Comparison of Gamification Approaches in Midwifery Education

NCT07256041 | Completed

• 1 other identifier: Agri Ibrahim Cecen Uni.
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of puzzle-solving and Kahoot-based learning methods on learning motivation and gaming experience among second-year midwifery students, and to evaluate students' satisfaction levels regarding these methods. The study is designed as a randomized controlled experimental research. It will be conducted between November and December 2025 with second-year students studying in the Department of Midwifery, Faculty of Health Sciences, Ağrı İbrahim Çeçen University. The entire class will be randomly divided into two groups: Experiment 1 (Puzzle) and Experiment 2 (Kahoot). Data collection tools include the Learning Motivation Scale in Higher Education, the Gaming Experience Scale, a Satisfaction Questionnaire, Game (Kahoot-Puzzle) Achievement Test, and a Personal Information Form. For data analysis, paired-samples t-test, ANOVA, and independent-samples t-test will be used as appropriate.

Conditions

Education; Midwifery Education; Gameifaction

Keywords

midwifery education; gameifaction; gaming experience; puzzle; Kahoot; learning motivation

Outcome Measures

Primary Outcomes (5)

• Personal Information Form

  This is a 6-item form that includes questions about students' demographic characteristics, academic grade point averages, and gaming experience

  The form will be administered at the pre-test during students' first participation in the study.

• Learning Motivation Scale in Higher Education (YÖMÖ-Ü)

  The scale consists of three sub-dimensions: learning goals, approach goals, and avoidance goals, and validity and reliability analyses have shown that it is a reliable measurement tool for Turkish university students. Each sub-dimension is scored separately, and a total score is not calculated. The scores obtained from the sub-dimensions are evaluated separately to determine which behaviors motivate students toward learning.

  Pre-test: Administered immediately before the first game session (on the same day). Post-test: Administered immediately after the final game session (on the same day).

• Gaming Experience (GAMEX) Scale

  The scale consists of 27 items, each scored on a 1-5 Likert scale. Items in the "Absence of Negative Effects" sub-dimension (3 items) are reverse-coded. The total score obtainable from the scale ranges from 27 to 135. Except for the "Absence of Negative Effects" sub-dimension, higher scores in the other sub-dimensions indicate a better gaming experience

  Pre-test: Administered immediately after the completion of the first game session (on the same day). Post-test: Administered immediately after the completion of the final game session (on the same day)

• Satisfaction Questionnaire

  Developed by the researchers based on the literature. Students' perceptions of the learning method will be evaluated using this questionnaire

  It will be completed immediately after the final game session (on the same day)

• Game (Kahoot-Puzzle) Achievement Test

  Each session will include 20 prepared questions. Since the test will be scored out of 100 points, each correct answer will be worth 5 points. The scores from the games administered in the three sessions will be compared between groups.

  Administered immediately after each game session (three time points: pre-test, mid-test, post-test) on the same day.

Study Arms (2)

Puzzle Group

EXPERIMENTAL

A 20-question puzzle, prepared by the researchers and validated through expert opinions from 10 academic midwifery instructors using the Content Validity Index (CVI), will be distributed to the students in this group. Students will be given 10 minutes to complete the puzzle. They will solve three different puzzles at three-week intervals. Each question will be selected from the topics taught by the instructor during the preceding three weeks.

Other: Puzzle

Kahoot Group

EXPERIMENTAL

Students in this group will form the Kahoot group. They will answer the same questions that the puzzle group solved, via the Kahoot application. Visuals will also be used in the questions at this stage. Students will respond with short answers and will be given 10 minutes for each quiz. The application will be conducted three times at three-week intervals, as with the puzzle group. Each question will be selected from the topics taught by the instructor during the preceding three weeks.

Other: Kahoot

Interventions

Kahoot OTHER

Students in this group will complete three different Kahoot quizzes, each conducted at three-week intervals.

Kahoot Group

Puzzle OTHER

Students in this group will solve three different puzzles, each administered at three-week intervals.

Puzzle Group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Being a second-year midwifery student
• Enrolled in the prenatal care course
• Owning a smartphone (for the Kahoot group)
• Willingness to participate in the study
• Regular attendance in the course

You may not qualify if:

• Unwillingness to participate in the study
• Presence of learning disorders such as dyslexia
• Insufficient attendance in the course

Sponsors & Collaborators

• Agri Ibrahim Cecen University: lead

Study Sites (1)

Ağrı İbrahim Çeçen Üniversitesi

Ağrı, Center, 04000, Turkey (Türkiye)

Location

Study Officials

• Rumeysa ÖZAYABAKAN

  Agri Ibrahim Cecen University

  PRINCIPAL INVESTIGATOR

• Betül Uncu

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

• Rukiye DUMAN

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

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: Asst. Prof.

Study Record Dates

• First Submitted: November 18, 2025
• First Posted: December 1, 2025
• Study Start: November 19, 2025
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: April 17, 2026

Record last verified: 2025-11

Locations

TU (1)