This study will evaluate the effects of an escape room-based learning activity in an undergraduate neurological rehabilitation course for physiotherapy and rehabilitation students.
Third-year students enrolled in the Neurological Rehabilitation course will participate in a team-based educational escape room consisting of six stations. The stations will require students to apply knowledge and clinical reasoning skills related to neurological conditions, sensory assessment, the ASIA Impairment Scale, walking aids, neurological evaluation methods, and rehabilitation decision-making.
The study will assess academic achievement, escape room performance, student satisfaction, and student experiences. Academic outcomes may be compared with course results from the previous academic year. Escape room performance measures will include completion time, completed stations, solved puzzles, hints received, errors made, and rubric-based performance scores. Students will also complete a satisfaction questionnaire, and a subgroup of volunteer students will participate in individual interviews.
Participation will be voluntary and will not affect course grades. The activity may involve temporary video recording solely for same-day debriefing; recordings will not be used as research data and will be permanently deleted immediately after debriefing. No medical intervention or biological sample collection will be performed.
Enrolled as a third-year undergraduate student in the Physiotherapy and Rehabilitation Department at Lokman Hekim University.
Registered for the Neurological Rehabilitation course during the study period.
Willing to participate voluntarily and able to provide informed consent.
Available to attend the scheduled escape room activity.
Declines participation or withdraws consent at any stage of the study.
Does not attend the scheduled escape room activity.
Leaves the escape room activity before completion.
Does not complete the required research assessments.
Single group
Escape Room-Based Learning
Other interventionThe intervention will be delivered as a structured educational escape room activity within the Neurological Rehabilitation course. Participating students will be assigned to teams of approximately seven students and will complete the activity in a university laboratory arranged as an escape room. The intervention will include three phases: Prebriefing, Gameplay, Debriefing
Academic Achievement: Midterm Examination Score
Academic achievement will be assessed using the midterm examination score in the Neurological Rehabilitation course. Scores will be reported as points obtained from the course examination. Higher scores indicate greater academic achievement.
Academic Achievement: Final Examination Score
Academic achievement will be assessed using the final examination score in the Neurological Rehabilitation course. Scores will be reported as points obtained from the course examination. Higher scores indicate greater academic achievement.
Academic Achievement: Overall Course Grade
Overall academic achievement will be assessed using the final course grade calculated according to the standard course evaluation system. Higher scores indicate greater overall academic achievement.
Escape Room Completion Time
Escape room performance will be assessed by recording the total time required for each team to complete the escape room activity. Completion time will be reported in minutes. Shorter completion time indicates better task completion performance.
Student Satisfaction with Escape Room-Based Learning
Student satisfaction will be assessed using an investigator-developed questionnaire containing eight items rated on a 5-point Likert scale from 1 = strongly disagree to 5 = strongly agree. Total satisfaction score will be calculated by summing the item scores. Higher total scores indicate greater satisfaction with the escape room-based learning activity.
Qualitative Student Learning Experience
Semi-structured individual interviews will be conducted with approximately 8-12 volunteer students. Interviews will explore students' overall experience, emotional responses, teamwork, time pressure, perceived effects on clinical reasoning and decision-making, challenges, and recommendations. Audio-recorded interviews will be transcribed and analyzed using thematic or content analysis.
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