About this trial
This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Living in Turkey
Aged between 18-40 years
Female
Native speaker of Turkish
Disqualifiers
Not attending at least 80% of the training sessions
Not completing the data collection tools fully
Participating in another study or training related to postpartum hemorrhage management during the research period
Not accessing or completing the gamification modules (for the experimental group)
Trial design
Parallel
Treatments tested in this trial
Web-Based Gamification Education
Other interventionThe web-based gamification program consists of 4 sessions and interactive modules designed to improve knowledge, clinical decision- making skills, motivation, and self-efficacy in postpartum hemorrhage management.
Online Classical Education
Other interventionThe classical education program consists of 4 sessions and includes standard theoretical instruction on postpartum hemorrhage management without gamification components.
Treatment groups
Trial outcomes
Primary outcomes
Level of Motivation Towards Instructional Material
Participants' motivation levels will be evaluated using the Instructional Materials Motivation Survey (IMMS), which is based on Keller's ARCS model (Attention, Relevance, Confidence, Satisfaction) (Keller, 2010; Dinçer \& Doğanay, 2016). The scale consists of 33 items rated on a 5-point Likert scale ranging from 1 ("Not true at all") to 5 ("Very true"). The total score ranges from 33 to 165, with higher scores indicating higher levels of motivation. The Turkish version of the scale has demonstrated high internal consistency, with a Cronbach's alpha coefficient of 0.93.
Postpartum Hemorrhage Management Knowledge Level
Participants' knowledge regarding postpartum hemorrhage management will be evaluated using researcher-developed pre-test and post-test instruments. These tests were developed in accordance with current literature and national guidelines (Republic of Turkey Ministry of Health, 2022; Hamlacı et al., 2017; Durmaz \& Kömürcü, 2018). The tests are designed to assess students' knowledge levels before and after the training and to evaluate the effectiveness of the educational method. The content includes postpartum hemorrhage definition, risk factors, etiology, prevention strategies, and management approaches. Content validity will be ensured by obtaining expert opinions from at least five specialists in the field of obstetrics and postpartum hemorrhage management. Based on expert feedback and pilot testing, necessary revisions will be made, and the final version of the tests will be established.
Clinical Skills Self-Efficacy Level
Participants' self-efficacy levels will be assessed using the Clinical Skills Self-Efficacy Scale developed by Kang and Chang (2019). The scale evaluates self-efficacy perceptions in cognitive, affective, and psychomotor domains. The Turkish adaptation of the scale consists of 14 items and a three-factor structure: cognitive (items 1-6), affective (items 7-10), and psychomotor (items 11-14). The scale is rated on a 5-point Likert scale ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Higher scores indicate higher levels of self-efficacy. The Cronbach's alpha values of the Turkish version are reported as 0.91 for the total scale, 0.89 for the cognitive domain, 0.69 for the affective domain, and 0.85 for the psychomotor domain (Bayazıt, Gönüllü \& Doğan, 2022).
Satisfaction Level
Participants' satisfaction with the training program will be assessed using a single-item Visual Analog Scale (VAS) ranging from 0 ("Not satisfied at all") to 10 ("Completely satisfied") (Wewers \& Lowe, 1990).
Locations
Sponsors and contacts
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