NCT06950918

Brief Summary

Study Summary: This quasi-experimental pre-test-post-test study aims to compare the effects of Flipped Classroom (FC) and Flip-Jigsaw instructional models on theoretical knowledge acquisition, academic motivation, and class engagement among 86 third-year physiotherapy undergraduates enrolled in a theory-based public health course. Primary Questions: How does the hybrid Flip-Jigsaw model impact learning and motivation outcomes compared to FC alone? Do FC and Flip-Jigsaw differ in enhancing theoretical knowledge, motivation, and participation? Comparison: Researchers will compare the FC group (pre-class videos + in-class discussions) with the Flip-Jigsaw group (video-based pre-learning + structured peer teaching) to evaluate differences in outcomes. Participant Tasks: Attend lectures and complete pre-/post-knowledge tests. Engage in practical sessions (FC: group discussions; Flip-Jigsaw: peer-led jigsaw activities). Complete motivation surveys and participation assessments. Significance: Addresses the gap in understanding Flip-Jigsaw's efficacy in physiotherapy education, despite prior reports on FC and Jigsaw's individual benefits.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
86

participants targeted

Target at P50-P75 for not_applicable

Timeline
2mo left

Started May 2025

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress85%
May 2025Jul 2026

First Submitted

Initial submission to the registry

March 21, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

April 30, 2025

Completed
10 days until next milestone

Study Start

First participant enrolled

May 10, 2025

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 10, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 10, 2026

Last Updated

March 31, 2026

Status Verified

April 1, 2025

Enrollment Period

1.1 years

First QC Date

March 21, 2025

Last Update Submit

March 25, 2026

Conditions

Keywords

Flipped ClasroomFlip-JLearning ModelPhysiotherapy education

Outcome Measures

Primary Outcomes (3)

  • Level of theoretical knowledge

    The theoretical knowledge part of the course content will be done with a 20-question 5-choice multiple choice test. The same multiple choice test will be used as a post test after the lecture.

    pre-test and immediately after the intervention (7 weeks after study enrollment)

  • Level of motivation

    The adapted Instructional Material Motivation Scale was administrated to measure the participants' motivation towards the instructional material . The scale consists of 36 five-point Likert scale items covering four sub-scales.

    immediately after the intervention (7 weeks after study enrollment)

  • Level of student engagement

    Course duration can be recorded in minutes on the education platform.

    immediately after the intervention (7 weeks after study enrollment)

Study Arms (2)

Flipped Clasroom Group

EXPERIMENTAL

Pre-class: Asynchronous video lectures covering theoretical content (e.g., public health principles, manual therapy techniques) were provided via an online platform. Students were required to review materials before in-person sessions. In-class: Instructor-led interactive discussions, case analyses, and problem-solving activities focused on applying theoretical knowledge. No peer-teaching components were included. Structure: Emphasis on self-paced learning followed by collaborative, instructor-guided reinforcement.

Other: Experimental

Flipped-Jigsaw Group

EXPERIMENTAL

Pre-class: The same video lessons as the FC group are delivered only to the students in the expert group in the pre-class content delivery. In-class: Structured peer-teaching using the Jigsaw technique: Expert Groups: Students were divided into small groups, each assigned a subtopic (e.g., cervical spine assessment techniques) to master. Home Groups: Students returned to mixed groups to teach their subtopic to peers, ensuring collective knowledge integration. Instructor Role: Facilitated discussions and provided feedback but did not lead content delivery. Structure: Combines self-paced learning with peer-driven, collaborative skill-building.

Other: Experimental

Interventions

This study is a quasi-experimental parallel group design comparing Flipped Classroom (FC) and Flip-Jigsaw models in a theoretically-oriented public health course. Both groups used the same pre-prepared video lectures to standardize content, but differentiated in-class strategies: The FC group used instructor-led discussions, while the Flip-Jigsaw group used Jigsaw technique and peer teaching (students learning subtopics in "expert groups" and teaching them in "master groups"). Unlike traditional FC, this hybrid model includes systematic peer collaboration and role-based accountability mechanisms. Theoretical knowledge acquisition, motivation and engagement outcomes were assessed through quantitative tests (pre-post-retention tests) and qualitative interviews, and objectivity was ensured in practical exams with single-blinded assessors. The study brings innovation to the literature as it is the first study to demonstrate the unique effect of Flip-Jigsaw in theoretical courses in the fie

Flipped Clasroom GroupFlipped-Jigsaw Group

Eligibility Criteria

Age18 Years - 25 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • To be between the ages of 18-25
  • Volunteering to participate in the study
  • Taking the course for the first time
  • Having access to the Internet
  • Compulsory course attendance

You may not qualify if:

  • Being a minor student
  • Not being the first undergraduate education
  • To have previously attended courses, seminars, webinars, etc. related to public health
  • Participation in other pedagogical studies during the same academic term.
  • Failure to complete ≥1 assessment (pre-test, post-test, or surveys).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Süleyman Demirel University

Isparta, 32100, Turkey (Türkiye)

RECRUITING

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. PhD (physiotherapy and rehabilitation)

Study Record Dates

First Submitted

March 21, 2025

First Posted

April 30, 2025

Study Start

May 10, 2025

Primary Completion (Estimated)

June 10, 2026

Study Completion (Estimated)

July 10, 2026

Last Updated

March 31, 2026

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will share

Raw data and statistical analyses can be shared, with participant identities obscured.

Shared Documents
SAP

Locations