The Learning Outcome of Resuscitation Teamwork Training on Developing Teamwork Performance in Postgraduate Year Doctors and Nurses - Comparison of Board Game-based Learning, Simulation-based Learning and Lecture-based Learning.
Phase: NA
Conditions: Patient Care Team
Sponsor: Taipei Medical University Hospital

 
 
 
Study Protocol/ Statistical Analysis Plan 
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Official Title 
The Learning Outcome of Resuscitation Teamwork Training on 
Developing Teamwork Performance in Postgraduate Year 
Doctors and Nurses - Comparison of Board Game-based 
Learning, Simulation-based Learning and lecture-based learning 
 
 
 
 
 
 
 ClinicalTrials.gov ID: NCT05302414  
⚫ Protocol ID: N201912063 (Taipei Medical University-Joint 
Institutional Review Board) 
 Document date: 
 Application Form: Version 3.0 / 20220623 
◼ Other Appendix: Version 2.0 / 20220623 
◼ Informed Consent Forms: Version 2.0 / 20220211  
◼ Protocol Version/ Date: Version 2.0 / 20220211 
◼ Case Report Forms: Version 1.0 / 20220110 
 
 

 
 
 
Study Protocol/ Statistical Analysis Plan 
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Objectives: 
The aim of this study was to compare the effectiveness of board game-based learning, 
simulation-based learning, and interactive lecture-based learning in enhancing 
resuscitation medical knowledge, teamwork knowledge, medical task performance, 
and teamwork performance among postgraduate-year residents and nurses undergoing 
resuscitation teamwork training. 
 
 
Methods: 
Utilizing a single-blind, prospective, randomized controlled trial approach, this study 
enlisted 96 postgraduate-year nurses and physicians through convenience sampling. 
The participants were divided into three groups: the Board Game-Based Learning 
Group (Experimental Group I), the Simulation-Based Learning Group (Experimental 
Group II), and the Interactive Lecture-Based Learning Group (Control Group), with 
each group comprising 32 individuals. Evaluations of effectiveness were conducted at 
three points: pretest, posttest, and at a three-month follow-up. The instruments for 
measurement included assessments of team performance observation tool, knowledge 
of teamwork assessment, interprofessional collaboration scale, resuscitation 
knowledge scale, medical task performance, learning cognitive load, and course 
survey. Two evaluators, unaware of which teaching method the team received, 
independently used standardized assessment forms to evaluate the medical team's 
resuscitation actions and teamwork behavior in scenario-based simulations through 
video observation, ensuring objectivity and reliability. 
 
 

 
 
 
Study Protocol/ Statistical Analysis Plan 
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Statistical: 
In this study, the presentation of categorical variables was conducted using 
frequencies and percentages, while continuous variables were summarized through 
means and standard deviations. The chi-squared test was applied to examine the 
demographic characteristics at the outset. Given the data's deviation from a normal 
distribution, a non-parametric approach was adopted for analysis, with the median and 
interquartile range (IQR) providing insights into the data's central tendency and 
dispersion. This method, unaffected by outliers, offers a more accurate depiction of 
data that does not follow a normal distribution. To identify differences across the three 
groups, the study utilized the Kruskal-Wallis H-test. The Friedman test was used to 
evaluate changes within groups, whereas the Wilcoxon test facilitated pairwise 
comparisons at various assessment points. GEE analysis was employed to compare 
the effectiveness of the intervention across different time points among the three 
groups. Text mining techniques were used to analyze feedback from course 
collections. IBM SPSS version 20 was the tool for all data analyses. The criteria for 
statistical significance were established using a two-tailed test, setting the P-value 
threshold at < 0.05.