NCT05551611

Brief Summary

Mobile games are used as a powerful learning tool today. It is very useful as it allows students to work on their own frequently when necessary without the need for any physical environment or trainer and can be easily distributed among institutions. While the simulation laboratories established in a school can only be used by the students of that school, a game developed can be used by all students in the world who know that language. It is reported that breech presentation, which is one of the presentation disorders of the fetus, is the fourth or fifth most common indication for delivery by cesarean section. According to the midwifery national core curriculum in our country, vaginal breech delivery management training is given within the scope of risky birth course. However, it is known that teaching and learning the labor and delivery process of a breech-presented fetus is not easy. For this reason, it is thought that teaching vaginal breech delivery management by gamifying will be beneficial and it is important to investigate the effect of students playing this game on learning. Our study has two aims. Its primary purpose is; is to design a vaginal breech delivery management educational mobile game for midwifery students. The secondary aim is to evaluate the effect of the educational mobile game-supported teaching activity given to midwifery students about vaginal breech delivery within the scope of risky birth and postpartum period course. Real actors and simulation models were used to fake the scenario to be used in the game. A mobile game was prepared with the film shot. It was conducted with 10 volunteer students from Marmara University Health Sciences Faculty Midwifery Department 3rd grade students in order to determine whether there is any aspect of the mobile game that requires development. The mobile game, which was shaped and organized with the pilot application, was applied to the students in the 3rd grade play group of Kocaeli University Health Sciences Faculty Midwifery Department after single-blind randomization. Introductory features form, vaginal breech birth management knowledge test, course effectiveness evaluation form, general satisfaction level test about the course and vaginal breech birth management mobile game evaluation form were used to collect data.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
79

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 22, 2022

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 27, 2022

Completed
15 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 12, 2022

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

September 20, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 22, 2022

Completed
2.8 years until next milestone

Results Posted

Study results publicly available

July 15, 2025

Completed
Last Updated

July 15, 2025

Status Verified

July 1, 2025

Enrollment Period

2 months

First QC Date

September 20, 2022

Results QC Date

May 12, 2024

Last Update Submit

July 14, 2025

Conditions

Keywords

Midwiferymobile gamevaginal breech delivery managementmidwifery education

Outcome Measures

Primary Outcomes (1)

  • Evaluation of the Effectiveness of Vaginal Breech Birth Management Serious Mobile Game

    The Vaginal Breech Birth Management Knowledge Test (VBBM-KT) is a 47-item multiple-choice assessment developed to evaluate midwifery students' knowledge of vaginal breech birth trauma and management. * Each correct answer scores 1 point, resulting in a total score range from 0 to 47 points. * There are no subscales; only a total score is calculated. * Higher scores represent better knowledge and indicate a more successful learning outcome. The test was administered to both groups at four time points: pre-intervention (pretest), immediately post-intervention (Day 0), two weeks later (Day 14), and seven months later.

    Pretest, posttest (Day 0), 14 days after intervention (14th day), and 7 months after intervention (7th month)

Study Arms (2)

Playgroup

ACTIVE COMPARATOR

The participants were informed about the research and the mean score was calculated by applying the Vaginal Breech Delivery Management Knowledge Test to the participants before the vaginal delivery management training of the breech-presented fetus was given within the scope of the Risky Delivery and Postpartum Period Course. After playing the mobile game, Vaginal Breech Birth Management Post-Knowledge Test and General Satisfaction Level Test were applied to the participants again. In addition, the Mobile Game Evaluation Form was applied to the participants in the game group and their opinions on the mobile educational game were determined. Test-retest reliability was calculated by applying the Vaginal Breech Delivery Management Knowledge Retention Test 14 days later.

Other: Playgroup

Control group

ACTIVE COMPARATOR

The participants were informed about the research and the mean score was calculated by applying the Vaginal Breech Delivery Management Knowledge Test to the participants before the vaginal delivery management training of the breech-presented fetus was given within the scope of the Risky Delivery and Postpartum Period Course. On the same date as the playgroup, but at a different time and in a class, the researcher gave a theoretical lesson through the presentation prepared in the powerpoint program about the birth management of a breech-presented fetus in the classroom as in the traditional education method. After the lesson, the Vaginal Breech Birth Management Post-Knowledge Test and the General Satisfaction Level Test were administered to the participants again. Test-retest reliability was calculated by applying the Vaginal Breech Delivery Management Knowledge Retention Test 14 days later.

Other: Control group

Interventions

The mobile game will be sent to the students via a link and the students are allowed to install it on their mobile phones with android and ios operating systems. The internet required for the download was provided by the researcher. For the students who did not have a smart phone in the playgroup, the game would be started from the researcher's phone and the game was played sequentially. All students were allowed to use headphones while playing the game. In order to log in to the game, an account was created on behalf of each student, and the game user name and password were sent to the students by e-mail. It was ensured that they did not communicate with anyone and did not receive help during the game with the supervision of the researcher. Waited until each participant completed the game. Then, the mobile game was deleted from the smartphones of all participants, and the download link was inactive until the research process was completed.

Playgroup

The researcher gave a theoretical lesson through the presentation prepared in the powerpoint program about the birth management of a breech-presented fetus in the classroom as in the traditional education method.

Control group

Eligibility Criteria

Age18 Years - 64 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Volunteering to participate in the research,
  • Being a midwifery student,
  • Being a 3rd year student at Kocaeli University, Faculty of Health Sciences, Department of Midwifery,
  • To have taken the Normal Birth and Postpartum Period course.

You may not qualify if:

  • Not having a mobile phone or using mobile games
  • Leaving the research process for any reason
  • To have received practical or theoretical training on breech birth before
  • Being unable to speak, read and write Turkish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Özlem Çağan

Eskişehir, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Results Point of Contact

Title
Dr. Suzi ÖZDEMİR
Organization
Kocaeli University

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Investigator

Study Record Dates

First Submitted

September 20, 2022

First Posted

September 22, 2022

Study Start

February 22, 2022

Primary Completion

April 27, 2022

Study Completion

May 12, 2022

Last Updated

July 15, 2025

Results First Posted

July 15, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations