Universitesi
Responsible party
Sponsor
First posted
Apr 8, 2026
Start date
May 1, 2026 (estimated)
Primary completion
Jul 1, 2026 (estimated)
Completion
Jul 1, 2026 (estimated)
Last update
Apr 8, 2026

Study contacts

Beyzanur İşbay Aydemir, Msc
Contact
bisbay94@hotmail.com
+905456078994
Beyzanur İşbay Aydemir, Msc
principal investigator · İstanbul Aydın University

Oversight

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

Not currently enrolling

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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