UMIN-CTR Clinical Trial

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

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Examining the effectiveness of HPV (Human Papilloma Virus) vaccine education using an Escape Room

Acronym

Examining the effectiveness of vaccine education using an Escape Room

Scientific Title

Examining the effectiveness of HPV (Human Papilloma Virus) vaccine education using an Escape Room.

Scientific Title:Acronym

Examining the effectiveness of vaccine education using an Escape Room

Region

Japan


Condition

Condition

Cervical cancer,HPV infection

Classification by specialty

Infectious disease

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

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.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

HPV vaccine education using Escape Room.

Interventions/Control_2

teaching HPV vaccine by a teacher

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


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

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.

Key exclusion criteria

Those who were deemed unsuitable as research subjects by the principal investigator and those who had once participated in this study were excluded.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Keita
Middle name
Last name Kondo

Organization

Juntendo University School of Medicine

Division name

department of general medicine

Zip code

1138431

Address

3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3813-3111

Email

k.kondo.ea@juntendo.ac.jp


Public contact

Name of contact person

1st name Keita
Middle name
Last name Kondo

Organization

Juntendo University School of Medicine

Division name

department of general medicine

Zip code

1138431

Address

3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3813-3111

Homepage URL


Email

k.kondo.ea@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Juntendo 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

Research and Ethics Committee, Faculty of Medicine, Juntendo University School of Medicine

Address

Centre for Clinical Research and Clinical Trials, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan

Tel

03-3814-5672

Email

hongo-rinri@juntendo.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

2025 Year 02 Month 01 Day


Related information

URL releasing protocol

No publicly accessible external protocol URL is available at present.

Publication of results

Unpublished


Result

URL related to results and publications

No publicly accessible external results URL is available at present.

Number of participants that the trial has enrolled

271

Results

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.

Results date posted

2026 Year 03 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2026 Year 04 Month 18 Day

Baseline Characteristics

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.

Participant flow

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.

Adverse events

No adverse events related to the study interventions were reported during the study period.

Outcome measures

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.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 07 Month 25 Day

Date of IRB

2024 Year 08 Month 13 Day

Anticipated trial start date

2024 Year 09 Month 24 Day

Last follow-up date

2025 Year 01 Month 31 Day

Date of closure to data entry

2026 Year 04 Month 18 Day

Date trial data considered complete

2026 Year 04 Month 18 Day

Date analysis concluded

2026 Year 04 Month 18 Day


Other

Other related information



Management information

Registered date

2025 Year 01 Month 31 Day

Last modified on

2026 Year 05 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065009