Gamification and Augmented Reality in Mechanical Ventilation Teaching for Nursing Students

January 6, 2023 updated by: Sahar Younes, Damanhour University

Effect of Using Gamification and Augmented Reality in Mechanical Ventilation Teaching on Nursing Students' Knowledge, Motivation, and Self-Efficacy: A Randomized Controlled Trial

This study is designed to examine the effect of using gamification and augmented reality in mechanical ventilation teaching on Critical Care Nursing students' knowledge, self-efficacy, and motivation.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

A pretest-posttest, prospective, randomized controlled trial will be conducted. Random assignment will place participants in either the experimental group using augmented reality games or the control group using traditional lectures (control group).

  1. Preparation of Augmented Reality Models

    • Mechanical ventilator handout will be developed by the authors. This handout will be including images of physiology of respiration, mechanical ventilator machines, ventilator graphs, and ventilator settings.
    • An augmented reality (AR) mobile application with image based AR will be used by the participants in the experimental group. The three-dimensional (3D) virtual models and images will be shown in the AR handout, and the participants could display the objects on the mobile screen with the use of a marker on the page of the AR handout using the camera in the mobile app.

  2. Preparation of Kahoot Game

    • A teacher account was constructed on Kahoot after signing up at "https://kahoot.com".
    • A Kahoot quiz with 20 multiple-choice questions and pictures will be constructed at "https://create.kahoot". Only one correct option will be possible for each of the 20 questions.
    • When a quiz is created and opened in "Kahoot".
    • The students access to Kahoot within the classical game mode (Player vs Player "1:1 Devices").
    • A typical session of Kahoot involves 200 students playing the game.
    • Once each teaching unit is completed, students will be asked to actively participate in the classroom using Kahoot.
    • Once all of the players' names have appeared on the screen, the teacher presses "START" to begin the quiz.
    • Students' responses and the scores' calculation will be automatically stored in the database.
    • After the test is finished, a report of the results will be created and made available for download to the researcher.

Data Collection Procedure

The study will be conducted between October 20, 2022 and December 30, 2022.

  • The students in experimental group received a 30 minutes augmented reality games training for mechanical ventilator using a 3D images and videos.
  • The control group will be learned with the traditional materials in which the teacher will give online lectures regarding the mechanical ventilation utilizing PowerPoint presentation through Microsoft Teams platform.
  • The self-administered questionnaires of knowledge, self-efficacy and motivation survey will take 15 minutes to complete for each participant via an online form. The pretest for both groups will be administered on the first day of the study, and the post-test will be administered immediately after and after three weeks of the intervention.
  • Three weeks after the baseline measurements, knowledge, self-efficacy and Motivation Survey will be assessed again.

Study Type

Interventional

Enrollment (Actual)

410

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
    • Behira
      • Damanhūr, Behira, Egypt, 045/3300376
        • Faculty of Nursing

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years to 22 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Third-year nursing students enrolled in the course of Critical Care Nursing (I) for the first time;
  • Smartphone owners and users; those who have internet access;
  • Those who understood the goal and nature of the study and voluntarily agreed to participate

Exclusion Criteria:

  • Prior experience in mechanical ventilation
  • Refusal to participation

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control group
No augmented reality or Kahoot game-based learning group (traditional lectures group)
Experimental: Experimental group
Augmented reality learning and Kahoot game group
Other: Augmented Reality and Kahoot game learning
  • An augmented reality (AR) mobile application with image based will be used by the participants in the experimental group.
  • Also, students will participate in Kahoot game. Students will participate in the game using their own devices by going to https://kahoot on their phones and entering their password and password.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mechanical ventilation knowledge test
Time Frame: through study completion, an average of 4 weeks
It is a self-administered questionnaire that will be developed and used to assess students. The knowledge questionnaire contained 20 multiple choice questions
through study completion, an average of 4 weeks
Self-efficacy
Time Frame: through study completion, an average of 4 weeks
It was created using a five-step nursing process: clinical nursing skill assessment, problem diagnosis, clinical nursing skill preparation, skills performance, and evaluation.
through study completion, an average of 4 weeks
Motivation Survey
Time Frame: through study completion, an average of 4 weeks
Learning motivation was evaluated using a tool based on the Instructional Materials Motivation Scale (IMMS). The IMMS will be utilized to measure motivation-related problems in the self-directed learning of students.
through study completion, an average of 4 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Students' opinions
Time Frame: through study completion, an average of 4 weeks
To investigate students' opinions on game based learning strategy, a survey consisting of 4 items was conducted at the end of the retention test: ''To what extent were you motivated to learn? To what extent did you gain knowledge on mechanical ventilation? Did you find the mechanical ventilation game or lecture interesting? Did you enjoy the mechanical ventilation game or lecture?'' The first 2 items are rated on a 5-point Likert-scale from 1 (strongly disagree) to 5 (strongly agree), the last 2 items are answered with yes or no.
through study completion, an average of 4 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Damanhour University

Investigators

  • Principal Investigator: Sahar Y Othman, Ass. Prof., Faculty of Nursing, Damanhour University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 25, 2022

Primary Completion (Actual)

December 25, 2022

Study Completion (Actual)

December 30, 2022

Study Registration Dates

First Submitted

October 1, 2022

First Submitted That Met QC Criteria

October 4, 2022

First Posted (Actual)

October 7, 2022

Study Record Updates

Last Update Posted (Estimate)

January 9, 2023

Last Update Submitted That Met QC Criteria

January 6, 2023

Last Verified

January 1, 2023

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • AR and Game based learning

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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.

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