UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000049765
Receipt number R000056685
Scientific Title The Influence of Gamification on Medical Students' Diagnostic Decision Making and Cost Reduction: A Cross-sectional Survey
Date of disclosure of the study information 2022/12/14
Last modified on 2023/06/14 16:50:38

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Basic information

Public title

The Influence of Gamification on Medical Students' Diagnostic Decision Making and Cost Reduction: A Cross-sectional Survey

Acronym

The Influence of Gamification on Medical Students' Diagnostic Decision Making and Cost Reduction

Scientific Title

The Influence of Gamification on Medical Students' Diagnostic Decision Making and Cost Reduction: A Cross-sectional Survey

Scientific Title:Acronym

The Influence of Gamification on Medical Students' Diagnostic Decision Making and Cost Reduction

Region

Japan


Condition

Condition

diagnostic reasoning

Classification by specialty

Medicine in general Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The gamification of learning outcomes has been positive by increasing motivation and engagement in learning tasks, as well as enjoyment over time. This study aimed to investigate the effects of gamification on diagnostic decision-making and cost reduction in case scenarios.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

A cross-sectional study was conducted to investigate the effects of gamification on diagnostic decision-making and medical cost reduction in case scenarios. Participants comprised 30 medical students participating in clinical clerkship. They were randomly assigned to 14 small group teams. Use of decision-making cards (DMCs) was gamified. The DMCs had the clinical information heading and medical cost on the front and details of clinical information on the back of the cards. First, each team was provided brief clinical information (age, gender, chief complaint, and history of present illness) in case scenarios. Subsequently, DMCs were distributed to them and they decided which cards to choose in turn. Then, the correct final diagnosis, the total number of cards drawn, and the total medical cost were scored. Faculty members debriefed the students about the process of the cards chosen. Four case scenarios were implemented and the order in which each team answered was randomized. Students completed a questionnaire about confidence in effective clinical decision-making, motivation to learn diagnostic decision-making, and awareness of medical cost before and after the educational intervention.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

22 years-old <=

Age-upper limit

31 years-old >=

Gender

Male and Female

Key inclusion criteria

Participants comprised 30 medical students participating in clinical clerkship.

Key exclusion criteria

Students who could not participate in any of the case scenarios for any reason were excluded from the study.

Target sample size

34


Research contact person

Name of lead principal investigator

1st name Kosuke
Middle name
Last name Ishizuka

Organization

Chiba University Hospital

Division name

Department of General Medicine

Zip code

260-8677

Address

1-8-1, Inohana, Chuo-ku, Chiba-city, Chiba pref. Japan

TEL

+81432227171

Email

e103007c@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Kosuke
Middle name
Last name Ishizuka

Organization

Chiba University Hospital

Division name

Department of General Medicine

Zip code

260-8677

Address

1-8-1, Inohana, Chuo-ku, Chiba-city, Chiba pref. Japan

TEL

+81432227171

Homepage URL


Email

e103007c@yokohama-cu.ac.jp


Sponsor or person

Institute

Chiba University

Institute

Department

Personal name



Funding Source

Organization

Chiba University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Chiba University Hospital

Address

1-8-1, Inohana, Chuo-ku, Chiba-city, Chiba pref. Japan

Tel

+81432227171

Email

e103007c@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 12 Month 14 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

Results

Confidence in effective clinical decision-making, motivation to learn diagnostic decision-making, and awareness of medical cost before and after the educational intervention were significantly higher after the educational intervention. The average total cost decreased significantly in the clinical case scenario tackled last compared to the tackled first.

Results date posted

2022 Year 12 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 10 Month 31 Day

Date of IRB

2021 Year 06 Month 29 Day

Anticipated trial start date

2019 Year 11 Month 01 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A cross-sectional study was conducted to investigate the effects of gamification on diagnostic decision-making and medical cost reduction in case scenarios. Participants comprised 30 medical students participating in clinical clerkship. They were randomly assigned to 14 small group teams. Use of decision-making cards (DMCs) was gamified. The DMCs had the clinical information heading and medical cost on the front and details of clinical information on the back of the cards. First, each team was provided brief clinical information (age, gender, chief complaint, and history of present illness) in case scenarios. Subsequently, DMCs were distributed to them and they decided which cards to choose in turn. Then, the correct final diagnosis, the total number of cards drawn, and the total medical cost were scored. Faculty members debriefed the students about the process of the cards chosen. Four case scenarios were implemented and the order in which each team answered was randomized. Students completed a questionnaire about confidence in effective clinical decision-making, motivation to learn diagnostic decision-making, and awareness of medical cost before and after the educational intervention.


Management information

Registered date

2022 Year 12 Month 13 Day

Last modified on

2023 Year 06 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056685


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name