NCT07125131

Brief Summary

The goal of this randomized controlled trial is to compare the effects of "Gamification-Enhanced Problem-Based Learning" and a lecturing approach on critical thinking disposition, metacognitive awareness and clinical competence among nursing students of enrolled nurse in higher diploma education in Hong Kong. The main questions it aims to answer are:

  1. 1.What is the level of critical thinking disposition, metacognitive awareness and clinical competence of nursing students of enrolled nurse in higher diploma education in Hong Kong?
  2. 2.What is the relationship of clinical competence is related to critical thinking disposition and metacognitive awareness among nursing students of enrolled nurse in higher diploma education in HK?
  3. 3.What are the effects of "Gamification-Enhanced Problem-Based Learning" and lecturing approach on critical thinking disposition, metacognitive awareness and clinical competence among nursing students of enrolled nurse in higher diploma education in Hong Kong?

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2024

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 13, 2024

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

August 8, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 15, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2026

Completed
Last Updated

August 15, 2025

Status Verified

July 1, 2025

Enrollment Period

1.2 years

First QC Date

August 8, 2025

Last Update Submit

August 8, 2025

Conditions

Keywords

gamification

Outcome Measures

Primary Outcomes (1)

  • Critical thinking disposition

    The critical thinking disposition will be measured by The California Critical Thinking Disposition Inventory (CCTDI). It is a 75-item scale tool with seven subscales: "Truth-seeking", "Open-mindedness", "Analyticity", "Systematicity", "Confidence in reasoning", "Inquisitiveness" and "Maturity of judgment".

    Baseline, immediate after the intervention at week 5, and one month after the completion of intervention at week 9

Secondary Outcomes (2)

  • Metacognitive awareness

    Baseline, immediate after the intervention at week 5, and one month after the completion of intervention at week 9

  • Clinical competence

    Baseline, immediate after the intervention at week 5, and one month after the completion of intervention at week 9

Study Arms (2)

Gamification-Enhanced Problem-Based Learning

EXPERIMENTAL

Five weekly gamification-enhanced problem-based learning program

Other: Gamification-Enhanced Problem-Based Learning

Lecture

OTHER

Conventional teaching (didactic lectures) delivered by PowerPoint presentation

Other: Conventional didactic lecture (usual practice)

Interventions

An educational intervention combines principles of problem-based learning (PBL) with game design elements including scores, leaderboards, digital badges, challenges, immersive experiences, feedback and rewards into problem-based learning.

Gamification-Enhanced Problem-Based Learning

A didactic teaching approach in which course content is delivered to nursing students primarily through PowerPoint presentation by lecturer.

Lecture

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • aged 18 or above;
  • year 2 nursing students from full-time program;
  • education level post-secondary school or above;
  • consent given to participate voluntarily in this study;
  • participants who could read and write Chinese.

You may not qualify if:

  • healthcare working experience prior to enrollment into the undergraduate nursing program;
  • repeater.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

School of Nursing, Hong Kong Sanatorium & Hospital

Hong Kong, 852, Hong Kong

RECRUITING

Study Officials

  • Wing Yee Tun, MNurs

    Hong Kong Sanatorium & Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Wing Yee Tun, MNurs

CONTACT

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
SPONSOR

Study Record Dates

First Submitted

August 8, 2025

First Posted

August 15, 2025

Study Start

December 13, 2024

Primary Completion

February 28, 2026

Study Completion

February 28, 2026

Last Updated

August 15, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations