Improving Breast Health Knowledge Among Women Using a Gamified Metaverse-Based Platform

University of Malaya

Status: Completed

Conditions: Breast Neoplasms; Health Education

Treatments: Behavioral: Gamified Mammoverse Platform; Behavioral: Standard Mammoverse Platform

Study type: Interventional

Funder types: Other

Identifiers

NCT06930898

Mammo2025-RCT01

UMREC_3967 (Other Identifier)

Details and patient eligibility

About

This randomized controlled trial aimed to evaluate the effectiveness of Mammoverse, a gamified metaverse-based educational platform, in improving breast health knowledge among women in China. Participants were randomly assigned to either a gamified or non-gamified version of the platform. Both groups received identical educational content, but only the gamified group experienced interactive game elements such as avatars, progress feedback, and rewards. Knowledge was assessed at baseline, immediately post-intervention, and at 4-week follow-up. The study found that the gamified platform significantly improved knowledge retention and participant engagement compared to the non-gamified version.

This ClinicalTrials.gov registration reflects only the randomized controlled trial (RCT) portion of a broader mixed-methods study that was approved by the University of Malaya Research Ethics Committee (Ref: UM.TNC2/UMREC_3967). The full study protocol includes three methodological approaches, and this registration pertains specifically to the RCT component involving the Mammoverse platform. Other study components are not included in this registration.

Full description

Mammoverse is a 3D metaverse environment designed to promote breast health knowledge through immersive and interactive learning. The gamified version included user avatars, badges, tasks, and personalized feedback to increase motivation and engagement. The study recruited 72 women aged 18 and above, and used a pre-post-follow-up design. Outcome measures were based on an adapted 18-item Breast Health Literacy Questionnaire. The trial was conducted entirely online, with ethics approval from the University of Malaya Research Ethics Committee.

Enrollment: 72 patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Female participants aged 18 years and above
• Able to read and understand Chinese
• Access to a digital device and stable internet connection
• Willing to provide informed consent

Exclusion criteria

• Cognitive impairment or mental health condition that affects participation
• Inability to complete the full intervention and follow-up sessions
• Incomplete baseline assessment

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Gamified Metaverse Education

Experimental group

Description:

Participants in this group used the Mammoverse platform with gamified features, including story-based missions, interactive tasks, point-based rewards, achievement badges, and virtual incentives. The educational content was delivered through immersive scenarios to enhance engagement and motivation in learning about breast health.

Treatment:

Behavioral: Gamified Mammoverse Platform

Non-Gamified Metaverse Education

Active Comparator group

Description:

Participants in this group accessed the Mammoverse platform without any gamified features. The virtual environment delivered identical breast health educational content, but without tasks, points, rewards, badges, or narrative elements.

Treatment:

Behavioral: Standard Mammoverse Platform