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Completed

NCT Number: NCT07229183

Family Planning Counseling and Simulation

The purpose of this experimental study is to investigate the effects of standardized patient simulation and peer simulation on midwifery students' family planning counseling and material development skills.

The main questions it aims to answer are:

Do standardized patient simulation and peer simulation training affect midwifery students' family planning counseling skills?

Do standardized patient simulation and peer simulation training affect midwifery students' material development skills?

The researchers will compare simulation groups with a control group to determine whether simulation training improves midwifery students' family planning counseling and material development skills.

Participants:

For the peer simulation, three volunteer second-year midwifery students will portray a peer in the client role.

Three volunteer undergraduate/master's students with prior theater training will portray a standardized patient in the client role.

The control group, without receiving simulation training, will prepare educational material on general family planning counseling after the simulation sessions and present this material to their peers in a classroom setting as a counseling practice.

Simulation groups will complete the State/Trait Anxiety Inventory before simulation and family planning counseling, and the control group will complete the State/Trait Anxiety Inventory before family planning counseling.

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Key information

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Tokat Gaziosmanpaşa Üniversitesi

Tokat Province, Central, 60250, Turkey (Türkiye)

About this study

The goal of family planning services is to improve pregnancy planning and spacing and to prevent unintended pregnancies. They enable individuals to achieve desired birth spacing and family size and contribute to improved health outcomes for children, women, and families. According to the World Health Organization (2014) and the United Nations (2014), all couples and individuals have the right to freely and responsibly decide on the number, spacing, and timing of their children and to have the information and tools necessary to do so. Family planning provides multifaceted benefits for women and their families.

It is unique among health interventions in terms of its breadth of health, development, and economic benefits, including reducing maternal and child mortality, empowering women and girls, and increasing environmental sustainability. Midwives play a crucial role in improving maternal and infant health and providing family planning and reproductive health services.

Family planning relies, in part, on the communication skills and attitudes of healthcare providers involved in counseling. A study demonstrated that a client-centered approach to family planning counseling, which fosters shared decision-making, builds trust, and explores client preferences, increases satisfaction and retention. Another study suggests that midwifery students need more practical training in contraception and sexual health.

The use of printed educational materials is recommended to supplement and reinforce health information commonly delivered orally, thereby increasing the effectiveness of health education. According to Bernier, written educational materials offer a number of advantages, including message consistency, reusability, portability, distribution flexibility, information retention, and cost-effectiveness of production and updating. Healthcare professionals should provide written health education materials designed according to best-practice principles in written health education material design and focused on the healthy/ill individual. Health education materials are only effective if they are read, understood, and remembered by healthy/ill individuals.

By writing their own educational materials, health educators can adapt content to the policies, procedures, and equipment of their respective institutions, create answers to frequently asked questions by healthy and sick individuals, emphasize points deemed particularly important by healthcare professionals, and reinforce specific verbal instructions that clarify difficult concepts and address specific healthy and sick needs.

In this context, enhancing midwifery students' material development skills is crucial.

Standardized patients are individuals who have received special training to accurately convey a patient's story so accurately that even experienced healthcare professionals cannot distinguish them from real patients. By embodying all the physical and psychological characteristics of real patients, they provide students with a holistic understanding of patient care. These individuals are frequently used in health sciences education to promote the development of communication skills and other core competencies.

They can consistently represent a wide variety of scenarios. Issues such as high cost, standardized patient training, and other limitations limit the use of standardized patients in health education. A potential alternative to standardized patients is to have students role-play the patient. Peer simulation is an advanced form of role-playing in which students are trained to role-play clinical scenarios for their peers. While there are studies examining the impact of simulation on improving family planning counseling, no studies have been found comparing the effectiveness of standardized patient simulation with peer simulation.

In addition, this study focuses on the ability to prepare educational materials on the subject as well as family planning counseling.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Students taking the course for the first time
  • Students who agree to participate in the research
  • Students who continue the theoretical part of the course

Exclusion criteria

  • Students who did not attend simulation sessions

Treatment and study plan

Standardized patient simulation practice

Behavioral

Creating family planning scenarios Preparing educational materials Identifying and training standardized patients on the scenarios Providing family planning counseling with standardized patients in simulation sessions accompanied by educational materials

Peer Simulation practice

Behavioral

Creating family planning scenarios Preparing educational materials Identifying and training peers on the scenarios Providing family planning counseling in simulation sessions with peers using educational materials

Primary outcomes

  1. State/Trait Anxiety Inventory

    Time frame: Pre-simulation (Baseline) and Pre-family planning counseling

    • Not at all,
    • A little,
    • A lot, and 4) Completely
  2. General Counseling Evaluation Form in Family Planning

    Time frame: Throughout family planning counseling-10 minutes

    "1 = needs improvement" (steps are implemented incorrectly or skipped),

    "2 = adequate" (steps are implemented correctly and in the correct order, but progress from step to step is not smooth),

    "3 = mastered" (steps are implemented correctly and in the correct order, and progress is smooth from step to step)

  3. Patient Education Material Evaluation Tool

    Time frame: Pre-family planning counseling- 5 minutes

    Disagree = 0 points Agree = 1 point No Rating

Sponsors and collaborators

Lead sponsor

Tokat Gaziosmanpasa University

Other

Registry information

Official study title

Midwifery Students' Family Planning Counseling and Material Development Skills and the Effectiveness of Standardized Patient Simulation and Peer Simulation

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Nov 14, 2025
Registry last updated
Nov 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.