The effect of gamification on antimicrobial resistance knowledge and its relation to dentistry in Saudi Arabia

ISRCTN ISRCTN15884410
DOI https://doi.org/10.1186/ISRCTN15884410
Secondary identifying numbers UQUDENT 120-19
Submission date
26/10/2019
Registration date
29/10/2019
Last edited
15/05/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Anti-microbial resistance has reached alarming levels and considered to be a worldwide public health problem. One of the main significant contributing factors of AMR is the lack of sufficient knowledge of using antibiotics. Antibiotics are being used frequently in dentistry. Recent studies found games (such as board game) to have a promising way to improve knowledge in health and can be used to improve knowledge about anti-microbial resistance among people. This study tries to assess the effect of using a board game on anti-microbial resistance knowledge among the public in Saudi Arabia.

Who can participate?
In this study, female volunteers member from the department of Friends Association Charitable Society (FACS) in Makkah, Saudi Arabia, who speak Arabic, older than 18 years old, and agree to participate in the study and answer all the questionnaires

What does the study involve?
The intervention will test the board game and its effect on people’s knowledge of antimicrobial resistance. Volunteers were involved and were divided into two groups in a random way. The first group received information about AMR by playing a board game, while the second group received the same information given in a conventional lecture. The participants were evaluated three times: before the playing/ getting the lecture, immediately after that, and after one month.

What are the possible benefits and risks of participating?
A participant went to random prize draw to (50 Saudi Riyal) from a famous book store. No risks.

Where is the study run from?
Friends Association Charitable Society (FACS) in Makkah, Saudi Arabia

When is the study starting and how long is it expected to run for?
February 219 to April 2019

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Khalid Aboalshamat
ktaboalshsmat@uqu.edu.sa

Contact information

Dr Khalid Aboalshamat
Scientific

Umm Al-Qura University
Makkah
24352
Saudi Arabia

ORCiD logoORCID ID 0000-0001-5957-8681
Phone +966 (0)543536468
Email ktaboalshsmat@uqu.edu.sa

Study information

Study designRandomized controlled trial single blind with active control group
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community
Study typeOther
Participant information sheet ISRCTN15884410_PIS_28Oct19.pdf
Scientific titleThe effect of gamification on antimicrobial resistance knowledge and its relation to dentistry in Saudi Arabia: RCT
Study objectivesWhat is the effect of gamification as health promotion method on awareness level and information retention of anti-microbial resistance and its relation to dentistry in compared to conventional educational lecture method?
Ethics approval(s)Approved 20/01/2019, Umm Al-qura University, Faculty of dentistry IRB (Umm Al-Qura University, Makkah, 24352, Saudi Arabia; +966125270000; irb.uqudent@uqu.edu.sa), ref: 120-19
Health condition(s) or problem(s) studiedKnowledge of antimicrobial resistance
InterventionIntervention group:
Participants in the study played (The Chancellor) board game, which is a custom-made educational board game. The game went to three rounds of pilot to tests until the final version to be used in the study. The game is between two players who try to finish ten steps in the gameboard before the opponent. The game composed of one board game, two piles of flashcards, two different pawns for each player, and a dice to decide who play first. At each turn, a player tries to move one step forward and the opponent tries to stop her to move by drawing a flashcard that contains a question about AMR, extra information about AMR, and/or funny challenge. The funny challenge is a request to do a specific task in each card such as saying the same information about AMR in a different accent or saying the information while the player holding his nose. If the player wins the challenge, she can move forward, otherwise, she stays at her place waiting for another turn. Each game takes around 20-30 minutes. Participants played the games in multiple sets of two players at the same time. For more detail about the game, you can contact the study authors. During the intervention, the game was supervised by the research team to explain and facilitate playing.

Control group:
The control group received a lecture titled “Antimicrobial resistance”. Composed of powerpoint presentation delivered by one of the research team in the Arabic Language. The content was the same as the intervention. The lecture was given in 20 minutes.

Randomization:
Randomization was conducted using simple randomization process of previously shuffled sealed envelopes by equal allocation ratio, using pieces of paper in a bowl, so each participant picked a piece randomly so she could be allocated with 50% chance into two comparative groups. To fulfil concealment of allocation, the sealed envelopes were opaque and numbered sequentially. This resulted in allocating participants into SG and CG. the To ensure blindness, the participants informed that the study aimed to compare between two methods of delivery to improve AMR knowledge. None of the participants was aware that gamification was the main aim of the study. Thus, the study was single-blind.
Intervention typeOther
Primary outcome measureTotal knowledge score of antimicrobial resistance at baseline, post-intervention, and one month
Secondary outcome measuresParticipants opinion about the gamification as a method to improve awareness measured using a bespoke questionnaire after participation
Overall study start date26/09/2018
Completion date04/04/2019

Eligibility

Participant type(s)Other
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants112
Total final enrolment94
Key inclusion criteria1. Arabic speakers
2. Older than 18 years
3. Agree to participant in the intervention and answer all the questionnaires. All participants who did not agree to sign the consent form were excluded from the study
Key exclusion criteriaDoes not meet and fulfill inclusion criteria, or did not sign the study conset form.
Date of first enrolment01/02/2019
Date of final enrolment02/02/2019

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

Friends Association Charitable Society (FACS) in Makkah, Saudi Arabia
Alzaidi
Makkah
21955
Saudi Arabia

Sponsor information

Umm Al-Qura University
University/education

Al Abdeyah
Makkah
21955
Saudi Arabia

Phone +966125501000
Email ktaboalshamat@uqu.edi.sa
Website http://www.uqu.edu.sa
ROR logo "ROR" https://ror.org/01xjqrm90

Funders

Funder type

Other

investigator initiated and funded

No information available

Results and Publications

Intention to publish date24/12/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.

The protocol has been uploaded as an additional file (not peer reviewed).
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
Dr. Khalid Aboalshamat, Umm Al-Qura University, Faculty of Dentistry, Saudi Arabia.
SPSS file (unidentified)
The data will be available upon request for two years.
Data can be accessed by the journal to which we will submit our article, any Saudi Governmental authority, researchers after careful consideration of their scientific intention to use.
All data are anonymous with no identification

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 28/10/2019 08/11/2019 No Yes
Protocol file 29/10/2019 08/11/2019 No No
Results article results 13/05/2020 15/05/2020 Yes No

Additional files

ISRCTN15884410_PIS_28Oct19.pdf
Uploaded 08/11/2019
ISRCTN15884410_PROTOCOL_29Oct2019.pdf
Uploaded 08/11/2019

Editorial Notes

15/05/2020: Publication reference and total final enrolment number added.
08/11/2019: The participant information sheet has been uploaded. Uploaded protocol 29 October 2019 (not peer reviewed).
29/10/2019: Trial’s existence confirmed by Umm Al-qura University, Faculty of dentistry IRB