The Effectiveness of the Board Game on Primary Healthcare Nurses' Knowledge, Attitudes, and Confidence in Dengue-related Practice

Taipei Medical University

Status: Completed

Conditions: Attitude; Knowledge; Confidence, Self

Treatments: Behavioral: Educational board game; Behavioral: Lecture

Study type: Interventional

Funder types: Other

Identifiers

NCT07028411

KE/FK/0902/EC/2025

Details and patient eligibility

About

This cluster randomized controlled trial aims to evaluate the effectiveness of an educational board game compared to a lecture-based intervention on improving knowledge, attitudes, and confidence in dengue-related practice among nurses working in primary healthcare (PHC) units. Additionally, the study will assess PHC nurses' satisfaction with the learning experience. A total of 82 participants from 14 PHC unit clusters in Yogyakarta, Indonesia will be randomly assigned to either the intervention group (educational board game) or the control group (lecture-based intervention). Each group will receive a one-time 90-minute session of assigned intervention. Outcomes related to knowledge, attitudes, and confidence will be measured at multiple time points.

Full description

Considering the multiple roles of PHC nurses in dengue prevention and management, there is a need for training methods that are not only informative but also actively engaging and time-efficient. Educational board games offer a promising interactive learning strategy. However, their application among healthcare professionals, particularly nurses, remains underexplored.

The main purpose of this study is to examine whether an educational board game can improve PHC nurses' knowledge, attitudes, and confidence in dengue-related practice compared to a lecture-based intervention. In addition, the study will evaluate participants' satisfaction with the learning experience.

This two-arm parallel cluster randomized controlled trial will be conducted in Yogyakarta, Indonesia, involving 82 participants from 14 PHC unit clusters. These clusters will be randomly allocated into two groups: the intervention group (educational board game) and the control group (lecture-based intervention). Each group will receive a single 90-minute educational session.

Outcomes on knowledge, attitudes, and confidence will be assessed at multiple time points. Data will be analyzed using a linear mixed-effects model (LMM) to evaluate the interaction effects between group and time. Findings from this study may offer valuable insights for healthcare institutions and policymakers to consider integrating board games into professional training and continuing professional development (CPD) programs.

Enrollment: 106 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Full-time employed nurses in the PHC unit
• Nurses who have experience in assessing dengue-suspected patients
• Nurses who have at least three months of work experience in the current PHC unit
• Nurses who have a smartphone for online communication
• Nurses who are familiar with WhatsApp applications

Exclusion criteria

• Nurses on maternity or annual leave during the data collection period.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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106 participants in 2 patient groups

Educational board game

Experimental group

Description:

Participants will receive an educational board game one time for 90 minutes.

Treatment:

Behavioral: Educational board game

Lecture group

Active Comparator group

Description:

Participants will receive a lecture-based intervention one time for 90 minutes.

Treatment:

Behavioral: Lecture