Sexual HealthNCT07516340
Gamification-Based Peer Education in Nursing Students: Effects on Sexual Health Literacy and Attitudes
A study testing Gamification-Based Peer Education in people with Sexual Health, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
Trial 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… Read more about this study
- Who is it for?
- Ages 18 to 25 yearsHealthy volunteers can take part
- Conditions the study is for
- Sexual Health
- What is being tested?
- Gamification-Based Peer Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 94 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 May 2026to 1 Jul 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 25 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- 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
Who cannot join
- Refusal to participate in the study Incomplete data or failure to complete study forms
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Gamification-Based Peer Education on Sexual Health Literacy and Sexual Health Attitudes in Nursing Students: A Randomized Controlled Trial
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.
Read more
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.
- Conditions
- Sexual Health
- Being tested
- Gamification-Based Peer Education
- Keywords
- Health Literacy, Sexual Health, Peer Group, Gamification
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gamification-Based Peer EducationBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| Intervention group - Gamification-Based Peer Education | Experimental | 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. Receives: Behavioral: Gamification-Based Peer Education |
| Control group | No intervention | No educational intervention will be applied to the students in the control group during the study period. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sexual Health Literacy
Measured using the Sexual Health Literacy Scale at baseline (pre-test) and 1 month after the intervention (post-test).
Measured: 1 month
Secondary outcomes (1)
Sexual Health Attitudes
Measured using the Sexual Health Attitudes Scale at baseline and 1 month after the intervention.
Measured: 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2026
- Study start1 May 2026
- Primary completion1 Jun 2026
- Study completion1 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sexual HealthStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 94 participants (actual)
Sponsor and investigators
- Lead sponsor
- Saglik Bilimleri Universitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Beyzanur İşbay Aydemir, Msc, Principal investigator, İstanbul Aydın University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07516340
- Sponsor's protocol ID
- Gamification
- Status last verified
- Oct 2026
- First submitted
- 1 Apr 2026
- Last updated
- 8 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Gamification-Based Peer Education on Sexual Health Literacy and Sexual Health Attitudes in Nursing Students: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07516340
- Acronym / sponsor ID
- Gamification
- Conditions
- Sexual Health
- Keywords
- Health Literacy, Sexual Health, Peer Group, Gamification
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 94 participants (actual)
- Lead sponsor
- Saglik Bilimleri UniversitesiUniversity, hospital or other
- Study start
- 1 May 2026 (actual)
- Primary completion
- 1 Jun 2026 (actual)
- Study completion
- 1 Jul 2026 (actual)
- First posted
- 8 Apr 2026 (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.
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.
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.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group - Gamification-Based Peer Education | Experimental | Behavioral: Gamification-Based Peer EducationThe 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. |
| Control group | No intervention | –No educational intervention will be applied to the students in the control group during the study period. |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- 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
Key exclusion criteria (1 listed)
- Refusal to participate in the study Incomplete data or failure to complete study forms
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 |
|---|---|---|
| Gamification-Based Peer EducationThe 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. | Behavioural | Intervention group - Gamification-Based Peer Education |
Primary outcome
Sexual Health Literacy
Time frame: 1 month
Measured using the Sexual Health Literacy Scale at baseline (pre-test) and 1 month after the intervention (post-test).
1 secondary outcome
Sexual Health Attitudes
Time frame: 1 month
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Oct 2026.
- PubMed article related to sexual health education and literacyLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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.
Beyzanur İşbay Aydemir, Msc principal investigator
İstanbul Aydın University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Gamification-Based Peer Education in people with Sexual Health, 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 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: finished, as of the sponsor's last update on 8 Oct 2026. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Sexual Health Literacy (time frame: 1 month). 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 8 Oct 2026.