Escape Room in Pressure Ulcer Education

NCT07563348 | Completed

• 1 other identifier: 2121-Pressure Ulcer
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial (RCT) with a pretest-posttest design aimed to determine the effect of a game-based escape room teaching method on intern nursing students' knowledge levels regarding pressure ulcers. The study was conducted at the Faculty of Nursing, Aydın Adnan Menderes University between March and December 2025. A total of 56 senior nursing students were randomly assigned to either the intervention group (n = 28) or the control group (n = 28). The intervention group received both theoretical instruction and escape room-based learning activities, while the control group received only traditional lecture-based theoretical instruction. Data were collected using the Student Information Form, the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0-T), and the Gameful Experience Scale (GAMEX). The primary outcome was the change in pressure ulcer knowledge levels measured using the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0-T) across three time points: baseline, immediately after theoretical instruction, and 1 month after the intervention.

Conditions

Pressure Ulcer Knowledge; Nursing Education; Game-Based Learning

Keywords

Escape Room; Nursing Education; Pressure Ulcer; Game-Based Learning; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

• Change in Pressure Ulcer Knowledge Level

  Assessed using the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0-T). The tool is a 25-item questionnaire with scores ranging from 0 to 25. Higher scores indicate a higher level of knowledge regarding pressure ulcer prevention and management.

  Day 0 (Baseline, October 24, 2025), Day 0 (Immediately post theoretical instruction, October 24, 2025), and Day 33 (1-month follow-up, November 26, 2025)

Secondary Outcomes (1)

• Gameful Experience Level [assessed using the Gameful Experience Scale (GAMEX)]

  Day 33 (1-month follow-up, November 26, 2025, post-intervention assessment)

Study Arms (2)

Escape Room-Based Learning + Theoretical Instruction

EXPERIMENTAL

Participants in this group received standard theoretical instruction on pressure ulcers, followed by a structured game-based escape room intervention. The escape room intervention consisted of interactive learning activities, including crossword puzzles, word search tasks, matching exercises, and puzzle-based problem-solving activities. Participants worked in small groups under facilitator supervision and completed sequential tasks designed to achieve learning objectives related to pressure ulcer prevention and management.

Behavioral: Escape Room-Based Learning; Behavioral: Theoretical Instruction

Theoretical Instruction

ACTIVE COMPARATOR

Participants in this group received standard lecture-based theoretical instruction on pressure ulcers delivered in a classroom setting. No additional educational intervention was provided.

Behavioral: Theoretical Instruction

Interventions

Escape Room-Based Learning BEHAVIORAL

A structured, game-based educational intervention designed to enhance engagement and reinforce knowledge of pressure ulcers. The intervention consisted of multiple interactive learning activities, including crossword puzzles, word search tasks, matching exercises, and puzzle completion activities. These activities were facilitated in a simulated clinical learning environment under instructor supervision. The session was followed by a structured debriefing phase.

Escape Room-Based Learning + Theoretical Instruction

Theoretical Instruction BEHAVIORAL

Participants in this group received standard lecture-based theoretical instruction on pressure ulcers delivered in a classroom setting. The instruction included face-to-face teaching using presentation, explanation, discussion, and question-answer techniques. No additional educational intervention or game-based learning activities were applied.

Escape Room-Based Learning + Theoretical Instruction; Theoretical Instruction

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a senior nursing student
• Enrolled in the Nursing Care Management course
• Aged between 18-45 years
• Attendance in theoretical and practical sessions
• Voluntary participation

You may not qualify if:

• Failure to participate in intervention procedures
• Absenteeism during the relevant course sessions
• Prior experience with escape room games

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes University

Aydin, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

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: Associate Professor, Department of Nursing, Faculty of Nursing

Model Details: Parallel Assignment

Study Record Dates

• First Submitted: April 20, 2026
• First Posted: May 4, 2026
• Study Start: March 5, 2025
• Primary Completion: November 26, 2025
• Study Completion: December 5, 2025
• Last Updated: May 4, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)