Gamification Versus E-Learning for Electrocardiogram Education

NCT07646236 | Completed

• 1 other identifier: TMANH109-REC001(CR-1)
• Study Type: interventional
• Target: 297
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled study aims to compare the effectiveness of a gamification educational method and an e-learning educational method for electrocardiogram (ECG) education. Nursing students and novice nurses are randomly assigned to either a gamified learning group or an e-learning group. The study evaluates whether the gamification approach improves ECG knowledge, learning confidence, and learning satisfaction compared with conventional e-learning instruction.

Conditions

Electrocardiogram Education; Nursing Education Research; Gamification; Electrocardiogram; Electrocardiography (ECG); Electrocardiogram Interpretation

Keywords

Electrocardiogram; Nursing Education; Gamification; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

• Electrocardiogram Knowledge Questionnaire Score

  Measured using a 20-item electrocardiogram knowledge questionnaire. Scores range from 0 to 20, with higher scores indicating greater ECG knowledge.

  Immediately before and immediately after the intervention

Secondary Outcomes (2)

• Learning Confidence Scale Score

  Baseline and immediately after completion of the educational intervention

• Learning Satisfaction Questionnaire Score

  Immediately after completion of the educational intervention

Study Arms (2)

Gamified ECG Education

EXPERIMENTAL

Participants received electrocardiogram education through a gamification educational method that incorporated game-based learning activities designed to enhance learner engagement and participation.

Behavioral: Gamification Educational Method

E-learning ECG Education

ACTIVE COMPARATOR

Participants received electrocardiogram education through a self-directed e-learning educational method using online instructional materials.

Behavioral: E-learning Educational Method

Interventions

Gamification Educational Method BEHAVIORAL

Participants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content.

Gamified ECG Education

E-learning Educational Method BEHAVIORAL

Participants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content.

E-learning ECG Education

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Nursing students who completed medical-surgical nursing coursework
• Newly graduated nurses undergoing clinical orientation
• Able to understand study procedures
• Willing to provide informed consent

You may not qualify if:

• Previous participation in the study
• Failure to complete study questionnaires
• Declined participation

Sponsors & Collaborators

• Taiwan Municipal An-Nan Hospital-China Medical University: lead

Study Sites (1)

Tainan Municipal An-Nan Hospital, China Medical University

Tainan, Taiwan, 709, Taiwan

Location

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: Deputy Director, Department of Nursing

Study Record Dates

• First Submitted: June 3, 2026
• First Posted: June 12, 2026
• Study Start: July 14, 2020
• Primary Completion: December 23, 2020
• Study Completion: December 23, 2020
• Last Updated: June 12, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)