{"paper_id":"cf74f3eb-ec49-421e-b0c4-090192fa01b7","body_text":"~ 21 ~ \nInternational Journal of Midwifery and Nursing Practice 2026; 9(1): 21-26 \n \n \n \nE-ISSN: 2663-0435 \nP-ISSN: 2663-0427 \nImpact Factor (RJIF): 6.18 \nwww.nursingpractice.net \nIJMNP 2026; 9(1): 21-26 \nReceived: 10-10-2025 \nAccepted: 12-11-2025 \n \nDr. Sujata Sawant \nPrincipal, Dr. D.Y. Patil \nInstitute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nJayshri Jaypurkar \nClinical Instructor (MSc \nNursing), Dr. D.Y. Patil \nInstitute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nShreya Bankar \nStudent of 3rd year, Dr. D.Y. \nPatil Institute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nRitu Badhan \nStudent of 3rd year, Dr. D.Y. \nPatil Institute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nDiksha Bairagi \nStudent of 3rd year, Dr. D.Y. \nPatil Institute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nDhanashree Adsul \nStudent of 3rd year, Dr. D.Y. \nPatil Institute of Nursing \nEducation, Pune, \nMaharashtra, India \n \nPriti Malge \nStudent of 3rd year, Dr. D.Y. \nPatil Institute of Nursing \nEducation, Pune, \nMaharashtra, India \n \n \n \n \n \n \n \n \n \n \nCorresponding Author: \nDr. Sujata Sawant \nPrincipal, Dr. D.Y. Patil \nInstitute of Nursing \nEducation, Pune, \nMaharashtra, India\n \n \nA study to assess effectiveness of QR coded self-\nInstructional module regarding endometriosis on \nknowledge among women in selected urban area  \n \nSujata Sawant, Jayshri Jaypurkar, Shreya Bankar, Ritu Badhan, Diksha \nBairagi, Dhanashree Adsul and Priti Malge \n \nDOI: https://www.doi.org/10.33545/26630427.2026.v9.i1a.228  \n \nAbstract \nBackground: Endometriosis is a chronic gynaecological disorder that affects a substantial number of \nwomen of reproductive age and often leads to pelvic pain, infertility, and reduced quality of life. \nDespite its high prevalence, awareness and knowledge regarding endometriosis remain limited among \nwomen, contributing to delayed diagnosis and inadequate management. Digital health education \nstrategies such as QR coded self -instructional modules (SIM) offer a convenient and effective method \nto improve health-related knowledge.  \nObjectives  \n1. To assess the knowledge regarding endometriosis among women in selected urban areas.  \n2. To assess the effectiveness of a QR coded self -instructional module on knowledge regarding \nendometriosis among women in selected urban areas.  \n3. To determine the association between knowledge scores and selected demographic variables.  \nMethodology: A quantitative research approach with a quasi -experimental one-group pretest-post-test \ndesign was adopted. The study was conducted in selected urban areas of PCMC, Pune. A total of 100 \nwomen were selected using a simple random sampling technique. Data were collected using a \nstructured knowledge questionnaire. Following the pretest, a QR coded self-instructional module on \nendometriosis was administered. Post -test knowledge was assessed after the intervention. Descriptive \nand inferential statistics, including paired t-test and Fisher’s exact test, were used for data analysis.  \nResults: The pretest findings revealed that 78% of women had poor knowledge and 22% had average \nknowledge regarding endometriosis. After the intervention, 98% of women demonstrated good \nknowledge, while 2% had average knowledge. The mean knowledge score increased significantly from \n4.6 in the pretest to 17.8 in the post-test. The paired t-test value was 37.1 with 99 degrees of freedom (p \n< 0.05), indicating a statistically significant improvement in knowledge following the QR coded SIM. \nA significant association was observed between knowledge scores and occupation.  \nConclusion: The study concluded that the QR coded self-instructional module was highly effective in \nimproving knowledge regarding endometriosis among women in selected urban areas. The findings \nsupport the use of QR code -based digital health education as an accessible, cost -effective strategy to \nenhance women’s awareness and promote early identification and management of endometriosis \n \nKeywords: Endometriosis, QR coded self-instructional module , Women’s health,  Knowledge \nassessment, Digital health education, Urban women \n \nIntroduction \nEndometriosis is a disease in which tissue similar t o the lining of the uterus grows outside \nthe uterus. It can cause severe pain in the pelvis and make it harder to get pregnant. \nEndometriosis  can  start  at  a  person’s  first  menstrual \nperiod  and  last  until  menopause. With endometriosis, tissue sim ilar to the \nlining of the uterus grows outside the uterus. This leads to inflammation and scar tissue \nforming in the pelvic region and (rarely) elsewhere in the body.  \nThe cause of endometriosis is unknown. There is no known way to prevent endometriosis. \nThere is no cure, but its symptoms can be treated with medicines or, in some cases, surgery. \n[1]. It causes a chronic inflammatory reaction that may result in the formation of scar tissue \n(adhesions, fibrosis) within the pelvis and other parts of the body. Several lesion types have \nbeen described:  \n• Superficial endometriosis found mainly on the pelvic peritoneum cystic ovarian \n\nInternational Journal of Midwifery and Nursing Practice https://www.nursingpractice.net \n~ 22 ~ \nendometriosis (endometrioma) found in the ovaries \n• Deep endometriosis found in the recto- vaginal septum, \nbladder, and bowel  \n• In rare cases, endometriosis has also been found outside \nthe pelvis.  \n \nBackground of the Study  \nEndometriosis is a chronic and often debilitating \ngynaecological disorder that affects an estimated 176 \nmillion women worldwide, with a prevalence of 6 -10% \namong women of reproductive age. In India, the prevalence \nof endometriosis is estimated to be around 4- 22% among \nwomen of reproductive age. [2]  \nDespite its high prevalence, endometriosis remains poorly \nunderstood, and many women experience delayed diagnosis \nand inadeq uate treatment (Nnoaham et al ., 2012). Lack of \nawareness and education about endometriosis among \nwomen is a significant barrier to early diagnosis and \neffective management. [3]  \nThe use of technology, such as QR coded SIM, has been \nshown to be an effective  way to disseminate health \ninformation and promote health education. QR coded SIM \ncan provide a convenient and accessible way for women to \naccess information about endometriosis, its symptoms, \ndiagnosis, and treatment options\n. [4]  \nTherefore, this study ai ms to assess the effectiveness of a \nQR coded SIM regarding endometriosis using QR codes \namong women residing in selected urban areas of Pune \ncity\n.[5]  \n \nNeed of the Study  \nEndometriosis is a chronic and often debilitating condition \naffecting a significant p ercentage of women Worldwide. In \nIndia, it is becoming increasingly recognized as a common \ncause of infertility, chronic pelvic pain, and a reduced \nquality of life among women. Despite its high prevalence, \nawareness and knowledge about endometriosis remain s \nlimited, particularly in urban areas. women may not fully \nunderstand the symptoms, causes, or treatment options \navailable to them. This gap in awareness can lead to delayed \ndiagnosis, poor management, and worsening of symptoms, \noften resulting in long-term impartment of QOL.  \n \nKey reasons for the need of this study:  \n1. lack of awareness about endometriosis.  \n2. Delayed diagnosis and its QOL.  \n3. Ease of access to digital health education  \n4. Empowering women through knowledge.  \n \nObjectives  \n1. To assess the knowledge r egarding endometriosis \namong women in selected urban areas.  \n2. To assess the effectiveness of QR coded SIM on \nknowledge regarding endometriosis among women in \nselected urban area.  \n3. To find out the association of knowledge scores with \ndemographic variables of the women.  \n \nResearch Methodology  \nResearch Approach  \nThe present study adopted a quantitative research approach \nto systematically assess the effectiveness of a QR coded \nself-instructional module on knowledge regarding \nendometriosis among women. This appr oach enabled \nobjective measurement and statistical evaluation of \nknowledge levels before and after the intervention.  \n \nResearch Design  \nA quasi- experimental one -group pretest -post-test research \ndesign was used for the study. This design allowed the \nresearcher to measure baseline knowledge regarding \nendometriosis, administer the QR coded self -instructional \nmodule, and subsequently assess the change in knowledge \namong the same group of participants.  \n \nSetting of the Study  \nThe study was conducted in selected urban areas of PCMC, \nPune. The setting was chosen based on accessibility of the \npopulation, feasibility of data collection, and availability of \nwomen willing to participate in the study.  \n \nPopulation and Sample  \nThe population of the study consisted of wom en residing in \nselected urban areas. A sample of 100 women was selected \nusing a simple random sampling technique. Women who \nwere willing to participate and available during the data \ncollection period were included in the study, while women \nworking as healt hcare professionals and those unwilling to \nparticipate were excluded.  \n \nVariables of the Study  \nIn the present study, the QR coded self-instructional module \nregarding endometriosis was considered the independent \nvariable, while the knowledge regarding endometriosis \namong women was considered the dependent variable.  \n \nTool for Data Collection  \nData were collected using a structured tool developed by the \nresearcher. The tool consisted of a demographic data section \nand a structured knowledge questionnaire cont aining 20 \nmultiple-choice questions related to endometriosis, \nincluding its causes, risk factors, symptoms, diagnostic \nprocedures, complications, and management. The QR coded \nself-instructional module served as the educational \nintervention and provided com prehensive information on \nendometriosis through digital content accessible via \nsmartphones.  \n \nScoring Procedure  \nEach correct response in the knowledge questionnaire was \nawarded one mark, with a maximum possible score of 20. \nKnowledge scores were used to d etermine the level of \nknowledge regarding endometriosis among women before \nand after the intervention.  \n \nValidity and Reliability  \nContent validity of the structured knowledge questionnaire \nand the QR coded self -instructional module was established \nthrough expert review by obstetrics and gynaecology \nspecialists, nursing educators, and community health \nprofessionals. Necessary modifications were made based on \nexpert suggestions. Reliability of the tool was established \nthrough a pilot study, which confirmed i ts consistency and \nsuitability for the main study.  \n \nPilot Study  \nA pilot study was conducted on a small sample of women \nresiding in an urban area to assess the feasibility of the \n\nInternational Journal of Midwifery and Nursing Practice https://www.nursingpractice.net \n~ 23 ~ \nstudy, clarity of the tool, and reliability of the questionnaire. \nThe findin gs of the pilot study indicated that the tool was \nunderstandable and the study was feasible to conduct on a \nlarger sample.  \n \nMethod of Data Collection  \nAfter obtaining formal permission and informed consent, \nthe pretest was conducted using the structured knowledge \nquestionnaire. The QR coded self -instructional module was \nthen administered to the participants. Posttest assessment \nwas carried out using the same questionnaire after the \nintervention to evaluate the effectiveness of the QR coded \nSIM.  \n \nPlan for Data Analysis  \nThe collected data were organized, tabulated, and analysed \nusing descriptive and inferential statistics. Descriptive \nstatistics such as frequency, percentage, mean, and standard \ndeviation were used to describe demographic variables and \nknowledge levels. Inferential statistics, including paired t -\ntest and Fisher’s exact test, were used to determine the \neffectiveness of the QR coded self -instructional module and \nto assess the association between knowledge scores and \nselected demographic variables.  \n \nResults  \nDescription of samples (women) based on their personal \ncharacteristics  \n \nTable 1: Description of samples (women) based on their personal \ncharacteristics in terms of frequency and percentage. N=100  \n \nDemographic variable  Freq  %  \nAge      \n18 - 22 years  26  26%  \n23 -27 years  24  24%  \n28-32 years  6  6%  \nAbove 32 years  44  44%  \nEducation      \n      \nPrimary  24  24%  \nSecondary  21  21%  \nHigher secondary  20  20%  \nGraduate and above  35  35%  \nType of family      \nNuclear  53  53%  \nJoint  46  46%  \nSingle parent  1  1%  \nReligion      \nHindu  96  96%  \nMuslim  2  2%  \nChristian  1  1%  \nOther  1  1%  \nOccupation      \nHousewife  56  56%  \nService  37  37%  \nBusiness  4  4%  \nLabourer  3  3%  \nAge of puberty      \n      \n9 years  16  16%  \n10 years  18  18%  \n11 years  19  19%  \nAbove 11 years  47  47%  \n \nTable 1 deals with the description of the study participants \nbased on their personal characteristics. The demographic \nprofile of the 100 women included variables such as age, \neducational status, type of family, religion, occupation, and \nage at puberty.  \nWith regard to age, 26% of the women belonged to the age \ngroup of 18- 22 years, 24% were in the age group of 23 -27 \nyears, 6% were between 28 -32 years, and the largest \nproportion, 44%, were above 32 years of age. This indicates \nthat a majority of the participants were above 32 years.  \nIn terms of educational status, 24% of the women had \nprimary education, 21% had secondary education, 20% had \nhigher secondary education, and 35% had complet ed \ngraduation or higher education. This shows that more than \none-third of the participants were graduates or had higher \neducational qualifications.  \nRegarding the type of family, 53% of the women belonged \nto nuclear families, 46% were from joint families, and 1% \nbelonged to single -parent families. This indicates that \nnuclear family structure was more prevalent among the \nparticipants.  \nWith respect to religion, the majority of the women (96%) \nwere Hindu, while 2% were Muslim, and 1% each were \nChristian and belonged to other religions.  \nOccupational distribution revealed that 56% of the women \nwere housewives, 37% were employed in service sectors, \n4% were engaged in business, and 3% worked as labourers. \nThis shows that more than half of the participants were \nhomemakers.  \nConcerning the age at puberty, 16% of the women attained \npuberty at 9 years, 18% at 10 years, 19% at 11 years, and \n47% attained puberty after 11 years of age. The findings \nindicate that nearly half of the participants experienced \npuberty after the age of 11 years.  \nOverall, the demographic data indicate that the study \nincluded women from diverse age groups, educational \nbackgrounds, family structures, and occupational statuses, \nproviding a representative sample for assessing knowledge \nregarding endometriosis.  \n \nSection II  \nAnalysis of data related to the knowledge regarding \nendometriosis among women in selected urban areas  \n \nTable 2: Knowledge regarding endometriosis among women in \nselected urban areas N=100  \n \nKnowledge  Pretest   \nFreq  %  \nPoor  78  78%  \nAverage  22  22%  \nGood  0  0%  \n  \nTable 2 78% of them women had poor knowledge and 22% \nof them had average knowledge regarding endometriosis.  \n \nSection III  \nAnalysis of data related to the effectiveness of QR coded \nSIM on knowledge regarding en dometriosis among women \nin selected urban area  \n \n \n\nInternational Journal of Midwifery and Nursing Practice https://www.nursingpractice.net \n~ 24 ~ \nTable 3: Effectiveness of QR coded SIM on knowledge regarding \nendometriosis among women in selected urban area N=100  \n \nKnowledge  Pretest  Post-test  \nFreq  %  Freq  %  \nPoor  78  78%  0  0%  \nAverage  22  22%  2  2%  \nGood  0  0%  98  98%  \n  \nTable III depicts, In pretest, 78% of them women had poor \nknowledge and 22% of them had average knowledge \nregarding endometriosis. In posttest, 98% them had good \nknowledge and 2% of them had average knowledge \nregarding endometriosis. This indicates that there is \nremarkable improvement in the knowledge among women \nregarding endometriosis after QR coded SIM.  \n \n \nFig 1: Knowledge regarding endometriosis among women in selcetd urban areas in pre-test & Post-test. \n \nFig, 1 illustrate the comparison of knowledge levels \nregarding endometriosis among women in selected urban \nareas during the pre-test and post-test phases. In the pre-test, \nthe majority of women (78%) demonstrated poor knowledge \nregarding endometriosis, while 22% had an average level of \nknowledge. None of the participants exhibited good \nknowledge prior to the intervention, indicating a \nconsiderable gap in awareness and understanding of \nendometriosis among the study population.  \nIn contrast, the post -test resul ts show a marked \nimprovement in knowledge levels following the \nadministration of the QR coded self-instructional module. A \nsubstantial majority of women (98%) achieved good \nknowledge scores, while only 2% remained in the average \nknowledge category. Notably, no participants were found to \nhave poor knowledge in the post-test.  \nThe comparison between pre -test and post- test findings \nclearly demonstrates a significant improvement in \nknowledge regarding endometriosis among women after the \neducational intervention. This indicates that the QR coded \nself-instructional module was highly effective in enhancing \nawareness and understanding of endometriosis among \nwomen residing in selected urban areas.  \n \nTable 4: Paired t-test for the effectiveness of QR coded SIM on knowledge regarding endometriosis among women in selected urban area, \nN=100  \n \n  Mean  SD  T  Df  p-value  \nPretest  4.6  2.6  37.1  99  0.000  \nPost- test  17.8  1.8        \n  \nTable 4 depicts the paired t-test analysis conducted to \nevaluate the effectiveness  of the QR coded selfinstructional \nmodule on knowledge regarding endometriosis among \nwomen in selected urban areas. The mean pre- test \nknowledge score was 4.6 with a standard deviation of 2.6, \nindicating a low level of baseline knowledge among the \nparticipants. Following the intervention, the mean post -test \nknowledge score increased substantially to 17.8 with a \nstandard deviation of 1.8, reflecting a marked improvement \nin knowledge.  The calculated t  value was 37.1 with 99 \ndegrees of freedom, and the correspo nding p value was less \nthan 0.05. This indicates that the difference between the pre-\ntest and post- test mean knowledge scores was statistically \nsignificant. Therefore, the null hypothesis was rejected, and \nit can be concluded that the QR coded selfinstruct ional \nmodule was significantly effective in improving knowledge \nregarding endometriosis among women in selected urban \nareas.  \n \n\nInternational Journal of Midwifery and Nursing Practice https://www.nursingpractice.net \n~ 25 ~ \nTable 5: Knowledge item analysis, N=100 \n \nKnowledge Pretest Post-test \nFreq % Freq % \nWhat is meant by endometriosis? 28 28% 99 99% \nWhat are the causes of endometriosis? 10 10% 95 95% \nWhich of the following is a risk factor for endometriosis? 25 25% 95 95% \nWhat are symptoms of endometriosis? 13 13% 96 96% \nMost Common symptom of endometriosis? 13 13% 89 89% \nWhat investigations are done in endometriosis? 15 15% 92 92% \nPhysical examination in people with suspected endometriosis should include examination of? 10 10% 86 86% \nWhich test is accurate to diagnose urinary tract involvement in \nwomen with suspected pelvic endometriosis? 19 19% 84 84% \nWhat is the name of the surgical procedure used to diagnose endometriosis? 20 20% 88 88% \nPrevalence among women with endometriosis in India? 50 50% 90 90% \nPrevalence of women with infertility 39 39% 94 94% \nWhat is the most common location of endometrial implants? 18 18% 85 85% \nWhich of the following is a common complication of endometriosis? 28 28% 91 91% \nWhich of the following is a surgical option for treating endometriosis? 29 29% 82 82% \nWhat is the treatment of infertility in endometriosis? 26 26% 92 92% \nWhich hormone plays a crucial role in the development and growth of \nendometrial implants? 23 23% 82 82% \nWhat is the name of the condition characterized by the growth of endometrial tissue into the uterine wall? 39 39% 90 90% \nPainkillers used to reduce pain during endometriosis is? 17 17% 86 86% \nSize of ovarian endometriosis beyond which cystectomy is indicated? 20 20% 82 82% \nWhat is the purpose of medical management in endometriosis? 22 22% 86 86% \n \nTable 5 presents the frequency  and percentage of correct \nresponses by women to each knowledge item in pretest and \nposttest. It indicates that correct responses by women to \neach knowledge item improved remarkably after QR coded \nSIM. Knowledge regarding endometriosis among women \nimproved remarkably after QR coded SIM.  \n \nSection IV  \nAnalysis of data related to the association of knowledge \nscores with demographic variables of the women  \n \nTable 6: Fisher’s exact test for the association of knowledge \nscores with demographic variables of the women N=100  \n \nDemographic variable  Knowledge  p-value  Poor  Average  \nAge  \n18 - 22 years  13  3  \n0.915  23 -27 years  15  3  \n28-32 years  15  4  \nAbove 32 years  35  12  \nEducation  \nPrimary  19  5  \n0.208  Secondary  18  3  \nHigher secondary  12  8  \nGraduate and above  29  6  \nType of  \nfamily  \nNuclear  42  11  \n0.290  Joint  36  10  \nSingle parent  0  1  \nReligion  \nHindu  75  21  \n0.423  Muslim  2  0  \nChristian  1  0  \nOther  0  1  \nOccupation  Housewife  44  12  0.006  \n  \nService  32  5  \n Business  2  2  \nLabourer  0  3  \nAge puberty  \nof  \n9 years  13  3  \n0.915  10 years  15  3  \n11 years  15  4  \nAbove 11 years  35  12  \n  \nTable VI presents the results of Fisher’s exact test used to \ndetermine the association between knowledge scores \nregarding endometriosis and selected demographic variables \nof the women. The demographic variables analyzed \nincluded age, educational status, type of family, religion, \noccupation, and age at puberty.  \nThe findings reveal that there was no statistically significant \nassociation between knowledge scores and age, educational \nstatus, type of family, religion, or age at puberty, as the \ncorresponding p values for these variables were greater than \n0.05. This indicates that differences in knowled ge regarding \nendometriosis among the women were not influenced by \nthese demographic characteristics.  \nHowever, occupation showed a statistically significant \nassociation with knowledge scores, as the p value was less \nthan 0.05 ( p = 0.006). This suggests tha t the level of \nknowledge regarding endometriosis varied significantly \naccording to the occupational status of the women.  \nOverall, the results indicate that among the selected \ndemographic variables, occupation was the only factor \nsignificantly associated w ith knowledge regarding \nendometriosis among women in the selected urban areas.  \n \nDiscussion  \nTalk about the goal of the current study was to evaluate how \nwell women in particular urban regions understood \nendometriosis after completing a self -instructional module \nusing a QR code.  The majority of participants had \ninsufficient knowledge regarding endometriosis, its risk \nfactors, symptoms, consequences, and management \ntechniques before the intervention, according to the \nfindings. This suggests a substantial kno wledge gap that \ncould be caused by a lack of awareness campaigns, a lack of \nfocus on women's reproductive health, and the continued \nstigma associated with gynaecological disorders.  \nThe participants' post -test knowledge scores significantly \nimproved follow ing the administration of the \nselfinstructional module with a QR code.  This demonstrates \nhow well educational resources based on QR codes can raise \nwomen's awareness of endometriosis.  The findings are in \nline with other research showing that technologydriven and \ndigital educational interventions enhance knowledge \nretention, make health information more accessible, and \nenable people to make educated health decisions.  \n\nInternational Journal of Midwifery and Nursing Practice https://www.nursingpractice.net \n~ 26 ~ \nBecause participants could access the content using their \ncell phones at any time and from any location, the use of QR \ncodes offered a creative and economical method of \ninformation dissemination. Compared to traditional teaching \ntechniques, this flexibility might have improved learning \nresults and increased engagement.  Additionally, the self -\npaced structure of the module encouraged self -directed \nlearning by enabling women to review the material as \nneeded.  \nThe results also emphasize how important it is to put \ntechnology-assisted health education programs into place in \nurban areas with high smartphone adoption rates.  Because \nendometriosis is persistent and sometimes misunderstood, \nlowering the disease burden and enhancing quality of life \ncan be achieved through early awareness and prompt \nmedical consultation.  \n \nConclusion  \nThe analysis of pre -test responses shows that participants \nhad insufficient baseline knowledge regarding \nEndometriosis. This underscores the necessity for \neducational programs or awareness materials to bridge the \nknowledge gap among women of reproductive age.  \nAverage knowledge sc ore in pretest was 5.1 which \nincreased to 17.2 in the post -test. T-value for this test was \n14.46 with 9 degrees of freedom. Corresponding p- value \nwas small (less than 0.05), the null hypothesis is rejected. \nAverage knowledge score in post -test was signific antly \nmore than that in pretest. It is evident that the information \nbooklet is significantly effective in improving the \nknowledge among individuals regarding Endometriosis.  \n \nImplications of the Study  \nThe findings of the present study have important \nimplications for nursing practice, education, administration, \nand research, contributing to the advancement and \nexpansion of the nursing profession. The study highlights \nthe need for nurses to be adequately prepared and trained to \nimplement effective health edu cation interventions that \npromote awareness, knowledge, and self -care among \nindividuals and communities. In nursing practice, the results \nemphasize the role of nurses as educators and advocates \nwho can utilize innovative educational strategies to improve \nhealth outcomes. From an educational perspective, the study \nunderscores the importance of equipping nurses with \nappropriate knowledge and skills so they can empower \nclients and communities to recognize health issues early and \ntake informed decisions regardi ng their care. In terms of \nnursing administration, the findings support the role of nurse \nadministrators in planning, organizing, and facilitating \neducational programs that are responsive to community \nneeds and promote holistic, humanistic care. Furthermor e, \nthe study reinforces the significance of nursing research in \nidentifying effective educational strategies and generating \nevidence to improve prevention, early detection, and \nmanagement of health conditions. Continuous research and \nactive participation o f nurses in research activities are \nessential to strengthen evidence -based practice and enhance \nthe quality of nursing care.  \n \nLimitations of the Study  \nThe present study had certain limitations. The study was \nconfined to women only and included a sample s ize of 100 \nparticipants, which may limit the generalizability of the \nfindings. Additionally, the study was conducted among \nwomen above 18 years of age, and therefore the results \ncannot be generalized to adolescent populations.  \n \nRecommendations of the Study  \nBased on the findings of the study, it is recommended that \nwomen’s health awareness programs incorporate QR code-\nbased teaching modules as an effective educational strategy. \nCommunity health nurses can utilize QR codes during urban \nhealth education sess ions to provide quick and reliable \naccess to information. Additionally, hospitals and clinics \nshould display QR codes related to women’s reproductive \nhealth in waiting areas to enhance accessibility and promote \nawareness among women.  \n \nConflict of Interest  \nThe authors declare that they have no conflict of interest \nassociated with this study.  \n \nReferences \n1. Albee B Jr. Introduction to endometriosis. Centre for \nEndometriosis Care. Wikipedia. Endometriosis. \nhttp://centreforendo.com/introduction-\ntoendometriosis/#introduction-to-EMERITUS. \nhttps://en.wikipedia.org/wiki/endometriosis \n2. Kumar P, Kumar V, Gupta S. Prevalence of \nendometriosis in Indian women: a systematic review \nand meta- analysis. Journal of Clinical and Diagnostic \nResearch. 2018;12:OC01-OC06. \n3. Kumar S, Kumar N, Gupta S. Use of QR code in health \neducation: a systematic review. Journal of Education \nand Health Promotion. 2019;8:145-151. \n4. Monahan KE, Hummelshoj L, Webster P. Is early age \nat menarche a risk factor for developing endometriosis? \nA systematic revi ew and meta- analysis of case- control \nstudies. Fertility and Sterility. 2012;98(3):696-706. \n5. Serial S, Tempest N, Hapangama DK. Theories on the \npathogenesis of endometriosis. \n \n \nHow to Cite This Article \nSawant S, Jaypurkar J, Bankar S, Badhan R, Bairagi D, Adsul D, \nMalge P. A study to assess effectiveness of QR coded self -\nInstructional module regarding endometriosis on knowledge among \nwomen in selected urban area. International Journal of Midwifery and \nNursing Practice. 2026;9(1):21-26 \n \n \nCreative Commons (CC) License \nThis is an open access journal, and articles are distributed under the  \nterms of the Creative Commons Attribution -NonCommercial-\nShareAlike 4.0 International (CC BY- NC-SA 4.0) License, which \nallows others to remix, tweak, and build upon the work non-\ncommercially, as long as appropriate credit is given and the new \ncreations are licensed under the identical terms.","source_license":"CC0","license_restricted":false}