Serious Game Simulation and Comics in School Students

The aim of the study is to determine the effect of first aid training for injuries given to secondary school students through serious game simulation and comic books on knowledge, skills and motivation.

Hypotheses:

H1: First aid training given through simulation applications affects the level of knowledge.

H2: First aid training given through simulation applications affects the skill level.

H3: First aid training given with simulation application affects motivation.

H4: First aid training given with comics affects the level of knowledge.

H5: First aid training given with comic books affects the skill level.

H6: First aid training given with comics affects motivation.

METHOD: The research will be conducted as a randomized controlled experimental study with a pre-test-post-test design with children studying in the 5th and 6th grades of schools in the central district of Aksaray. One group will be given first aid training for injuries prepared with serious games, the other group will be given first aid training for injuries prepared with comic books. No intervention will be made to the control group. Serious game scenario software prepared based on the literature will be integrated into the computer. Appropriate statistics will be made after the research by applying the prepared data collection tools. With this research, the gap in the literature will be filled, children's first aid knowledge and skills in injuries will be increased, and school health nurses will be provided with up-to-date teaching material.

Accidents are one of the leading causes of death in children and adults and threaten health on a global scale. Exposure is especially high during childhood. Lost human resources due to premature deaths and large health care costs due to disabled individuals impose a serious burden on countries. This burden puts the growth rate, welfare, and productivity of countries at risk. First aid is provided throughout the country to prevent the development of such risks.

The practices must be carried out actively. The long-term impact of first aid interventions based on knowledge and skills is proportional to the training provided. For training to be effective and permanent, it may be more effective to use materials/methods brought by developing technology. It is thought that first aid training given through serious game simulation will also be effective. These serious games, accessed via computers, will provide students with plenty of experience with both ease of use and repetitive practice. It is known that emergencies requiring first aid can cause panic. Being calm when responding to an injured person can only be improved through experience. A realistic virtual environment designed with serious games can be effective in gaining experience. The designed serious game simulation teaching material can be applied in all schools across the country. First aid can also be prepared for all issues other than injuries. Thus, a teaching material that can affect large audiences will be developed.

The research will be conducted as a randomized controlled experimental study with a pre-test post-test design.

The research will be conducted with children studying in the 5th and 6th grades of schools in the central district of Aksaray, affiliated with the Ministry of National Education (MEB) of the Republic of Turkey.

The population of the research consists of 21,343 (public + private) children studying in primary (secondary) institutions in Aksaray. Of these students, 5440 students are in the 5th grade and 5277 students are in the 6th grade.

In the research, with statistical support, the sample size was used using G\*Power 3.1.9.7, the power of the study was calculated as 95% confidence level, the effect size was 0.25, the alpha value was 0.05, and the sample number was 54 (simulation group 18, comic book group 18, control group 18) students.

Eligibility Criteria:
Inclusion Criteria:

* Secondary schools with computer laboratories,
* 5th and 6th-grade secondary school students whose families gave permission and volunteered to participate in the research,
* Not an inclusion student,
* No physical or mental disability or limb loss,
* Able to understand, speak, and write Turkish,
* Students who have not taken courses on first aid.

Exclusion Criteria:

* Students who have not completed all stages of the education program,
* Students whose parents or themselves wish to withdraw from the study will be removed from the study groups.