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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:
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:
The TTM-based educational intervention provides:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | TTM-based structured educational program tailored to the participant's stage of readiness for HPV vaccination |
|
| Control Group | No Intervention | No structured education; participants receive no TTM-based training during the study period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TTM-Based Educational Program | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Vaccination Behavior Intention Scale | Behavioral intention to receive the HPV vaccine will be assessed using the HPV Vaccination Intention Scale, a 6-item instrument developed based on the Theory of Planned Behavior. The scale evaluates participants' intention to receive the HPV vaccine, with higher scores indicating stronger intention to be vaccinated. The secondary outcome is the change in intention score from baseline to post-intervention. | Baseline and after completion of the 10-week intervention (5 sessions delivered every 2 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| HPV Knowledge Scale | HPV knowledge will be measured using the HPV Knowledge Scale (HPV-BS), a validated 33-item instrument consisting of four subscales: general HPV knowledge (16 items), HPV screening knowledge (6 items), HPV vaccine knowledge (5 items), and HPV vaccination program knowledge (6 items). Total scores range from 0 to 35, with higher scores indicating greater knowledge about HPV infection, transmission, screening, and vaccination. A Cronbach's alpha coefficient of 0.96 was reported in the Turkish validity and reliability study. The primary outcome is the change in total HPV knowledge score from baseline to postintervention. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| MÜJDE KERKEZ, Asist. Prof. Dr | Contact | +905059718697 | mujjde_@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Health Sciences | Not yet recruiting | Adana | CUKUROVA | Turkey (Türkiye) |
Individual participant data (IPD) will not be shared because the study involves identifiable student information, and sharing raw data may pose confidentiality and privacy risks. Data will be stored securely and used only for the purposes approved by the ethics committee. Only aggregated and de-identified results will be reported in publications.
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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.
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| Baseline and after completion of the 10-week intervention (5 sessions delivered every 2 weeks) |
| Health Belief Model Scale regarding HPV and vaccination | Health beliefs regarding HPV and HPV vaccination will be measured using the Health Belief Model Scale (HBM-HPV), a validated instrument developed by Kim (2016) and adapted into Turkish by Guvenc et al. (2016). The scale consists of four subscales: perceived benefits (items 1-3), perceived susceptibility (items 4-5), perceived severity (items 6-9), and perceived barriers (items 10-13 and 15). Higher scores indicate stronger beliefs within each construct. Except for perceived barriers, all subscales are positively associated with HPV vaccination intention. Cronbach's alpha values for the subscales range from 0.71 to 0.78. The secondary outcome is the change in subscale scores from baseline to post-intervention. | Baseline and after completion of the 10-week intervention (5 sessions delivered every 2 weeks) |
| Cukurova University | Recruiting | Adana | Turkey (Türkiye) |
|
| ID | Term |
|---|---|
| D001519 | Behavior |
| D015438 | Health Behavior |
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