Electrocardiography (ECG)NCT07646236
Gamification Versus E-Learning for Electrocardiogram Education
A study testing Gamification Educational Method and E-learning Educational Method in people with Electrocardiography (ECG) and Clinical Competence, run by Taiwan Municipal An-Nan Hospital-China Medical University at 1 site in Taiwan.
Trial summary
This randomized controlled study aims to compare the effectiveness of a gamification educational method and an e-learning educational method for electrocardiogram (ECG) education. Nursing students and novice nurses are randomly assigned to either a gamified learning group or an e-learning group. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Electrocardiography (ECG), Clinical Competence
- What is being tested?
- Gamification Educational Method and E-learning Educational Method
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 297 participants
- Where
- 1 siteTaiwan
- Study dates
- 14 Jul 2020to 23 Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Nursing students who completed medical-surgical nursing coursework
- Newly graduated nurses undergoing clinical orientation
- Able to understand study procedures
- Willing to provide informed consent
Who cannot join
- Previous participation in the study
- Failure to complete study questionnaires
- Declined participation
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
Tainan Municipal An-Nan Hospital, China Medical University
Tainan, Taiwan, 709
About this study
Official title: Comparing the Effectiveness of Gamification Educational Method and E-learning Educational Method
This randomized controlled study aims to compare the effectiveness of a gamification educational method and an e-learning educational method for electrocardiogram (ECG) education. Nursing students and novice nurses are randomly assigned to either a gamified learning group or an e-learning group. The study evaluates whether the gamification approach improves ECG knowledge, learning confidence, and learning satisfaction compared with conventional e-learning instruction.
Read the detailed description
Electrocardiogram (ECG) interpretation is an essential competency for nursing students and novice nurses. Traditional educational approaches, including lecture-based and self-directed e-learning methods, may not fully engage learners or promote active participation. Gamification has emerged as an innovative educational strategy that incorporates game elements into learning activities to enhance motivation, engagement, and knowledge acquisition.
This randomized controlled study was conducted to compare the effectiveness of a gamification educational method with a conventional e-learning educational method for ECG education. Participants were assigned to either a gamification group or an e-learning group. The gamification intervention incorporated interactive learning activities designed to facilitate active participation and reinforce ECG learning concepts, whereas the comparison group received self-directed e-learning instruction.
The study was designed to evaluate whether gamification could improve learning outcomes and provide evidence for the application of innovative educational strategies in nursing education and clinical training programs.
- Conditions
- Electrocardiography (ECG), Clinical Competence
- Being tested
- Gamification Educational Method, E-learning Educational Method
- Keywords
- ECG Interpretation, Nursing Education, Nursing Students, Nurses, Board Game, Learning Confidence, Learning Satisfaction, Gamification
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gamification Educational MethodBehavioural
Participants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content.
E-learning Educational MethodBehavioural
Participants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content.
| Study group | Role | What they receive |
|---|---|---|
| Gamified ECG Education | Experimental | Participants received electrocardiogram education through a gamification educational method that incorporated game-based learning activities designed to enhance learner engagement and participation. Receives: Behavioral: Gamification Educational Method |
| E-learning ECG Education | Active comparator | Participants received electrocardiogram education through a self-directed e-learning educational method using online instructional materials. Receives: Behavioral: E-learning Educational Method |
What is being measured
The primary outcome is the main question the study is designed to answer.
Electrocardiogram Knowledge Questionnaire Score
Measured using a 20-item electrocardiogram knowledge questionnaire. Scores range from 0 to 20, with higher scores indicating greater ECG knowledge.
Measured: Immediately before and immediately after the intervention
Secondary outcomes (2)
Learning Confidence Scale Score
The Learning Confidence Score Scale consists of 5 questions, designed to measure a participant's confidence in interpreting ECGs and applying them clinically after completing an ECG course. A 0-100mm line is divided into 100 divisions, marked with a scale from 1 to 100, where 0 represents no confidence and 100 represents full confidence. The test subject quantifies their self-perceived visual score from 0 to 100.
Measured: Baseline and immediately after completion of the educational intervention
Learning Satisfaction Questionnaire Score
This questionnaire includes key evaluation points for teaching effectiveness, such as lesson planning, teaching material presentation, teaching strategies, teaching assessment, and teaching atmosphere. It comprises 13 questions and uses a Likert scale, with 1 point for "very dissatisfied" and 5 points for "very satisfied." The total score ranges from 13 to 65 points, with higher scores indicating higher course satisfaction.
Measured: Immediately after completion of the educational intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2026
- Study start14 Jul 2020
- Primary completion23 Dec 2020
- Study completion23 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Electrocardiography (ECG)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 297 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taiwan Municipal An-Nan Hospital-China Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hsiao-Yen Hsieh, DNP, RN, APN, Taiwan Municipal An-Nan Hospital-China Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07646236
- Sponsor's protocol ID
- TMANH109-REC001(CR-1)
- Status last verified
- Jun 2026
- First submitted
- 3 Jun 2026
- Last updated
- 15 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be made available to protect participant confidentiality and because data sharing was not specified in the original study protocol and informed consent documents.
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparing the Effectiveness of Gamification Educational Method and E-learning Educational Method
- ClinicalTrials.gov ID
- NCT07646236
- Acronym / sponsor ID
- TMANH109-REC001(CR-1)
- Conditions
- Electrocardiography (ECG), Clinical Competence
- Keywords
- ECG Interpretation, Nursing Education, Nursing Students, Nurses, Board Game, Learning Confidence, Learning Satisfaction, Gamification
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 297 participants (actual)
- Lead sponsor
- Taiwan Municipal An-Nan Hospital-China Medical UniversityUniversity, hospital or other
- Study start
- 14 Jul 2020 (actual)
- Primary completion
- 23 Dec 2020 (actual)
- Study completion
- 23 Dec 2020 (actual)
- First posted
- 12 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled study aims to compare the effectiveness of a gamification educational method and an e-learning educational method for electrocardiogram (ECG) education. Nursing students and novice nurses are randomly assigned to either a gamified learning group or an e-learning group. The study evaluates whether the gamification approach improves ECG knowledge, learning confidence, and learning satisfaction compared with conventional e-learning instruction.
Detailed description
Electrocardiogram (ECG) interpretation is an essential competency for nursing students and novice nurses. Traditional educational approaches, including lecture-based and self-directed e-learning methods, may not fully engage learners or promote active participation. Gamification has emerged as an innovative educational strategy that incorporates game elements into learning activities to enhance motivation, engagement, and knowledge acquisition.
This randomized controlled study was conducted to compare the effectiveness of a gamification educational method with a conventional e-learning educational method for ECG education. Participants were assigned to either a gamification group or an e-learning group. The gamification intervention incorporated interactive learning activities designed to facilitate active participation and reinforce ECG learning concepts, whereas the comparison group received self-directed e-learning instruction.
The study was designed to evaluate whether gamification could improve learning outcomes and provide evidence for the application of innovative educational strategies in nursing education and clinical training programs.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Gamified ECG Education | Experimental | Behavioral: Gamification Educational MethodParticipants received electrocardiogram education through a gamification educational method that incorporated game-based learning activities designed to enhance learner engagement and participation. |
| E-learning ECG Education | Active comparator | Behavioral: E-learning Educational MethodParticipants received electrocardiogram education through a self-directed e-learning educational method using online instructional materials. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Nursing students who completed medical-surgical nursing coursework
- Newly graduated nurses undergoing clinical orientation
- Able to understand study procedures
- Willing to provide informed consent
Key exclusion criteria (3 listed)
- Previous participation in the study
- Failure to complete study questionnaires
- Declined participation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Gamification Educational MethodParticipants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content. | Behavioural | Gamified ECG Education |
| E-learning Educational MethodParticipants received electrocardiogram education through a self-directed e-learning educational method using online educational materials and instructional content. | Behavioural | E-learning ECG Education |
Primary outcome
Electrocardiogram Knowledge Questionnaire Score
Time frame: Immediately before and immediately after the intervention
Measured using a 20-item electrocardiogram knowledge questionnaire. Scores range from 0 to 20, with higher scores indicating greater ECG knowledge.
2 secondary outcomes
Learning Confidence Scale Score
Time frame: Baseline and immediately after completion of the educational intervention
Learning Satisfaction Questionnaire Score
Time frame: Immediately after completion of the educational intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be made available to protect participant confidentiality and because data sharing was not specified in the original study protocol and informed consent documents.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Gamification Educational Method and E-learning Educational Method in people with Electrocardiography (ECG) and Clinical Competence, run by Taiwan Municipal An-Nan Hospital-China Medical University at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Electrocardiogram Knowledge Questionnaire Score (time frame: Immediately before and immediately after the intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2026.