Kahoot!-Integrated Education for Stroke Patient Positioning

NCT07846982 | Completed

• 1 other identifier: KSVGH22-CT10-27
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial evaluated the effects of integrating the Kahoot! online interactive response system into instruction on stroke patient positioning among physical therapy interns. Participants were randomly assigned to an experimental group or a control group. Both groups received the same course content on correct positioning of patients with stroke. The experimental group received Kahoot!-integrated interactive instruction, whereas the control group received conventional lecture-based instruction only. Learning motivation and clinical performance were assessed before and immediately after the course using the Attention, Relevance, Confidence, and Satisfaction (ARCS) Learning Motivation Scale and an objective structured clinical examination (OSCE) of stroke patient positioning. Participants in the experimental group also completed a satisfaction questionnaire regarding the Kahoot!-integrated instruction. Pre-course and post-course outcomes were analyzed to compare changes between the two groups. Keywords: Kahoot!; online interactive response system; stroke patient positioning; learning motivation; clinical performance; physical therapy interns

Conditions

Physical Therapy Education

Keywords

Kahoot!; gamified learning; stroke positioning; learning motivation

Outcome Measures

Primary Outcomes (1)

• Change in Objective Structured Clinical Examination (OSCE) Score for Patient Positioning Performance

  Participants in both groups completed an OSCE before and immediately after the course. Patient-positioning performance was evaluated using a standardized checklist. Total scores ranged from 0 to 100, with higher scores indicating better performance. The change from the pre-course to the post-course OSCE score was compared between the two groups.

  Baseline and immediately after completion of the course on Day 1

Study Arms (2)

Arm Title 1: Experimental Group: Kahoot!-Integrated Instruction

EXPERIMENTAL

Experimental Group: Participants received traditional classroom teaching followed by Kahoot!-integrated interactive instruction. Control Group: Participants received conventional lecture-based instruction without Kahoot!-integrated activities

Other: traditional classroom teaching followed by Kahoot!-integrated interactive instruction

Arm Title 2: Control Group: Convent

ACTIVE COMPARATOR

Control Group: Participants received conventional lecture-based instruction without Kahoot!-integrated activities.

Other: conventional lecture-based instruction without Kahoot!-integrated activities

Interventions

traditional classroom teaching followed by Kahoot!-integrated interactive instruction OTHER

Participants received conventional classroom instruction on patient positioning, followed by a Kahoot!-based interactive learning activity. The activity included quiz questions, immediate feedback, and score-based engagement to reinforce the instructional content.

Arm Title 1: Experimental Group: Kahoot!-Integrated Instruction

conventional lecture-based instruction without Kahoot!-integrated activities OTHER

conventional lecture-based instruction without Kahoot!-integrated activities

Arm Title 2: Control Group: Convent

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Physical therapy interns participating in the designated clinical skills training course Aged 18 years or older Scheduled to attend instructional sessions on stroke patient positioning Able to complete the OSCE assessments and self-administered questionnaires Provided informed consent to participate in the study

You may not qualify if:

• Previous structured training in stroke patient positioning that could influence the learning outcomes Unable to attend or participate in the required instructional sessions Unable to complete the required pre-intervention and post-intervention assessments

Sponsors & Collaborators

• Kaohsiung Veterans General Hospital.: lead

Study Sites (1)

Kaohsiung Veterans General Hospital

Kaohsiung City, 813414, Taiwan

Location

Related Publications (5)

• Cortes-Perez I, Zagalaz-Anula N, Lopez-Ruiz MDC, Diaz-Fernandez A, Obrero-Gaitan E, Osuna-Perez MC. Study Based on Gamification of Tests through Kahoot! and Reward Game Cards as an Innovative Tool in Physiotherapy Students: A Preliminary Study. Healthcare (Basel). 2023 Feb 15;11(4):578. doi: 10.3390/healthcare11040578.

  PMID: 36833112 BACKGROUND

• Sandoval-Hernandez I, Molina-Torres G, Leon-Morillas F, Ropero-Padilla C, Gonzalez-Sanchez M, Martinez-Cal J. Analysis of different gamification-based teaching resources for physiotherapy students: a comparative study. BMC Med Educ. 2023 Sep 18;23(1):675. doi: 10.1186/s12909-023-04576-8.

  PMID: 37723502 BACKGROUND

• • Wang, A. I. (2020). The use of Kahoot! in education: A review of empirical research. Computers & Education, 149, 103818. https://doi.org/10.1016/j.compedu.2020.103818

  BACKGROUND

• • Kalleny, N. K. (2020). Enhancement of active learning and engagement in histology course for medical students using Kahoot!. Journal of Microscopy and Ultrastructure, 8(3), 139-144. https://pmc.ncbi.nlm.nih.gov/articles/PMC7883495/

  BACKGROUND

• Huang WD, Loid V, Sung JS. Reflecting on gamified learning in medical education: a systematic literature review grounded in the Structure of Observed Learning Outcomes (SOLO) taxonomy 2012-2022. BMC Med Educ. 2024 Jan 3;24(1):20. doi: 10.1186/s12909-023-04955-1.

  PMID: 38172852 BACKGROUND

Study Officials

• wan-yun huang, phd

  Kaohsiung Veterans General Hospital.

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief Rehabilitation Therapist

Model Details: Study Aim and Participants This study aimed to evaluate the effects of Kahoot!-integrated instruction on learning motivation and OSCE performance in stroke patient-positioning skills among physical therapy interns. The instructional topic was "Proper Positioning of Patients With Stroke for Family Caregivers." This interventional educational study recruited physical therapy interns undergoing clinical training at a medical center in southern Taiwan. Eligible participants were physical therapy students aged 18 years or older. Before enrollment, students received information about the study objectives, procedures, potential benefits, and their rights as participants. Participation was voluntary, and written informed consent was obtained before data collection. Students who declined to participate experienced no academic or clinical-training penalties.

Study Record Dates

• First Submitted: January 10, 2026
• First Posted: September 29, 2026
• Study Start: November 1, 2022
• Primary Completion: March 30, 2026
• Study Completion: May 30, 2026
• Last Updated: September 29, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)