Moulage Technique in Child Abuse Recognition

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-25
SponsorAtlas University

About this trial

Early recognition of physical abuse in children is essential for ensuring child safety and preventing further harm. However, distinguishing abuse-related injuries from accidental findings can be challenging, especially for nursing students who have limited clinical experience. Simulation-based educational methods may provide safe and effective environments for developing these skills.

This study aims to evaluate the effectiveness of moulage-based simulation training in improving nursing students' ability to recognize signs of physical abuse in children. The study will use a randomized controlled design in which students will be assigned to either a moulage-based simulation group or a control group receiving standard theoretical education.

After a lecture on child physical abuse within the Child Health and Pediatric Nursing course, students will participate in laboratory practice sessions. The intervention group will assess a pediatric mannequin prepared with simulated abuse findings using moulage techniques. Students' knowledge and recognition of physical abuse indicators will be evaluated before and after the intervention.

The study seeks to determine whether moulage-based education improves nursing students' recognition of physical abuse findings and supports the development of clinical assessment skills.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Agreeing to participate in the study voluntarily

Having completed the Child Health and Diseases course

Disqualifiers

Having received any education or training related to child abuse and neglect other than the Child Health and Diseases course

Trial design

Design model

Parallel

Treatments tested in this trial

  • Moulage Technique Group

    Other intervention

    Makeup (moulage) will be applied to a 3-5-year-old mannequin by an expert trained in moulage techniques. The application will be based on visual examples of physical abuse findings presented in the book "Physical Signs of Child Abuse" (Hobbs \& Wynne, 2001), which serves as an atlas commonly used in healthcare studies for identifying physical signs and lesions associated with child abuse. Students will then be asked to perform a "general physical assessment of the child" on the mannequin with the applied moulage injuries.

  • movie group

    Other intervention

    Control group watches film clips showing physical abuse signs to support learning and discussion. A total of 30 minutes of selected clips from three films depicting physical abuse (Sleepers, Antwone Fisher, The Tale) will be shown. These clips include visual examples of physical abuse indicators, such as bruises, repeated injury marks (e.g., belt buckle marks, stick marks), and soft tissue injuries. The films will be shown only within the scope of the study and not as part of the course curriculum.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Control group watching film clips showing physical abuse signs to support learning and discussion.Active comparator 1 intervention
Group B: Moulage Technique GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Healthcare Professionals' Attitudes Toward Reporting Child Abuse Scale

It is a 5-point Likert scale. Each item is scored as: Strongly disagree = 1 Disagree = 2 Neutral = 3 Agree = 4 Strongly agree = 5 Some items are reverse-scored; for these, 1↔5, 2↔4, 3 remains 3. Total score is the sum of all item scores. Higher scores indicate a more positive attitude toward reporting child abuse, while lower scores indicate reluctance or a negative attitude.

Time frame
"pre-intervention"
2

Recognition of the signs and risk factors of child abuse and neglect measured using the Scale for Identifying the Signs and Risks of Child Abuse and Neglect.

The Attitudes of Healthcare Professionals Toward Reporting Child Abuse Scale, developed by Aynur Uysal in 1998, has 67 items and six subscales assessing knowledge of physical, behavioral, and neglect signs of abuse, as well as parent, child, and family risk factors. Items are rated on a 5-point Likert scale, with some reverse-scored, and higher subscale averages indicate greater knowledge in that area.

Time frame
"immediately after the intervention"

Secondary outcomes

1

Student Satisfaction and Self-Confidence in Learning

The scale is a 12-item, 5-point Likert instrument with two subscales: "Satisfaction with Current Learning" (5 items) and "Self-Confidence in Learning" (7 items). Scores range from 1 to 5 per item, with higher scores indicating greater learning satisfaction and self-confidence, and the total score ranges from 12 to 60. The scale consists of 12 items and two subscales: Satisfaction with Current Learning (5 items) Self-Confidence in Learning (7 items) The instrument is a five-point Likert-type scale ranging from 1 to 5, and it contains no negatively worded items. Total scores range from 12 to 60, with higher scores indicating higher levels of satisfaction with learning and greater self-confidence. The internal consistency reliability of the scale was reported as Cronbach's alpha = 0.89.

Time frame
"immediately after the intervention"

Other outcomes

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