| Unique ID issued by UMIN | UMIN000056879 |
|---|---|
| Receipt number | R000065009 |
| Scientific Title | Examining the effectiveness of HPV (Human Papilloma Virus) vaccine education using an Escape Room. |
| Date of disclosure of the study information | 2025/02/01 |
| Last modified on | 2026/05/01 15:19:12 |
Examining the effectiveness of HPV (Human Papilloma Virus) vaccine education using an Escape Room
Examining the effectiveness of vaccine education using an Escape Room
Examining the effectiveness of HPV (Human Papilloma Virus) vaccine education using an Escape Room.
Examining the effectiveness of vaccine education using an Escape Room
| Japan |
Cervical cancer,HPV infection
| Infectious disease |
Malignancy
NO
Escape Room (ER), first introduced as an entertainment activity in Kyoto, Japan, in 2007, is a team-based game in which participants solve themed puzzles, riddles, and other tasks to achieve a specific goal, such as escaping from one or more rooms within a time limit. In Japan, many events are held primarily in urban centers, and dedicated facilities exist for ER experiences. Additionally, ER events featuring collaborations with popular anime, games, and films are especially popular among young people. Similarly, ERs have become a major form of entertainment in tourist destinations worldwide.
In recent years, ERs have been increasingly utilized as an educational strategy across various fields, with numerous reports highlighting their application in medical education both in Japan and abroad. However, most studies evaluating the educational use of ERs focus on Level 1: Reaction of the Kirkpatrick model, while few have assessed learning outcomes at Level 2: Learning or Level 3: Behavior. Therefore, this study aims to compare the educational effectiveness of an ER-based activity on the topic of the HPV vaccine with a traditional lecture-based approach and a control group, all within the same allotted time frame.
Efficacy
The primary outcome is the percentage of correct responses to the post-class and three-month post-class verification tests.
Secondary outcomes are post-class vaccination coverage, participant satisfaction and comprehension.
Interventional
Parallel
Non-randomized
Open -no one is blinded
Placebo
2
Educational,Counseling,Training
| Other |
HPV vaccine education using Escape Room.
teaching HPV vaccine by a teacher
| Not applicable |
| Not applicable |
Female
The study was conducted at a single centre at Kyoritsu Women's University in Japan. The study population was 300 biological women. Faculty and age were not specified. Those who agreed to participate in the study were selected based on the free will of the study subjects.
Those who were deemed unsuitable as research subjects by the principal investigator and those who had once participated in this study were excluded.
300
| 1st name | Keita |
| Middle name | |
| Last name | Kondo |
Juntendo University School of Medicine
department of general medicine
1138431
3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan
03-3813-3111
k.kondo.ea@juntendo.ac.jp
| 1st name | Keita |
| Middle name | |
| Last name | Kondo |
Juntendo University School of Medicine
department of general medicine
1138431
3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan
03-3813-3111
k.kondo.ea@juntendo.ac.jp
Juntendo University
Juntendo University
Other
Research and Ethics Committee, Faculty of Medicine, Juntendo University School of Medicine
Centre for Clinical Research and Clinical Trials, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan
03-3814-5672
hongo-rinri@juntendo.ac.jp
NO
| 2025 | Year | 02 | Month | 01 | Day |
No publicly accessible external protocol URL is available at present.
Unpublished
No publicly accessible external results URL is available at present.
271
Among 267 participants (escape room, n=92; lecture, n=75; control, n=100), the lecture group showed the greatest immediate improvement in knowledge and vaccination intention. At 3 months, both intervention groups retained higher knowledge than the control group, with no difference between the escape room and lecture groups. Among baseline-unvaccinated participants, intention increased more in the escape room group, while vaccination initiation was higher in the lecture group.
| 2026 | Year | 03 | Month | 27 | Day |
| 2026 | Year | 04 | Month | 18 | Day |
A total of 267 students were enrolled: 92 in the escape room group, 75 in the lecture group, and 100 in the control group. No participants were excluded. At the 3-month follow-up, responses were obtained from 89, 69, and 67 participants, respectively. Baseline characteristics differed among groups, with the control group showing a lower proportion of participants with a history of HPV vaccination than the two intervention groups.
Biologically female students at Kyoritsu Women's University were recruited through on-campus announcements and participated voluntarily after providing written informed consent. Student identification numbers were used to prevent duplicate participation, and participants could withdraw at any time. Group allocation was not randomized; participants were assigned based on attendance at one of the scheduled sessions. Group A (escape room group) attended a 30-minute session on September 24, 2024; Group B (lecture group) attended a 30-minute lecture session on September 26, 2024; and Group C (control group) attended on September 26, 2024 and received no educational intervention. Groups A and B completed questionnaires at baseline, immediately after the class, and 3 months after the class, while Group C completed questionnaires at baseline and 3 months only.
No adverse events related to the study interventions were reported during the study period.
Outcome measures
Primary outcome measures
HPV-related knowledge score (7-item multiple-choice test; assessed at baseline, immediately post-class, and 3 months post-class in the escape room and lecture groups; baseline and 3 months in the control group).
Intention to receive HPV vaccination among participants unvaccinated at baseline (0 doses), assessed using a 7-point Likert scale at the same time points.
Secondary outcome measures
Vaccination initiation within 3 months among participants unvaccinated at baseline (0 doses), defined as self-reported receipt of at least one dose of HPV vaccine.
Satisfaction with the class, assessed immediately post-class in the escape room and lecture groups using a 10-point Likert scale.
Perceived comprehension, assessed immediately post-class in the escape room and lecture groups using a 10-point Likert scale.
Completed
| 2024 | Year | 07 | Month | 25 | Day |
| 2024 | Year | 08 | Month | 13 | Day |
| 2024 | Year | 09 | Month | 24 | Day |
| 2025 | Year | 01 | Month | 31 | Day |
| 2026 | Year | 04 | Month | 18 | Day |
| 2026 | Year | 04 | Month | 18 | Day |
| 2026 | Year | 04 | Month | 18 | Day |
| 2025 | Year | 01 | Month | 31 | Day |
| 2026 | Year | 05 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065009