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Completed

NCT Number: NCT07256041

Comparison of Gamification Approaches in Midwifery Education

The aim of this study is to compare the effects of puzzle-solving and Kahoot-based learning methods on learning motivation and gaming experience among second-year midwifery students, and to evaluate students' satisfaction levels regarding these methods. The study is designed as a randomized controlled experimental research. It will be conducted between November and December 2025 with second-year students studying in the Department of Midwifery, Faculty of Health Sciences, Ağrı İbrahim Çeçen University.

The entire class will be randomly divided into two groups: Experiment 1 (Puzzle) and Experiment 2 (Kahoot). Data collection tools include the Learning Motivation Scale in Higher Education, the Gaming Experience Scale, a Satisfaction Questionnaire, Game (Kahoot-Puzzle) Achievement Test, and a Personal Information Form. For data analysis, paired-samples t-test, ANOVA, and independent-samples t-test will be used as appropriate.

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Key information

Conditions

Education Gameifaction Midwifery Education

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Ağrı İbrahim Çeçen Üniversitesi

Ağrı, Center, 04000, Turkey (Türkiye)

About this study

The lectures will be delivered by the instructor in three-week topic blocks. After each three-week block, the following procedures will be implemented:

Experiment 1 group: A 20-question puzzle prepared by the researchers and validated through expert opinions from 10 academic midwifery instructors using the Content Validity Index (CVI) will be distributed. Students will be given 10 minutes to complete the puzzle.

Experiment 2 group: The same questions will be answered via the Kahoot application.

The interventions will be conducted three times in total (e.g., during the 3rd, 6th, and 9th weeks). To prevent contamination, the groups will meet in separate classrooms, and students' phones will be collected at the entrance.

The Personal Information Form will be administered at the pre-test stage. The Learning Motivation Scale in Higher Education will also be applied as a pre-test and post-test. The Gaming Experience Scale will be administered after the first and last game sessions. The Satisfaction Scale and the Game (Kahoot-Puzzle) Achievement Test (scores obtained from the puzzle or Kahoot) will be completed after each game session.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being a second-year midwifery student
  • Enrolled in the prenatal care course
  • Owning a smartphone (for the Kahoot group)
  • Willingness to participate in the study
  • Regular attendance in the course

Exclusion criteria

  • Unwillingness to participate in the study
  • Presence of learning disorders such as dyslexia
  • Insufficient attendance in the course
  • Previous participation in a similar study (Students who meet the exclusion criteria will be excluded from the study, but will continue to participate in the game activities. It is anticipated that their removal from the study could affect their performance in the course. Therefore, the scale scores of these students will not be included in the study analyses.)

Treatment and study plan

Puzzle

Other

Students in this group will solve three different puzzles, each administered at three-week intervals.

Kahoot

Other

Students in this group will complete three different Kahoot quizzes, each conducted at three-week intervals.

Primary outcomes

  1. Personal Information Form

    Time frame: The form will be administered at the pre-test during students' first participation in the study.

    This is a 6-item form that includes questions about students' demographic characteristics, academic grade point averages, and gaming experience

  2. Learning Motivation Scale in Higher Education (YÖMÖ-Ü)

    Time frame: Pre-test: Administered immediately before the first game session (on the same day). Post-test: Administered immediately after the final game session (on the same day).

    The scale consists of three sub-dimensions: learning goals, approach goals, and avoidance goals, and validity and reliability analyses have shown that it is a reliable measurement tool for Turkish university students. Each sub-dimension is scored separately, and a total score is not calculated. The scores obtained from the sub-dimensions are evaluated separately to determine which behaviors motivate students toward learning.

  3. Gaming Experience (GAMEX) Scale

    Time frame: Pre-test: Administered immediately after the completion of the first game session (on the same day). Post-test: Administered immediately after the completion of the final game session (on the same day)

    The scale consists of 27 items, each scored on a 1-5 Likert scale. Items in the "Absence of Negative Effects" sub-dimension (3 items) are reverse-coded. The total score obtainable from the scale ranges from 27 to 135. Except for the "Absence of Negative Effects" sub-dimension, higher scores in the other sub-dimensions indicate a better gaming experience

  4. Satisfaction Questionnaire

    Time frame: It will be completed immediately after the final game session (on the same day)

    Developed by the researchers based on the literature. Students' perceptions of the learning method will be evaluated using this questionnaire

  5. Game (Kahoot-Puzzle) Achievement Test

    Time frame: Administered immediately after each game session (three time points: pre-test, mid-test, post-test) on the same day.

    Each session will include 20 prepared questions. Since the test will be scored out of 100 points, each correct answer will be worth 5 points. The scores from the games administered in the three sessions will be compared between groups.

Sponsors and collaborators

Lead sponsor

Agri Ibrahim Cecen University

Other

Registry information

Official study title

Play to Learn: A Comparison of Puzzle-Based and Kahoot-Based Gamification in Midwifery Education

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Dec 1, 2025
Registry last updated
Apr 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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