Death Anxiety
Conditions
Brief summary
Goal of this interventional study The purpose of this research is to investigate the effects of a scenario-based puzzle educational game on death anxiety and meaning in life among nursing students. It aims to answer the following key questions: Can the scenario-based puzzle educational game enhance nursing students' sense of meaning in life? Can the scenario-based puzzle educational game reduce death anxiety in nursing students? What are nursing students' experiences and perceptions of this educational game? Study design Researchers will compare the intervention group (participating in the game) with a control group (receiving death education manuals) to evaluate the effectiveness of the game-based intervention. Participants will: Be recruited through campus posters Be randomly assigned to either the intervention or control group and complete baseline questionnaires In the control group: Receive death education manuals twice weekly for 3 weeks In the intervention group: Participate in group sessions (5 students per group) to play the scenario-based puzzle game twice weekly for 3 weeks Complete follow-up questionnaires and participate in qualitative interviews regarding their experiences with manual-based education or the game intervention after the 3-week intervention period
Interventions
OTHERPuzzle game
Scenario-based puzzle game sessions (group format)
OTHERManual Education
Standardized death education manual distribution
Sponsors
China Medical University, China
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Months to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Third-year full-time undergraduate nursing students * Completed clinical observation training but not yet entered clinical internship phase * Aged ≥18 years * Provide informed consent and voluntarily participate in the study
Exclusion criteria
* Participated in similar death education interventions within the past 3 months * Diagnosed with severe mental or psychological disorders * Currently on a leave of absence (academic or personal)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death Anxiety | Week 0, Week 3 | A 15-item self-report scale developed by psychologist Templer (1967/1970) measuring death-related distress. Dimensions: Affective (Items 1,3,10,13,14), Stress/Pain (Items 4,5,6,9,11), Time Awareness (Items 8,12), Cognitive (Items 2,7,15) Scoring: Dichotomous (Yes/No) with 9 forward-scored and 6 reverse-scored items (Items 2,3,5,6,7,16\*). Total score range: 0-15 (higher = greater anxiety). Reliability: Test-retest reliability (3-week) = 0.83; KR-20 = 0.76 (original English version). |
| Meaning in Life | Week 0, Week 3 | A 10-item scale (Steger et al.) assessing two dimensions: Presence of Meaning (5 items): Perceived life purpose Search for Meaning (5 items): Active pursuit of meaning Scoring: 7-point Likert (1=Strongly Disagree to 7=Strongly Agree). Higher scores indicate stronger meaning. Reliability: Cronbach's α = 0.878 (total), 0.850 (Presence), 0.907 (Search) |
Countries
China
Contacts
Primary ContactWenna Qian
Outcome results
None listed