The Effect of a Transtheoretical Model-Based Educational Intervention on First-Year Nursing Students' HPV Knowledge, Health Beliefs, and Vaccination Behavior Intentions

NCT ID: NCT07248904

Last Updated: 2025-11-25

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

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-20

Study Completion Date

2026-04-30

Brief Summary

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The purpose of this study is to examine the impact of a structured educational program based on the Transtheoretical Model (TTM) on HPV knowledge, health beliefs, and vaccination behavioral intentions among first-year nursing students. The study will also evaluate how the intervention affects students' HPV vaccine readiness compared to the TTM.

The primary questions addressed by the study are:

* Does the TTM-based educational intervention increase students' knowledge about HPV and the HPV vaccine?
* Does the program change students' health beliefs regarding susceptibility, severity, benefits, and barriers to HPV and the HPV vaccine?
* Does the program improve students' intentions and readiness to receive the HPV vaccine?
* Do students move to a higher behavioral readiness stage (from Precontemplation to Contemplation, Preparation, Action, or Maintenance) after the intervention?

The researcher will compare the TTM-based educational intervention with a control group that did not receive structured education to determine whether a personalized, stage-based approach is more effective in improving HPV-related outcomes among nursing students.

Participants will:

* Complete baseline questionnaires measuring HPV knowledge, health beliefs, and vaccination intention.
* The experimental group (intervention group) will receive personalized TTM-based education, face-to-face instruction in modules aligned with the five TTM phases (Precontemplation, Contemplation, Preparation, Action, and Maintenance).
* The experimental group will participate in educational sessions designed to raise awareness, correct misinformation, support decision-making, and encourage protective behaviors.
* The control group will not receive any educational program.
* All participants in the experimental and control groups will complete the same questionnaires again to assess changes after the intervention.

The TTM-based educational intervention provides:

* Staged counseling
* Information about HPV and the HPV vaccine
* Activities to raise awareness, strengthen motivation, and support vaccination adoption
* Personalized feedback based on student readiness
* Structured modules focusing on knowledge, belief, and behavior change strategies

The study population included first-year nursing students enrolled in the Faculty of Health Sciences. A total of 88 participants will be recruited and randomly assigned to either the intervention (n=44) or control (n=44) groups through simple randomization.

The results of this study are expected to contribute to the development of evidence-based education strategies in nursing, support of behavioral change models in health education, and strengthen the role of future nurses in HPV prevention, vaccine advocacy, and public health practice.

Detailed Description

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Conditions

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Human Papillomavirus (HPV) Papillomavirus Vaccines Health Knowledge, Attitudes, Practice Students, Nursing Health Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study uses a parallel-group randomized controlled design. Participants are first-year nursing students who will be randomly assigned, using simple randomization, to either the intervention group or the control group. The intervention group will receive a Transtheoretical Model (TTM)-based structured educational program tailored to the participant's stage of readiness for HPV vaccination. The control group will receive no structured education during the study period. Both groups will complete baseline and post-intervention assessments measuring HPV knowledge, health beliefs, and vaccination intention. The model allows comparison of outcomes between groups to evaluate the effectiveness of the stage-based educational intervention.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention Group

TTM-based structured educational program tailored to the participant's stage of readiness for HPV vaccination

Group Type EXPERIMENTAL

TTM-Based Educational Program

Intervention Type BEHAVIORAL

A structured, stage-matched educational intervention based on the Transtheoretical Model, delivered face-to-face in five modules aligned with Precontemplation, Contemplation, Preparation, Action, and Maintenance stage

Control Group

No structured education; participants receive no TTM-based training during the study period.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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TTM-Based Educational Program

A structured, stage-matched educational intervention based on the Transtheoretical Model, delivered face-to-face in five modules aligned with Precontemplation, Contemplation, Preparation, Action, and Maintenance stage

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* First-year students enrolled in the Nursing Department of the Faculty of Health Sciences
* Provide written informed consent to participate
* Agree to attend all educational sessions and data collection appointments during the study period
* Have sufficient Turkish literacy to read and understand study materials
* Have not previously received any comprehensive education about HPV infection or HPV vaccination

Exclusion Criteria

* Students who do not agree to participate in the study
* Students who do not provide written informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cukurova University

OTHER

Sponsor Role lead

Responsible Party

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MÜJDE KERKEZ

Asist. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Health Sciences

Adana, CUKUROVA, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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MÜJDE KERKEZ, Asist. Prof. Dr

Role: CONTACT

+905059718697

Facility Contacts

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MÜJDE KERKEZ

Role: primary

+905059718697

Other Identifiers

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TTM-HPV-001

Identifier Type: -

Identifier Source: org_study_id

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