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Web-Based Gamification in Postpartum Hemorrhage Management Education Among Midwifery Students

30 de junio de 2026 actualizado por: Gozde Gokce Isbir, Mersin University

The Effect of Web-Based Gamification in Postpartum Hemorrhage Management Education on Knowledge Level, Motivation, Clinical Self-Efficacy, and Satisfaction Among Midwifery Students: A Randomized Controlled Trial

This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.

Descripción general del estudio

Descripción detallada

This study is planned as a randomized, single-blind, parallel-group experimental study. The research will be conducted with fourth-year midwifery students enrolled in undergraduate programs in Turkey.

Participants who meet the inclusion criteria will be randomly assigned into two groups:

  • Experimental group receiving web-based gamification education
  • Control group receiving online classical education Both groups will receive postpartum hemorrhage management education for four consecutive weeks, with one session per week lasting approximately 45-60 minutes.

In the experimental group, after each theoretical session, a web-based gamified module developed using Genially will be provided. These modules will include interactive tasks such as scenario-based questions, sequencing activities, reward systems (badges and points), and problem-solving exercises to enhance active learning.

In the control group, education will be delivered using traditional online teaching methods, including lecture-based presentations (PowerPoint) and verbal explanations.

Data will be collected before the intervention (pre-test) and after the completion of the training (post-test).

Tipo de estudio

Intervencionista

Inscripción (Estimado)

128

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Gözde Gökçe İsbir
  • Número de teléfono: +905057782319
  • Correo electrónico: gozdegokce@gmail.com

Copia de seguridad de contactos de estudio

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto

Acepta Voluntarios Saludables

Sí

Descripción

Inclusion Criteria:

  • Living in Turkey
  • Aged between 18-40 years
  • Female
  • Native speaker of Turkish
  • Fourth-year undergraduate midwifery student
  • Having received basic education on postpartum hemorrhage within the curriculum
  • Having access to internet and digital devices (computer, tablet, or smartphone)
  • Voluntarily agreeing to participate in the study

Exclusion Criteria:

  • Not attending at least 80% of the training sessions
  • Not completing the data collection tools fully
  • Participating in another study or training related to postpartum hemorrhage management during the research period
  • Not accessing or completing the gamification modules (for the experimental group)
  • Withdrawing from the study at any stage

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Experimental: Web-Based Gamification Education
Web-Based Gamification Education: Participants in this group will receive postpartum hemorrhage management education supported by web-based gamification. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. After each session, participants will access gamified modules developed using Genially, including interactive tasks, case-based scenarios, quizzes, and reward systems such as points and badges.
The web-based gamification program consists of 4 sessions and interactive modules designed to improve knowledge, clinical decision- making skills, motivation, and self-efficacy in postpartum hemorrhage management.
Comparador de placebos: Online Classical Education
Online Classical Education: Participants in this group will receive postpartum hemorrhage management education through traditional online teaching methods. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. The education will be provided using lecture-based methods such as PowerPoint presentations and verbal explanations. No gamification elements will be used.
The classical education program consists of 4 sessions and includes standard theoretical instruction on postpartum hemorrhage management without gamification components.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Level of Motivation Towards Instructional Material
Periodo de tiempo: 24 hours after completion of the intervention
Participants' motivation levels will be evaluated using the Instructional Materials Motivation Survey (IMMS), which is based on Keller's ARCS model (Attention, Relevance, Confidence, Satisfaction) (Keller, 2010; Dinçer & Doğanay, 2016). The scale consists of 33 items rated on a 5-point Likert scale ranging from 1 ("Not true at all") to 5 ("Very true"). The total score ranges from 33 to 165, with higher scores indicating higher levels of motivation. The Turkish version of the scale has demonstrated high internal consistency, with a Cronbach's alpha coefficient of 0.93.
24 hours after completion of the intervention
Postpartum Hemorrhage Management Knowledge Level
Periodo de tiempo: 24 hours before the intervention and within 24 hours after completion of the intervention

Participants' knowledge regarding postpartum hemorrhage management will be evaluated using researcher-developed pre-test and post-test instruments. These tests were developed in accordance with current literature and national guidelines (Republic of Turkey Ministry of Health, 2022; Hamlacı et al., 2017; Durmaz & Kömürcü, 2018).

The tests are designed to assess students' knowledge levels before and after the training and to evaluate the effectiveness of the educational method. The content includes postpartum hemorrhage definition, risk factors, etiology, prevention strategies, and management approaches. Content validity will be ensured by obtaining expert opinions from at least five specialists in the field of obstetrics and postpartum hemorrhage management. Based on expert feedback and pilot testing, necessary revisions will be made, and the final version of the tests will be established.

24 hours before the intervention and within 24 hours after completion of the intervention
Clinical Skills Self-Efficacy Level
Periodo de tiempo: 24 hours before the intervention and within 24 hours after completion of the intervention

Participants' self-efficacy levels will be assessed using the Clinical Skills Self-Efficacy Scale developed by Kang and Chang (2019). The scale evaluates self-efficacy perceptions in cognitive, affective, and psychomotor domains.

The Turkish adaptation of the scale consists of 14 items and a three-factor structure: cognitive (items 1-6), affective (items 7-10), and psychomotor (items 11-14). The scale is rated on a 5-point Likert scale ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Higher scores indicate higher levels of self-efficacy.

The Cronbach's alpha values of the Turkish version are reported as 0.91 for the total scale, 0.89 for the cognitive domain, 0.69 for the affective domain, and 0.85 for the psychomotor domain (Bayazıt, Gönüllü & Doğan, 2022).

24 hours before the intervention and within 24 hours after completion of the intervention
Satisfaction Level
Periodo de tiempo: 24 hours after completion of the intervention
Participants' satisfaction with the training program will be assessed using a single-item Visual Analog Scale (VAS) ranging from 0 ("Not satisfied at all") to 10 ("Completely satisfied") (Wewers & Lowe, 1990).
24 hours after completion of the intervention

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

1 de octubre de 2026

Finalización primaria (Estimado)

1 de noviembre de 2026

Finalización del estudio (Estimado)

15 de enero de 2027

Fechas de registro del estudio

Enviado por primera vez

10 de abril de 2026

Primero enviado que cumplió con los criterios de control de calidad

30 de junio de 2026

Publicado por primera vez (Actual)

7 de julio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

7 de julio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

30 de junio de 2026

Última verificación

1 de junio de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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