Gamification in Family Planning Education: Impact on University Students

September 20, 2026 updated by: Özlem Ülkü BULUT, Lokman Hekim University

The Effect of Family Planning Education Delivered With the Gamification Method on the Knowledge and Attitudes of University Students

Family planning education is an important component of sexual and reproductive health education for young people. Innovative educational approaches, including gamification, may support student engagement and learning in family planning education. This study examined changes in family planning knowledge and attitudes among first-year undergraduate midwifery students following participation in a gamified escape room-based family planning educational activity. The study used a single-group quasi-experimental pretest-posttest design with a two-month follow-up. Participants completed a Genially-based digital escape room consisting of three progressively challenging levels. Family planning knowledge was assessed at baseline and immediately after the educational activity, while family planning attitudes were assessed at baseline, immediately after the activity, and at the two-month follow-up.

Study Overview

Detailed Description

Location of the research: The study was conducted with first-year undergraduate midwifery students at Lokman Hekim University in Türkiye.

Study period and participants: The educational activity and immediate assessments were conducted in March 2024, and the follow-up assessment was conducted two months later, in May 2024. A total of 46 eligible first-year midwifery students who had not previously received formal family planning education were invited to participate. Eight students declined participation, and 38 students provided informed consent and constituted the final study sample.

Study design: The study used a single-group quasi-experimental pretest-posttest design with a two-month follow-up. Family planning knowledge was assessed at baseline and immediately after the educational activity. Family planning attitudes were assessed at baseline, immediately after the educational activity, and at the two-month follow-up.

Educational activity: Participants individually completed a Genially-based gamified digital escape room on family planning in a face-to-face classroom setting. The activity consisted of three progressively challenging levels and lasted approximately 20 minutes.

Study Type

Interventional

Enrollment (Actual)

38

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

    • Ankara
      • Ankara, Ankara, Turkey (Türkiye), 06300
        • Lokman Hekim University

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

Being a first-year undergraduate midwifery student Not having received formal family planning education before the study Voluntarily agreeing to participate in the study Having access to a smartphone or tablet suitable for completing the digital educational activity

Exclusion Criteria:

Having previously received formal family planning education Declining to participate in the study

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: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental: Gamified Escape Room-Based Family Planning Education

Participants received gamified family planning education through an individually completed, Genially-based digital escape room. The educational activity consisted of three progressively challenging levels covering family planning topics.

Participants individually completed a Genially-based digital escape room on family planning using their own smartphones or tablets and headphones in a face-to-face classroom setting. The intervention consisted of three progressively challenging levels: Apprentice Planner, Journeyman Planner, and Master Planner. Activities included matching, true/false questions, and scenario-based tasks. Participants were required to answer correctly before progressing; incorrect responses prevented progression until the correct response was identified. Embedded clues were available within the digital environment. A digital badge was awarded after successful completion of each level, and participants received the "Master Planner" title after completing the final level. The activity lasted approximately 20 minutes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Family planning attitudes
Time Frame: Baseline, immediately post-intervention, and two-month follow-up

Family planning attitudes were assessed using the Family Planning Attitude Scale (FPAS), a 34-item, 5-point Likert-type scale. Total scores range from 34 to 170, with higher scores indicating more positive attitudes toward family planning. The FPAS was administered at baseline, immediately after the gamified escape room-based educational activity, and at the two-month follow-up.

Baseline, immediately post-intervention, and two-month follow-up

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Family Planning Knowledge
Time Frame: Baseline and immediately post-intervention

Family planning knowledge was assessed using a researcher-developed three-item Family Planning Knowledge Form. The items assessed knowledge regarding incorrect condom use, emergency contraception, and contraceptive misconceptions. Items were scored dichotomously as correct or incorrect. For the multiple-response item, a response was considered correct only when all correct options and no incorrect options were selected. Knowledge was assessed at baseline and immediately after the educational activity.

Baseline and immediately post-intervention

Collaborators and Investigators

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

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)

March 15, 2024

Primary Completion (Actual)

May 15, 2024

Study Completion (Actual)

May 15, 2024

Study Registration Dates

First Submitted

March 22, 2024

First Submitted That Met QC Criteria

March 27, 2024

First Posted (Actual)

April 3, 2024

Study Record Updates

Last Update Posted (Actual)

September 23, 2026

Last Update Submitted That Met QC Criteria

September 20, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • gamifiedfamilyplanning

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

The study was planned as a one-group pretest-posttest quasi-experimental study with the aim of evaluating the effect of gamification education on the knowledge and attitudes of university students.

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.

Subscribe