Trial reportRevista da Escola de Enfermagem da U S P2026
Active learning-based reinforcement in nursing education: a cluster-randomized controlled trial using Roper, Logan and Tierney's life model.
Trial report in Revista da Escola de Enfermagem da U S P, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07090850 (Innovative Approaches in Medical Education), which is not on this map. Not yet cited in PubMed.
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.
Innovative Approaches in Medical Education: The Impact of Puzzles on Learning and Motivation
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the effect of puzzle-based reinforcement on nursing students' academic achievement and motivation toward instructional materials.
methodTo conduct a cluster-randomized controlled trial with 70 first-year nursing students allocated to intervention and control groups. Both groups received a 2-hour interactive lecture on Roper, Logan, and Tierney's Life Model. The intervention group completed a one-week puzzle-based reinforcement program, while the control group received no additional intervention. Data were collected using achievement tests and the Instructional Material Motivation Scale and analyzed using paired-samples t-tests, independent-samples t-tests, and regression analysis.
resultsKnowledge scores increased in the intervention group, whereas knowledge scores decreased in the control group. Between-group comparisons and regression analysis showed that puzzle-based reinforcement was associated with higher post-test knowledge scores and relatively higher motivation subscale scores compared with the control group (p < 0.01).
conclusionThe findings suggest that puzzle-based reinforcement may be a valuable instructional approach, associated with positive learning outcomes and relatively higher motivation toward instructional materials in nursing education.
trial registrationClinicalTrials.gov: NCT07090850.
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