Flipped Classroom Sexual Health Education Trial

Sexual health is an integral component of individuals' physical, emotional, mental, and social well-being. Lack of knowledge and cultural taboos negatively affect individuals' ability to make informed decisions and adopt protective behaviors. Therefore, effective sexual health education is of great importance. The flipped learning method, a student-centered approach, promotes active participation and long-term learning. This study aimed to examine the effect of sexual health education delivered through the flipped learning method on university students' sexual health knowledge levels and sexual health literacy.

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Key information

Conditions

Sexual Health Adherence Interventions Behavior Flipped Classroom Model in Teaching Health Behavior Health Education Health Literacy Medication Adherence Patient Acceptance of Health Care Patient Compliance Randomized Controlled Trial Treatment Adherence and Compliance

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kto Karatay University

Konya, Turkey (Türkiye)

About this study

This study is a randomized controlled experimental research designed using quantitative methods and was conducted between September and November 2025 at two private universities in Konya and Mersin. The study included individuals aged 18 and over who were nursing or midwifery students, had access to online education, and had not previously received structured sexual health education. Those who did not attend more than 20% of the training, did not complete the assessment tools, had previously received formal sexual health education, and withdrew from the study without justification were excluded.

The intervention group received structured sexual health education based on a flipped classroom approach; weekly 90-minute online sessions were conducted for 10 weeks, including pre-learning materials and active learning methods. The control group received the same curriculum using traditional teaching methods, matched to the intervention group in terms of duration and number of sessions.

Data were collected using the Personal Information Form (PIF) and the Sexual Health Literacy Scale (SHLS).

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Being 18 years of age or older
Being enrolled in a health-related department at a university
Having internet access and the technical equipment required to follow online training sessions
Not having previously participated in a structured sexual health education program with similar content

Exclusion criteria

Studying in health departments where the instructors of the training are teaching
Attending less than 80% of the training sessions (missing 3 or more sessions)
Failing to complete the assessment tools without a valid excuse during the study
Having previously received formal sexual health education
Voluntarily withdrawing from the study without providing a reason

Treatment and study plan

Flipped learning

Behavioral

Students in this group will be offered a sexual health education programme developed in line with structured learning objectives and organised according to the flipped learning approach. The training will be supported by video lectures, reading materials and digital presentations during the pre-learning phase, while active learning strategies such as case discussions, role-playing and group activities will be implemented in synchronous sessions. The training will be conducted over a total of 10 weeks, with 90-minute online sessions held once a week. All content will be prepared by researchers and subject matter experts, and content validity will be ensured.

Primary outcomes

Sexual Health Literacy

Time frame: Baseline (pretest), Week 5 (follow-up test), Week 10 (posttest)

It will be measured using the Sexual Health Literacy Scale.The minimum score obtainable on the scale is 17, while the maximum score is 85. An increase in scores indicates that the individual has a high level of sexual health literacy.

Sponsors and collaborators

Lead sponsor

KTO Karatay University

Other

Registry information

Official study title

The Effect of Sexual Health Education Provided Using the Flipped Classroom Method on University Students' Sexual Health Literacy Levels: A Randomised Controlled Trial

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2026
First posted: Dec 29, 2025
Registry last updated: Jan 21, 2026

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.

Completed