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Prenatal CareNCT07530822

Peyton Model In Midwifery Prenatal Education

A study testing Peyton Model Training and Standard Training in people with Prenatal Care and Midwifery Education, run by Saglik Bilimleri Universitesi 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

In this study, conducted with 64 students from the Gülhane Midwifery Department, the impact of the Peyton model on prenatal examination training was investigated. The students, randomly assigned to two groups, received theoretical and skills training; their knowledge, skills (blind assessor), self-efficacy, anxiety… Read more about this study

Who is it for?
Any age, women onlyHealthy volunteers can take part
What is being tested?
Peyton Model Training and Standard Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
1 siteTurkey (Türkiye)
Study dates
4 Dec 2025to 20 Feb 2026
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 Any age
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Students who have successfully completed the required first-year courses in the curriculum,
  • Students who have not previously performed or observed a prenatal examination,
  • Students who volunteer to participate in the study will be included in the study.

Who cannot join

  • Students who had a medical certificate or were on leave during the period the study was conducted,
  • Students who previously took the "Normal Pregnancy Process" and "High-Risk Pregnancies" courses and failed them,
  • Graduates of a health vocational high school,
  • Students with a diagnosed psychological disorder, those experiencing anxiety, or those taking medication for psychiatric treatment will not be included in the study.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • University of Health Sciences, Gulhane Faculty of Health Sciences, Department of Midwifery

    Ankara, keçiören, 06010

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels

In this study, conducted with 64 students from the Gülhane Midwifery Department, the impact of the Peyton model on prenatal examination training was investigated. The students, randomly assigned to two groups, received theoretical and skills training; their knowledge, skills (blind assessor), self-efficacy, anxiety, and satisfaction levels were measured in laboratory and clinical settings 1 and 8 weeks after the training.

Read the detailed description

This thesis study included 64 second-year students enrolled in the Midwifery Department at the Gülhane Faculty of Health Sciences, University of Health Sciences, who had not previously received any training in prenatal care. The participating students were asked to complete the "Student Demographic Information Form," the "Prenatal Examination Knowledge Test," and the "Clinical Performance Self-Efficacy Scale." The students were randomly assigned to two groups: the Peyton Group and the Standard Group. Both groups first received theoretical instruction in a classroom setting, followed by skill training tailored to their respective groups in a laboratory setting one week later. One week after the completion of both theoretical and practical training, the students were invited to the laboratory for the initial assessment. At this stage, participants were asked to complete the "Prenatal Examination Knowledge Test," the "Clinical Performance Self-Efficacy Scale," and the "State Anxiety Inventory" prior to the practical assessment. Practical skills were assessed by a blind evaluator through observation using the "Prenatal Examination Skills Checklist" on a mannequin. Eight weeks after the initial assessment, students were invited to the Prenatal Care Clinic at Gülhane Training and Research Hospital for the clinical practice assessment. Prior to the clinical evaluation, the students were asked to complete the "State Anxiety Inventory." The clinical prenatal examination was evaluated in the same manner by a blind evaluator using the "Prenatal Examination Skills Checklist." At the conclusion of the study, the students were asked to complete the "Satisfaction Survey on Teaching Methods" to determine their opinions regarding the teaching methods employed.

Being tested
Peyton Model Training, Standard Training
Keywords
Peyton Model, Midwifery Education, Prenatal Care
Medical subject headings
Anxiety Disorders

What participants receive

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

  • Peyton Model TrainingOther

    A four-step instructional method (Demonstration, Deconstruction, Comprehension, and Performance)

  • Standard TrainingOther

    Traditional lecture and demonstration-based training

Study groups in NCT07530822
Study groupRoleWhat they receive
Peyton GroupExperimentalMidwifery students receiving prenatal care training based on the Peyton Model
Receives: Other: Peyton Model Training
Standart GroupActive comparatorMidwifery students receiving standard prenatal care training
Receives: Other: Standard Training

What is being measured

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

  1. Prenatal Examination Skill Scores

    The Prenatal Care Skills Checklist was developed by the researchers and consists of 84 items within 4 subscales (Communication, History Taking, Physical Examination, and Evaluation/Planning/Documentation). The checklist uses a 2-point Likert scale and is evaluated on a 100-point system, where higher scores indicate an increased level of skill. Its content validity was validated by CVI.

    Measured: 1 week and 8 weeks post-training

Secondary outcomes (4)
  1. Clinical Performance Self-Efficacy Scale

    The Self-Efficacy in Clinical Performance Scale (SECPS) was developed by Cheraghi et al. (2009) and adapted into Turkish by Pozam and Zaybak (2013). It consists of 37 items and 4 subscales (Data Collection, Nursing Diagnosis/Planning, Implementation, and Evaluation). The scale uses an 11-point Likert-type format ranging from 0% to 100%. Evaluation is based on mean item scores (0-100), where higher scores indicate an increased level of clinical self-efficacy. The Cronbach's alpha coefficient was .98

    Measured: Before training, 1 week and 8 week post-training

  2. State Anxiety Levels

    The State-Trait Anxiety Inventory (STAI-S) was developed by Spielberger (1970) and adapted into Turkish by Öner and Le Compte (1983). For this study, the State Anxiety subscale (STAI-S) is used, consisting of 20 items that evaluate the individual's anxiety level at a specific moment. It is scored on a 4-point Likert scale, with total scores ranging from 20 to 80. Higher scores indicate an increased level of anxiety. The Cronbach's alpha coefficient for this subscale ranges from 0.94 to 0.96.

    Measured: 1 week and 8 weeks post-training

  3. Prenatal Care Knowledge Scores

    The Knowledge Test, developed by the researchers, consists of 25 items. Total scores range from 0 to 100, where higher scores indicate greater knowledge levels. The content validity was confirmed by experts using the Content Validity Index (CVI).

    Measured: Before training, 1 week and 8 week post-training

  4. Satisfaction with Teaching Methods

    The Educational Methods Satisfaction Questionnaire, developed by Gürpınar (2005), aims to evaluate participants' satisfaction with the educational method. It consists of 16 items scored on a 5-point Likert scale (1: Strongly disagree - 5: Strongly agree). The total score ranges from 16 to 80, where higher scores indicate an increased level of satisfaction. The internal consistency of the scale was validated with a Cronbach's alpha of 0.84.

    Measured: 8 weeks post-training (at the end of the study)

Timeline

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

  1. First posted15 Apr 2026
  2. Study start4 Dec 2025
  3. Primary completion26 Dec 2025
  4. Study completion20 Feb 2026

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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
A randomized parallel-group study design was used. Participants were divided into two groups: the intervention group receiving prenatal care training based on the Peyton Model, and the control group receiving standard training.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07530822
Sponsor's protocol ID
SBU-EBE-GA-01
Status last verified
Apr 2026
First submitted
1 Apr 2026
Last updated
15 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Heriwardito A, Ramlan AAW, Basith A, Aristya L. Effectiveness of endotracheal intubation and mask ventilation procedural skills training on second-year student using modified Peyton's Four-Step approach during COVID-19 pandemic. Med Educ Online. 2023 Dec;28(1):2256540. doi: 10.1080/10872981.2023.2256540.

    PubMed 37679958
  • Zhang X, Sun Z, Lan Q, Xu M, Guo X, Wei B. Enhancing Maternal ACLS Training: Evaluating the Effectiveness of a Modified Peyton's Four-Step Teaching Approach. Adv Med Educ Pract. 2025 Oct 10;16:1837-1845. doi: 10.2147/AMEP.S542286. eCollection 2025.

    PubMed 41098552
  • Matschl J, Ploger R, Wittek A, Walter A, Gembruch U, Strizek B, Recker F. Developing and Assessing an Integrated Comprehensive Obstetric Ultrasound Training Program for Undergraduate Medical Students - the Fetal Assessment in Medical Education Study (FAME study). Geburtshilfe Frauenheilkd. 2025 Mar 3;85(9):976-986. doi: 10.1055/a-2531-2707. eCollection 2025 Sep.

    PubMed 40904337
  • Cenaj D, Schulte-Uentrop L, Laura Kroger LF, Kullmei J, Haus JM, Moll-Khosrawi P. The Effectiveness of Peyton's 4-Step Approach to Teach Resuscitation Skills: A Randomized Controlled Clarification Study. J Med Educ Curric Dev. 2025 Jul 24;12:23821205251358090. doi: 10.1177/23821205251358090. eCollection 2025 Jan-Dec.

    PubMed 40735144
  • Balafoutas D, Joukhadar R, Kiesel M, Hausler S, Loeb S, Woeckel A, Herr D. The Role of Deconstructive Teaching in the Training of Laparoscopy. JSLS. 2019 Apr-Jun;23(2):e2019.00020. doi: 10.4293/JSLS.2019.00020.

    PubMed 31285653
  • Dasci S, Schrem H, Oldhafer F, Beetz O, Kleine-Dopke D, Vondran F, Beneke J, Sarisin A, Ramackers W. Learning surgical knot tying and suturing technique - effects of different forms of training in a controlled randomized trial with dental students. GMS J Med Educ. 2023 Jun 15;40(4):Doc48. doi: 10.3205/zma001630. eCollection 2023.

    PubMed 37560044
  • Leitmann A, Reinert S, Weise H. Surgical suture course for dental students with the Peyton-4-step approach versus the PDCA cycle using video assisted self-monitoring. BMC Oral Health. 2020 Dec 30;20(1):365. doi: 10.1186/s12903-020-01309-x.

    PubMed 33380320
  • Smith CJ, Rohlfsen C, Wardian J, Sahak K. Teaching Procedural Skills: Integrating Educational Theory Into Practice. MedEdPORTAL. 2024 Dec 11;20:11476. doi: 10.15766/mep_2374-8265.11476. eCollection 2024.

    PubMed 39664508
  • Schmidt M, Schauwinhold MT, Loeffler LAK, Klasen M, Lambert SI, Sopka S, Vogt L. Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. Ann Med. 2024 Dec;56(1):2408458. doi: 10.1080/07853890.2024.2408458. Epub 2024 Oct 7.

    PubMed 39624958
  • Abbasi M, Taghadosi M, Atoof F, Hosseiniara R. A quasi-experimental comparison of Kolb and Peyton educational approaches on CPR knowledge and performance among nurses. BMC Med Educ. 2025 Apr 14;25(1):530. doi: 10.1186/s12909-025-06996-0.

    PubMed 40229639
  • Briones-Zamora KH, Briones-Claudett KH, Diaz Mora P, Berrus Zhumi E, Polanco Montero A, Serrano Torres WE, Benites Solis J, Briones-Zamora AD, Briones-Marquez DC. Comparison of Peyton's Four-Step Approach and Rapid Cycle Deliberate Practice in Basic and Advanced Airway Management: A Simulation-Based Study. Cureus. 2025 Aug 14;17(8):e90113. doi: 10.7759/cureus.90113. eCollection 2025 Aug.

    PubMed 40823457
  • Breunig M, Kingsley R, Schroeder D, Kraus J, Plooster C, Galush T, Boldenow L, Ragaisis T, Regan H, Schouten WM, Shafay R, Issa M, T Kashiwagi D. The effect of Peyton's four-step method for teaching point-of-care ultrasound psychomotor skills: an experimental study. Ultrasound J. 2025 Nov 11;17(1):58. doi: 10.1186/s13089-025-00466-w.

    PubMed 41217693
  • Giacomino K, Caliesch R, Sattelmayer KM. The effectiveness of the Peyton's 4-step teaching approach on skill acquisition of procedures in health professions education: A systematic review and meta-analysis with integrated meta-regression. PeerJ. 2020 Oct 9;8:e10129. doi: 10.7717/peerj.10129. eCollection 2020.

    PubMed 33083149
  • Sahin M, Dogu O. The effect of Halsted and Peyton teaching approaches on objective performance, self-regulated learning and satisfaction in nursing skills education: A randomized controlled trial. Nurse Educ Pract. 2026 Mar;92:104726. doi: 10.1016/j.nepr.2026.104726. Epub 2026 Jan 27.

    PubMed 41621188

Questions about this trial

What is this clinical trial studying?

A study testing Peyton Model Training and Standard Training in people with Prenatal Care and Midwifery Education, run by Saglik Bilimleri Universitesi 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 3 inclusion and 4 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 15 Apr 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?

Prenatal Examination Skill Scores (time frame: 1 week and 8 weeks post-training). 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 NCT07530822, which also lists 14 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 15 Apr 2026.

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