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

30. juni 2026 oppdatert av: 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.

Studieoversikt

Detaljert beskrivelse

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).

Studietype

Intervensjonell

Registrering (Antatt)

128

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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Studiekontakt

Studer Kontakt Backup

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Ja

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
Placebo komparator: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Level of Motivation Towards Instructional Material
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

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Studierekorddatoer

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Studer hoveddatoer

Studiestart (Antatt)

1. oktober 2026

Primær fullføring (Antatt)

1. november 2026

Studiet fullført (Antatt)

15. januar 2027

Datoer for studieregistrering

Først innsendt

10. april 2026

Først innsendt som oppfylte QC-kriteriene

30. juni 2026

Først lagt ut (Faktiske)

7. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

7. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

30. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

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