Teaching InnovationNCT06861296
Flipped Learning in PPH Education: Impact on Midwifery Students' Knowledge, Skills, Self-Efficacy, and Satisfaction
A study testing Intervention Group in people with Teaching Innovation and Midwifery Students Education, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
Trial summary
Maternal death refers to a woman's death due to direct or indirect causes during pregnancy, childbirth, or within 42 days postpartum. Postpartum hemorrhage (PPH) is the leading cause of maternal mortality globally and in our country. Rapid and effective management of PPH is crucial in reducing maternal deaths. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Teaching Innovation, Midwifery Students Education, Postpartum Hemorrhage
- What is being tested?
- Intervention Group
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 7 Jan 2025to 1 Sep 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Being a 3rd year student in the Midwifery Department of Gülhane Health Sciences Faculty
- Having successfully completed the normal birth course
- Agreeing to participate in the study
Who cannot join
- Students who were on sick leave or on sick leave during the study period
- Those who did not take the normal birth course or failed
- Students who were absent from at least one session of the training program
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
University of Health Sciences
Ankara, Çankaya, 06660
About this study
Official title: Effect of Postpartum Hemorrhage Education Structured With Flipped Learning Model on Knowledge, Skills, Clinical Self-Efficacy and Satisfaction of Midwifery Students
Maternal death refers to a woman's death due to direct or indirect causes during pregnancy, childbirth, or within 42 days postpartum. Postpartum hemorrhage (PPH) is the leading cause of maternal mortality globally and in our country. Rapid and effective management of PPH is crucial in reducing maternal deaths. WHO, UNFPA, and UNICEF emphasize the critical role of midwives in PPH management, highlighting the importance of enhancing their knowledge and skills during pre-graduate education.
Traditional education models are often insufficient for fostering permanent learning, especially in acquiring psychomotor skills like PPH management. In traditional learning, classroom instruction follows a teacher-centered approach, covering only the first two levels of Bloom's taxonomy-knowledge and comprehension-while higher-order cognitive skills such as application, analysis, synthesis, and evaluation are left to individual effort. However, effective and lasting learning requires an active learning environment where students engage more deeply with the material.
Read more
The flipped learning model addresses these challenges by allowing students to access foundational knowledge outside the classroom and dedicate class time to higher-order skills like discussion, application, and problem-solving. This model enhances learning through technology and interactive face-to-face activities, fostering professional competence in health education. While the flipped learning model is widely used in health education, most studies focus on theoretical knowledge, with limited research on psychomotor skill acquisition.
To our knowledge, this study is the first to evaluate the effectiveness of flipped learning in midwifery education for both theoretical and psychomotor skill development. The findings are expected to contribute to advancements in midwifery education and healthcare services.
- Conditions
- Teaching Innovation, Midwifery Students Education, Postpartum Hemorrhage, Flipped Classroom Model in Teaching
- Being tested
- Intervention Group
- Keywords
- Flipped Learning, Postpartum Hemorrhage, Midwifery Education, Clinical Self-Efficacy
- Medical subject headings
- Postpartum Hemorrhage
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intervention GroupBehavioural
(Flipped Learning Model Based Training Group)-Arm Description: This group will receive training on postpartum hemorrhage management using the reverse learning
| Study group | Role | What they receive |
|---|---|---|
| Control Group (Traditional Education Model Based Education Group) | No intervention | This group will be trained with the traditional education model regarding the management of postpartum hemorrhage. Theoretical training in this group is planned as face to face in the classroom with the traditional lecture model; practical training is planned as face to face in the laboratory. |
| Intervention Group (Flipped Learning Model Based Training Group) | Experimental | This group will receive training on postpartum hemorrhage management using the reverse learning model. Theoretical and practical lessons will be given primarily through out-of-class activities. Students will learn simple basic information outside of class whenever they want with the instructor's videos. Thus, advanced methods (gamification, concept analysis, group discussions) can be applied to ensure active and permanent learning in in-class activities. Receives: Behavioral: Intervention Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postpartum Hemorrhage Knowledge and Skills
Description: Knowledge and skills related to postpartum hemorrhage will be assessed.
Assessment Tool: A test developed by researchers, with scoring determined based on expert opinions.
Unit of Measure: Test score (numerical). (Scoring for this test will be determined after the tests are developed by the researcher and expert opinions are received.)
Measured: Baseline (just before training) and 3 weeks after the completion of training.
Clinical Skills Self-Efficacy
Description: The self-efficacy levels of students regarding clinical skills will be evaluated.
Assessment Tool: Clinical Skills Self-Efficacy Scale. The minimum score is 14, and the maximum score is 70. Higher scores indicate greater self-efficacy.
Unit of Measure: Scale score (range: 14-70).
Measured: At the beginning (immediately before the practical training) and 3 weeks after the completion of the practical training.
Educational Satisfaction
Description: Students' satisfaction with postpartum hemorrhage training will be measured, comparing traditional education with the flipped learning model.
Assessment Tool: A satisfaction scale rang. The minimum score is 10 and the maximum score is 0. Higher scores indicate greater educational satisfaction.
Measured: After the theoretical and practical training has been fully completed for both groups (approximately 10-14 weeks after the start of the training)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2025
- Study start7 Jan 2025
- Primary completion30 Jun 2025 (estimated)
- Study completion1 Sep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Teaching InnovationStudies of the same condition, open and under way.
- More trials run by Saglik Bilimleri UniversitesiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 72 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Saglik Bilimleri Universitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sumeyra Damsarsan, Saglik Bilimleri Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06861296
- Sponsor's protocol ID
- 913715751 2025/09
- Status last verified
- Mar 2025
- First submitted
- 28 Jan 2025
- Last updated
- 11 Mar 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The results of this study will be published in the form of a thesis, articles, and conference presentations. De-identified individual participant data (IPD) may be shared upon request, in accordance with appropriate ethical principles.
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Postpartum Hemorrhage Education Structured With Flipped Learning Model on Knowledge, Skills, Clinical Self-Efficacy and Satisfaction of Midwifery Students
- ClinicalTrials.gov ID
- NCT06861296
- Acronym / sponsor ID
- 913715751 2025/09
- Conditions
- Teaching Innovation, Midwifery Students Education, Postpartum Hemorrhage, Flipped Classroom Model in Teaching
- Keywords
- Flipped Learning, Postpartum Hemorrhage, Midwifery Education, Clinical Self-Efficacy
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- Saglik Bilimleri UniversitesiUniversity, hospital or other
- Study start
- 7 Jan 2025 (actual)
- Primary completion
- 30 Jun 2025 (estimated)
- Study completion
- 1 Sep 2025 (estimated)
- First posted
- 6 Mar 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Maternal death refers to a woman's death due to direct or indirect causes during pregnancy, childbirth, or within 42 days postpartum. Postpartum hemorrhage (PPH) is the leading cause of maternal mortality globally and in our country. Rapid and effective management of PPH is crucial in reducing maternal deaths. WHO, UNFPA, and UNICEF emphasize the critical role of midwives in PPH management, highlighting the importance of enhancing their knowledge and skills during pre-graduate education.
Traditional education models are often insufficient for fostering permanent learning, especially in acquiring psychomotor skills like PPH management. In traditional learning, classroom instruction follows a teacher-centered approach, covering only the first two levels of Bloom's taxonomy-knowledge and comprehension-while higher-order cognitive skills such as application, analysis, synthesis, and evaluation are left to individual effort. However, effective and lasting learning requires an active learning environment where students engage more deeply with the material.
The flipped learning model addresses these challenges by allowing students to access foundational knowledge outside the classroom and dedicate class time to higher-order skills like discussion, application, and problem-solving. This model enhances learning through technology and interactive face-to-face activities, fostering professional competence in health education. While the flipped learning model is widely used in health education, most studies focus on theoretical knowledge, with limited research on psychomotor skill acquisition.
To our knowledge, this study is the first to evaluate the effectiveness of flipped learning in midwifery education for both theoretical and psychomotor skill development. The findings are expected to contribute to advancements in midwifery education and healthcare services.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control Group (Traditional Education Model Based Education Group) | No intervention | –This group will be trained with the traditional education model regarding the management of postpartum hemorrhage. Theoretical training in this group is planned as face to face in the classroom with the traditional lecture model; practical training is planned as face to face in the laboratory. |
| Intervention Group (Flipped Learning Model Based Training Group) | Experimental | Behavioral: Intervention GroupThis group will receive training on postpartum hemorrhage management using the reverse learning model. Theoretical and practical lessons will be given primarily through out-of-class activities. Students will learn simple basic information outside of class whenever they want with the instructor's videos. Thus, advanced methods (gamification, concept analysis, group discussions) can be applied to ensure active and permanent learning in in-class activities. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- Being a 3rd year student in the Midwifery Department of Gülhane Health Sciences Faculty
- Having successfully completed the normal birth course
- Agreeing to participate in the study
Key exclusion criteria (3 listed)
- Students who were on sick leave or on sick leave during the study period
- Those who did not take the normal birth course or failed
- Students who were absent from at least one session of the training program
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intervention Group(Flipped Learning Model Based Training Group)-Arm Description: This group will receive training on postpartum hemorrhage management using the reverse learning | Behavioural | Intervention Group (Flipped Learning Model Based Training Group) |
Primary outcome
Postpartum Hemorrhage Knowledge and Skills
Time frame: Baseline (just before training) and 3 weeks after the completion of training.
Description: Knowledge and skills related to postpartum hemorrhage will be assessed. Assessment Tool: A test developed by researchers, with scoring determined based on expert opinions. Unit of Measure: Test score (numerical). (Scoring for this test will be determined after the tests are developed by the researcher and expert opinions are received.)
Clinical Skills Self-Efficacy
Time frame: At the beginning (immediately before the practical training) and 3 weeks after the completion of the practical training.
Description: The self-efficacy levels of students regarding clinical skills will be evaluated. Assessment Tool: Clinical Skills Self-Efficacy Scale. The minimum score is 14, and the maximum score is 70. Higher scores indicate greater self-efficacy. Unit of Measure: Scale score (range: 14-70).
Educational Satisfaction
Time frame: After the theoretical and practical training has been fully completed for both groups (approximately 10-14 weeks after the start of the training)
Description: Students' satisfaction with postpartum hemorrhage training will be measured, comparing traditional education with the flipped learning model. Assessment Tool: A satisfaction scale rang. The minimum score is 10 and the maximum score is 0. Higher scores indicate greater educational satisfaction.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2025.
- Individual participant dataSharing planned: Yes. The results of this study will be published in the form of a thesis, articles, and conference presentations. De-identified individual participant data (IPD) may be shared upon request, in accordance with appropriate ethical principles.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Intervention Group in people with Teaching Innovation and Midwifery Students Education, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 11 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Postpartum Hemorrhage Knowledge and Skills (time frame: Baseline (just before training) and 3 weeks after the completion of training.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2025.