The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice
The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice: a Cluster Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Considering the multiple roles of PHC nurses in dengue prevention and management, there is a need for training methods that are not only informative but also actively engaging and time-efficient. Educational board games offer a promising interactive learning strategy. However, their application among healthcare professionals, particularly nurses, remains underexplored.
The main purpose of this study is to examine whether an educational board game can improve PHC nurses' knowledge, attitudes, and confidence in dengue-related practice compared to a lecture-based intervention. In addition, the study will evaluate participants' satisfaction with the learning experience.
This two-arm parallel cluster randomized controlled trial will be conducted in Yogyakarta, Indonesia, involving 82 participants from 14 PHC unit clusters. These clusters will be randomly allocated into two groups: the intervention group (educational board game) and the control group (lecture-based intervention). Each group will receive a single 90-minute educational session.
Outcomes on knowledge, attitudes, and confidence will be assessed at multiple time points. Data will be analyzed using a linear mixed-effects model (LMM) to evaluate the interaction effects between group and time. Findings from this study may offer valuable insights for healthcare institutions and policymakers to consider integrating board games into professional training and continuing professional development (CPD) programs.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Special Region of Yogyakarta
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Yogyakarta, Special Region of Yogyakarta, Indonesia, 55111
- Primary Healthcare
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Full-time employed nurses in the PHC unit
- Nurses who have experience in assessing dengue-suspected patients
- Nurses who have at least three months of work experience in the current PHC unit
- Nurses who have a smartphone for online communication
- Nurses who are familiar with WhatsApp applications
Exclusion Criteria:
- Nurses on maternity or annual leave during the data collection period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Educational board game
Participants will receive an educational board game one time for 90 minutes.
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The educational board game will be administered once for a duration of 90 minutes, consisting of a gameplay session followed by a debriefing.
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Active Comparator: Lecture group
Participants will receive a lecture-based intervention one time for 90 minutes.
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The lecture will be administered once for a duration of 90 minutes, consisting of video lecture followed by question and answer (QnA) session.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Knowledge
Time Frame: Baseline, immediately after intervention, and follow up at one-month post intervention.
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This study will use the Indonesian version of Dengue Knowledge Questionnaire to measure PHC nurses' knowledge of dengue.
The questionnaire consists of seven items, with response options of "true," "false," or "unknown."
Each correct answer will receive 1 point, while incorrect or unknown responses receive 0 points.
Total scores range from 0 to 7, with higher scores reflecting a better knowledge of dengue.
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Baseline, immediately after intervention, and follow up at one-month post intervention.
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Attitude
Time Frame: Baseline, immediately after intervention, and follow up at one-month post intervention.
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The study will use the Indonesian version of Dengue Preventive Attitudes Questionnaire to measure nurses' attitudes toward dengue prevention.
It consists of seven items, each rated on a five-point Likert scale, with 1 indicating "strongly disagree" and 5 indicating "strongly agree."
Total scores range from 7 to 35, with higher scores representing more favorable attitudes toward dengue prevention.
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Baseline, immediately after intervention, and follow up at one-month post intervention.
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Confidence
Time Frame: Baseline, immediately after intervention, and follow up at one-month post intervention.
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The study will use the Indonesian version of the five-item Confidence-Scale (C-Scale) to measure nurses' confidence in their practice.
Responses will be recorded on a five-point Likert scale, ranging from 1 to 5, with 5 indicating "higher confidence."
Total scores ranged from 5 to 25, with higher scores indicating greater confidence.
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Baseline, immediately after intervention, and follow up at one-month post intervention.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Learning satisfaction
Time Frame: Immediately after intervention.
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This study will use the Indonesian version of the five-item Satisfaction in Learning questionnaire to assess nurses' satisfaction with the assigned learning methods.
Responses will be recorded on a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).
Higher score indicated more satisfied with learning methods.
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Immediately after intervention.
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Nuzul S Hertanti, RN, MS, Taipei Medical University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- KE/FK/0902/EC/2025
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
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