NCT07166705

Brief Summary

In the modern era, university students, especially those from Generation Z, are true digital natives who have grown up with technology and embraced it wholeheartedly. This hyper-cognitive generation has different characteristics than their predecessors and emphasizes educational approaches integrated with innovative technologies over traditional methods. Rather than traditional classroom learning, Generation Z prefers to learn through various media, such as digital games, YouTube videos, and smart devices. Science and technology have made rapid and transformative progress in recent decades. One of these developments is the emergence of the metaverse, a rapidly expanding three-dimensional virtual space. Neal Stephenson coined the term "metaverse" in his 1992 science fiction novel Snow Crash, combining the words "meta," meaning "transcendence and virtuality," and "verse," meaning "world and universe." Enhanced by technologies such as augmented reality (AR), virtual reality (VR), and artificial intelligence, the metaverse creates a 3D virtual sphere where individuals from around the world can come together for shared social interactions. It also serves as an arena for users to participate in various social activities. In recent years, significant events such as the pandemic, conflicts, seismic activity, and climate change have led to disruptions in higher education in certain countries. Due to the pandemic, there has been a significant shift towards distance learning platforms, and students have been denied various opportunities. Distance learning is defined as "an effective form of learning that is independent of time and place. It offers individuals the ability to conveniently configure and update educational materials electronically and integrate different technologies into the learning process. These technologies can be utilized 24/7." The goal of distance education is to ensure continuity of education and increase learner satisfaction. Consequently, universities have adopted various distance learning models to address these challenges and promote their students' academic success. Using the metaverse in education is a significant application area and is widely anticipated to be very promising in the future.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Status
not yet 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

First Submitted

Initial submission to the registry

September 2, 2025

Completed
3 days until next milestone

Study Start

First participant enrolled

September 5, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 10, 2025

Completed
12 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 22, 2025

Completed
4 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 26, 2025

Completed
Last Updated

September 10, 2025

Status Verified

September 1, 2025

Enrollment Period

17 days

First QC Date

September 2, 2025

Last Update Submit

September 2, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Instructional Materials Motivation Survey

    This scale identifies changes in students' motivation when exposed to instructional materials based on the basic components. The scale's reliability (Cronbach's alpha) internal consistency coefficient was found to be .83 for the total scale and .79 and .69 for the sub-factors, respectively. The scale's sub-dimensions are divided into attention-relevance and confidence-satisfaction. This questionnaire is self-reported and uses a five-point Likert-type scale (1 = strongly disagree, 5 = strongly agree). The potential score for the scale ranges from 24 (minimum) to 120 (maximum). Higher cumulative scores indicate increased learning motivation.

    Pre-test 1 day before intervention Post-test 1 day after intervention ends

  • Academic Performance Assessment (exam)

    Researchers will develop a 15-question multiple-choice, visual exam to assess students' proficiency in the Palpation Skills in Physiotherapy course. Before use, the test items will be administered to a separate group of students to assess validity and reliability. The test will then be administered face-to-face.

    1 day after intervention ends

Study Arms (3)

Metaverse-Based Education Group

EXPERIMENTAL
Other: Metaverse-Based Education Group

Distance/Online Education Group

EXPERIMENTAL
Other: Distance/Online Education Group

Traditional Face-to-Face Education Group

EXPERIMENTAL
Other: Traditional Face-to-Face Education Group

Interventions

As part of this intervention, participants will receive palpation skills training in a metaverse-based virtual learning environment. The training consists of three modules, each of which will cover the palpation of a different anatomical region: * Module 1: Cervical region palpation * Module 2: Thoracic region palpation * Module 3: Lumbo-pelvic region palpation The training will be delivered in a three-dimensional virtual classroom environment using avatars. Participants will engage in interactive exercises based on scenarios structured on the metaverse platform and, under the guidance of an instructor, will practice palpation techniques on virtual patient models. Sessions will be conducted in a group format, allowing students to interact with each other in real-time. Voice communication, motion tracking, and virtual feedback mechanisms will be used throughout the training.

Metaverse-Based Education Group

As part of this intervention, a palpation skills course will be delivered to participants online via the Microsoft Teams application. The training consists of three modules, each of which will cover the palpation of different anatomical regions. Module 1: Cervical region palpation Module 2: Thoracic region palpation Module 3: Lumbo-pelvic region palpation The training will utilize theoretical information, visual materials, and live/pre-recorded practice videos. Participants will attend the course as a group and participate in structured learning sessions guided by the instructor in each module.

Distance/Online Education Group

As part of this intervention, participants will be taught palpation skills in a face-to-face classroom setting using traditional teaching methods. The training consists of three modules: Module 1: Palpation of the cervical region Module 2: Thoracic region palpation Module 3: Lumbo-pelvic region palpation Throughout the training, the instructor will conduct structured theoretical presentations, demonstrations, and face-to-face practice sessions. Students will observe palpation techniques through live demonstrations by the instructor and then have the opportunity to practice one-on-one.

Traditional Face-to-Face Education Group

Eligibility Criteria

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

You may qualify if:

  • Being an undergraduate student in the Department of Physiotherapy and Rehabilitation
  • Having basic anatomy knowledge
  • Having sufficient time and resources to participate in training and complete assessments
  • Being 18 years of age or older
  • Being a volunteer and providing written consent

You may not qualify if:

  • Having previously received comprehensive palpation training
  • Those at High Risk of Absence During Training
  • Participants who lack the necessary hardware and internet access, especially for online and metaverse groups

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

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
assistant professor

Study Record Dates

First Submitted

September 2, 2025

First Posted

September 10, 2025

Study Start

September 5, 2025

Primary Completion

September 22, 2025

Study Completion

September 26, 2025

Last Updated

September 10, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share