The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice

NCT07028411 | Completed

• 1 other identifier: KE/FK/0902/EC/2025
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

This cluster randomized controlled trial aims to evaluate the effectiveness of an educational board game compared to a lecture-based intervention on improving knowledge, attitudes, and confidence in dengue-related practice among nurses working in primary healthcare (PHC) units. Additionally, the study will assess PHC nurses' satisfaction with the learning experience. A total of 82 participants from 14 PHC unit clusters in Yogyakarta, Indonesia will be randomly assigned to either the intervention group (educational board game) or the control group (lecture-based intervention). Each group will receive a one-time 90-minute session of assigned intervention. Outcomes related to knowledge, attitudes, and confidence will be measured at multiple time points.

Conditions

Knowledge; Attitude; Confidence, Self

Keywords

board game; dengue; knowledge; attitude; confidence; nurse

Outcome Measures

Primary Outcomes (3)

• Knowledge

  This study will use the Indonesian version of Dengue Knowledge Questionnaire to measure PHC nurses' knowledge of dengue. The questionnaire consists of seven items, with response options of "true," "false," or "unknown." Each correct answer will receive 1 point, while incorrect or unknown responses receive 0 points. Total scores range from 0 to 7, with higher scores reflecting a better knowledge of dengue.

  Baseline, immediately after intervention, and follow up at one-month post intervention.

• Attitude

  The study will use the Indonesian version of Dengue Preventive Attitudes Questionnaire to measure nurses' attitudes toward dengue prevention. It consists of seven items, each rated on a five-point Likert scale, with 1 indicating "strongly disagree" and 5 indicating "strongly agree." Total scores range from 7 to 35, with higher scores representing more favorable attitudes toward dengue prevention.

  Baseline, immediately after intervention, and follow up at one-month post intervention.

• Confidence

  The study will use the Indonesian version of the five-item Confidence-Scale (C-Scale) to measure nurses' confidence in their practice. Responses will be recorded on a five-point Likert scale, ranging from 1 to 5, with 5 indicating "higher confidence." Total scores ranged from 5 to 25, with higher scores indicating greater confidence.

  Baseline, immediately after intervention, and follow up at one-month post intervention.

Secondary Outcomes (1)

• Learning satisfaction

  Immediately after intervention.

Study Arms (2)

Educational board game

EXPERIMENTAL

Participants will receive an educational board game one time for 90 minutes.

Behavioral: Educational board game

Lecture group

ACTIVE COMPARATOR

Participants will receive a lecture-based intervention one time for 90 minutes.

Behavioral: Lecture

Interventions

Educational board game BEHAVIORAL

The educational board game will be administered once for a duration of 90 minutes, consisting of a gameplay session followed by a debriefing.

Educational board game

Lecture BEHAVIORAL

The lecture will be administered once for a duration of 90 minutes, consisting of video lecture followed by question and answer (QnA) session.

Lecture group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Full-time employed nurses in the PHC unit
• Nurses who have experience in assessing dengue-suspected patients
• Nurses who have at least three months of work experience in the current PHC unit
• Nurses who have a smartphone for online communication
• Nurses who are familiar with WhatsApp applications

You may not qualify if:

• Nurses on maternity or annual leave during the data collection period.

Sponsors & Collaborators

• Taipei Medical University: lead

Study Sites (1)

Primary Healthcare

Yogyakarta, Special Region of Yogyakarta, 55111, Indonesia

Location

MeSH Terms

Conditions

Behavior; Dengue

Condition Hierarchy (Ancestors)

Mosquito-Borne Diseases; Vector Borne Diseases; Infections; Arbovirus Infections; Virus Diseases; Flavivirus Infections; Flaviviridae Infections; RNA Virus Infections; Hemorrhagic Fevers, Viral

Study Officials

• Nuzul S Hertanti, RN, MS

  Taipei Medical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, MS

Model Details: Two teaching methods will be implemented: an educational board game as intervention group and lecture as control group

Study Record Dates

• First Submitted: June 11, 2025
• First Posted: June 19, 2025
• Study Start: August 8, 2025
• Primary Completion: October 21, 2025
• Study Completion: October 21, 2025
• Last Updated: January 13, 2026

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)