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Kahoot!-Integrated Education for Stroke Patient Positioning (Kahoot-SPP)

28. september 2026 opdateret af: Wan-Yun Huang, Kaohsiung Veterans General Hospital.

Effects of Kahoot!-Integrated Instruction on Learning Motivation and Stroke Patient Positioning Skills Among Physical Therapy Interns: A Randomized Controlled Trial

This randomized controlled trial evaluated the effects of integrating the Kahoot! online interactive response system into instruction on stroke patient positioning among physical therapy interns. Participants were randomly assigned to an experimental group or a control group. Both groups received the same course content on correct positioning of patients with stroke. The experimental group received Kahoot!-integrated interactive instruction, whereas the control group received conventional lecture-based instruction only.

Learning motivation and clinical performance were assessed before and immediately after the course using the Attention, Relevance, Confidence, and Satisfaction (ARCS) Learning Motivation Scale and an objective structured clinical examination (OSCE) of stroke patient positioning. Participants in the experimental group also completed a satisfaction questionnaire regarding the Kahoot!-integrated instruction. Pre-course and post-course outcomes were analyzed to compare changes between the two groups.

Keywords: Kahoot!; online interactive response system; stroke patient positioning; learning motivation; clinical performance; physical therapy interns

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

I. Content

1. Research Motive and Purpose The Interactive Response System (IRS) is a technology-enhanced instructional tool that allows students to provide real-time feedback to instructors through electronic devices such as smartphones, tablets, or personal digital assistants (PDAs), thereby improving the quality of classroom instruction. Previous studies have demonstrated that IRS is one of the key tools that significantly enhances student engagement and learning motivation.Detailed Description

Interactive response systems provide real-time questions and feedback during classroom instruction and may increase students' attention, participation, and understanding of course content. Kahoot! is a game-based interactive response platform that allows learners to answer questions using mobile devices and receive immediate feedback. Its use may transform conventional instructor-centered teaching into a more interactive learning experience.

Learning motivation is an important factor in clinical skills education. The Attention, Relevance, Confidence, and Satisfaction (ARCS) model describes four dimensions of learning motivation that may influence students' engagement and learning outcomes. This study evaluated whether integrating Kahoot! into clinical skills instruction improved learning motivation and stroke patient-positioning performance among physical therapy interns.

This study used a randomized, two-arm educational intervention design. Approximately 60 physical therapy interns at a medical center in southern Taiwan were randomly assigned in a 1:1 ratio to an experimental group or an active comparator group.

Both groups received instruction covering the same learning objectives and course content related to correct bed positioning of patients with stroke and caregiver education. The experimental group received conventional classroom teaching followed by a Kahoot!-based interactive activity involving quiz questions and immediate feedback. The active comparator group received conventional lecture-based instruction without Kahoot!-based activities.

Participants in both groups completed assessments at baseline and immediately after the course. Clinical performance was evaluated using a single-station objective structured clinical examination (OSCE) of stroke patient positioning. Performance was scored using a standardized checklist, with higher scores indicating better clinical performance.

Learning motivation was evaluated using the 24-item ARCS Learning Motivation Scale. The scale contains four six-item subscales: Attention, Relevance, Confidence, and Satisfaction. Items were rated on a five-point Likert scale, with higher scores indicating greater learning motivation.

Participants in the experimental group also completed a 14-item satisfaction questionnaire concerning the Kahoot!-integrated instruction. Items were rated on a five-point Likert scale ranging from 1, "strongly disagree," to 5, "strongly agree," with higher scores indicating greater satisfaction. Open-ended questions collected feedback about participants' learning experiences, perceived benefits, suggestions, and areas for improvement.

Changes in OSCE performance and ARCS learning-motivation scores from baseline to the immediate post-course assessment were compared between the two groups.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

60

Fase

  • Ikke anvendelig

Kontakter og lokationer

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Studiesteder

      • Kaohsiung City, Taiwan, 813414
        • Kaohsiung Veterans General Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 80 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

Physical therapy interns participating in the designated clinical skills training course Aged 18 years or older Scheduled to attend instructional sessions on stroke patient positioning Able to complete the OSCE assessments and self-administered questionnaires Provided informed consent to participate in the study

Exclusion Criteria:

Previous structured training in stroke patient positioning that could influence the learning outcomes Unable to attend or participate in the required instructional sessions Unable to complete the required pre-intervention and post-intervention assessments

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Arm Title 1: Experimental Group: Kahoot!-Integrated Instruction

Experimental Group:

Participants received traditional classroom teaching followed by Kahoot!-integrated interactive instruction.

Control Group:

Participants received conventional lecture-based instruction without Kahoot!-integrated activities

Participants received conventional classroom instruction on patient positioning, followed by a Kahoot!-based interactive learning activity. The activity included quiz questions, immediate feedback, and score-based engagement to reinforce the instructional content.

Aktiv komparator: Arm Title 2: Control Group: Convent

Control Group:

Participants received conventional lecture-based instruction without Kahoot!-integrated activities.

conventional lecture-based instruction without Kahoot!-integrated activities

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Objective Structured Clinical Examination (OSCE) Score for Patient Positioning Performance
Tidsramme: Baseline and immediately after completion of the course on Day 1

Participants in both groups completed an OSCE before and immediately after the course. Patient-positioning performance was evaluated using a standardized checklist. Total scores ranged from 0 to 100, with higher scores indicating better performance. The change from the pre-course to the post-course OSCE score was compared between the two groups.

Baseline and immediately after completion of the course on Day 1

Samarbejdspartnere og efterforskere

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Sponsor

Efterforskere

  • Studiestol: wan-yun huang, phd, Kaohsiung Veterans General Hospital.

Publikationer og nyttige links

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Datoer for undersøgelser

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Studer store datoer

Studiestart (Faktiske)

1. november 2022

Primær færdiggørelse (Faktiske)

30. marts 2026

Studieafslutning (Faktiske)

30. maj 2026

Datoer for studieregistrering

Først indsendt

10. januar 2026

Først indsendt, der opfyldte QC-kriterier

28. september 2026

Først opslået (Faktiske)

29. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

29. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • KSVGH22-CT10-27

Plan for individuelle deltagerdata (IPD)

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INGEN

IPD-planbeskrivelse

all collected IPD, all IPD that underlie results in a publication

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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