Plain English Summary
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
Trial website
Contact information
Type
Scientific
Primary contact
Dr Khalid Aboalshamat
ORCID ID
http://orcid.org/0000-0001-5957-8681
Contact details
Umm Al-Qura University
Makkah
24352
Saudi Arabia
+966 (0)543536468
ktaboalshsmat@uqu.edu.sa
Additional identifiers
EudraCT number
Nil known
ClinicalTrials.gov number
Nil known
Protocol/serial number
UQUDENT 120-19
Study information
Scientific title
The effect of gamification on antimicrobial resistance knowledge and its relation to dentistry in Saudi Arabia: RCT
Acronym
Study hypothesis
What 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
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
Study design
Randomized controlled trial single blind with active control group
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Community
Trial type
Other
Patient information sheet
See additional files
Condition
Knowledge of antimicrobial resistance
Intervention
Intervention 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 type
Other
Phase
Drug names
Primary outcome measure
Total knowledge score of antimicrobial resistance at baseline, post-intervention, and one month
Secondary outcome measures
Participants opinion about the gamification as a method to improve awareness measured using a bespoke questionnaire after participation
Overall trial start date
26/09/2018
Overall trial end date
04/04/2019
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. 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
Participant type
Other
Age group
Adult
Gender
Female
Target number of participants
112
Total final enrolment
94
Participant exclusion criteria
Does not meet and fulfill inclusion criteria, or did not sign the study conset form.
Recruitment start date
01/02/2019
Recruitment end date
02/02/2019
Locations
Countries of recruitment
Saudi Arabia
Trial participating centre
Friends Association Charitable Society (FACS) in Makkah, Saudi Arabia
Alzaidi
Makkah
21955
Saudi Arabia
Sponsor information
Organisation
Umm Al-Qura University
Sponsor details
Al Abdeyah
Makkah
21955
Saudi Arabia
+966125501000
ktaboalshamat@uqu.edi.sa
Sponsor type
University/education
Website
Funders
Funder type
Other
Funder name
investigator initiated and funded
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer-reviewed journal.
The protocol has been uploaded as an additional file (not peer reviewed).
IPD sharing statement:
The 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
Intention to publish date
24/12/2019
Participant level data
Not expected to be available
Basic results (scientific)
Publication list
2020 results in https://www.ncbi.nlm.nih.gov/pubmed/32404076 (added 15/05/2020)
Publication citations
Additional files
- ISRCTN15884410_PIS_28Oct19.pdf Uploaded 08/11/2019
- ISRCTN15884410_PROTOCOL_29Oct2019.pdf Uploaded 08/11/2019