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Completed

NCT Number: NCT07484880

Effectiveness of D'Antibiotika Academy Board Game for Dental Education

The goal of this clinical trial study is to evaluate the effectiveness of a board game-based serious game as a learning strategy to improve knowledge and study motivation on antibiotics and bacteria topics in undergraduate dental students at Faculty of Dentistry, Universitas Indonesia.

The main questions it aims to answer are:

* Does the "D'Antibiotika Academy" board game lead to higher post-test scores compared to traditional handout-based learning? * Does the board game improve students' study motivation on antibiotics and bacteria topic?

Researchers will compare the board game intervention group to the traditional handout (control) group to see if the game-based approach provides superior learning outcomes and higher student engagement.

Participants will:

* Complete a pre-test to measure their baseline knowledge of bacteria and antibiotics. * Participate in a learning session using either the "D'Antibiotika Academy" board game or a conventional handout. * Complete a post-test 1 and post-test 2 immediately after the session to measure immediate knowledge gain. * Switch groups (crossover) after a washout period to ensure all participants experience both methods. * Complete a study motivation questionnaire after the completion of the sessions.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Dentistry Universitas Indonesia

Jakarta Pusat, Jakarta Special Capital Region, 10430, Indonesia

About this study

Study Design and Setting:

This study was a single-blind crossover randomized controlled trial conducted at Universitas Indonesia from September to December 2025. The participants (n=101) were undergraduate dental students from the Faculty of Dentistry, Universitas Indonesia. Participants were stratified by academic year and then assigned to either the HO-BG (Handout then Board Game) or BG-HO (Board Game then Handout) group using stratified random sampling. Ethical approval was secured from the Dental Research Ethics Committee, Universitas Indonesia (54/Ethical Approval/FKGUI.IX/2025).

Interventions:

The study compared two learning media with identical content regarding antibiotic classification, mechanisms of action, resistance, selection, bacterial classification, and quorum sensing:

  • Board Game (D'Antibiotika Academy): An interactive game played in groups of 4-5 students.
  • Handout: A digital text-based learning material for independent study.

Study Protocol:

  • Baseline: All participants completed a pre-test to establish baseline knowledge.
  • Phase 1: The HO-BG group studied via handout independently, while the BG-HO group played the board game in a supervised two-hour session at the Health Sciences Cluster Building. Phase 1 concluded with Post-test 1.
  • Washout Period: A one-week washout period was implemented to minimize carryover effects.
  • Phase 2 (Crossover): The groups switched interventions. The HO-BG group played the board game, and the BG-HO group accessed the handout. After one week, all participants completed Post-test 2.

Assessment Tools:

  • Knowledge Test: 40 shuffled multiple-choice questions (20 questions for antibiotic topic and 20 questions for bacteria topic) administered via Google Forms (Max score: 100).
  • Motivation Questionnaire: At the study's conclusion, participants completed the Instructional Materials Motivational Survey (IMMS) based on the ARCS Model (Attention, Relevance, Confidence, and Satisfaction). Each participant evaluated both the board game and handout methods.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Undergraduate dental students at the Faculty of Dentistry, Universitas Indonesia, from the class of 2022, 2023, and 2025.
  • Students who demonstrate a clear understanding of the study's explanation provided by the researchers and are willing to participate by signing the informed consent form.
  • Students who are committed to participating in all research sessions and procedures until completion

Exclusion criteria

  • Students who are unable to participate in the entire research sequence from beginning to end.
  • Students who withdraw their participation at any point during the study period.

Treatment and study plan

D'Antibiotika Academy Board Game

Other

A serious board game designed for dental students to learn about antibiotic classification, mechanisms of action, resistance, and bacterial classification. The intervention is delivered in a 120-minute in two sessions supervised interactive group session.

Handout

Other

A digital text-based learning material containing identical scientific content to the D'Antibiotika Academy board game. Participants access and study the material independently

Primary outcomes

  1. Knowledge Score

    Time frame: -) [Day 1] baseline (pre-test) -) [Days 2-3] Intervention phase 1 (2 days), followed by Post-test 1 -) [Days 4-10] Washout periods (up to 7 days) -) [Days 11-12] Intervention Phase 2 (2 days), followed by Post-test 2

    A knowledge assessment consisting of 40 multiple-choice questions, with 20 questions dedicated to antibiotic topics and 20 questions to bacterial topics. The maximum score is 100, where higher scores indicate better knowledge acquisition. This assessment was used on Pre-Test, Post-Test 1 and Post-Test 2.

Secondary outcomes

  1. Learning Motivation Score (IMMS Questionnaire)

    Time frame: at study completion (Days 12-14)

    Evaluation of student motivation using the Instructional Materials Motivational Survey (IMMS) based on the ARCS Model (Attention, Relevance, Confidence, and Satisfaction). The survey uses a 5-point Likert scale, where higher scores represent higher levels of motivation toward the learning method. The questionnaire is administered to evaluate both the handout and the board game interventions. The questionnaire is administered once upon completion of all study sessions.

Sponsors and collaborators

Lead sponsor

Indonesia University

Other

Registry information

Official study title

Evaluating the Effectiveness of D'Antibiotika Academy Board Game on Antibiotics and Bacteria Knowledge: A Randomized Crossover Study Among Dental Students

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 20, 2026
Registry last updated
Mar 20, 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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