Serious Game for Improving Targeted Temperature Management Knowledge and Situational Awareness in Critical Care Nurses

NCT07239206 | Recruiting DMC

• 1 other identifier: 202507084RINA
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to evaluate the effectiveness of a serious game in improving targeted temperature management (TTM) knowledge and situational awareness among critical care nurses. A total of 120 nurses from adult intensive care units will be randomly assigned to either a control group receiving traditional lecture-based teaching or an experimental group receiving lecture-based teaching combined with a digital serious game. Outcomes will be measured using a TTM knowledge test, a situational awareness scale, and a system usability scale. The findings will provide evidence for the use of serious games as an innovative educational strategy to enhance post-resuscitation care quality and patient safety.

Conditions

Serious Game; Targeted Temperature Management; Nursing Education; Cardiac Arrest

Keywords

Targeted temperature management; Serious game

Outcome Measures

Primary Outcomes (3)

• Change in Targeted Temperature Management (TTM) Knowledge Score

  TTM knowledge will be assessed using a validated 16-item multiple-choice questionnaire developed based on current clinical guidelines. Scores range from 0 to 100, with higher scores indicating greater knowledge of targeted temperature management principles and nursing care.

  Baseline (pre-test), 1 week after intervention, and 6 weeks after intervention

• Change in Situational Awareness (SA) Score

  Situational awareness will be measured using a 11-item Likert scale (1-5) questionnaire assessing perception, comprehension, and projection dimensions. Total scores range from 12 to 60, with higher scores indicating greater situational awareness in clinical TTM scenarios.

  Baseline, 1 week after intervention, and 6 weeks after intervention

• System Usability Scale (SUS) Score

  The usability of the serious game will be evaluated using the 10-item System Usability Scale (SUS). Scores range from 0 to 100, with higher scores indicating better system usability and learner satisfaction.

  1 week after intervention (experimental group only)

Study Arms (2)

Experimental: Serious Game + Lecture

EXPERIMENTAL

Participants in this arm will receive lecture-based teaching combined with a digital serious game designed to enhance targeted temperature management (TTM) knowledge and situational awareness. The serious game includes interactive case scenarios, decision-making tasks, and real-time feedback to simulate ICU situations and reinforce learning.

Behavioral: Serious Game Intervention; Behavioral: Lecture-based Education

Active Comparator: Lecture Only

ACTIVE COMPARATOR

Participants in this arm will receive lecture-based teaching with case discussion only, covering the same targeted temperature management (TTM) content as the experimental group. No serious game intervention will be provided.

Behavioral: Lecture-based Education

Interventions

Serious Game Intervention BEHAVIORAL

A digital serious game designed to train critical care nurses in targeted temperature management (TTM). The game features case-based simulations, interactive decision-making, and real-time feedback to improve clinical reasoning and situational awareness.

Experimental: Serious Game + Lecture

Lecture-based Education BEHAVIORAL

Standard lecture-based teaching covering the principles, procedures, and nursing care of targeted temperature management (TTM). Participants in this group do not receive the serious game component.

Active Comparator: Lecture Only; Experimental: Serious Game + Lecture

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses currently working in adult intensive care units (medical, surgical, or mixed ICUs).
• Able to read and understand Chinese.
• Willing to participate and provide informed consent.
• Available to complete pre-test, post-test, and follow-up assessments.

You may not qualify if:

• Nurses working in pediatric or neonatal ICUs.
• Nurses holding administrative or supervisory positions (non-clinical).
• Nurses currently participating in other TTM-related educational or research programs.
• Individuals unable to complete the intervention or evaluation schedule.

Sponsors & Collaborators

• National Taiwan University Clinical Trial Center: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taipei, 100, Taiwan

RECRUITING

Related Publications (3)

• Nolan JP, Morley PT, Vanden Hoek TL, Hickey RW, Kloeck WG, Billi J, Bottiger BW, Morley PT, Nolan JP, Okada K, Reyes C, Shuster M, Steen PA, Weil MH, Wenzel V, Hickey RW, Carli P, Vanden Hoek TL, Atkins D; International Liaison Committee on Resuscitation. Therapeutic hypothermia after cardiac arrest: an advisory statement by the advanced life support task force of the International Liaison Committee on Resuscitation. Circulation. 2003 Jul 8;108(1):118-21. doi: 10.1161/01.CIR.0000079019.02601.90. No abstract available.

  PMID: 12847056 BACKGROUND

• Gorbanev I, Agudelo-Londono S, Gonzalez RA, Cortes A, Pomares A, Delgadillo V, Yepes FJ, Munoz O. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy. Med Educ Online. 2018 Dec;23(1):1438718. doi: 10.1080/10872981.2018.1438718.

  PMID: 29457760 BACKGROUND

• Nolan JP, Sandroni C, Bottiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Haywood K, Lilja G, Moulaert VRM, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone F, Soar J. European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care. Intensive Care Med. 2021 Apr;47(4):369-421. doi: 10.1007/s00134-021-06368-4. Epub 2021 Mar 25.

  PMID: 33765189 BACKGROUND

MeSH Terms

Conditions

Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Central Study Contacts

HUI-YI LI

CONTACT

0920867591; bicky05@ntuh.gov.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants are blinded to group assignment until the intervention begins. Investigators are aware of allocation to deliver the assigned teaching method.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: National Taiwan University Hospital

Model Details: Participants will be randomly assigned into two parallel groups. The experimental group will receive lecture-based teaching combined with a digital serious game intervention, while the control group will receive lecture-based teaching with case discussion only. Randomization will be performed at the beginning of each class session to ensure balanced group allocation.

Study Record Dates

• First Submitted: November 16, 2025
• First Posted: November 20, 2025
• Study Start: January 19, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: January 22, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)