Digital Escape RoomNCT07090642
Effect of the MERCI Model in Gamified Disaster Midwifery Education
A study testing Gamified Disaster Midwifery Training (MERCI Model) in people with Digital Escape Room and Gamification, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
Trial summary
Midwives play important societal roles during the post-crisis transition and recovery phase. Specific guidelines regarding the roles and responsibilities of midwives, who constitute a significant majority among healthcare professionals, in disaster management need to be developed, and the concept of disaster midwifery… Read more about this study
- Who is it for?
- Any age, women onlyHealthy volunteers can take part
- Conditions the study is for
- Digital Escape Room, Gamification, Disaster
- What is being tested?
- Gamified Disaster Midwifery Training (MERCI Model)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Feb 2026to 31 Jul 2026
- 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 Any age
- Women only
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Volunteering to participate in the study.
- Having internet access.
- Having a smartphone.
- Having successfully completed a course on normal birth and postpartum.
- Being an active third-year student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
- Being an active fourth-year student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
Who cannot join
- Being a 4th-year inactive student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
- Being a 3rd-year inactive student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of the MERCI Model in Gamified Disaster Midwifery Education on Midwifery Students' Knowledge, Self-Efficacy, and Clinical Decision-Making Levels: A Randomized Controlled Trial
Midwives play important societal roles during the post-crisis transition and recovery phase. Specific guidelines regarding the roles and responsibilities of midwives, who constitute a significant majority among healthcare professionals, in disaster management need to be developed, and the concept of disaster midwifery needs to be developed. Providing midwife candidates with disaster awareness throughout their undergraduate education will also positively impact individuals' self-efficacy. In recent years, educational plans for emergency obstetric care and management have evolved from traditional theoretical and clinical training to game-based learning, gamification, and training using mannequins and simulators. It is suggested that using different learning strategies in the training of healthcare professionals in emergency obstetric situations will improve the quality of care and reduce maternal mortality rates. Natural disasters such as disasters can cause serious obstetric emergencies requiring immediate intervention and management. Supporting the professional training of midwives, who play important roles and responsibilities in disaster management, with diverse teaching strategies is crucial for enhancing their individual competencies.
This study was planned to investigate the effects of gamified disaster midwifery education on midwifery students' knowledge, self-efficacy in disaster response, and levels of self-confidence and anxiety in clinical decision-making. This experimental study, designed with a randomized pretest, posttest, and follow-up design and a control group, will be conducted with third- and fourth-year midwifery students in the Department of Midwifery at the Health Sciences University (SBU), Hamidiye Faculty of Health Sciences (HSBF), during the spring semester of the 2025-2026 academic year. The sample size was determined using Koca and Arkan's study. Based on a Cohen's d = 1.35 effect size and a power level of 95%, a total of 90 participants were planned, with 45 students in each group. The intervention group will receive a 4-week gamified disaster midwifery training featuring core task cycles, interactive digital escape room games, and bonus tasks. The control group will receive case-based learning on the same subject. Participants included in the study will be administered the "Informed Consent Form," "Introductory Information Form," "Disaster Midwifery Information Form," "Disaster Intervention Self-Efficacy Scale," "Self-Confidence and Anxiety Scale in Clinical Decision Making," and "Gamified Disaster Midwifery Experience Form". Discussions and conclusions of the study will be written based on the findings.
- Conditions
- Digital Escape Room, Gamification, Disaster, Midwifery Education
- Being tested
- Gamified Disaster Midwifery Training (MERCI Model)
- Keywords
- Disaster midwifery, digital escape room, clinical decision making, self-efficacy, gamification
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gamified Disaster Midwifery Training (MERCI Model)Other
Participants will receive a 4-week gamified disaster midwifery training based on the MERCI model, provided alongside standard theoretical modules. The intervention incorporates digital escape room games, bonus task cycles, and gamification elements such as leaderboards, heroes of the week and badges.
| Study group | Role | What they receive |
|---|---|---|
| İntervention group | Experimental | Participants will complete a 4-week gamified disaster midwifery program based on the MERCI model. The program incorporates digital escape room games, bonus task cycles, and gamification elements including leaderboards, heroes of the week and badges. Receives: Other: Gamified Disaster Midwifery Training (MERCI Model) |
| Control group | No intervention | In addition to standard theoretical modules, participants in the control group will receive case-based learning applications over a 4-week period. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Introductory Information Form
This form, created by researchers based on literature, includes questions about the participants' age, high school graduation, their self-sufficiency against disasters, etc.
Measured: 10 minitus
Disaster Midwifery Information Form
This form was developed by researchers based on literature and based on the content of the disaster midwifery module used as a theoretical training module. The final version will be finalized based on expert opinion. Twenty multiple-choice questions were prepared, deemed appropriate for the research purpose and educational content. The form's performance will be evaluated out of 100 points. For this purpose, students' total success scores are calculated as five times the number of correct answers. Students will be evaluated by assigning "5" points for each correct answer and "0" points for each incorrect answer. The highest possible score for students on the information form is "100," and the lowest is "0."
Measured: 20 minitus
Disaster Response Self-Efficacy Scale
Developed by Hong-Yan Li and his colleagues in 2017 and its Turkish validity safety studies were conducted by Koca et al. in 2018, the Disaster Response Self-Efficacy Scale consists of 19 items and 3 sub-dimensions and the responses were taken using a 5-point Likert scale. A high score on the scale indicates a high level of disaster response self-efficacy. The scale has three sub-factors. Sub-factors are: "On-Site Rescue Competence (Items 1 - 11)", "Disaster Psychological Nurse Competence (Items 12 - 15)" and "The nature of the role undertaken in disaster and adaptation adequacy (Items 16 - 19)". The Cronbach alpha coefficient for the entire scale is 0.96. The Cronbach alpha values obtained for the sub-dimensions are; On-site rescue competence was determined as 0.93, psychological nurse competence in disaster was determined as 0.93, and the quality of the role undertaken in the disaster and adaptation competence was determined as 0.93 (Bennur et al., 2020).
Measured: 20 minitus
Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) Scale
The scale, which provides separate scores for self-confidence and anxiety, is a 6-point Likert-type scale consisting of 27 questions. The scale has three subscales for both the self-confidence and anxiety sections: "using sources to obtain information and listening fully," "using available information to identify the problem," and "knowing and taking action." Increasing scores in the self-confidence and subscales indicate increasing students' self-confidence in clinical decision-making. Low scores in the anxiety section and its subscales indicate low anxiety levels in clinical decision-making. The lowest possible score for the self-confidence and anxiety sections is 27, and the highest is 162. The total Cronbach alpha coefficient of the self-confidence section of the scale is 0.97, and the total Cronbach alpha coefficient of the anxiety section is 0.96 (Bektaş et al., 2017).
Measured: 20 minitus
Secondary outcomes (4)
Disaster Midwifery Information Form
This form was developed by researchers based on literature and based on the content of the disaster midwifery module used as a theoretical training module. The final version will be finalized based on expert opinion. Twenty multiple-choice questions were prepared, deemed appropriate for the research purpose and educational content. The form's performance will be evaluated out of 100 points. For this purpose, students' total success scores are calculated as five times the number of correct answers. Students will be evaluated by assigning "5" points for each correct answer and "0" points for each incorrect answer. The highest possible score for students on the information form is "100," and the lowest is "0."
Measured: 20 minitus
Disaster Response Self-Efficacy Scale
Disaster Response Self-Efficacy Scale: Developed by Hong-Yan Li and his colleagues in 2017 and its Turkish validity safety studies were conducted by Koca et al. in 2018, the Disaster Response Self-Efficacy Scale consists of 19 items and 3 sub-dimensions and the responses were taken using a 5-point Likert scale. A high score on the scale indicates a high level of disaster response self-efficacy. The scale has three sub-factors. Sub-factors are: "On-Site Rescue Competence (Items 1 - 11)", "Disaster Psychological Nurse Competence (Items 12 - 15)" and "The nature of the role undertaken in disaster and adaptation adequacy (Items 16 - 19)". The Cronbach alpha coefficient for the entire scale is 0.96. The Cronbach alpha values obtained for the sub-dimensions are; On-site rescue competence was determined as 0.93, psychological nurse competence in disaster was determined as 0.93, and the quality of the role undertaken in the disaster and adaptation competence was determined as 0.93.
Measured: 20 minitus
Nursing Anxiety and Self-Confidence with Clinical Decision Making Scale
Description: The scale, which provides separate scores for self-confidence and anxiety, is a 6-point Likert-type scale consisting of 27 questions. The scale has three subscales for both the self-confidence and anxiety sections: "using sources to obtain information and listening fully," "using available information to identify the problem," and "knowing and taking action." Increasing scores in the self-confidence and subscales indicate increasing students' self-confidence in clinical decision-making. Low scores in the anxiety section and its subscales indicate low anxiety levels in clinical decision-making. The lowest possible score for the self-confidence and anxiety sections is 27, and the highest is 162. The total Cronbach alpha coefficient of the self-confidence section of the scale is 0.97, and the total Cronbach alpha coefficient of the anxiety section is 0.96 (Bektaş et al., 2017).
Measured: 20 minitus
Gamified Disaster Midwifery Experience Form (Only the intervention group)
The form was developed by researchers to evaluate the impact of gamified disaster midwifery training on students' process experiences. The form includes items assessing system usability, motivational factors (badges, points, leaderboards), and game task cycles. It consists of 16 items designed using a five-point Likert scale (5=strongly agree, 4=agree, 3=neutral, 2=disagree, 1=strongly disagree).
Measured: 20 minitus
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jul 2025
- Study start1 Feb 2026
- Primary completion30 Jun 2026
- Study completion31 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Digital Escape RoomStudies of the same condition, open and under way.
- More trials run by Saglik Bilimleri UniversitesiThe sponsor's other registered studies.
- 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
- Randomized controlled experimental study
- Masking
- None (open label)
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Saglik Bilimleri Universitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, YASEMİN AYDIN KARTAL, Saglik Bilimleri Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07090642
- Sponsor's protocol ID
- SBU-AYDINKARTAL-AKER
- Status last verified
- Aug 2026
- First submitted
- 21 Jul 2025
- Last updated
- 5 Aug 2026
- Results posted
- No
- Data monitoring committee
- 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 5 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of the MERCI Model in Gamified Disaster Midwifery Education on Midwifery Students' Knowledge, Self-Efficacy, and Clinical Decision-Making Levels: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07090642
- Acronym / sponsor ID
- SBU-AYDINKARTAL-AKER
- Conditions
- Digital Escape Room, Gamification, Disaster, Midwifery Education
- Keywords
- Disaster midwifery, digital escape room, clinical decision making, self-efficacy, gamification
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Saglik Bilimleri UniversitesiUniversity, hospital or other
- Study start
- 1 Feb 2026 (actual)
- Primary completion
- 30 Jun 2026 (actual)
- Study completion
- 31 Jul 2026 (actual)
- First posted
- 29 Jul 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.
Midwives play important societal roles during the post-crisis transition and recovery phase. Specific guidelines regarding the roles and responsibilities of midwives, who constitute a significant majority among healthcare professionals, in disaster management need to be developed, and the concept of disaster midwifery needs to be developed. Providing midwife candidates with disaster awareness throughout their undergraduate education will also positively impact individuals' self-efficacy. In recent years, educational plans for emergency obstetric care and management have evolved from traditional theoretical and clinical training to game-based learning, gamification, and training using mannequins and simulators. It is suggested that using different learning strategies in the training of healthcare professionals in emergency obstetric situations will improve the quality of care and reduce maternal mortality rates. Natural disasters such as disasters can cause serious obstetric emergencies requiring immediate intervention and management. Supporting the professional training of midwives, who play important roles and responsibilities in disaster management, with diverse teaching strategies is crucial for enhancing their individual competencies.
This study was planned to investigate the effects of gamified disaster midwifery education on midwifery students' knowledge, self-efficacy in disaster response, and levels of self-confidence and anxiety in clinical decision-making. This experimental study, designed with a randomized pretest, posttest, and follow-up design and a control group, will be conducted with third- and fourth-year midwifery students in the Department of Midwifery at the Health Sciences University (SBU), Hamidiye Faculty of Health Sciences (HSBF), during the spring semester of the 2025-2026 academic year. The sample size was determined using Koca and Arkan's study. Based on a Cohen's d = 1.35 effect size and a power level of 95%, a total of 90 participants were planned, with 45 students in each group. The intervention group will receive a 4-week gamified disaster midwifery training featuring core task cycles, interactive digital escape room games, and bonus tasks. The control group will receive case-based learning on the same subject. Participants included in the study will be administered the "Informed Consent Form," "Introductory Information Form," "Disaster Midwifery Information Form," "Disaster Intervention Self-Efficacy Scale," "Self-Confidence and Anxiety Scale in Clinical Decision Making," and "Gamified Disaster Midwifery Experience Form". Discussions and conclusions of the study will be written based on the findings.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized controlled experimental study
| Arm | Type | Receives |
|---|---|---|
| İntervention group | Experimental | Other: Gamified Disaster Midwifery Training (MERCI Model)Participants will complete a 4-week gamified disaster midwifery program based on the MERCI model. The program incorporates digital escape room games, bonus task cycles, and gamification elements including leaderboards, heroes of the week and badges. |
| Control group | No intervention | –In addition to standard theoretical modules, participants in the control group will receive case-based learning applications over a 4-week period. |
Who may qualify
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Volunteering to participate in the study.
- Having internet access.
- Having a smartphone.
- Having successfully completed a course on normal birth and postpartum.
- Being an active third-year student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
Key exclusion criteria (2 listed)
- Being a 4th-year inactive student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
- Being a 3rd-year inactive student in the Midwifery Department of Hamidiye Faculty of Health Sciences, University of Health Sciences.
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 |
|---|---|---|
| Gamified Disaster Midwifery Training (MERCI Model)Participants will receive a 4-week gamified disaster midwifery training based on the MERCI model, provided alongside standard theoretical modules. The intervention incorporates digital escape room games, bonus task cycles, and gamification elements such as leaderboards, heroes of the week and badges. | Other | İntervention group |
Primary outcome
Introductory Information Form
Time frame: 10 minitus
This form, created by researchers based on literature, includes questions about the participants' age, high school graduation, their self-sufficiency against disasters, etc.
Disaster Midwifery Information Form
Time frame: 20 minitus
This form was developed by researchers based on literature and based on the content of the disaster midwifery module used as a theoretical training module. The final version will be finalized based on expert opinion. Twenty multiple-choice questions were prepared, deemed appropriate for the research purpose and educational content. The form's performance will be evaluated out of 100 points. For this purpose, students' total success scores are calculated as five times the number of correct answers. Students will be evaluated by assigning "5" points for each correct answer and "0" points for each incorrect answer. The highest possible score for students on the information form is "100," and the lowest is "0."
Disaster Response Self-Efficacy Scale
Time frame: 20 minitus
Developed by Hong-Yan Li and his colleagues in 2017 and its Turkish validity safety studies were conducted by Koca et al. in 2018, the Disaster Response Self-Efficacy Scale consists of 19 items and 3 sub-dimensions and the responses were taken using a 5-point Likert scale. A high score on the scale indicates a high level of disaster response self-efficacy. The scale has three sub-factors. Sub-factors are: "On-Site Rescue Competence (Items 1 - 11)", "Disaster Psychological Nurse Competence (Items 12 - 15)" and "The nature of the role undertaken in disaster and adaptation adequacy (Items 16 - 19)". The Cronbach alpha coefficient for the entire scale is 0.96. The Cronbach alpha values obtained for the sub-dimensions are; On-site rescue competence was determined as 0.93, psychological nurse competence in disaster was determined as 0.93, and the quality of the role undertaken in the disaster and adaptation competence was determined as 0.93 (Bennur et al., 2020).
Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) Scale
Time frame: 20 minitus
The scale, which provides separate scores for self-confidence and anxiety, is a 6-point Likert-type scale consisting of 27 questions. The scale has three subscales for both the self-confidence and anxiety sections: "using sources to obtain information and listening fully," "using available information to identify the problem," and "knowing and taking action." Increasing scores in the self-confidence and subscales indicate increasing students' self-confidence in clinical decision-making. Low scores in the anxiety section and its subscales indicate low anxiety levels in clinical decision-making. The lowest possible score for the self-confidence and anxiety sections is 27, and the highest is 162. The total Cronbach alpha coefficient of the self-confidence section of the scale is 0.97, and the total Cronbach alpha coefficient of the anxiety section is 0.96 (Bektaş et al., 2017).
4 secondary outcomes
Disaster Midwifery Information Form
Time frame: 20 minitus
Disaster Response Self-Efficacy Scale
Time frame: 20 minitus
Nursing Anxiety and Self-Confidence with Clinical Decision Making Scale
Time frame: 20 minitus
Gamified Disaster Midwifery Experience Form (Only the intervention group)
Time frame: 20 minitus
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 5 Aug 2026.
- Individual participant dataSharing planned: No
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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 Gamified Disaster Midwifery Training (MERCI Model) in people with Digital Escape Room and Gamification, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
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 6 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 5 Aug 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 Turkey (Türkiye). 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?
Introductory Information Form (time frame: 10 minitus). 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 5 Aug 2026.