EducationMOSAIC-EPINCT07804108
Effect of Mosaic Art on Episiotomy Repair Skills, Anxiety, and Learning Attitudes in Midwifery Students
A study testing Mosaic Art Practice and Standard Episiotomy Repair Training in people with Education and Nursing, run by Kahramanmaras Sutcu Imam University.
Trial summary
Objective: The aim of this study is to evaluate the effect of mosaic art in midwifery education on episiotomy repair performance, self-efficacy, and anxiety: a randomized controlled trial. Read more about this study
- Who is it for?
- Ages 18 to 35 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Education, Nursing, Midwifery Education
- What is being tested?
- Mosaic Art Practice and Standard Episiotomy Repair Training
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 106 participants
- Where
- No sites listed yet
- Study dates
- 28 Sep 2026to 30 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 18 to 35 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Being enrolled as a third-year student in the Department of Midwifery, Faculty of -Health Sciences, Kahramanmaraş Sütçü İmam University, during the Fall -semester of the 2026-2027 academic year.
- Volunteering to participate in the study.
- Providing written informed consent.
- Having no previous clinical practice experience in episiotomy repair.
- Having no previous participation in a structured training program involving mosaic art or similar activities requiring fine motor skills.
Who cannot join
- Having previous clinical practice experience in episiotomy repair.
- Having previously participated in a structured mosaic art training program or a similar structured program requiring fine motor skills.
- Having a condition that prevents participation in the mosaic art activities or episiotomy repair simulation practice.
- Declining or withdrawing consent to participate in the study
About this study
Official title: The Effect of Mosaic Art Practice on Fine Motor Skills, Anxiety Levels, and Learning Attitudes in Episiotomy Repair Among Midwifery Students: A Randomized Controlled Trial
Objective: The aim of this study is to evaluate the effect of mosaic art in midwifery education on episiotomy repair performance, self-efficacy, and anxiety: a randomized controlled trial. Method/Data Collection Techniques: The study was planned in a two-parallel-group randomized controlled experimental design including pre-test and post-test measurements. The study will be conducted with third-year students studying in the Midwifery Department of the Faculty of Health Sciences at Kahramanmaraş Sütçü İmam University during the fall semester of the 2026-2027 academic year. The sample size was calculated using the G*Power 3.1.9.7 program, and based on Cohen's effect size d=0.55, α=0.05, and 80% power, a total of 106 students were planned to be included in the study, with 53 students in each group. Participants will be assigned to intervention and control groups using a simple randomization method. The intervention group will receive structured mosaic art training for six weeks, with two sessions per week, while the control group will not receive any art-based application during this period. Following the intervention, both groups will receive theoretical and practical training in standard episiotomy repair. Data will be collected using the Participant Information Form, State Anxiety Scale (STAI-TX I), Episiotomy Self-Efficacy Scale, Attitudes Towards Learning Scale, and Episiotomy Repair Skill Assessment Form. Appropriate descriptive statistics and parametric or non-parametric comparison tests will be used in the analysis of the data, with a statistical significance level of p<0.05. Expected Results: This research is expected to provide scientific evidence regarding the use of art-based teaching methods in midwifery education by revealing the effect of mosaic art application on midwifery students' episiotomy repair skills, self-efficacy, attitudes towards learning, and state anxiety levels. It is anticipated that the research results will contribute to the development of effective teaching strategies in psychomotor skills training and the strengthening of midwifery education programs.
- Conditions
- Education, Nursing, Midwifery Education, Midwifery
- Being tested
- Mosaic Art Practice, Standard Episiotomy Repair Training
- Keywords
- Mosaic Art, Midwifery Students, Episiotomy Repair, Anxiety, imulation-Based Education
- Medical subject headings
- Anxiety Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mosaic Art PracticeBehavioural
Participants assigned to the intervention group will participate in a structured mosaic art program for six weeks before episiotomy repair training. The program will consist of two 45-minute sessions per week (12 sessions in total). Participants will engage in mosaic art activities requiring coordinated hand and finger movements and fine motor control. After completion of the mosaic art program, participants will receive the same theoretical and practical episiotomy repair training provided to the control group.
Standard Episiotomy Repair TrainingBehavioural
Participants will receive standardized theoretical and practical episiotomy repair training. The training will include 2 hours of theoretical instruction and 6 hours of practical training using a silicone episiotomy repair model. The same standardized episiotomy repair training will be provided to participants in both study groups.
| Study group | Role | What they receive |
|---|---|---|
| Mosaic Art Group | Experimental | Participants in this group will receive the planned mosaic art intervention before episiotomy repair training. The mosaic art program will be conducted for 6 weeks, with two 45-minute sessions per week. Following the intervention, participants will receive the standard theoretical and practical episiotomy repair training. Receives: Behavioral: Mosaic Art Practice; Behavioral: Standard Episiotomy Repair Training |
| Control Group | Active comparator | Participants in the control group will not receive the mosaic art intervention. They will receive the same standard theoretical and practical episiotomy repair training as the intervention group Receives: Behavioral: Standard Episiotomy Repair Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Episiotomy Self-Efficacy
Episiotomy self-efficacy will be assessed using the Episiotomy Self-Efficacy Scale developed by Yolcu et al. (2025). The scale consists of 17 items across four subdimensions: cognitive (5 items), affective (5 items), motivation (3 items), and psychomotor (4 items). Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). There are no reverse-scored items. The total score ranges from 17 to 85, with higher scores indicating greater episiotomy self-efficacy.
Measured: Immediately before and immediately after the episiotomy repair training
Episiotomy Repair Skill Performance
Episiotomy repair skill performance will be assessed using the Episiotomy Repair Skill Assessment Form developed by the researchers based on the relevant literature and expert review. The form consists of 20 procedural steps assessing the performance of
Measured: Baseline and immediately post-intervention
Secondary outcomes (2)
State Anxiety (STAI Form TX-I)
State anxiety will be assessed using the State-Trait Anxiety Inventory, State Anxiety Form (STAI Form TX-I). The scale consists of 20 items rated on a 4-point scale. Total scores range from 20 to 80, with higher scores indicating higher levels of state anxiety.
Measured: Baseline and immediately post-intervention
Attitudes Toward Learning
Attitudes toward learning will be assessed using the Attitudes Toward Learning Scale developed by Kara (2010). The scale consists of 40 items and four subdimensions: Nature of Learning (7 items), Anxiety About Learning (13 items), Expectations About Learning (9 items), and Openness to Learning (11 items). Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree). Eleven negatively worded items are reverse scored. Higher scores indicate more positive attitudes toward learning.
Measured: Baseline and immediately post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Sep 2026
- Study start28 Sep 2026 (estimated)
- Primary completion30 Dec 2026 (estimated)
- Study completion30 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EducationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 106 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kahramanmaras Sutcu Imam University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mine Gokduman Keles, Kahramanmaras Sutcu Imam University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07804108
- Sponsor's protocol ID
- KSÜ-MOSAIC-EPI-2026
- Acronym
- MOSAIC-EPI
- Status last verified
- Aug 2026
- First submitted
- 27 Aug 2026
- Last updated
- 4 Sep 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Mosaic Art Practice on Fine Motor Skills, Anxiety Levels, and Learning Attitudes in Episiotomy Repair Among Midwifery Students: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07804108
- Acronym / sponsor ID
- MOSAIC-EPI / KSÜ-MOSAIC-EPI-2026
- Conditions
- Education, Nursing, Midwifery Education, Midwifery
- Keywords
- Mosaic Art, Midwifery Students, Episiotomy Repair, Anxiety, imulation-Based Education
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 106 participants (estimated)
- Lead sponsor
- Kahramanmaras Sutcu Imam UniversityUniversity, hospital or other
- Study start
- 28 Sep 2026 (estimated)
- Primary completion
- 30 Dec 2026 (estimated)
- Study completion
- 30 Dec 2026 (estimated)
- First posted
- 4 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objective: The aim of this study is to evaluate the effect of mosaic art in midwifery education on episiotomy repair performance, self-efficacy, and anxiety: a randomized controlled trial. Method/Data Collection Techniques: The study was planned in a two-parallel-group randomized controlled experimental design including pre-test and post-test measurements. The study will be conducted with third-year students studying in the Midwifery Department of the Faculty of Health Sciences at Kahramanmaraş Sütçü İmam University during the fall semester of the 2026-2027 academic year. The sample size was calculated using the G*Power 3.1.9.7 program, and based on Cohen's effect size d=0.55, α=0.05, and 80% power, a total of 106 students were planned to be included in the study, with 53 students in each group. Participants will be assigned to intervention and control groups using a simple randomization method. The intervention group will receive structured mosaic art training for six weeks, with two sessions per week, while the control group will not receive any art-based application during this period. Following the intervention, both groups will receive theoretical and practical training in standard episiotomy repair. Data will be collected using the Participant Information Form, State Anxiety Scale (STAI-TX I), Episiotomy Self-Efficacy Scale, Attitudes Towards Learning Scale, and Episiotomy Repair Skill Assessment Form. Appropriate descriptive statistics and parametric or non-parametric comparison tests will be used in the analysis of the data, with a statistical significance level of p<0.05. Expected Results: This research is expected to provide scientific evidence regarding the use of art-based teaching methods in midwifery education by revealing the effect of mosaic art application on midwifery students' episiotomy repair skills, self-efficacy, attitudes towards learning, and state anxiety levels. It is anticipated that the research results will contribute to the development of effective teaching strategies in psychomotor skills training and the strengthening of midwifery education programs.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mosaic Art Group | Experimental | Behavioral: Mosaic Art Practice, Behavioral: Standard Episiotomy Repair TrainingParticipants in this group will receive the planned mosaic art intervention before episiotomy repair training. The mosaic art program will be conducted for 6 weeks, with two 45-minute sessions per week. Following the intervention, participants will receive the standard theoretical and practical episiotomy repair training. |
| Control Group | Active comparator | Behavioral: Standard Episiotomy Repair TrainingParticipants in the control group will not receive the mosaic art intervention. They will receive the same standard theoretical and practical episiotomy repair training as the intervention group |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Being enrolled as a third-year student in the Department of Midwifery, Faculty of -Health Sciences, Kahramanmaraş Sütçü İmam University, during the Fall -semester of the 2026-2027 academic year.
- Volunteering to participate in the study.
- Providing written informed consent.
- Having no previous clinical practice experience in episiotomy repair.
- Having no previous participation in a structured training program involving mosaic art or similar activities requiring fine motor skills.
Key exclusion criteria (4 listed)
- Having previous clinical practice experience in episiotomy repair.
- Having previously participated in a structured mosaic art training program or a similar structured program requiring fine motor skills.
- Having a condition that prevents participation in the mosaic art activities or episiotomy repair simulation practice.
- Declining or withdrawing consent to participate in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mosaic Art PracticeParticipants assigned to the intervention group will participate in a structured mosaic art program for six weeks before episiotomy repair training. The program will consist of two 45-minute sessions per week (12 sessions in total). Participants will engage in mosaic art activities requiring coordinated hand and finger movements and fine motor control. After completion of the mosaic art program, participants will receive the same theoretical and practical episiotomy repair training provided to the control group. | Behavioural | Mosaic Art Group |
| Standard Episiotomy Repair TrainingParticipants will receive standardized theoretical and practical episiotomy repair training. The training will include 2 hours of theoretical instruction and 6 hours of practical training using a silicone episiotomy repair model. The same standardized episiotomy repair training will be provided to participants in both study groups. | Behavioural | Control Group, Mosaic Art Group |
Primary outcome
Episiotomy Self-Efficacy
Time frame: Immediately before and immediately after the episiotomy repair training
Episiotomy self-efficacy will be assessed using the Episiotomy Self-Efficacy Scale developed by Yolcu et al. (2025). The scale consists of 17 items across four subdimensions: cognitive (5 items), affective (5 items), motivation (3 items), and psychomotor (4 items). Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). There are no reverse-scored items. The total score ranges from 17 to 85, with higher scores indicating greater episiotomy self-efficacy.
Episiotomy Repair Skill Performance
Time frame: Baseline and immediately post-intervention
Episiotomy repair skill performance will be assessed using the Episiotomy Repair Skill Assessment Form developed by the researchers based on the relevant literature and expert review. The form consists of 20 procedural steps assessing the performance of
2 secondary outcomes
State Anxiety (STAI Form TX-I)
Time frame: Baseline and immediately post-intervention
Attitudes Toward Learning
Time frame: Baseline and immediately post-intervention
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Mosaic Art Practice and Standard Episiotomy Repair Training in people with Education and Nursing, run by Kahramanmaras Sutcu Imam University.
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 5 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: opening soon, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
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?
Episiotomy Self-Efficacy (time frame: Immediately before and immediately after the episiotomy repair training). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 4 Sep 2026.