Exercise-Assisted Ergonomic Training for Pain, Sleep, and Anxiety in Nursing Students: RCT

NCT ID: NCT07150741

Last Updated: 2025-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-15

Study Completion Date

2025-12-30

Brief Summary

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This randomized controlled trial aims to evaluate the effect of exercise-assisted ergonomic training on pain, sleep quality, and anxiety levels among nursing students. The study population consists of students enrolled in the Nursing Department of Kütahya Health Sciences University. Sixty participants will be recruited according to inclusion criteria and randomly assigned into intervention and control groups.

The intervention group will receive a structured ergonomic training program combined with exercise sessions, including theoretical lectures and practical exercise videos delivered twice a week for four weeks. The control group will continue with their standard nursing curriculum without additional ergonomic or exercise support. Data will be collected using the Numeric Pain Rating Scale, Pittsburgh Sleep Quality Index, and State Anxiety Inventory before and after the intervention.

The study is expected to provide evidence on the effectiveness of ergonomic and exercise-based strategies in reducing pain, improving sleep quality, and lowering anxiety among nursing students, supporting the integration of such programs into nursing education.

Detailed Description

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Objective:

This study aims to evaluate the effect of exercise-assisted ergonomic training on pain, sleep quality, and anxiety levels among nursing students.

Study Design:

This is a randomized controlled experimental trial. Sixty nursing students who meet inclusion criteria and volunteer to participate will be randomly assigned to either the intervention group (Group A) or control group (Group B), with 30 participants per group. Randomization will be performed using computer-assisted software (www.randomization.com

).

Intervention:

Theoretical Training: The intervention group will receive two theoretical training sessions covering ergonomics, posture analysis, body mechanics, ergonomic risks in nursing, and recommended exercises.

Practical Exercise Sessions: Over four weeks, participants will complete eight exercise sessions (2 per week, 30-40 minutes each) via videos demonstrating warm-up, stretching, strengthening, balance, and posture exercises. The sessions will be supervised by an exercise expert to ensure safety and proper technique.

The control group will continue with the standard nursing curriculum without additional ergonomic or exercise support.

Data Collection:

Data will be collected before and after the intervention using:

Demographic Characteristics Form

Numeric Pain Rating Scale

Pittsburgh Sleep Quality Index

State Anxiety Inventory

Blinding and Bias Prevention:

Participants will be blinded to the group assignments. Data collection will be conducted by a second researcher unaware of the group allocations, and a third researcher will analyze the data while blinded to group identity. CONSORT guidelines will be followed in reporting the results.

Expected Outcomes:

The study is expected to provide evidence on the effectiveness of exercise-assisted ergonomic training in reducing pain, improving sleep quality, and lowering anxiety levels among nursing students, supporting the integration of ergonomic and exercise-based strategies in nursing education.

Conditions

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Pain Sleep Anxiety State

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned into two parallel groups. The intervention group will receive exercise-assisted ergonomic training, including theoretical lectures and practical exercise sessions, while the control group will continue with the standard nursing curriculum without additional ergonomic or exercise support. Each participant will remain in their assigned group throughout the study, and outcomes will be compared between the two groups.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Participants and care providers are aware of group assignments. Data collection and outcome assessment will be conducted by a second researcher who is blinded to group allocation. The third researcher performing statistical analyses will also be blinded to group identity to minimize bias in outcome evaluation.

Study Groups

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Intervention Group

Participants will receive exercise-assisted ergonomic training over 4 weeks. The program includes two theoretical training sessions covering ergonomics, posture analysis, body mechanics, ergonomic risks in nursing, and recommended exercises. In addition, participants will complete eight practical exercise sessions via videos (2 per week, 30-40 minutes each) including warm-up, stretching, strengthening, balance, and posture exercises. The intervention is supervised by an exercise expert to ensure proper technique and safety.

Group Type EXPERIMENTAL

Exercise-Assisted Ergonomic Training

Intervention Type BEHAVIORAL

The program includes structured ergonomic and exercise activities designed to improve posture, reduce musculoskeletal pain, enhance sleep quality, and decrease anxiety levels among nursing students. Theoretical lectures cover ergonomics principles, postural assessment, body mechanics, and ergonomic risks in nursing. Practical sessions are delivered via video twice a week for 4 weeks, each lasting 30-40 minutes, including warm-up, stretching, strengthening, balance, and posture exercises. The intervention is supervised by an exercise specialist to ensure safety and proper technique.

Control group

Participants will continue with their standard nursing curriculum and will not receive additional ergonomic or exercise training during the study period.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Exercise-Assisted Ergonomic Training

The program includes structured ergonomic and exercise activities designed to improve posture, reduce musculoskeletal pain, enhance sleep quality, and decrease anxiety levels among nursing students. Theoretical lectures cover ergonomics principles, postural assessment, body mechanics, and ergonomic risks in nursing. Practical sessions are delivered via video twice a week for 4 weeks, each lasting 30-40 minutes, including warm-up, stretching, strengthening, balance, and posture exercises. The intervention is supervised by an exercise specialist to ensure safety and proper technique.

Intervention Type BEHAVIORAL

Other Intervention Names

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Ergonomic Training + Exercise Program

Eligibility Criteria

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Inclusion Criteria

* Being a student in the Nursing Department of Kütahya Health Sciences University.
* Willingness to participate in the study voluntarily.
* No chronic diseases preventing exercise (e.g., COPD, heart failure).
* No hearing impairments.
* No psychiatric diagnosis (e.g., major depression, anxiety disorders) and not using related medications.
* Ability to use a smartphone (iOS or Android) and have internet access.
* No neurological, systemic, or psychiatric disorders.

Exclusion Criteria

* Students unwilling to participate in the study.
* Developing any health problem during the intervention period.
* Unable to continue participation for any reason.
* Voluntarily withdrawing from the study.
* Pain level above 5 on the Numeric Pain Rating Scale at baseline; such participants will be referred to a physiotherapist.
* Any adverse events during exercise sessions (e.g., sudden pain, dizziness, fatigue, blood pressure changes) will result in immediate cessation of the exercise, monitoring of the participant, and referral to the nearest healthcare facility if necessary. Emergency first aid will be provided if needed, and the responsible researcher will contact the relevant health services immediately.
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kutahya Health Sciences University

OTHER

Sponsor Role lead

Responsible Party

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Necibe Dağcan

Assistant Professor of Nursing

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Necibe DAĞCAN ŞAHİN, PhD

Role: PRINCIPAL_INVESTIGATOR

Kütahya Health Sciences University, Faculty of Health Sciences

Yiğit ŞAHİN, MSc

Role: STUDY_DIRECTOR

Kütahya Dumlupınar University, Faculty of Sport Sciences

Mustafa Said ERZEYBEK, Assoc. Prof.

Role: STUDY_DIRECTOR

Kütahya Dumlupınar University, Faculty of Sport Sciences

Locations

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Necibe

Kütahya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Necibe DAĞCAN ŞAHİN, PhD

Role: CONTACT

0553 701 19 35

Other Identifiers

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KutahyaHSU-NECİBE-DAĞCAN-0007

Identifier Type: -

Identifier Source: org_study_id

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