The Effect of Situation Puzzle Games on Nursing Students' Death Anxiety and Meaning in Life
SPGI
Mechanisms and Design Framework Study of Gamified Education in Professional Identity Formation for Medical Undergraduates
2 other identifiers
interventional
70
1 country
1
Brief Summary
Goal of this interventional study The purpose of this research is to investigate the effects of a scenario-based puzzle educational game on death anxiety and meaning in life among nursing students. It aims to answer the following key questions: Can the scenario-based puzzle educational game enhance nursing students' sense of meaning in life? Can the scenario-based puzzle educational game reduce death anxiety in nursing students? What are nursing students' experiences and perceptions of this educational game? Study design Researchers will compare the intervention group (participating in the game) with a control group (receiving death education manuals) to evaluate the effectiveness of the game-based intervention. Participants will: Be recruited through campus posters Be randomly assigned to either the intervention or control group and complete baseline questionnaires In the control group: Receive death education manuals twice weekly for 3 weeks In the intervention group: Participate in group sessions (5 students per group) to play the scenario-based puzzle game twice weekly for 3 weeks Complete follow-up questionnaires and participate in qualitative interviews regarding their experiences with manual-based education or the game intervention after the 3-week intervention period
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2025
Shorter than P25 for not_applicable
1 active site
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
April 21, 2025
CompletedFirst Submitted
Initial submission to the registry
May 13, 2025
CompletedFirst Posted
Study publicly available on registry
May 28, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
August 21, 2025
CompletedMay 28, 2025
May 1, 2025
3 months
May 13, 2025
May 18, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Death Anxiety
A 15-item self-report scale developed by psychologist Templer (1967/1970) measuring death-related distress. Dimensions: Affective (Items 1,3,10,13,14), Stress/Pain (Items 4,5,6,9,11), Time Awareness (Items 8,12), Cognitive (Items 2,7,15) Scoring: Dichotomous (Yes/No) with 9 forward-scored and 6 reverse-scored items (Items 2,3,5,6,7,16\*). Total score range: 0-15 (higher = greater anxiety). Reliability: Test-retest reliability (3-week) = 0.83; KR-20 = 0.76 (original English version).
Week 0, Week 3
Meaning in Life
A 10-item scale (Steger et al.) assessing two dimensions: Presence of Meaning (5 items): Perceived life purpose Search for Meaning (5 items): Active pursuit of meaning Scoring: 7-point Likert (1="Strongly Disagree" to 7="Strongly Agree"). Higher scores indicate stronger meaning. Reliability: Cronbach's α = 0.878 (total), 0.850 (Presence), 0.907 (Search)
Week 0, Week 3
Study Arms (2)
Gamified Education
EXPERIMENTALScenario-based puzzle game in group sessions
Manual Education
ACTIVE COMPARATORStandardized death education manual
Interventions
Eligibility Criteria
You may qualify if:
- Third-year full-time undergraduate nursing students
- Completed clinical observation training but not yet entered clinical internship phase
- Aged ≥18 years
- Provide informed consent and voluntarily participate in the study
You may not qualify if:
- Participated in similar death education interventions within the past 3 months
- Diagnosed with severe mental or psychological disorders
- Currently on a leave of absence (academic or personal)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
School of Nursing, China Medical University
Shenyang, Liaoning, 110122, China
MeSH Terms
Conditions
Central Study Contacts
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
- Doctoral Researcher, School of Nursing, China Medical University
Study Record Dates
First Submitted
May 13, 2025
First Posted
May 28, 2025
Study Start
April 21, 2025
Primary Completion
August 1, 2025
Study Completion
August 21, 2025
Last Updated
May 28, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share