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Conditions or Focus of StudyNCT07658209

AI-Supported E-Learning for Pressure Injury Prevention

A study testing Face-to-Face Pressure Injury Prevention Education and AI-Supported Modular E-Learning Programme in people with Conditions or Focus of Study and Pressure Injury Prevention, run by Kilis 7 Aralik University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Brief Summary Pressure injuries are damage to the skin and underlying tissue that may occur in patients who stay in bed for long periods, have limited mobility or use medical devices. These injuries are often preventable. They may cause pain, infection, longer hospital stays and increased care costs. Read more about this study

Who is it for?
Ages Up to 18 yearsHealthy volunteers can take part
What is being tested?
Face-to-Face Pressure Injury Prevention Education and AI-Supported Modular E-Learning Programme
Could I receive a placebo?
No, everyone receives an active treatment
How many people
162 participants
Where
1 siteTurkey (Türkiye)
Study dates
30 May 2025to 20 Jun 2025
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 Up to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Being an undergraduate nursing student.
  • Being aged 18 years or older.
  • Voluntarily agreeing to participate in the study.
  • Providing written informed consent.
  • Being able to participate in the allocated educational intervention and scheduled outcome assessments.

Who cannot join

  • Refusing to participate in the study.
  • Having previously received additional structured education on pressure ulcer or pressure injury prevention outside the standard curriculum.
  • Being unable to complete the educational intervention due to absence or withdrawal before intervention delivery.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Kilis 7 Aralık University, Yusuf Şerefoğlu Faculty of Health Sciences, Department of Nursing

    Kilis, Kilis, 79000

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of an AI-Supported Modular E-Learning Programme for Pressure Injury Prevention on Nursing Students' Knowledge, Attitudes and Self-Efficacy: A Randomised Controlled Trial

Brief Summary

Pressure injuries are damage to the skin and underlying tissue that may occur in patients who stay in bed for long periods, have limited mobility or use medical devices. These injuries are often preventable. They may cause pain, infection, longer hospital stays and increased care costs. For this reason, it is important that nurses and nursing students have accurate knowledge, confidence and positive attitudes about preventing pressure injuries.

Read more

The aim of this study is to compare two different methods of teaching pressure injury prevention to nursing students. One group of students received the education in a face-to-face classroom session. The other group completed the same topic through an artificial intelligence-supported modular e-learning programme. The e-learning programme included short videos, clinical examples, question-and-answer activities, short quizzes and feedback. The educational materials prepared with artificial intelligence support were checked by experts before being used with students.

Undergraduate nursing students took part in the study. The students were randomly assigned to one of two groups. In both groups, measurements were taken before the education, immediately after the education and four weeks later. The study assessed students' knowledge of pressure injury prevention, their confidence in managing pressure injury prevention and their attitudes towards prevention.

This study does not provide a treatment or direct intervention to patients. However, its findings may help improve how nursing students and future healthcare professionals are educated about pressure injury prevention. In the long term, better education may support safer patient care, help prevent pressure injuries and improve the quality of care.

Read the detailed description

Detailed Description

This study is a single-centre, two-arm, parallel-group randomised controlled educational trial comparing two different teaching methods for pressure injury prevention. The study was conducted with undergraduate nursing students in the nursing department of a faculty of health sciences.

Pressure injuries are an important patient safety problem, especially for patients with limited mobility, patients in intensive care, patients after surgery and patients using medical devices. Preventing pressure injuries requires regular risk assessment, skin inspection, appropriate positioning, pressure redistribution, nutritional assessment, monitoring of device-related pressure and continuity of care. Therefore, it is important that nursing students develop adequate knowledge, self-efficacy and positive attitudes before graduation.

In this study, students were randomly assigned to one of two groups. The first group received pressure injury prevention education through conventional face-to-face classroom instruction. The second group completed the same core content through an artificial intelligence-supported modular e-learning programme. Both educational methods covered key topics, including the causes of pressure injuries, classification, risk assessment, nutrition, preventive interventions, care for special patient groups and medical device-related pressure injuries.

The artificial intelligence-supported e-learning programme consisted of short video presentations, narration scripts, clinical examples, question-and-answer activities, short quizzes and feedback sections. The educational materials were prepared with the support of artificial intelligence, but they were not used directly. The materials were reviewed by experts in surgical nursing and related fields for clinical accuracy, consistency with current evidence, suitability for undergraduate nursing students and clarity of instruction. Necessary revisions were made according to expert feedback before the e-learning content was delivered.

Students' outcomes were assessed at three time points: before the education, immediately after the education and four weeks after the education. Knowledge of pressure injury prevention was measured using PUKAT 2.0-T. Self-efficacy in pressure injury management was measured using PUM-SES. Attitudes towards pressure injury prevention were measured using APuP. This allowed the study to examine not only immediate learning after the education but also whether learning was maintained after four weeks.

This study does not involve a direct clinical intervention with patients. The participants are nursing students. Therefore, the effect of the study on patient care is indirect. However, improving the way pressure injury prevention is taught may support future healthcare professionals' clinical decision-making and patient safety practices.

The study aims to show whether artificial intelligence-supported modular e-learning is a useful method for pressure injury prevention education, how it compares with face-to-face instruction and whether students retain what they have learned over a short follow-up period. The findings may contribute to the development of nursing education programmes, the standardisation of pressure injury prevention education and stronger patient safety-focused education strategies in tissue viability.

Being tested
Face-to-Face Pressure Injury Prevention Education, AI-Supported Modular E-Learning Programme
Keywords
Pressure injury prevention, Pressure ulcer prevention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Face-to-Face Pressure Injury Prevention EducationBehavioural

    Also called Face-to-face instruction Conventional classroom instruction

    Participants received conventional face-to-face classroom instruction on pressure injury prevention. The session was delivered using standardised presentation materials and covered the causes of pressure injuries, classification and observation, risk assessment, nutrition, preventive interventions, care for special patient groups, and medical device-related pressure injuries.

  • AI-Supported Modular E-Learning ProgrammeBehavioural

    Also called AI-supported e-learning programme Modular e-learning programme

    Participants completed an artificial intelligence-supported modular e-learning programme on pressure injury prevention. The programme included short video presentations, clinical examples, question-and-answer activities, short quizzes and feedback sections. The content covered the same core pressure injury prevention topics as the face-to-face instruction and was reviewed by experts before implementation.

Study groups in NCT07658209
Study groupRoleWhat they receive
Face-to-Face InstructionActive comparatorParticipants assigned to this arm received conventional face-to-face classroom instruction on pressure injury prevention. The session covered the causes of pressure injuries, classification and observation, risk assessment, nutrition, preventive interventions, care for special patient groups, and medical device-related pressure injuries. The education was delivered using standardised presentation materials.
Receives: Behavioral: Face-to-Face Pressure Injury Prevention Education
AI-Supported Modular E-Learning ProgrammeExperimentalParticipants assigned to this arm completed an artificial intelligence-supported modular e-learning programme on pressure injury prevention. The programme included short video presentations, clinical examples, question-and-answer activities, short quizzes and feedback sections. The content covered the same core pressure injury prevention topics as the face-to-face instruction and was reviewed by experts before implementation.
Receives: Behavioral: AI-Supported Modular E-Learning Programme

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Pressure Injury Prevention Knowledge Score

    Outcome Measure Description:

    Pressure injury prevention knowledge will be assessed using the Turkish version of the Pressure Injury Knowledge Assessment Tool 2.0 (PIKAT 2.0-Tr). The tool evaluates evidence-based knowledge of pressure injury prevention, including aetiology, classification and observation, risk assessment, nutrition, prevention, and care for special patient groups. The total score ranges from 0 to 24, with higher scores indicating higher levels of pressure injury prevention knowledge.

    Measured: Baseline, immediately after the intervention, and 4 weeks after the intervention.

Secondary outcomes (2)
  1. Change in Pressure Injury Prevention Self-Efficacy Score

    Outcome Measure Description:

    Pressure injury prevention self-efficacy will be assessed using the Pressure Ulcer Management Self-Efficacy Scale (PUM-SES). This scale measures students' perceived confidence in performing pressure injury prevention and management-related activities. The total score is standardised from 0 to 100, with higher scores indicating higher perceived self-efficacy.

    Measured: Baseline, immediately after the intervention, and 4 weeks after the intervention.

  2. Change in Attitudes Towards Pressure Injury Prevention Score

    Outcome Measure Description:

    Attitudes towards pressure injury prevention will be assessed using the Attitude towards Pressure Ulcer Prevention instrument (APuP). The scale evaluates students' attitudes towards the importance, responsibility, and effectiveness of pressure injury prevention. The total score ranges from 13 to 52, with higher scores indicating more positive attitudes towards pressure injury prevention.

    Measured: Baseline, immediately after the intervention, and 4 weeks after the intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2026
  2. Study start30 May 2025
  3. Primary completion15 Jun 2025
  4. Study completion20 Jun 2025

Resources

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
Model description
Model Description This is a single-centre, two-arm, parallel-group randomised educational trial with 1:1 allocation. Undergraduate nursing students were randomly assigned to either face-to-face instruction or an artificial intelligence-supported modular e-learning programme for pressure injury prevention education. Outcomes were assessed before the intervention, immediately after the intervention and four weeks after the intervention.
Masking
None (open label)
Enrolment
162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07658209
Sponsor's protocol ID
kilis22222
Status last verified
Jun 2026
First submitted
9 Jun 2026
Last updated
18 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No individual participant data will be shared. The study was conducted with undergraduate nursing students at a single institution, and the dataset may include educational and demographic information that could increase the risk of indirect identification. De-identified aggregate results will be reported in publications and scientific presentations.

Publications

  • Beeckman D, Defloor T, Demarre L, Van Hecke A, Vanderwee K. Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP). Int J Nurs Stud. 2010 Nov;47(11):1432-41. doi: 10.1016/j.ijnurstu.2010.04.004. Epub 2010 May 14.

    PubMed 20466370
  • Dellafiore F, Arrigoni C, Ghizzardi G, Baroni I, Conte G, Turrini F, Castiello G, Magon A, Pittella F, Caruso R. Development and validation of the pressure ulcer management self-efficacy scale for nurses. J Clin Nurs. 2019 Sep;28(17-18):3177-3188. doi: 10.1111/jocn.14875. Epub 2019 Apr 21.

    PubMed 30938908
  • Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020 May;105:103546. doi: 10.1016/j.ijnurstu.2020.103546. Epub 2020 Jan 31.

    PubMed 32113142
  • Manderlier B, Van Damme N, Vanderwee K, Verhaeghe S, Van Hecke A, Beeckman D. Development and psychometric validation of PUKAT 2.0, a knowledge assessment tool for pressure ulcer prevention. Int Wound J. 2017 Dec;14(6):1041-1051. doi: 10.1111/iwj.12758. Epub 2017 May 26.

    PubMed 28547752

Questions about this trial

What is this clinical trial studying?

A study testing Face-to-Face Pressure Injury Prevention Education and AI-Supported Modular E-Learning Programme in people with Conditions or Focus of Study and Pressure Injury Prevention, run by Kilis 7 Aralik University 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 5 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: finished, as of the sponsor's last update on 18 Jun 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?

Change in Pressure Injury Prevention Knowledge Score (time frame: Baseline, immediately after the intervention, and 4 weeks after the intervention.). 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 NCT07658209, which also lists 4 linked publications.

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 18 Jun 2026.

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AI-Supported E-Learning for Pressure Injury Prevention | AzTrials