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Gamified Learning for Pressure Injury Prevention in Nurses

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Study AimThis study uses gamified learning to improve pressure injury knowledge and attitudes in nurses, and will measure the impact with the Pressure Ulcer Knowledge Assessment Tool and the Attitude Towards Pressure Ulcer Prevention instrument.
What is being tested

A gamified mobile learning

+ Booklet training
Device
Other
Who is being recruted

Crush Injuries
+2

+ Pressure Ulcer
+ Skin Diseases
Over 18 Years
See all eligibility criteria
How is the trial designed

Services Research Study

Interventional
Study Start: August 2025
See protocol details

Summary

Principal SponsorMehmet Akif Ersoy University
Study ContactSinan Aydogan, Ph.D.More contacts
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner
Study start date: August 1, 2025Actual date on which the first participant was enrolled.

This study focuses on finding better ways to teach nurses about preventing pressure injuries, commonly known as bedsores. It is designed for registered nurses who have been practicing for over a year and hold at least an associate degree in nursing. Participants must also own a smartphone or tablet to access the game application used in the study. The aim is to enhance nurses' knowledge, skills, and attitudes in preventing these injuries, which are a significant concern in patient care. By improving how nurses learn and apply this information, the study hopes to improve patient outcomes and reduce the incidence of pressure injuries. Participants in the study will engage in a gamified learning experience using an app on their devices. Their knowledge about pressure injuries will be measured using the Pressure Ulcer Knowledge Assessment Tool. Attitudes towards preventing these injuries will be assessed with the Attitude Towards Pressure Ulcer Prevention instrument. Additionally, skills will be evaluated in a laboratory setting where nurses will practice assessing pressure injuries on wound models. This approach helps ensure that participants can effectively apply their learning in real-world scenarios, which could lead to better prevention and management of pressure injuries in healthcare settings.

Official TitleGamified Learning for Pressure Injury Prevention: A Randomized Controlled Trial to Enhance Knowledge, Skills, and Attitudes Among Nurses 
NCT07028892
Principal SponsorMehmet Akif Ersoy University
Study ContactSinan Aydogan, Ph.D.More contacts
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details
60 patients to be enrolledTotal number of participants that the clinical trial aims to recruit.
Services Research Study
These studies look at how healthcare is delivered, managed, and organized. They aim to improve care quality, patient experience, and access to treatment.

How participants are assigned to different groups/arms
In this clinical study, participants are placed into groups randomly, like flipping a coin. This ensures that the study is fair and unbiased, making the results more reliable. By assigning participants by chance, researchers can better compare treatments without external influences.

Other Ways to Assign Participants
Non-randomized allocation: Participants are assigned based on specific factors, such as their medical condition or a doctor's decision.
None (Single-arm trial): If the study has only one group, all participants receive the same treatment, and no allocation is needed.

How treatments are given to participants
Participants are divided into different groups, each receiving a specific treatment at the same time. This helps researchers compare how well different treatments work against each other.

Other Ways to Assign Treatments
Single-group assignment: Everyone gets the same treatment.
Cross-over assignment: Participants switch between treatments during the study.
Factorial assignment: Participants receive different combinations of treatments.
Sequential assignment: Participants receive treatments one after another in a specific order, possibly based on individual responses.
Other assignment: Treatment assignment does not follow a standard or predefined design.

How the effectiveness of the treatment is controlled
In a non placebo-controlled study, no participants receive an inert substance (placebo) to compare outcomes. Instead, all participants receive either the experimental treatment or an alternative treatment (often the Standard of Care). This method allows researchers to compare the effects of the experimental treatment with those of a different active intervention, rather than a placebo.

Other Options
Placebo-Controlled: A placebo is used to compare the effects of the experimental treatment with those of an inert substance, isolating the true treatment effect.

How the interventions assigned to participants is kept confidential
Neither participants nor researchers know who is receiving which treatment. This is the most rigorous way to reduce bias, ensuring that expectations do not influence the results.

Other Ways to Mask Information
Open-label: Everyone knows which treatment is being given.
Single-blind: Participants do not know which treatment they are receiving, but researchers do.
Triple-blind: Participants, researchers, and outcome assessors do not know which treatment is given.
Quadruple-blind: Participants, researchers, outcome assessors, and care providers all do not know which treatment is given.

Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria
Any sexBiological sex of participants that are eligible to enroll.
Over 18 YearsRange of ages for which participants are eligible to join.
Healthy volunteers allowedIf individuals who are healthy and do not have the condition being studied can participate.
Conditions
Pathology
Crush Injuries
Pressure Ulcer
Skin Diseases
Skin Ulcer
Wounds and Injuries
Criteria

Inclusion Criteria: * Being Registered Nurse for more than 1 year * Having at least an associate degree of nursing * Having a smart-phone or tablet * Being more than 18 years old Exclusion Criteria: -

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives
2 intervention groups 

are designated in this study

This study does not include a placebo group 

Treatment Groups
Group I
Experimental
Experimental Group will receive an education about pressure injury prevention via a gamified mobile application

There will be a gamified environment in a mobile application with case scenarios on pressure injury prevention designed by researchers.
Group II
Active Comparator
The Control Group will receive the training via a booklet.

Nurses will receive training via a booklet about prevention of pressure injuries.
Study Objectives
Primary Objectives

The Outcome will be measured by "The Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0)". PUKAT 2.0 is a 26-item questionnaire that assesses nurses' knowledge of pressure injury in six areas: etiology and development (six items), classification and observation (five items), risk assessment (two items), and nutrition (one item).

Attitude Towards Pressure Ulcer Prevention instrument (APuP) will be used for defining attitude level of ICU nurses. APuP is a reliable and valid instrument to assess attitudes towards pressure ulcer prevention. There are 13 items in this scale, each of them evaluated with a 5-point Likert.
Secondary Objectives

System Usability Scale (SUS) will be used. In this study, a gamified mobile application for the prevention of pressure injuries will be developed. SUS will be used to evaluate the usability of the application.

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.
This study has 1 location
Suspended
UMass Chan Medical SchoolBoston, United StatesSee the location
Recruiting soonOne Study Center
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