VR Episiotomy Simulation: Impact on Midwifery Students' Skills and Self-Efficacy (VESES)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorYuzuncu Yil University

About this trial

This study aims to develop and evaluate a virtual reality (VR)-based episiotomy training simulation for midwifery students. Episiotomy is a surgical procedure performed during childbirth, and incorrect application may lead to serious psychological and physiological consequences. While traditional training methods often use animal tissues or synthetic materials, recent advances in technology have introduced simulation-based learning. VR technology has shown potential to enhance learning outcomes, confidence, and satisfaction among healthcare students. Despite its growing use in medical education, there is currently no VR training model specifically designed for teaching episiotomy skills. This study will design a VR episiotomy simulation, assess its effectiveness in skill acquisition and learning, and propose it as a new educational method in midwifery training.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Able to speak and understand Turkish

Disqualifiers

Individuals who do not speak or understand Turkish

Trial design

Design model

Parallel

Treatments tested in this trial

  • Virtual Reality Simulation Training

    Behavioral

    This intervention is a virtual reality (VR)-based episiotomy simulation designed for midwifery students. The training is conducted in an immersive virtual delivery room, where participants perform the steps of episiotomy incision and suturing using VR headsets, motion sensors, and hand controllers. The simulation includes virtual surgical tools and interactive elements that replicate a clinical environment. This VR-based training differs from traditional model-based education by providing a more engaging and realistic experience, aiming to improve students' psychomotor skills and self-efficacy in performing episiotomy.

  • Traditional Episiotomy Training

    Behavioral

    This intervention consists of a traditional episiotomy training session using physical anatomical models (manikins) in a classroom environment. The training includes hands-on practice of episiotomy incision and suturing on silicone-based or synthetic perineal models, supervised by the instructor. This method reflects standard educational practices in midwifery training and does not involve virtual reality or simulation technology.

Treatment groups

87 Participants
are divided into 2 treatment groups
Group A: VR Simulation GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Episiotomy Self-Efficacy Score

Participants' episiotomy-related self-efficacy will be assessed using the Episiotomy Skills Self-Efficacy Scale (EBÖÖ), a validated 19-item Likert-type instrument. Each item is scored from 1 (strongly disagree) to 4 (strongly agree), with total scores ranging from 19 to 76. Higher scores indicate greater self-efficacy.

Time frame
Baseline (before training), immediately after training, and 1 month after training

Secondary outcomes

1

Episiotomy Skill Performance Score

Participants' practical episiotomy skills will be evaluated through a researcher-developed checklist. This checklist covers key steps in the episiotomy procedure. Each step is observed and scored, providing a total

Time frame
Immediately after training
2

Student Satisfaction with Training Method

Participants' satisfaction with the training method (VR or traditional mannequin) will be assessed using a researcher-developed satisfaction questionnaire. This includes Likert-scale questions evaluating the perceived usefulness, engagement, and satisfaction with the training.

Time frame
Immediately after training and 1 month after training

Other outcomes

Sponsors and contacts

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Yuzuncu Yil University

Lead sponsor

Inonu University

Collaborator

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