Escape Room in Pressure Ulcer Education

Aydin Adnan Menderes University

Status: Completed

Conditions: Pressure Ulcer Knowledge; Game-Based Learning; Nursing Education

Treatments: Behavioral: Theoretical Instruction; Behavioral: Escape Room-Based Learning

Study type: Interventional

Funder types: Other

Identifiers

NCT07563348

2121-Pressure Ulcer

Details and patient eligibility

About

This randomized controlled trial (RCT) with a pretest-posttest design aimed to determine the effect of a game-based escape room teaching method on intern nursing students' knowledge levels regarding pressure ulcers. The study was conducted at the Faculty of Nursing, Aydın Adnan Menderes University between March and December 2025. A total of 56 senior nursing students were randomly assigned to either the intervention group (n = 28) or the control group (n = 28).

The intervention group received both theoretical instruction and escape room-based learning activities, while the control group received only traditional lecture-based theoretical instruction. Data were collected using the Student Information Form, the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0-T), and the Gameful Experience Scale (GAMEX).

The primary outcome was the change in pressure ulcer knowledge levels measured using the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0-T) across three time points: baseline, immediately after theoretical instruction, and 1 month after the intervention.

Full description

This study was designed as a randomized controlled trial (RCT) with repeated measures (pretest-posttest design). After completion of theoretical instruction on pressure ulcers, participants in the intervention group engaged in structured escape room activities, including crossword puzzles, word search tasks, matching exercises, and puzzle-based problem-solving activities. The control group received only traditional lecture-based instruction.

Data were collected at three time points: baseline, immediately after theoretical instruction, and one month after the intervention. Statistical analyses included descriptive statistics, chi-square tests, independent samples t-tests, and two-way repeated measures analysis of variance (ANOVA).

Enrollment: 51 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a senior nursing student
• Enrolled in the Nursing Care Management course
• Aged between 18-45 years
• Attendance in theoretical and practical sessions
• Voluntary participation

Exclusion criteria

• Failure to participate in intervention procedures
• Absenteeism during the relevant course sessions
• Prior experience with escape room games

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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51 participants in 2 patient groups

Escape Room-Based Learning + Theoretical Instruction

Experimental group

Description:

Participants in this group received standard theoretical instruction on pressure ulcers, followed by a structured game-based escape room intervention. The escape room intervention consisted of interactive learning activities, including crossword puzzles, word search tasks, matching exercises, and puzzle-based problem-solving activities. Participants worked in small groups under facilitator supervision and completed sequential tasks designed to achieve learning objectives related to pressure ulcer prevention and management.

Treatment:

Behavioral: Escape Room-Based Learning

Behavioral: Theoretical Instruction

Theoretical Instruction

Active Comparator group

Description:

Participants in this group received standard lecture-based theoretical instruction on pressure ulcers delivered in a classroom setting. No additional educational intervention was provided.

Treatment:

Behavioral: Theoretical Instruction