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Gamified and Form-Based Reinforcement in Midwifery Education: A Quasi-Experimental Study

The Effect of Reinforcement With Kahoot and Google Forms on Midwifery Students' Success and Motivation in the Normal Birth and Postpartum Period Course and Their Opinions

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07004985
Enrollment
44
Registered
2025-06-04
Start date
2025-10-22
Completion date
2025-12-29
Last updated
2026-07-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Midwifery Education

Keywords

Kahoot, Google Forms, Educational intervention, Academic performance, Normal Birth and Postpartum Period course

Brief summary

This quasi-experimental study aims to evaluate the effect of reinforcement using Kahoot (a gamification tool) and Google Forms (an interactive quiz platform) on the academic achievement and motivation of midwifery students enrolled in the "Normal Birth and Postpartum Period" course. The study involves two intervention groups: one using Kahoot and the other using Google Forms. A total of 39 third-year midwifery students will participate. Academic success will be measured through pre- and post-tests, motivation levels through a validated motivation scale, and qualitative feedback will be obtained through student opinion forms. The study seeks to explore how different digital reinforcement tools affect learning outcomes and student engagement in midwifery education.

Detailed description

This quasi-experimental study investigates the impact of two different digital reinforcement tools-Kahoot and Google Forms-on third-year midwifery students' academic performance and motivation in the "Normal Birth and Postpartum Period" course. A total of 39 students will be assigned to two groups based on the last digit of their student ID number: even-numbered students will form the Kahoot group (n=19), and odd-numbered students will form the Google Forms group (n=20). Both groups will receive the same theoretical course content over a 7-week period, followed by different reinforcement strategies. The Kahoot group will complete gamified multiple-choice quizzes via the Kahoot platform, while the Google Forms group will answer the same questions using structured forms. The reinforcement process includes 4 quiz sessions in one day, each with 25 questions, and will be followed by a pre-test, post-test, and administration of the Motivated Strategies for Learning Questionnaire. Academic achievement will be assessed through a standardized 25-item multiple-choice test developed and validated by academic experts. Motivation levels will be measured using the Turkish version of the Instructional Materials Motivation Survey (IMMS), based on the ARCS model (Attention, Relevance, Confidence, Satisfaction). In addition, student opinions will be collected through Likert-type and open-ended questions regarding their experiences with the reinforcement tools. The goal is to determine whether different forms of digital reinforcement influence student performance and engagement, and to identify students' perspectives on their learning experience. All participants will voluntarily participate and the study will be conducted in accordance with ethical standards.

Interventions

BEHAVIORALKahoot Reinforcement

Students in this group will complete four interactive reinforcement sessions using the Kahoot platform, following the theoretical content of the "Normal Birth and Postpartum Period" course. Each session includes 25 multiple-choice questions delivered in a gamified format, with real-time feedback and scoring. The intervention aims to increase motivation, focus, and retention of knowledge.

BEHAVIORALGoogle Forms Reinforcement

Students in this group will complete four structured reinforcement sessions using Google Forms, after participating in the same theoretical course content. Each session consists of 25 multiple-choice questions, delivered in a self-paced online format. The intervention supports repetition and reflection, aiming to improve academic performance and motivation.

Sponsors

Antalya Bilim University
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Masking description

Participants and investigators are aware of the group assignments.

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 30 Years
Healthy volunteers
No

Inclusion criteria

* Enrollment in the "Normal Birth and Postpartum Period" course during the 2024-2025 academic year * Being a third-year midwifery student at Antalya Bilim University * Having access to a smartphone * Voluntarily agreeing to participate in the study

Exclusion criteria

* Absence on the day of data collection * Declining to participate in the study * Not completing both pre- and post-tests * Technical inability to access Kahoot or Google Forms platforms

Design outcomes

Primary

MeasureTime frameDescription
Change in Academic Achievement ScorePre-test at Week 1, Post-test at Week 6Assessed through a 25-question multiple-choice test specifically developed for the "Normal Birth and Postpartum Period" course. Each correct answer is scored as 4, while incorrect or unanswered items are scored as 0. Total scores range from 0 to 100, with higher scores indicating greater academic achievement. Change in academic achievement was calculated as the post-intervention score minus the baseline score; positive values indicate improvement in academic achievement.
Change in Motivation LevelBefore intervention (Week 1) and after intervention (Week 6)Measured using the Turkish-adapted version of the Instructional Materials Motivation Survey (IMMS). Scores range from 33 to 165.

Secondary

MeasureTime frameDescription
Student Opinions on Digital Reinforcement ToolsWeek 7Student opinions regarding the use of Kahoot and Google Forms were assessed using a researcher-developed questionnaire. Each item was rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate more positive opinions and experiences regarding the digital reinforcement tools. The mean score ranges from 1 to 5, with higher scores indicating more positive opinions and experiences regarding the digital reinforcement tools.

Countries

Turkey (Türkiye)

Contacts

PRINCIPAL_INVESTIGATORSeda Serhatlıoğlu, Doctorate

Antalya Bilim University, Faculty of Health Sciences, Department of Midwifery

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 15, 2026