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

30 juin 2026 mis à jour par: 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.

Aperçu de l'étude

Description détaillée

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).

Type d'étude

Interventionnel

Inscription (Estimé)

128

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Sauvegarde des contacts de l'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte

Accepte les volontaires sains

Oui

La description

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 d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Autre
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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.
Comparateur placebo: 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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Level of Motivation Towards Instructional Material
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

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Publications et liens utiles

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Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 octobre 2026

Achèvement primaire (Estimé)

1 novembre 2026

Achèvement de l'étude (Estimé)

15 janvier 2027

Dates d'inscription aux études

Première soumission

10 avril 2026

Première soumission répondant aux critères de contrôle qualité

30 juin 2026

Première publication (Réel)

7 juillet 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

7 juillet 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

30 juin 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette étude

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