Gamified and Form-Based Reinforcement in Midwifery Education: A Quasi-Experimental Study

This quasi-experimental study investigates the impact of two different digital reinforcement tools-Kahoot and Google Forms-on third-year midwifery students' academic performance and motivation in the "Normal Birth and Postpartum Period" course. A total of 39 students will be assigned to two groups based on the last digit of their student ID number: even-numbered students will form the Kahoot group (n=19), and odd-numbered students will form the Google Forms group (n=20).

Both groups will receive the same theoretical course content over a 7-week period, followed by different reinforcement strategies. The Kahoot group will complete gamified multiple-choice quizzes via the Kahoot platform, while the Google Forms group will answer the same questions using structured forms. The reinforcement process includes 4 quiz sessions in one day, each with 25 questions, and will be followed by a pre-test, post-test, and administration of the Motivated Strategies for Learning Questionnaire.

Academic achievement will be assessed through a standardized 25-item multiple-choice test developed and validated by academic experts. Motivation levels will be measured using the Turkish version of the Instructional Materials Motivation Survey (IMMS), based on the ARCS model (Attention, Relevance, Confidence, Satisfaction). In addition, student opinions will be collected through Likert-type and open-ended questions regarding their experiences with the reinforcement tools.

The goal is to determine whether different forms of digital reinforcement influence student performance and engagement, and to identify students' perspectives on their learning experience. All participants will voluntarily participate and the study will be conducted in accordance with ethical standards.

Inclusion criteria

• Enrollment in the "Normal Birth and Postpartum Period" course during the 2024-2025 academic year
• Being a third-year midwifery student at Antalya Bilim University
• Having access to a smartphone
• Voluntarily agreeing to participate in the study

Exclusion criteria

• Absence on the day of data collection
• Declining to participate in the study
• Not completing both pre- and post-tests
• Technical inability to access Kahoot or Google Forms platforms