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

Antalya Bilim University

Status: Active, not recruiting

Conditions: Educational Reinforcement; Midwifery Education; Academic Achievement; Gamification in Health Education; Student Motivation

Treatments: Behavioral: Google Forms Reinforcement; Behavioral: Kahoot Reinforcement

Study type: Interventional

Funder types: Other

Identifiers

NCT07004985

Antalya Bilim University (Other Identifier)

2024\993

Details and patient eligibility

About

This quasi-experimental study aims to evaluate the effect of reinforcement using Kahoot (a gamification tool) and Google Forms (an interactive quiz platform) on the academic achievement and motivation of midwifery students enrolled in the "Normal Birth and Postpartum Period" course. The study involves two intervention groups: one using Kahoot and the other using Google Forms. A total of 39 third-year midwifery students will participate. Academic success will be measured through pre- and post-tests, motivation levels through a validated motivation scale, and qualitative feedback will be obtained through student opinion forms. The study seeks to explore how different digital reinforcement tools affect learning outcomes and student engagement in midwifery education.

Full description

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.

Enrollment: 39 estimated patients

Sex: Female

Ages: 18 to 30 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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39 participants in 2 patient groups

Kahoot Group

Experimental group

Description:

This group will receive digital reinforcement through gamified quizzes using the Kahoot platform. Following the theoretical portion of the "Normal Birth and Postpartum Period" course, participants will engage in four interactive quiz sessions on Kahoot, each consisting of 25 multiple-choice questions. The reinforcement aims to enhance engagement, motivation, and knowledge retention through real-time feedback and competition elements.

Treatment:

Behavioral: Kahoot Reinforcement

Behavioral: Google Forms Reinforcement

Google Forms Group

Experimental group

Description:

This group will receive digital reinforcement through structured multiple-choice quizzes delivered via Google Forms. After the theoretical lessons of the "Normal Birth and Postpartum Period" course, students will complete four quiz sessions using Google Forms, each including 25 questions. This reinforcement method is designed to support repetition, comprehension, and motivation through reflective practice and immediate feedback.

Treatment:

Behavioral: Kahoot Reinforcement

Behavioral: Google Forms Reinforcement