Clinical trial NCT06966960: Online RPG Interactive Adventure Games Combined With an E-book Learning Obstetric Fetal Heart Rate Monitoring Technology
Official title: Online RPG Interactive Adventure Games Combined With an E-book Learning Mode to Enhance Nursing Students' Motivation and Effectiveness in Learning Obstetric Fetal Heart Rate Monitoring Technology
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Nursing Education Research
Keywords: fetal heart rate
e-book
nursing education
role-playing game
learning motivation
nursing
Lead sponsor: China Medical University Hospital
Sponsor class: OTHER
First posted: 2025-05-13
Enrollment: 100
Sex: ALL
Minimum age (years): 20
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study design will adopt a randomized controlled trial with repeated measures. A 60-minute intervention has been developed.

Block randomization stratified by gender will be used, and eligible participants will be randomly assigned to either the experimental or control group in a 1:1 ratio using Random Allocation Software.

Research assistants will code group assignments ("Group 1" and "Group 2") according to the randomization list, place the assignments into opaque sealed envelopes, and arrange them sequentially.

On the day of the study, envelopes will be distributed in the order participants submit their consent forms. Participants will open the envelope themselves to learn their group assignment.
Primary purpose: OTHER

Brief summary: One of the main goals of nursing education is to cultivate essential clinical skills in students to ensure they can provide safe, effective, and compassionate care within a medical environment. In the field of obstetric nursing, the precise mastery of fetal heart rate monitoring is crucial as it significantly impacts the students' future ability to assess the health conditions of both the mother and the fetus in clinical settings. This becomes increasingly important in today's context of declining birth rates. However, traditional nursing education, which mainly relies on knowledge transmission and simulation demonstrations, not only struggles to stimulate students' interest but often leads to ineffective learning outcomes. With the rapid advancement of technology, these limitations no longer meet the current needs of nursing education and students. Therefore, this study proposes to build and explore a new teaching model based on the ARCS motivation theory, integrating online role-playing games (RPGs) and interactive e-books to enhance nursing students' learning motivation and effectiveness.

Detailed description: This research project is planned over two years. The first year will focus on developing entertaining, interactive, and context-rich RPGs and e-books to enhance learning relevance and attention. By designing a tiered challenge system, not only will successful experiences be created, but students' confidence will also be bolstered. Additionally, an effective feedback mechanism will be set up to enhance the satisfaction of learning. The second year will involve a randomized controlled trial to validate the learning outcomes and motivation of nursing students in mastering fetal heart rate monitoring techniques. the design of the RPGs and e-books will be optimized to enhance the learning effectiveness and motivation of newly qualified nurses in real clinical settings, and extended to clinical education, aiming to fill the gaps in current educational models and improve the quality of nursing care.

This project establishes new digital materials and learning models for a commonly used skill in obstetric care. The research outcomes will help develop flexible, personalized learning pathways, enabling students to learn autonomously anytime, anywhere. This innovative approach not only enhances students' learning motivation and adds a new dimension to both teaching and self-study materials but also aids in their better application in clinical practice, thereby increasing the safety and efficiency of clinical care. Moreover, the application of this model offers a fresh perspective and approach to nursing education, promoting its ongoing development and quality enhancement.

Eligibility criteria: Inclusion Criteria:

1. It is expected to include 100 people.
2. Age 20 to 30 years old.
3. A third-year nursing student.
4. Completed basic nursing studies.
5. Agree to participate in this study and sign the research consent form.

Exclusion Criteria:

1. Students who were scheduled to take a leave of absence at the time of data collection.
2. No basic nursing training has been taken.

Primary outcomes:
measure: Fetal Heart Rate Monitoring and Nursing Knowledge Questionnaire
timeFrame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention
measure: Fetal Heart Rate Monitoring and Nursing Skills Assessment Scale
timeFrame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention
measure: Fetal Heart Rate Monitoring and Nursing Self-Efficacy Scale
timeFrame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention
measure: ARCS-Based Learning Motivation Scale
timeFrame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention
measure: Critical Thinking Disposition Scale
timeFrame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Taichung City
country: Taiwan
facility: China Medical University
Study officials:
affiliation: China Medical University, Taiwan
name: Ting-Shan Chang, Assistant Professor
role: PRINCIPAL_INVESTIGATOR
References: