Effectiveness of Board Game on Improving Elementary School Students' Infection Control
Effectiveness of Board Game on Improving Knowledge, Attitudes and Behavioral Intentions of Infection Control for Senior Elementary School Students: a Randomized Controlled Trial
The goal of this clinical trial is to learn if board game can improve elementary school students' infection control intentions. The investigators use the theory of planned behavior (TPB), which includes three main factors: attitude, subjective norm, and perceived behavioral control. The main questions it aims to answer are:
- Exploring the factors influencing children's behavioral intentions of infection control through theory of planned behavior?
- The effectiveness of board game on improving children's knowledge and behavioral intentions of infection control?
Researchers will compare gamified instruction to conventional lesson lecture to see if the former has better results.
Students who participated in filled out the questionnaire three times, each time taking about 15 to 20 minutes: before the intervention, after the intervention, and after a one-month delay. The students' legal representatives filled out a basic demographic questionnaire before intervention, which took about 5 minutes.
After a one-month delay, two groups of students were asked to filled out the post-test questionnaire again. Then, students in the control group were invited to participate in a board game and asked which teaching method they preferred (gamified instruction or conventional lesson lecture).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Taipei, Taiwan, 112
- National Yang Ming University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Students in fifth to sixth grade of the elementary school (10 to 13 years old) and their legal representatives must fill in the informed consent form.
Exclusion Criteria:
- N/A
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: gamified instruction
|
At the beginning, the speaker played the role of a laboratory rescue team, narrated the background story of the board game, and led the children into the game situation.
Then, the speaker explained four types of pathogens, which the investigators defined them according to different types of transmission, including droplets, airborne, blood or body fluids, and fecal-oral.
The speaker explained their characteristics and key points, representative diseases in real life, corresponding prevention methods and so on.
The lecture lasted for 15 minutes, then the children were divided into different groups to play the board game for about 20 minutes.
During the game, students were required to collect "Prevention Method Cards" made by the research team.
Students must perform the correct behavior of infection control or answer questions related to the class content in order to obtain the card and win.
|
|
Other: conventional lesson lecture
|
The lecture was about 35 minutes.
At the beginning, the speaker explained the terms to children, including infectious diseases, symptoms and pathogens.
Next, the speaker introduced the components of the infection chain and how to make infection control behaviors for different parts of it.
Then the speaker focused on the four types of transmission, including droplets, airborne, blood or body fluids, and fecal-oral.
The speaker illustrated their characteristics and key points, representative diseases in real life, and corresponding prevention methods.
In the end, the speaker led the students to practice infection control behaviors, such as the seven correct steps of washing hands, the right steps for wearing and taking off masks, and exercises that can be done to increase immunity.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
intention to infection control behavior
Time Frame: baseline, the day receiving the intervention, a one-month delay after the intervention.
|
Theory of planned behavior guided questionnaire (S-CVI/UA=0.962,
S-CVI/Ave=0.992)
was developed to exam students' attitude, subjective norm, and perceived behavioral control toward infection control behavior over time (pre-intervention, post-intervention, and 4 weeks after intervention).
A Likert 5-point scale was used in the TPB questionnaire, the higher the score, the higher the intention for infection control behavior.
|
baseline, the day receiving the intervention, a one-month delay after the intervention.
|
|
knowledge of infection control
Time Frame: baseline, the day receiving the intervention, a one-month delay after the intervention.
|
A self-developed knowledge questionnaire (S-CVI/UA=0.8,
S-CVI/Ave=0.96)
which has fifteen multiple choices questions was used to evaluate students' infection control knowledge over time (pre-intervention, post-intervention, and 4 weeks after intervention).
The higher the score, the more positive the outcome.
|
baseline, the day receiving the intervention, a one-month delay after the intervention.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: HUEY-LAN HU, professor, National Yang Ming University
Publications and helpful links
General Publications
- Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, Diemert D, Spector SA, Rouphael N, Creech CB, McGettigan J, Khetan S, Segall N, Solis J, Brosz A, Fierro C, Schwartz H, Neuzil K, Corey L, Gilbert P, Janes H, Follmann D, Marovich M, Mascola J, Polakowski L, Ledgerwood J, Graham BS, Bennett H, Pajon R, Knightly C, Leav B, Deng W, Zhou H, Han S, Ivarsson M, Miller J, Zaks T; COVE Study Group. Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine. N Engl J Med. 2021 Feb 4;384(5):403-416. doi: 10.1056/NEJMoa2035389. Epub 2020 Dec 30.
- van Gaalen AEJ, Brouwer J, Schonrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR. Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract. 2021 May;26(2):683-711. doi: 10.1007/s10459-020-10000-3. Epub 2020 Oct 31.
- Sardi L, Idri A, Fernandez-Aleman JL. A systematic review of gamification in e-Health. J Biomed Inform. 2017 Jul;71:31-48. doi: 10.1016/j.jbi.2017.05.011. Epub 2017 May 20.
- Baker RE, Mahmud AS, Miller IF, Rajeev M, Rasambainarivo F, Rice BL, Takahashi S, Tatem AJ, Wagner CE, Wang LF, Wesolowski A, Metcalf CJE. Infectious disease in an era of global change. Nat Rev Microbiol. 2022 Apr;20(4):193-205. doi: 10.1038/s41579-021-00639-z. Epub 2021 Oct 13.
- Wang X, Wang S, Wang J, Rong L. A Multiscale Model of COVID-19 Dynamics. Bull Math Biol. 2022 Aug 9;84(9):99. doi: 10.1007/s11538-022-01058-8.
- Li DJ, Ko NY, Chang YP, Yen CF, Chen YL. Mediating Effects of Risk Perception on Association between Social Support and Coping with COVID-19: An Online Survey. Int J Environ Res Public Health. 2021 Feb 6;18(4):1550. doi: 10.3390/ijerph18041550.
- Cheng HC, Chang YJ, Liao SR, Siewchaisakul P, Chen SL. The impact of COVID-19 on knowledge, attitude, and infection control behaviors among dentists. BMC Oral Health. 2021 Nov 19;21(1):584. doi: 10.1186/s12903-021-01946-w.
- Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991; 50 (2): 179-211.
- Luxi N, Giovanazzi A, Capuano A, Crisafulli S, Cutroneo PM, Fantini MP, Ferrajolo C, Moretti U, Poluzzi E, Raschi E, Ravaldi C, Reno C, Tuccori M, Vannacci A, Zanoni G, Trifiro G; Ilmiovaccino COVID19 collaborating group. COVID-19 Vaccination in Pregnancy, Paediatrics, Immunocompromised Patients, and Persons with History of Allergy or Prior SARS-CoV-2 Infection: Overview of Current Recommendations and Pre- and Post-Marketing Evidence for Vaccine Efficacy and Safety. Drug Saf. 2021 Dec;44(12):1247-1269. doi: 10.1007/s40264-021-01131-6. Epub 2021 Nov 5.
- Frenck RW Jr, Klein NP, Kitchin N, Gurtman A, Absalon J, Lockhart S, Perez JL, Walter EB, Senders S, Bailey R, Swanson KA, Ma H, Xu X, Koury K, Kalina WV, Cooper D, Jennings T, Brandon DM, Thomas SJ, Tureci O, Tresnan DB, Mather S, Dormitzer PR, Sahin U, Jansen KU, Gruber WC; C4591001 Clinical Trial Group. Safety, Immunogenicity, and Efficacy of the BNT162b2 Covid-19 Vaccine in Adolescents. N Engl J Med. 2021 Jul 15;385(3):239-250. doi: 10.1056/NEJMoa2107456. Epub 2021 May 27.
- Wang M, Han X, Fang H, Xu C, Lin X, Xia S, Yu W, He J, Jiang S, Tao H. Impact of Health Education on Knowledge and Behaviors toward Infectious Diseases among Students in Gansu Province, China. Biomed Res Int. 2018 Mar 7;2018:6397340. doi: 10.1155/2018/6397340. eCollection 2018.
- Silva MT, Galvao TF, Chapman E, da Silva EN, Barreto JOM. Dissemination interventions to improve healthcare workers' adherence with infection prevention and control guidelines: a systematic review and meta-analysis. Implement Sci. 2021 Oct 24;16(1):92. doi: 10.1186/s13012-021-01164-6.
- Alhumaid S, Al Mutair A, Al Alawi Z, Alsuliman M, Ahmed GY, Rabaan AA, Al-Tawfiq JA, Al-Omari A. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrob Resist Infect Control. 2021 Jun 3;10(1):86. doi: 10.1186/s13756-021-00957-0.
- McCoy L, Lewis JH, Dalton D. Gamification and Multimedia for Medical Education: A Landscape Review. J Am Osteopath Assoc. 2016 Jan;116(1):22-34. doi: 10.7556/jaoa.2016.003.
- Guan X, Sun C, Hwang G, Xue K, Wang Z. Applying game-based learning in primary education: a systematic review of journal publications from 2010 to 2020. Interactive Learning Environments. 2022; null 1-23.
- de Graaf M, Beck R, Caccio SM, Duim B, Fraaij P, Le Guyader FS, Lecuit M, Le Pendu J, de Wit E, Schultsz C. Sustained fecal-oral human-to-human transmission following a zoonotic event. Curr Opin Virol. 2017 Feb;22:1-6. doi: 10.1016/j.coviro.2016.11.001. Epub 2016 Nov 23.
- Wolfe ND, Dunavan CP, Diamond J. Origins of major human infectious diseases. Nature. 2007 May 17;447(7142):279-83. doi: 10.1038/nature05775.
- Viana Martins CP, Xavier CSF, Cobrado L. Disinfection methods against SARS-CoV-2: a systematic review. J Hosp Infect. 2022 Jan;119:84-117. doi: 10.1016/j.jhin.2021.07.014. Epub 2021 Oct 18.
- Heijne JC, Teunis P, Morroy G, Wijkmans C, Oostveen S, Duizer E, Kretzschmar M, Wallinga J. Enhanced hygiene measures and norovirus transmission during an outbreak. Emerg Infect Dis. 2009 Jan;15(1):24-30. doi: 10.3201/eid1501.080299.
- Nieman DC, Sakaguchi CA. Physical activity lowers the risk for acute respiratory infections: Time for recognition. J Sport Health Sci. 2022 Nov;11(6):648-655. doi: 10.1016/j.jshs.2022.08.002. Epub 2022 Aug 20.
- Iddir M, Brito A, Dingeo G, Fernandez Del Campo SS, Samouda H, La Frano MR, Bohn T. Strengthening the Immune System and Reducing Inflammation and Oxidative Stress through Diet and Nutrition: Considerations during the COVID-19 Crisis. Nutrients. 2020 May 27;12(6):1562. doi: 10.3390/nu12061562.
- Mercola J, Grant WB, Wagner CL. Evidence Regarding Vitamin D and Risk of COVID-19 and Its Severity. Nutrients. 2020 Oct 31;12(11):3361. doi: 10.3390/nu12113361.
- Talic S, Shah S, Wild H, Gasevic D, Maharaj A, Ademi Z, Li X, Xu W, Mesa-Eguiagaray I, Rostron J, Theodoratou E, Zhang X, Motee A, Liew D, Ilic D. Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis. BMJ. 2021 Nov 17;375:e068302. doi: 10.1136/bmj-2021-068302. Erratum In: BMJ. 2021 Dec 3;375:n2997.
- White KM, Jimmieson NL, Obst PL, Graves N, Barnett A, Cockshaw W, Gee P, Haneman L, Page K, Campbell M, Martin E, Paterson D. Using a theory of planned behaviour framework to explore hand hygiene beliefs at the '5 critical moments' among Australian hospital-based nurses. BMC Health Serv Res. 2015 Feb 13;15:59. doi: 10.1186/s12913-015-0718-2.
- Shubayr MA, Mashyakhy M, Al Agili DE, Albar N, Quadri MF. Factors Associated with Infection-Control Behavior of Dental Health-Care Workers During the COVID-19 Pandemic: A Cross-Sectional Study Applying the Theory of Planned Behavior. J Multidiscip Healthc. 2020 Nov 12;13:1527-1535. doi: 10.2147/JMDH.S278078. eCollection 2020.
- Cox JL, Simpson MD, Letts WJ, Cavanagh HM. A. Re-thinking microbiology/infection control education to enhance the practice-readiness of health professional students: More than just a curriculum issue. Journal of Learning Design. 2015; 8 (1): 55-67.
- Zomordi G, Moradi M, Hasanzadeh M, Ghavami V. The effect of education based on the theory of planned behavior on the intention of vaccination against human papillomavirus in female students: A controlled educational trial. J Educ Health Promot. 2022 Jul 29;11:237. doi: 10.4103/jehp.jehp_1145_21. eCollection 2022.
- Hale AR, Young VL, Grand A, McNulty CA. Can Gaming Increase Antibiotic Awareness in Children? A Mixed-Methods Approach. JMIR Serious Games. 2017 Mar 24;5(1):e5. doi: 10.2196/games.6420.
- Banos RM, Cebolla A, Oliver E, Alcaniz M, Botella C. Efficacy and acceptability of an Internet platform to improve the learning of nutritional knowledge in children: the ETIOBE Mates. Health Educ Res. 2013 Apr;28(2):234-48. doi: 10.1093/her/cys044. Epub 2012 Apr 11.
- Lakshman RR, Sharp SJ, Ong KK, Forouhi NG. A novel school-based intervention to improve nutrition knowledge in children: cluster randomised controlled trial. BMC Public Health. 2010 Mar 10;10:123. doi: 10.1186/1471-2458-10-123.
- Suleiman-Martos N, Garcia-Lara RA, Martos-Cabrera MB, Albendin-Garcia L, Romero-Bejar JL, Canadas-De la Fuente GA, Gomez-Urquiza JL. Gamification for the Improvement of Diet, Nutritional Habits, and Body Composition in Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients. 2021 Jul 20;13(7):2478. doi: 10.3390/nu13072478.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NYCU112151AEF
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Knowledge of Infection Control
-
NCT04027010CompletedLack of Knowledge About Condoms and Birth Control | Adolescent Sexual Intercourse | Sexual Intercourse Without a Condom or Birth Control | Unplanned Pregnancies
-
NCT02757482CompletedWarfarin Knowledge Level | International Normalized Ratio Control | Patient Training
-
NCT04386135Active, not recruitingQuality of Life | Self Efficacy | Health Knowledge, Attitudes, Practice | Health Care Utilization | Life Style | General Population | Empowerment | Activation, Patient | Locus of Control
-
NCT07242885CompletedInfection Control
-
NCT00139048CompletedKnowledge of Mammography Screening
-
NCT07207616CompletedAssess the Knowledge of ALS
-
NCT01746459CompletedKnowledge Translation | Sustainability of Innovations
-
NCT05504434CompletedEsophagogastroduodenoscopy | Gastroscopy | Equipment Design | Equipment Contamination / Prevention & Control | Cross Infection / Prevention & Control | Disposable Equipment | Infection Control / Methods
-
NCT05321043Recruiting
Clinical Trials on gamified instruction
-
NCT06786806Completed
-
NCT06985251CompletedOverweight Adolescents
-
NCT05850312Not yet recruitingExperimental Video Games | Behavioral Assessment
-
NCT07370259CompletedHealth Education | Adolescent Health | Gamification | Menstrual Hygiene | Genital Hygiene Behaviors
-
NCT06344806Completed
-
NCT07396207Not yet recruitingNursing Education | Intramuscular Injection | Metaverse
-
NCT02317939Completed
-
NCT02420964Completed