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Effects of a Web-Based Intercultural Midwifery Training Program on Cultural Sensitivity and Intercultural Effectiveness Among Midwifery Students: A Multicenter Randomized Controlled Trial

Niger J Clin Pract. 2026 Apr 1;29(4):382-389. doi: 10.4103/njcp.njcp_697_25. Epub 2026 Apr 30.

ABSTRACT

BACKGROUND: Web-based cultural midwifery education approaches can provide an effective and scalable method for developing the cross-cultural competencies of future midwives.

AIM: To examine the effects of web-based intercultural midwifery training on students’ cultural sensitivity and cultural effectiveness levels.

METHODS: This randomized controlled multicenter study was carried out at the midwifery departments of five different universities in different regions of Türkiye. In this study, the students in the intervention group completed the web-based intercultural midwifery training. In the study, a total of 1027 midwifery undergraduate students following the standard midwifery curriculum were randomly assigned to a web-based training program ( n = 522) and a control group ( n = 505) in a 1:1 ratio. Data were collected using the ISS and the IES.

RESULTS: In this study, the cultural sensitivity and cultural effectiveness level mean scores of the students in the intervention group after web training were higher than those in the control group. Following the web-based educational intervention, the mean total Intercultural Sensitivity Scale and Intercultural Effectiveness Scale scores were found to be 97.19 ± 10.34 and 65.64 ± 5.24, respectively. After the intervention, the mean ISS (mean difference = 18.30; Cohen’s d = 1.69) and IES (mean difference = 14.76; P < 0.001; Cohen’s d = 2.71) scores of the students were found to be significantly higher than those of the control group ( P < 0.001).

CONCLUSION: A web-based intercultural midwifery training program seems to be an effective approach for increasing the cultural sensitivity and intercultural effectiveness of midwifery students.

TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05766228.

PMID:42085079 | DOI:10.4103/njcp.njcp_697_25