Hemorrhage Management TrainingNCT07688122
Web-Based Gamification in Postpartum Hemorrhage Management Education Among Midwifery Students
A study testing Web-Based Gamification Education and Online Classical Education in people with Hemorrhage Management Training and Gamification in Health Education, run by Mersin University.
Trial summary
This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education. Read more about this study
- Who is it for?
- Ages 18 to 40 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Hemorrhage Management Training, Gamification in Health Education
- What is being tested?
- Web-Based Gamification Education and Online Classical Education
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 128 participants
- Where
- No sites listed yet
- Study dates
- 1 Oct 2026to 15 Jan 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 40 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Living in Turkey
- Aged between 18-40 years
- Female
- Native speaker of Turkish
- Fourth-year undergraduate midwifery student
- Having received basic education on postpartum hemorrhage within the curriculum
- Having access to internet and digital devices (computer, tablet, or smartphone)
- Voluntarily agreeing to participate in the study
Who cannot join
- Not attending at least 80% of the training sessions
- Not completing the data collection tools fully
- Participating in another study or training related to postpartum hemorrhage management during the research period
- Not accessing or completing the gamification modules (for the experimental group)
- Withdrawing from the study at any stage
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Berivan Ülkü Çağlar contact
About this study
Official title: The Effect of Web-Based Gamification in Postpartum Hemorrhage Management Education on Knowledge Level, Motivation, Clinical Self-Efficacy, and Satisfaction Among Midwifery Students: A Randomized Controlled Trial
This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.
Read the detailed description
This study is planned as a randomized, single-blind, parallel-group experimental study. The research will be conducted with fourth-year midwifery students enrolled in undergraduate programs in Turkey.
Participants who meet the inclusion criteria will be randomly assigned into two groups:
- Experimental group receiving web-based gamification education
- Control group receiving online classical education Both groups will receive postpartum hemorrhage management education for four consecutive weeks, with one session per week lasting approximately 45-60 minutes.
In the experimental group, after each theoretical session, a web-based gamified module developed using Genially will be provided. These modules will include interactive tasks such as scenario-based questions, sequencing activities, reward systems (badges and points), and problem-solving exercises to enhance active learning.
In the control group, education will be delivered using traditional online teaching methods, including lecture-based presentations (PowerPoint) and verbal explanations.
Data will be collected before the intervention (pre-test) and after the completion of the training (post-test).
- Being tested
- Web-Based Gamification Education, Online Classical Education
- Keywords
- postpartum hemorrhage, gamification, midwifery education, learning motivation, self-efficacy
- Medical subject headings
- Postpartum Hemorrhage
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Web-Based Gamification EducationOther
The web-based gamification program consists of 4 sessions and interactive modules designed to improve knowledge, clinical decision- making skills, motivation, and self-efficacy in postpartum hemorrhage management.
Online Classical EducationOther
The classical education program consists of 4 sessions and includes standard theoretical instruction on postpartum hemorrhage management without gamification components.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: Web-Based Gamification Education | Experimental | Web-Based Gamification Education: Participants in this group will receive postpartum hemorrhage management education supported by web-based gamification. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. After each session, participants will access gamified modules developed using Genially, including interactive tasks, case-based scenarios, quizzes, and reward systems such as points and badges. Receives: Other: Web-Based Gamification Education |
| Online Classical Education | Placebo comparator | Online Classical Education: Participants in this group will receive postpartum hemorrhage management education through traditional online teaching methods. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. The education will be provided using lecture-based methods such as PowerPoint presentations and verbal explanations. No gamification elements will be used. Receives: Other: Online Classical Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Level of Motivation Towards Instructional Material
Participants' motivation levels will be evaluated using the Instructional Materials Motivation Survey (IMMS), which is based on Keller's ARCS model (Attention, Relevance, Confidence, Satisfaction) (Keller, 2010; Dinçer \& Doğanay, 2016). The scale consists of 33 items rated on a 5-point Likert scale ranging from 1 ("Not true at all") to 5 ("Very true"). The total score ranges from 33 to 165, with higher scores indicating higher levels of motivation. The Turkish version of the scale has demonstrated high internal consistency, with a Cronbach's alpha coefficient of 0.93.
Measured: 24 hours after completion of the intervention
Postpartum Hemorrhage Management Knowledge Level
Participants' knowledge regarding postpartum hemorrhage management will be evaluated using researcher-developed pre-test and post-test instruments. These tests were developed in accordance with current literature and national guidelines (Republic of Turkey Ministry of Health, 2022; Hamlacı et al., 2017; Durmaz \& Kömürcü, 2018).
The tests are designed to assess students' knowledge levels before and after the training and to evaluate the effectiveness of the educational method. The content includes postpartum hemorrhage definition, risk factors, etiology, prevention strategies, and management approaches. Content validity will be ensured by obtaining expert opinions from at least five specialists in the field of obstetrics and postpartum hemorrhage management. Based on expert feedback and pilot testing, necessary revisions will be made, and the final version of the tests will be established.
Measured: 24 hours before the intervention and within 24 hours after completion of the intervention
Clinical Skills Self-Efficacy Level
Participants' self-efficacy levels will be assessed using the Clinical Skills Self-Efficacy Scale developed by Kang and Chang (2019). The scale evaluates self-efficacy perceptions in cognitive, affective, and psychomotor domains.
The Turkish adaptation of the scale consists of 14 items and a three-factor structure: cognitive (items 1-6), affective (items 7-10), and psychomotor (items 11-14). The scale is rated on a 5-point Likert scale ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Higher scores indicate higher levels of self-efficacy.
The Cronbach's alpha values of the Turkish version are reported as 0.91 for the total scale, 0.89 for the cognitive domain, 0.69 for the affective domain, and 0.85 for the psychomotor domain (Bayazıt, Gönüllü \& Doğan, 2022).
Measured: 24 hours before the intervention and within 24 hours after completion of the intervention
Satisfaction Level
Participants' satisfaction with the training program will be assessed using a single-item Visual Analog Scale (VAS) ranging from 0 ("Not satisfied at all") to 10 ("Completely satisfied") (Wewers \& Lowe, 1990).
Measured: 24 hours after completion of the intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2026
- Study start1 Oct 2026 (estimated)
- Primary completion1 Nov 2026 (estimated)
- Study completion15 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hemorrhage Management TrainingStudies 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
- Single blind
- Who is masked
- Participant
- Enrolment
- 128 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Mersin University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gozde Gokce Isbir, Mersin University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07688122
- Sponsor's protocol ID
- BCaglar
- Status last verified
- Jun 2026
- First submitted
- 10 Apr 2026
- Last updated
- 7 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Web-Based Gamification in Postpartum Hemorrhage Management Education on Knowledge Level, Motivation, Clinical Self-Efficacy, and Satisfaction Among Midwifery Students: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07688122
- Acronym / sponsor ID
- BCaglar
- Keywords
- postpartum hemorrhage, gamification, midwifery education, learning motivation, self-efficacy
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 128 participants (estimated)
- Lead sponsor
- Mersin UniversityUniversity, hospital or other
- Study start
- 1 Oct 2026 (estimated)
- Primary completion
- 1 Nov 2026 (estimated)
- Study completion
- 15 Jan 2027 (estimated)
- First posted
- 7 Jul 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 study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.
Detailed description
This study is planned as a randomized, single-blind, parallel-group experimental study. The research will be conducted with fourth-year midwifery students enrolled in undergraduate programs in Turkey.
Participants who meet the inclusion criteria will be randomly assigned into two groups:
- Experimental group receiving web-based gamification education
- Control group receiving online classical education Both groups will receive postpartum hemorrhage management education for four consecutive weeks, with one session per week lasting approximately 45-60 minutes.
In the experimental group, after each theoretical session, a web-based gamified module developed using Genially will be provided. These modules will include interactive tasks such as scenario-based questions, sequencing activities, reward systems (badges and points), and problem-solving exercises to enhance active learning.
In the control group, education will be delivered using traditional online teaching methods, including lecture-based presentations (PowerPoint) and verbal explanations.
Data will be collected before the intervention (pre-test) and after the completion of the training (post-test).
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental: Web-Based Gamification Education | Experimental | Other: Web-Based Gamification EducationWeb-Based Gamification Education: Participants in this group will receive postpartum hemorrhage management education supported by web-based gamification. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. After each session, participants will access gamified modules developed using Genially, including interactive tasks, case-based scenarios, quizzes, and reward systems such as points and badges. |
| Online Classical Education | Placebo comparator | Other: Online Classical EducationOnline Classical Education: Participants in this group will receive postpartum hemorrhage management education through traditional online teaching methods. The training program will consist of 4 sessions delivered once a week, each lasting approximately 45-60 minutes. The education will be provided using lecture-based methods such as PowerPoint presentations and verbal explanations. No gamification elements will be used. |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (8 listed)
- Living in Turkey
- Aged between 18-40 years
- Female
- Native speaker of Turkish
- Fourth-year undergraduate midwifery student
Key exclusion criteria (5 listed)
- Not attending at least 80% of the training sessions
- Not completing the data collection tools fully
- Participating in another study or training related to postpartum hemorrhage management during the research period
- Not accessing or completing the gamification modules (for the experimental group)
- Withdrawing from the study at any stage
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 |
|---|---|---|
| Web-Based Gamification EducationThe web-based gamification program consists of 4 sessions and interactive modules designed to improve knowledge, clinical decision- making skills, motivation, and self-efficacy in postpartum hemorrhage management. | Other | Experimental: Web-Based Gamification Education |
| Online Classical EducationThe classical education program consists of 4 sessions and includes standard theoretical instruction on postpartum hemorrhage management without gamification components. | Other | Online Classical Education |
Primary outcome
Level of Motivation Towards Instructional Material
Time frame: 24 hours after completion of the intervention
Participants' motivation levels will be evaluated using the Instructional Materials Motivation Survey (IMMS), which is based on Keller's ARCS model (Attention, Relevance, Confidence, Satisfaction) (Keller, 2010; Dinçer \& Doğanay, 2016). The scale consists of 33 items rated on a 5-point Likert scale ranging from 1 ("Not true at all") to 5 ("Very true"). The total score ranges from 33 to 165, with higher scores indicating higher levels of motivation. The Turkish version of the scale has demonstrated high internal consistency, with a Cronbach's alpha coefficient of 0.93.
Postpartum Hemorrhage Management Knowledge Level
Time frame: 24 hours before the intervention and within 24 hours after completion of the intervention
Participants' knowledge regarding postpartum hemorrhage management will be evaluated using researcher-developed pre-test and post-test instruments. These tests were developed in accordance with current literature and national guidelines (Republic of Turkey Ministry of Health, 2022; Hamlacı et al., 2017; Durmaz \& Kömürcü, 2018). The tests are designed to assess students' knowledge levels before and after the training and to evaluate the effectiveness of the educational method. The content includes postpartum hemorrhage definition, risk factors, etiology, prevention strategies, and management approaches. Content validity will be ensured by obtaining expert opinions from at least five specialists in the field of obstetrics and postpartum hemorrhage management. Based on expert feedback and pilot testing, necessary revisions will be made, and the final version of the tests will be established.
Clinical Skills Self-Efficacy Level
Time frame: 24 hours before the intervention and within 24 hours after completion of the intervention
Participants' self-efficacy levels will be assessed using the Clinical Skills Self-Efficacy Scale developed by Kang and Chang (2019). The scale evaluates self-efficacy perceptions in cognitive, affective, and psychomotor domains. The Turkish adaptation of the scale consists of 14 items and a three-factor structure: cognitive (items 1-6), affective (items 7-10), and psychomotor (items 11-14). The scale is rated on a 5-point Likert scale ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Higher scores indicate higher levels of self-efficacy. The Cronbach's alpha values of the Turkish version are reported as 0.91 for the total scale, 0.89 for the cognitive domain, 0.69 for the affective domain, and 0.85 for the psychomotor domain (Bayazıt, Gönüllü \& Doğan, 2022).
Satisfaction Level
Time frame: 24 hours after completion of the intervention
Participants' satisfaction with the training program will be assessed using a single-item Visual Analog Scale (VAS) ranging from 0 ("Not satisfied at all") to 10 ("Completely satisfied") (Wewers \& Lowe, 1990).
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jul 2026.
- Serious Gaming and Gamification Education in Health Professions: Systematic ReviewLink provided by the sponsor.
- Enhancing postpartum hemorrhage training by integrating case-problem based learning with simulation: a quasi experimental studyLink provided by the sponsor.
- Individual participant dataSharing planned: No
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.
Berivan Ülkü Çağlar contact
Questions about this trial
What is this clinical trial studying?
A study testing Web-Based Gamification Education and Online Classical Education in people with Hemorrhage Management Training and Gamification in Health Education, run by Mersin University.
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 8 inclusion and 5 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: opening soon, as of the sponsor's last update on 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Gözde Gökçe İsbir (+905057782319, gozdegokce@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Level of Motivation Towards Instructional Material (time frame: 24 hours after completion of the intervention). The study lists 4 primary outcomes in all. 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 7 Jul 2026; AzTrials last refreshed its copy on 26 Oct 2026.