Web-Based Gamification in Postpartum Hemorrhage Management Education Among Midwifery Students

NCT07688122 | Not Yet Recruiting

• 1 other identifier: BCaglar
• Study Type: interventional
• Target: 128
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.

Conditions

Hemorrhage Management Training; Gamification in Health Education

Keywords

postpartum hemorrhage; gamification; midwifery education; learning motivation; self-efficacy

Outcome Measures

Primary Outcomes (4)

• Level of Motivation Towards Instructional Material

  Participants' motivation levels will be evaluated using the Instructional Materials Motivation Survey (IMMS), which is based on Keller's ARCS model (Attention, Relevance, Confidence, Satisfaction) (Keller, 2010; Dinçer \& Doğanay, 2016). The scale consists of 33 items rated on a 5-point Likert scale ranging from 1 ("Not true at all") to 5 ("Very true"). The total score ranges from 33 to 165, with higher scores indicating higher levels of motivation. The Turkish version of the scale has demonstrated high internal consistency, with a Cronbach's alpha coefficient of 0.93.

  24 hours after completion of the intervention

• Postpartum Hemorrhage Management Knowledge Level

  Participants' knowledge regarding postpartum hemorrhage management will be evaluated using researcher-developed pre-test and post-test instruments. These tests were developed in accordance with current literature and national guidelines (Republic of Turkey Ministry of Health, 2022; Hamlacı et al., 2017; Durmaz \& Kömürcü, 2018). The tests are designed to assess students' knowledge levels before and after the training and to evaluate the effectiveness of the educational method. The content includes postpartum hemorrhage definition, risk factors, etiology, prevention strategies, and management approaches. Content validity will be ensured by obtaining expert opinions from at least five specialists in the field of obstetrics and postpartum hemorrhage management. Based on expert feedback and pilot testing, necessary revisions will be made, and the final version of the tests will be established.

  24 hours before the intervention and within 24 hours after completion of the intervention

• Clinical Skills Self-Efficacy Level

  Participants' self-efficacy levels will be assessed using the Clinical Skills Self-Efficacy Scale developed by Kang and Chang (2019). The scale evaluates self-efficacy perceptions in cognitive, affective, and psychomotor domains. The Turkish adaptation of the scale consists of 14 items and a three-factor structure: cognitive (items 1-6), affective (items 7-10), and psychomotor (items 11-14). The scale is rated on a 5-point Likert scale ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Higher scores indicate higher levels of self-efficacy. The Cronbach's alpha values of the Turkish version are reported as 0.91 for the total scale, 0.89 for the cognitive domain, 0.69 for the affective domain, and 0.85 for the psychomotor domain (Bayazıt, Gönüllü \& Doğan, 2022).

  24 hours before the intervention and within 24 hours after completion of the intervention

• Satisfaction Level

  Participants' satisfaction with the training program will be assessed using a single-item Visual Analog Scale (VAS) ranging from 0 ("Not satisfied at all") to 10 ("Completely satisfied") (Wewers \& Lowe, 1990).

  24 hours after completion of the intervention

Study Arms (2)

Experimental: Web-Based Gamification Education

EXPERIMENTAL

Web-Based Gamification Education: Participants in this group will receive postpartum hemorrhage management education supported by web-based gamification. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. After each session, participants will access gamified modules developed using Genially, including interactive tasks, case-based scenarios, quizzes, and reward systems such as points and badges.

Other: Web-Based Gamification Education

Online Classical Education

PLACEBO COMPARATOR

Online Classical Education: Participants in this group will receive postpartum hemorrhage management education through traditional online teaching methods. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. The education will be provided using lecture-based methods such as PowerPoint presentations and verbal explanations. No gamification elements will be used.

Other: Online Classical Education

Interventions

Web-Based Gamification Education OTHER

The web-based gamification program consists of 4 sessions and interactive modules designed to improve knowledge, clinical decision- making skills, motivation, and self-efficacy in postpartum hemorrhage management.

Experimental: Web-Based Gamification Education

Online Classical Education OTHER

The classical education program consists of 4 sessions and includes standard theoretical instruction on postpartum hemorrhage management without gamification components.

Online Classical Education

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Living in Turkey
• Aged between 18-40 years
• Female
• Native speaker of Turkish
• Fourth-year undergraduate midwifery student
• Having received basic education on postpartum hemorrhage within the curriculum
• Having access to internet and digital devices (computer, tablet, or smartphone)
• Voluntarily agreeing to participate in the study

You may not qualify if:

• Not attending at least 80% of the training sessions
• Not completing the data collection tools fully
• Participating in another study or training related to postpartum hemorrhage management during the research period
• Not accessing or completing the gamification modules (for the experimental group)
• Withdrawing from the study at any stage

Sponsors & Collaborators

• Mersin University: lead

Related Links

• Serious Gaming and Gamification Education in Health Professions: Systematic Review
• Enhancing postpartum hemorrhage training by integrating case-problem based learning with simulation: a quasi experimental study

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Gözde Gökçe İsbir

CONTACT

+905057782319; gozdegokce@gmail.com

Berivan Ülkü Çağlar

CONTACT

brvn.caglar@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 10, 2026
• First Posted: July 7, 2026
• Study Start (Estimated): October 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): January 15, 2027
• Last Updated: July 7, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share