Evidence map›Paper›PMID 40660183›Full record

Trial reportBMC medical education2025

Designing, implementing, and evaluating a gamification approach in childbirth training for midwifery students using computer and mobile application.

Fereshteh Behmanesh, Zeinab Gholamnia-Shirvani, Saeideh Ghaffarifar, Hossein-Ali Nikbakht, Sana Nazmi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fereshteh BehmaneshSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I. R. of Iran.ORCID http://orcid.org/0000-0001-5837-4265
Zeinab Gholamnia-ShirvaniSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I. R. of Iran.ORCID http://orcid.org/0000-0002-3372-2451
Saeideh GhaffarifarMedical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. sa.ghafarifar@gmail.com.
Hossein-Ali NikbakhtSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I. R. of Iran.ORCID http://orcid.org/0000-0002-8556-431X
Sana NazmiDepartment of midwifery, School of Nursing and Midwifery, Zeyinab (P.B.U.H.) Guilan University of Medical Sciences, Rasht, Iran.ORCID http://orcid.org/0000-0002-7005-2717

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical education is a cornerstone in equipping medical science students with essential skills. Improving the quality of childbirth protocol training for midwifery students through innovative and engaging approaches can significantly enhance learning outcomes and student interest. This study aimed to design, implement, and evaluate a gamified approach to childbirth protocol education for midwifery students via computer and mobile applications.

methodThis scholarship study was carried out with 34 midwifery students at Babol University of Medical Sciences during the second semester of the 2024 academic year. Students were selected via census sampling and randomly assigned to two groups in a crossover design. Six topics related to the childbirth protocol were taught through gamification. One group (intervention) learned half of the topics via this method, whereas the other group (control) used traditional teaching methods. The remaining topics were then taught in reverse order to both groups. Preintervention data collection included demographic information and Sibria Sherring’s emotional intelligence questionnaire. Knowledge and performance were assessed at the maternal bedside before and four weeks after the intervention. A satisfaction survey on the training method was conducted four months postintervention. The data were analyzed via SPSS 28, with a significance level of p < 0.05.

findingsAmong the 34 midwifery students, with a mean age of 21.82 ± 1.48 years, the gamified group presented significantly higher mean knowledge scores four weeks postintervention than did the traditional group did (mean difference: 1.91, 95% CI: 0.97–2.84, p < 0.001). Similarly, the mean performance scores in the gamified group were significantly greater (mean difference: 2.80, 95% CI: -2.06 - -3.54, p < 0.001). Additionally, satisfaction with the gamified method was significantly greater than that with traditional methods (mean satisfaction difference: 8.97, 95% CI: 12.36–5.58, p < 0.001).

conclusionsThe findings highlight that gamification not only improves midwifery students’ knowledge of delivery protocols but also enhances their practical skills, which are critical for improving maternal care and infant health. The higher satisfaction levels observed suggest the effectiveness of gamification in fostering student engagement. Therefore, the integration of interactive learning and gamification into midwifery education programs is recommended.

Indexed as

Computer-Assisted InstructionMidwiferyMobile ApplicationsParturitionStudents, NursingAdultClinical CompetenceCross-Over StudiesFemaleGames, ExperimentalHumansPregnancyYoung AdultClinical educationGamificationLearningMidwifery studentsScholarship

Identifiers

PMID40660183
PMCPMC12261682

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.