Flipped Education ModelNCT06988891
Effects of 'Evidence-based Practice' Training Based on Flipped Learning, Web-based and Traditional Education Models on Nurses' Self-directed Learning and Metacognitive Thinking Skills
A study testing 'Evidence-based practice' training based on the flipped learning model, 'Evidence-based practice' training based on web-based education model and 'Evidence-based practice' training based on traditional education model in people with Flipped Education Model and Self Directed Learning, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
The research was conducted to evaluate the effects of evidence-based practice training developed based on flipped learning, web-based education and traditional education models on nurses' self-directed learning and metacognitive thinking skills. Read more about this study
- Who is it for?
- Ages 18 to 50 yearsHealthy volunteers can take part
- Conditions the study is for
- Flipped Education Model, Self Directed Learning, Metacognition
- What is being tested?
- 'Evidence-based practice' training based on the flipped learning model, 'Evidence-based practice' training based on web-based education model and 'Evidence-based practice' training based on traditional education model
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 3 Feb 2025to 20 May 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 18 to 50 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Have at least a bachelor's degree in nursing
Who cannot join
- Requesting to withdraw from the study
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Prof. Dr. Cemil Taşcıoğlu Training and Research Hospital
Istanbul
About this study
The research was conducted to evaluate the effects of evidence-based practice training developed based on flipped learning, web-based education and traditional education models on nurses' self-directed learning and metacognitive thinking skills. The study is a randomised controlled experimental study with a pre-test-post-test design, consisting of two intervention groups (flipped learning and web-based education) and one control group (traditional education).
Read the detailed description
Purpose: The purpose of the study is to evaluate the effects of evidence-based practice training developed based on flipped learning, web-based education and traditional education models on nurses' self-directed learning and metacognitive thinking skills.
Method: The study is a pre-test-post-test randomised controlled experimental research design with two intervention groups (flipped learning and web-based education models applied) and one control group (traditional education model applied). The study was conducted with 45 nurses working in a training and research hospital in Istanbul. Data were collected with self-directed learning skills and metacognitive thinking skills scales.
- Being tested
- 'Evidence-based practice' training based on the flipped learning model, 'Evidence-based practice' training based on web-based education model, 'Evidence-based practice' training based on traditional education model
- Keywords
- nursing education, self directed learning, metacognition, flipped learning
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
'Evidence-based practice' training based on the flipped learning modelOther
The evidence-based practice training, developed using the flipped learning model, was delivered once a week for four weeks. Each session was delivered as an offline training (3-24 February 2025) and a face-to-face training three days later (6-27 February 2025). The offline part of the training was delivered via the Edpuzzle platform. The training duration for each session was 75 minutes in total, 15 minutes offline and 60 minutes face-to-face.
'Evidence-based practice' training based on web-based education modelOther
Evidence-based practice training, developed based on a web-based training model, was implemented once a week for two weeks (March 17-24, 2025). Each session was conducted offline. The first session was 20.10 minutes, and the second session was 17.44 minutes.
'Evidence-based practice' training based on traditional education modelOther
The evidence-based practice training, developed based on the traditional/face-to-face education model, was delivered once a week for three weeks (7-21 April 2025). Each session consisted of two teaching hours (one teaching hour: 45 minutes).
| Study group | Role | What they receive |
|---|---|---|
| Evidence-based practice training based on the flipped learning model | Experimental | Evidence-based practice training developed based on the flipped learning model was applied to the nurses in this group once a week for four weeks. Receives: Other: 'Evidence-based practice' training based on the flipped learning model |
| 'Evidence-based practice' training based on web-based education model | Active comparator | Evidence-based practice training developed based on the WEB-based education model was applied to the nurses in this group once a week for two weeks. Receives: Other: 'Evidence-based practice' training based on web-based education model |
| 'Evidence-based practice' training based on traditional education model | Placebo comparator | Evidence-based practice training, developed based on the traditional/face-to-face education model, was applied to the nurses in this group once a week for three weeks. Receives: Other: 'Evidence-based practice' training based on traditional education model |
What is being measured
The primary outcome is the main question the study is designed to answer.
Self Directed Learning Skills Scale
The scale was developed to determine the self-directed learning skill levels of learners. It consists of 21 items and 4 sub-dimensions (self-monitoring, motivation, self-control, self-confidence). The response options of the five-point Likert-type scale are; "(1) Never to (5) Always." The highest score that can be obtained from the scale is 105, the middle score is 63, and the lowest score is 21. An increase in the score obtained from the scale indicates that the participant has high self-directed learning skills. The total Cronbach α value of the scale was determined as 0.91 in the study.
Measured: one month
Secondary outcomes (1)
Metacognitive thinking skills scale
It was developed to determine the metacognitive thinking skills levels of individuals. The scale consists of 18 items and 4 sub-dimensions (thinking skills, reflective thinking skills for problem solving, decision-making skills, alternative assessment skills). The response options of the five-point Likert-type scale are from (1) Totally disagree to (5) Totally agree. The highest score that can be obtained from the scale is 90, the lowest score is 18. An increase in the score obtained from the scale indicates that metacognitive thinking skills have increased. The total Cronbach α value of the scale was determined as 0.90 in the study.
Measured: one month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 May 2025
- Study start3 Feb 2025
- Primary completion27 Feb 2025
- Study completion20 May 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Flipped Education ModelStudies of the same condition, open and under way.
- 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A randomised controlled experimental study with a pre-test-post-test design consisting of two intervention groups (flipped learning and web-based training) and one control group (traditional training).
- Masking
- None (open label)
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Deniz Yilidirim, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06988891
- Sponsor's protocol ID
- IstanbulUC-RN-02
- Other IDs
- Istanbul University Cerrahpasa
- Status last verified
- May 2025
- First submitted
- 12 May 2025
- Last updated
- 25 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Biyik Bayram S, Gulnar E, Ozveren H, Caliskan N. The effect of flipped learning on blood pressure knowledge and self-directed learning skills of first-year nursing students: A randomized controlled trial. Nurse Educ Pract. 2023 Feb;67:103557. doi: 10.1016/j.nepr.2023.103557. Epub 2023 Jan 25.
PubMed 36709659
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of 'Evidence-based Practice' Training Based on Flipped Learning, Web-based and Traditional Education Models on Nurses' Self-directed Learning and Metacognitive Thinking Skills
- ClinicalTrials.gov ID
- NCT06988891
- Acronym / sponsor ID
- IstanbulUC-RN-02
- Keywords
- nursing education, self directed learning, metacognition, flipped learning
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 3 Feb 2025 (actual)
- Primary completion
- 27 Feb 2025 (actual)
- Study completion
- 20 May 2025 (estimated)
- First posted
- 25 May 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.
The research was conducted to evaluate the effects of evidence-based practice training developed based on flipped learning, web-based education and traditional education models on nurses' self-directed learning and metacognitive thinking skills. The study is a randomised controlled experimental study with a pre-test-post-test design, consisting of two intervention groups (flipped learning and web-based education) and one control group (traditional education).
Detailed description
Purpose: The purpose of the study is to evaluate the effects of evidence-based practice training developed based on flipped learning, web-based education and traditional education models on nurses' self-directed learning and metacognitive thinking skills.
Method: The study is a pre-test-post-test randomised controlled experimental research design with two intervention groups (flipped learning and web-based education models applied) and one control group (traditional education model applied). The study was conducted with 45 nurses working in a training and research hospital in Istanbul. Data were collected with self-directed learning skills and metacognitive thinking skills scales.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- A randomised controlled experimental study with a pre-test-post-test design consisting of two intervention groups (flipped learning and web-based training) and one control group (traditional training).
| Arm | Type | Receives |
|---|---|---|
| Evidence-based practice training based on the flipped learning model | Experimental | Other: 'Evidence-based practice' training based on the flipped learning modelEvidence-based practice training developed based on the flipped learning model was applied to the nurses in this group once a week for four weeks. |
| 'Evidence-based practice' training based on web-based education model | Active comparator | Other: 'Evidence-based practice' training based on web-based education modelEvidence-based practice training developed based on the WEB-based education model was applied to the nurses in this group once a week for two weeks. |
| 'Evidence-based practice' training based on traditional education model | Placebo comparator | Other: 'Evidence-based practice' training based on traditional education modelEvidence-based practice training, developed based on the traditional/face-to-face education model, was applied to the nurses in this group once a week for three weeks. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Have at least a bachelor's degree in nursing
Key exclusion criteria (1 listed)
- Requesting to withdraw from the study
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 |
|---|---|---|
| 'Evidence-based practice' training based on the flipped learning modelThe evidence-based practice training, developed using the flipped learning model, was delivered once a week for four weeks. Each session was delivered as an offline training (3-24 February 2025) and a face-to-face training three days later (6-27 February 2025). The offline part of the training was delivered via the Edpuzzle platform. The training duration for each session was 75 minutes in total, 15 minutes offline and 60 minutes face-to-face. | Other | Evidence-based practice training based on the flipped learning model |
| 'Evidence-based practice' training based on web-based education modelEvidence-based practice training, developed based on a web-based training model, was implemented once a week for two weeks (March 17-24, 2025). Each session was conducted offline. The first session was 20.10 minutes, and the second session was 17.44 minutes. | Other | 'Evidence-based practice' training based on web-based education model |
| 'Evidence-based practice' training based on traditional education modelThe evidence-based practice training, developed based on the traditional/face-to-face education model, was delivered once a week for three weeks (7-21 April 2025). Each session consisted of two teaching hours (one teaching hour: 45 minutes). | Other | 'Evidence-based practice' training based on traditional education model |
Primary outcome
Self Directed Learning Skills Scale
Time frame: one month
The scale was developed to determine the self-directed learning skill levels of learners. It consists of 21 items and 4 sub-dimensions (self-monitoring, motivation, self-control, self-confidence). The response options of the five-point Likert-type scale are; "(1) Never to (5) Always." The highest score that can be obtained from the scale is 105, the middle score is 63, and the lowest score is 21. An increase in the score obtained from the scale indicates that the participant has high self-directed learning skills. The total Cronbach α value of the scale was determined as 0.91 in the study.
1 secondary outcome
Metacognitive thinking skills scale
Time frame: one month
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 25 May 2025.
- Results publication: PubMed 36709659Biyik Bayram S, Gulnar E, Ozveren H, Caliskan N. The effect of flipped learning on blood pressure knowledge and self-directed learning skills of first-year nursing students: A randomized controlled trial. Nurse Educ Pract. 2023 Feb;67:103557. doi: 10.1016/j.nepr.2023.103557. Epub 2023 Jan 25.
- Individual participant dataSharing planned: No
Related trials for Flipped Education Model
Active, not recruiting
Developing the Precision Nursing Education Program to Young Colorectal Cancer Survivors
Depression
Recruiting
AI-SUPPORTED FLIPPED LEARNING IN BREAST SELF-EXAMINATION TRAINING
Artifical Intelligence, Nursing Education
Not yet recruiting
Video-Supported Flipped Learning for Episiotomy Training in Midwifery Students
Anxiety, Episiotomy
Recruiting
Flipped Classroom vs. Flip-Jigsaw in Theoretical Physiotherapy Education
Physiotherapy and Rehabilitation, Educational Technology
Enrolling by invitation
Flipped Learning in Nursing Education
Nursing Students, Education
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 'Evidence-based practice' training based on the flipped learning model, 'Evidence-based practice' training based on web-based education model and 'Evidence-based practice' training based on traditional education model in people with Flipped Education Model and Self Directed Learning, run by Istanbul University - Cerrahpasa 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 1 inclusion and 1 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 25 May 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. Some participants in this study may receive a placebo. 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?
Self Directed Learning Skills Scale (time frame: one month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06988891, which also lists 1 linked publication.
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 25 May 2025.