Skip to main content
OpenTrials
Completed

NCT Number: NCT07028411

The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice

This cluster randomized controlled trial aims to evaluate the effectiveness of an educational board game compared to a lecture-based intervention on improving knowledge, attitudes, and confidence in dengue-related practice among nurses working in primary healthcare (PHC) units. Additionally, the study will assess PHC nurses' satisfaction with the learning experience. A total of 82 participants from 14 PHC unit clusters in Yogyakarta, Indonesia will be randomly assigned to either the intervention group (educational board game) or the control group (lecture-based intervention). Each group will receive a one-time 90-minute session of assigned intervention. Outcomes related to knowledge, attitudes, and confidence will be measured at multiple time points.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Knowledge Arbovirus Infections Attitude Behavior Confidence, Self Dengue Flaviviridae Infections Flavivirus Infections Hemorrhagic Fevers, Viral Infections Mosquito-Borne Diseases RNA Virus Infections Vector Borne Diseases Virus Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Primary Healthcare

Yogyakarta, Special Region of Yogyakarta, 55111, Indonesia

About this study

Considering the multiple roles of PHC nurses in dengue prevention and management, there is a need for training methods that are not only informative but also actively engaging and time-efficient. Educational board games offer a promising interactive learning strategy. However, their application among healthcare professionals, particularly nurses, remains underexplored.

The main purpose of this study is to examine whether an educational board game can improve PHC nurses' knowledge, attitudes, and confidence in dengue-related practice compared to a lecture-based intervention. In addition, the study will evaluate participants' satisfaction with the learning experience.

This two-arm parallel cluster randomized controlled trial will be conducted in Yogyakarta, Indonesia, involving 82 participants from 14 PHC unit clusters. These clusters will be randomly allocated into two groups: the intervention group (educational board game) and the control group (lecture-based intervention). Each group will receive a single 90-minute educational session.

Outcomes on knowledge, attitudes, and confidence will be assessed at multiple time points. Data will be analyzed using a linear mixed-effects model (LMM) to evaluate the interaction effects between group and time. Findings from this study may offer valuable insights for healthcare institutions and policymakers to consider integrating board games into professional training and continuing professional development (CPD) programs.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Full-time employed nurses in the PHC unit
  • Nurses who have experience in assessing dengue-suspected patients
  • Nurses who have at least three months of work experience in the current PHC unit
  • Nurses who have a smartphone for online communication
  • Nurses who are familiar with WhatsApp applications

Exclusion criteria

  • Nurses on maternity or annual leave during the data collection period.

Treatment and study plan

Educational board game

Behavioral

The educational board game will be administered once for a duration of 90 minutes, consisting of a gameplay session followed by a debriefing.

Lecture

Behavioral

The lecture will be administered once for a duration of 90 minutes, consisting of video lecture followed by question and answer (QnA) session.

Primary outcomes

  1. Knowledge

    Time frame: Baseline, immediately after intervention, and follow up at one-month post intervention.

    This study will use the Indonesian version of Dengue Knowledge Questionnaire to measure PHC nurses' knowledge of dengue. The questionnaire consists of seven items, with response options of "true," "false," or "unknown." Each correct answer will receive 1 point, while incorrect or unknown responses receive 0 points. Total scores range from 0 to 7, with higher scores reflecting a better knowledge of dengue.

  2. Attitude

    Time frame: Baseline, immediately after intervention, and follow up at one-month post intervention.

    The study will use the Indonesian version of Dengue Preventive Attitudes Questionnaire to measure nurses' attitudes toward dengue prevention. It consists of seven items, each rated on a five-point Likert scale, with 1 indicating "strongly disagree" and 5 indicating "strongly agree." Total scores range from 7 to 35, with higher scores representing more favorable attitudes toward dengue prevention.

  3. Confidence

    Time frame: Baseline, immediately after intervention, and follow up at one-month post intervention.

    The study will use the Indonesian version of the five-item Confidence-Scale (C-Scale) to measure nurses' confidence in their practice. Responses will be recorded on a five-point Likert scale, ranging from 1 to 5, with 5 indicating "higher confidence." Total scores ranged from 5 to 25, with higher scores indicating greater confidence.

Secondary outcomes

  1. Learning satisfaction

    Time frame: Immediately after intervention.

    This study will use the Indonesian version of the five-item Satisfaction in Learning questionnaire to assess nurses' satisfaction with the assigned learning methods. Responses will be recorded on a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher score indicated more satisfied with learning methods.

Sponsors and collaborators

Lead sponsor

Taipei Medical University

Other

Registry information

Official study title

The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice: a Cluster Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jun 19, 2025
Registry last updated
Jan 13, 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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.