Research in developmental disabilities · 2026
Effectiveness of a mobile application-based program for enhancing independent menstrual management skills in adolescent girls with mild intellectual disabilities: A parallel-group randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Dikmen Hacer Alan, Gönenç İlknur Münevver, Sarı Hakan, Caymaz Serap, Atbaşı Zehra, Çankaya Seyhan, Koçak Fatih, Kaya Ersin
Аннотация
BACKGROUND: Adolescent girls with mild intellectual disabilities often face challenges in achieving independence in menstrual management, highlighting the need for structured and accessible educational interventions. This study evaluated the effectiveness of a mobile application-based education program in improving independent menstrual management skills.
METHODS: A parallel-group randomized controlled trial was conducted with 90 adolescent girls with mild intellectual disabilities and their mothers. Participants were randomly assigned (1:1) to the intervention or control group using a computer-generated sequence. The intervention group received a mobile application-based education program (Bağımsız Yapabilirim), which included instructional videos and interactive games for up to 30 min daily, while the control group received routine care. Outcomes (hand hygiene and pad-changing skills) were assessed at baseline and at 1, 3, and 8 months using structured Performance Record Sheets. Analyses were conducted according to the intention-to-treat principle using repeated-measures ANOVA based on multiply imputed datasets.
RESULTS: Baseline characteristics were comparable between groups. Intention-to-treat analyses based on multiply imputed datasets revealed significant time and group × time interaction effects for both outcomes (p < .001). Hand hygiene skills showed very large improvements (Group × Time: F(1.94, 171.02) = 49.31, p < .001, η²p = 0.359; post-intervention Cohen's d = 2.39-3.99), maintained across all follow-up assessments. Pad-changing skills also improved significantly, with medium-to-large effect sizes over time (Group × Time: F(2.38, 206.79) = 20.34, p < .001, η²p = 0.189; post-intervention Cohen's d = 0.75-1.39). No between-group differences were observed at baseline, whereas all follow-up assessments favored the intervention group (p ≤ .001). No adverse events were reported.
CONCLUSION: The Bağımsız Yapabilirim mobile application is an effective and accessible intervention for enhancing menstrual self-management skills in adolescent girls with mild intellectual disabilities. The improvements were sustained over 8 months, demonstrating both statistical and clinical significance, and supporting the program's potential to promote independence and practical self-care competence in this population.
METHODS: A parallel-group randomized controlled trial was conducted with 90 adolescent girls with mild intellectual disabilities and their mothers. Participants were randomly assigned (1:1) to the intervention or control group using a computer-generated sequence. The intervention group received a mobile application-based education program (Bağımsız Yapabilirim), which included instructional videos and interactive games for up to 30 min daily, while the control group received routine care. Outcomes (hand hygiene and pad-changing skills) were assessed at baseline and at 1, 3, and 8 months using structured Performance Record Sheets. Analyses were conducted according to the intention-to-treat principle using repeated-measures ANOVA based on multiply imputed datasets.
RESULTS: Baseline characteristics were comparable between groups. Intention-to-treat analyses based on multiply imputed datasets revealed significant time and group × time interaction effects for both outcomes (p < .001). Hand hygiene skills showed very large improvements (Group × Time: F(1.94, 171.02) = 49.31, p < .001, η²p = 0.359; post-intervention Cohen's d = 2.39-3.99), maintained across all follow-up assessments. Pad-changing skills also improved significantly, with medium-to-large effect sizes over time (Group × Time: F(2.38, 206.79) = 20.34, p < .001, η²p = 0.189; post-intervention Cohen's d = 0.75-1.39). No between-group differences were observed at baseline, whereas all follow-up assessments favored the intervention group (p ≤ .001). No adverse events were reported.
CONCLUSION: The Bağımsız Yapabilirim mobile application is an effective and accessible intervention for enhancing menstrual self-management skills in adolescent girls with mild intellectual disabilities. The improvements were sustained over 8 months, demonstrating both statistical and clinical significance, and supporting the program's potential to promote independence and practical self-care competence in this population.