Nursing Education ResearchNCT06966960
Online RPG Interactive Adventure Games Combined With an E-book Learning Obstetric Fetal Heart Rate Monitoring Technology
A study testing Online RPG adventure games and e-book learning. and E-book in people with Nursing Education Research, run by China Medical University Hospital at 1 site in Taiwan.
Trial summary
One of the main goals of nursing education is to cultivate essential clinical skills in students to ensure they can provide safe, effective, and compassionate care within a medical environment. Read more about this study
- Who is it for?
- Ages 20 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Nursing Education Research
- What is being tested?
- Online RPG adventure games and e-book learning. and E-book
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTaiwan
- Study dates
- 26 Sep 2025to 10 Oct 2025
- 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 20 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- It is expected to include 100 people.
- Age 20 to 30 years old.
- A third-year nursing student.
- Completed basic nursing studies.
- Agree to participate in this study and sign the research consent form.
Who cannot join
- Students who were scheduled to take a leave of absence at the time of data collection.
- No basic nursing training has been taken.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Online RPG Interactive Adventure Games Combined With an E-book Learning Mode to Enhance Nursing Students' Motivation and Effectiveness in Learning Obstetric Fetal Heart Rate Monitoring Technology
One of the main goals of nursing education is to cultivate essential clinical skills in students to ensure they can provide safe, effective, and compassionate care within a medical environment. In the field of obstetric nursing, the precise mastery of fetal heart rate monitoring is crucial as it significantly impacts the students' future ability to assess the health conditions of both the mother and the fetus in clinical settings. This becomes increasingly important in today's context of declining birth rates. However, traditional nursing education, which mainly relies on knowledge transmission and simulation demonstrations, not only struggles to stimulate students' interest but often leads to ineffective learning outcomes. With the rapid advancement of technology, these limitations no longer meet the current needs of nursing education and students. Therefore, this study proposes to build and explore a new teaching model based on the ARCS motivation theory, integrating online role-playing games (RPGs) and interactive e-books to enhance nursing students' learning motivation and effectiveness.
Read the detailed description
This research project is planned over two years. The first year will focus on developing entertaining, interactive, and context-rich RPGs and e-books to enhance learning relevance and attention. By designing a tiered challenge system, not only will successful experiences be created, but students' confidence will also be bolstered. Additionally, an effective feedback mechanism will be set up to enhance the satisfaction of learning. The second year will involve a randomized controlled trial to validate the learning outcomes and motivation of nursing students in mastering fetal heart rate monitoring techniques. the design of the RPGs and e-books will be optimized to enhance the learning effectiveness and motivation of newly qualified nurses in real clinical settings, and extended to clinical education, aiming to fill the gaps in current educational models and improve the quality of nursing care.
This project establishes new digital materials and learning models for a commonly used skill in obstetric care. The research outcomes will help develop flexible, personalized learning pathways, enabling students to learn autonomously anytime, anywhere. This innovative approach not only enhances students' learning motivation and adds a new dimension to both teaching and self-study materials but also aids in their better application in clinical practice, thereby increasing the safety and efficiency of clinical care. Moreover, the application of this model offers a fresh perspective and approach to nursing education, promoting its ongoing development and quality enhancement.
- Conditions
- Nursing Education Research
- Being tested
- Online RPG adventure games and e-book learning., E-book
- Keywords
- fetal heart rate, e-book, nursing education, role-playing game, learning motivation, nursing
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online RPG adventure games and e-book learning.Behavioural
Learning obstetric fetal heart rate monitoring technology through online RPG adventure games and e-book learning.
E-bookBehavioural
E-book learning mode for obstetric fetal heart rate monitoring technology.
| Study group | Role | What they receive |
|---|---|---|
| Online RPG interactive adventure game and e-book | Experimental | Integration of online RPG interactive adventure games with an e-book learning mode for the instruction of obstetric fetal heart rate monitoring technology. Receives: Behavioral: Online RPG adventure games and e-book learning. |
| e-book | Active comparator | E-book learning mode for obstetric fetal heart rate monitoring technology. Receives: Behavioral: E-book |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fetal Heart Rate Monitoring and Nursing Knowledge Questionnaire
The questionnaire consists of 10 items. Each correct answer is awarded 10 points, and each incorrect answer is awarded 0 points. The total score ranges from 0 to 100 points. The items, preliminarily developed, include clinical scenario-based questions in a multiple-choice format, primarily focusing on the interpretation of fetal heart rate monitoring and corresponding nursing interventions based on the interpretation results.
Measured: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Fetal Heart Rate Monitoring and Nursing Skills Assessment Scale
This outcome is assessed using the "Fetal Heart Rate Monitoring and Nursing Skills Assessment Scale," which includes 12 items covering domains such as professional attitude, patient identification, explanation of monitoring purpose, hand hygiene, and the correct step-by-step application of fetal monitoring equipment. The total score ranges from 0 to 100, with higher scores indicating better skill performance.
Time Frame: Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Unit of Measure:
Score on a 0-100 scale
Measured: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Fetal Heart Rate Monitoring and Nursing Self-Efficacy Scale
This outcome is assessed using the "Fetal Heart Rate Monitoring and Nursing Self-Efficacy Scale," consisting of 10 items rated on a 4-point Likert scale. Participants evaluate their own ability to perform related tasks, where 1 = insufficient ability and 4 = expert ability. The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy in performing fetal heart monitoring and related nursing skills.
Time Frame:
Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Unit of Measure:
Total score on a 10-40 scale
Measured: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
ARCS-Based Learning Motivation Scale
The scale assesses learners' motivation toward the educational materials across four dimensions: Attention (12 items), Relevance (9 items), Confidence (9 items), and Satisfaction (6 items), for a total of 36 items. Responses are rated on a 5-point Likert scale, ranging from 5 ("Strongly Agree") to 1 ("Strongly Disagree"). The total score ranges from 36 to 180 points, with higher scores indicating stronger learning motivation.
Measured: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Critical Thinking Disposition Scale
This scale consists of 20 items and adopts a 6-point Likert scoring method: 1 (Never), 2 (Almost Never), 3 (Rarely), 4 (Sometimes), 5 (Often), and 6 (Always). It measures critical thinking disposition, which refers to an individual's tendency to engage in systematic analysis, maintain an open-minded attitude with empathy, and possess a wise curiosity for questioning, integration, and reflection, all of which facilitate critical thinking processes.
Measured: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2025
- Study start26 Sep 2025
- Primary completion10 Oct 2025
- Study completion10 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing Education ResearchStudies 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
- Model description
- The study design will adopt a randomized controlled trial with repeated measures. A 60-minute intervention has been developed. Block randomization stratified by gender will be used, and eligible participants will be randomly assigned to either the experimental or control group in a 1:1 ratio using Random Allocation Software. Research assistants will code group assignments ("Group 1" and "Group 2") according to the randomization list, place the assignments into opaque sealed envelopes, and arrange them sequentially. On the day of the study, envelopes will be distributed in the order participants submit their consent forms. Participants will open the envelope themselves to learn their group assignment.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- China Medical University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ting-Shan Chang, China Medical University Hospital
- Investigators
- Ting-Shan Chang, Assistant Professor, Principal investigator, China Medical University, Taiwan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06966960
- Sponsor's protocol ID
- CMUH114-REC2-028
- Status last verified
- Oct 2025
- First submitted
- 26 Apr 2025
- Last updated
- 10 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Online RPG Interactive Adventure Games Combined With an E-book Learning Mode to Enhance Nursing Students' Motivation and Effectiveness in Learning Obstetric Fetal Heart Rate Monitoring Technology
- ClinicalTrials.gov ID
- NCT06966960
- Acronym / sponsor ID
- CMUH114-REC2-028
- Conditions
- Nursing Education Research
- Keywords
- fetal heart rate, e-book, nursing education, role-playing game, learning motivation, nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- China Medical University HospitalUniversity, hospital or other
- Study start
- 26 Sep 2025 (actual)
- Primary completion
- 10 Oct 2025 (actual)
- Study completion
- 10 Oct 2025 (actual)
- First posted
- 13 May 2025 (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.
One of the main goals of nursing education is to cultivate essential clinical skills in students to ensure they can provide safe, effective, and compassionate care within a medical environment. In the field of obstetric nursing, the precise mastery of fetal heart rate monitoring is crucial as it significantly impacts the students' future ability to assess the health conditions of both the mother and the fetus in clinical settings. This becomes increasingly important in today's context of declining birth rates. However, traditional nursing education, which mainly relies on knowledge transmission and simulation demonstrations, not only struggles to stimulate students' interest but often leads to ineffective learning outcomes. With the rapid advancement of technology, these limitations no longer meet the current needs of nursing education and students. Therefore, this study proposes to build and explore a new teaching model based on the ARCS motivation theory, integrating online role-playing games (RPGs) and interactive e-books to enhance nursing students' learning motivation and effectiveness.
Detailed description
This research project is planned over two years. The first year will focus on developing entertaining, interactive, and context-rich RPGs and e-books to enhance learning relevance and attention. By designing a tiered challenge system, not only will successful experiences be created, but students' confidence will also be bolstered. Additionally, an effective feedback mechanism will be set up to enhance the satisfaction of learning. The second year will involve a randomized controlled trial to validate the learning outcomes and motivation of nursing students in mastering fetal heart rate monitoring techniques. the design of the RPGs and e-books will be optimized to enhance the learning effectiveness and motivation of newly qualified nurses in real clinical settings, and extended to clinical education, aiming to fill the gaps in current educational models and improve the quality of nursing care.
This project establishes new digital materials and learning models for a commonly used skill in obstetric care. The research outcomes will help develop flexible, personalized learning pathways, enabling students to learn autonomously anytime, anywhere. This innovative approach not only enhances students' learning motivation and adds a new dimension to both teaching and self-study materials but also aids in their better application in clinical practice, thereby increasing the safety and efficiency of clinical care. Moreover, the application of this model offers a fresh perspective and approach to nursing education, promoting its ongoing development and quality enhancement.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- The study design will adopt a randomized controlled trial with repeated measures. A 60-minute intervention has been developed. Block randomization stratified by gender will be used, and eligible participants will be randomly assigned to either the experimental or control group in a 1:1 ratio using Random Allocation Software. Research assistants will code group assignments ("Group 1" and "Group 2") according to the randomization list, place the assignments into opaque sealed envelopes, and arrange them sequentially. On the day of the study, envelopes will be distributed in the order participants submit their consent forms. Participants will open the envelope themselves to learn their group assignment.
| Arm | Type | Receives |
|---|---|---|
| Online RPG interactive adventure game and e-book | Experimental | Behavioral: Online RPG adventure games and e-book learning.Integration of online RPG interactive adventure games with an e-book learning mode for the instruction of obstetric fetal heart rate monitoring technology. |
| e-book | Active comparator | Behavioral: E-bookE-book learning mode for obstetric fetal heart rate monitoring technology. |
Who may qualify
- Ages
- 20 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- It is expected to include 100 people.
- Age 20 to 30 years old.
- A third-year nursing student.
- Completed basic nursing studies.
- Agree to participate in this study and sign the research consent form.
Key exclusion criteria (2 listed)
- Students who were scheduled to take a leave of absence at the time of data collection.
- No basic nursing training has been taken.
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 |
|---|---|---|
| Online RPG adventure games and e-book learning.Learning obstetric fetal heart rate monitoring technology through online RPG adventure games and e-book learning. | Behavioural | Online RPG interactive adventure game and e-book |
| E-bookE-book learning mode for obstetric fetal heart rate monitoring technology. | Behavioural | e-book |
Primary outcome
Fetal Heart Rate Monitoring and Nursing Knowledge Questionnaire
Time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
The questionnaire consists of 10 items. Each correct answer is awarded 10 points, and each incorrect answer is awarded 0 points. The total score ranges from 0 to 100 points. The items, preliminarily developed, include clinical scenario-based questions in a multiple-choice format, primarily focusing on the interpretation of fetal heart rate monitoring and corresponding nursing interventions based on the interpretation results.
Fetal Heart Rate Monitoring and Nursing Skills Assessment Scale
Time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
This outcome is assessed using the "Fetal Heart Rate Monitoring and Nursing Skills Assessment Scale," which includes 12 items covering domains such as professional attitude, patient identification, explanation of monitoring purpose, hand hygiene, and the correct step-by-step application of fetal monitoring equipment. The total score ranges from 0 to 100, with higher scores indicating better skill performance. Time Frame: Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention Unit of Measure: Score on a 0-100 scale
Fetal Heart Rate Monitoring and Nursing Self-Efficacy Scale
Time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
This outcome is assessed using the "Fetal Heart Rate Monitoring and Nursing Self-Efficacy Scale," consisting of 10 items rated on a 4-point Likert scale. Participants evaluate their own ability to perform related tasks, where 1 = insufficient ability and 4 = expert ability. The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy in performing fetal heart monitoring and related nursing skills. Time Frame: Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention Unit of Measure: Total score on a 10-40 scale
ARCS-Based Learning Motivation Scale
Time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
The scale assesses learners' motivation toward the educational materials across four dimensions: Attention (12 items), Relevance (9 items), Confidence (9 items), and Satisfaction (6 items), for a total of 36 items. Responses are rated on a 5-point Likert scale, ranging from 5 ("Strongly Agree") to 1 ("Strongly Disagree"). The total score ranges from 36 to 180 points, with higher scores indicating stronger learning motivation.
Critical Thinking Disposition Scale
Time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention
This scale consists of 20 items and adopts a 6-point Likert scoring method: 1 (Never), 2 (Almost Never), 3 (Rarely), 4 (Sometimes), 5 (Often), and 6 (Always). It measures critical thinking disposition, which refers to an individual's tendency to engage in systematic analysis, maintain an open-minded attitude with empathy, and possess a wise curiosity for questioning, integration, and reflection, all of which facilitate critical thinking processes.
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 10 Sep 2026.
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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.
Ting-Shan Chang, Assistant Professor principal investigator
China Medical University, Taiwan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online RPG adventure games and e-book learning. and E-book in people with Nursing Education Research, run by China Medical University Hospital 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 5 inclusion and 2 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 10 Sep 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?
Fetal Heart Rate Monitoring and Nursing Knowledge Questionnaire (time frame: The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 2 weeks after intervention). The study lists 5 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 10 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.