Trial reportBMC medical education2024
Effects of adaptive scaffolding on performance, cognitive load and engagement in game-based learning: a randomized controlled trial.
Trial report in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Empowerment or dependency? A systematic review of the impacts of intelligent assessment and generative AI on learners' self-beliefs and cognitive agency in music education.Frontiers in psychology · 2026Pooled it
- Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes.BMC medical education · 2025Trial
- Exploring Pre-Service Mathematics Teachers' Diagnostic Thinking During AI-Supported Task Design: A Configurational Mixed-Methods Pilot Study.Journal of Intelligence · 2026Article
- Article
- "Building the boat while sailing" - adapting towards telementoring literacy.BMC medical education · 2026Article
- Exploring the impact of active learning strategies on learning outcomes and educational experiences in undergraduate nursing education: a qualitative descriptive study.BMC medical education · 2026Article
- Real-World Impact and Educational Effectiveness of an AI-Powered Medical History-Taking System: Retrospective Propensity Score-Matched Cohort Study.JMIR medical education · 2026Article
- Gamified Physical Education and Cognitive Performance Among Chinese Secondary School Students: Cross-Sectional Moderation Mediation Study.JMIR serious games · 2026Article
- Can explainable AI scaffolding reduce cognitive load and enhance embodied expression? A quasi-experimental study of multilingual vocal learning in Bel Canto education.Frontiers in psychology · 2026Article
- Knowledge graph as an adaptive cognitive scaffolding: enhancing learning outcomes in CLIL-based international trade practice course under the OBE framework.Frontiers in psychology · 2026Article
- Transforming uncertainty into exploration: effects of text-to-image AI on EFL learners' writing anxiety, motivation, and performance.Frontiers in psychology · 2026Article
- Visual cueing and adaptive learning for teaching thyroid eye disease diagnostic assessment to ophthalmology residents.Frontiers in medicine · 2026Article
- Article
- Turkish validity and reliability study of the simulation self-report cognitive load measurement tool 2.0.BMC medical education · 2025Article
- Article
- The moderating role of internet addiction severity on the relationship between affective temperaments and emotion regulation in adolescents and young adults.Frontiers in psychology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundWhile game-based learning has demonstrated positive outcomes for some learners, its efficacy remains variable. Adaptive scaffolding may improve performance and self-regulation during training by optimizing cognitive load. Informed by cognitive load theory, this study investigates whether adaptive scaffolding based on interaction trace data influences learning performance, self-regulation, cognitive load, test performance, and engagement in a medical emergency game.
methodsSixty-two medical students from three Dutch universities played six game scenarios. They received either adaptive or nonadaptive scaffolding in a randomized double-blinded matched pairs yoked control design. During gameplay, we measured learning performance (accuracy, speed, systematicity), self-regulation (self-monitoring, help-seeking), and cognitive load. Test performance was assessed in a live scenario assessment at 2- and 6-12-week intervals. Engagement was measured after completing all game scenarios.
resultsSurprisingly, the results unveiled no discernible differences between the groups experiencing adaptive and nonadaptive scaffolding. This finding is attributed to the unexpected alignment between the nonadaptive scaffolding and the needs of the participants in 64.9% of the scenarios, resulting in coincidentally tailored scaffolding. Exploratory analyses suggest that, compared to nontailored scaffolding, tailored scaffolding improved speed, reduced self-regulation, and lowered cognitive load. No differences in test performance or engagement were found. DISCUSSION: Our results suggest adaptive scaffolding may enhance learning by optimizing cognitive load. These findings underscore the potential of adaptive scaffolding within GBL environments, cultivating a more tailored and effective learning experience. To leverage this potential effectively, researchers, educators, and developers are recommended to collaborate from the outset of designing adaptive GBL or computer-based simulation experiences. This collaborative approach facilitates the establishment of reliable performance indicators and enables the design of suitable, preferably real-time, scaffolding interventions. Future research should confirm the effects of adaptive scaffolding on self-regulation and learning, taking care to avoid unintended tailored scaffolding in the research design.
trial registrationThis study was preregistered with the Center for Open Science prior to data collection. The registry may be found at https://osf.io/7ztws/ .
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.