IRCT | Investigating the effectiveness of video-based instruction compared to a combined video and game-based instruction on academic engagement and learning of operating room technology students at Shiraz University of Medical Sciences regarding the use of the pneumatic tourniquet device.

Protocol summary

Study aim: To compare the effects of video-based versus combined video and game-based instruction on academic engagement and learning of operating room students regarding the pneumatic tourniquet device.
Design: Educational intervention, pretest-posttest with active control, two parallel arms, single-blind, block randomized (blocks of four) on 32 students. Phase: Not applicable.
Settings and conduct: This study will be conducted at the Hazrat Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Sciences. After obtaining informed consent, the pretest (Academic Engagement Questionnaire and knowledge test) will be administered one day before the intervention. Students will then be allocated to either the control group (video-based instruction) or the intervention group (combined video and game-based instruction) using block randomization. The posttest will be administered immediately after the intervention and repeated four weeks later. In this study, only the data analyst will be blinded to group allocation.
Participants/Inclusion and exclusion criteria: Inclusion: Second-semester operating room students at Shiraz, enrolled in surgical instruments course, no prior pneumatic tourniquet experience, no practical surgical equipment units passed, signed informed consent, commitment to 80% attendance. Exclusion: None.
Intervention groups: Control: Standard video instruction on pneumatic tourniquet in a two-hour session with an instructor. Intervention: Combined video and interactive game instruction in a three-hour session with an instructor. The game is played collaboratively on the classroom display after the video.
Main outcome variables: Academic engagement; Students' learning regarding the use of the pneumatic tourniquet device.

General information

Reason for update
Acronym
IRCT registration information: IRCT registration number: IRCT20260218068909N1

Registration date: 2026-05-27, 1405/03/06

Registration timing: prospective

Last update: 2026-05-27, 1405/03/06

Update count: 0
Registration date: 2026-05-27, 1405/03/06

Registrant information: Name

Mahdiye Shahmoradi

Name of organization / entity

Country

Iran (Islamic Republic of)

Phone

+98 34 3422 6739

Email address

mah.shah3142@gmail.com

Recruitment status: recruiting
Funding source

Expected recruitment start date: 2026-06-13, 1405/03/23
Expected recruitment end date: 2026-07-11, 1405/04/20
Actual recruitment start date: empty
Actual recruitment end date: empty
Trial completion date: empty

Scientific title: Investigating the effectiveness of video-based instruction compared to a combined video and game-based instruction on academic engagement and learning of operating room technology students at Shiraz University of Medical Sciences regarding the use of the pneumatic tourniquet device.

Public title: Investigating the effectiveness of video-based instruction compared to a combined video and game-based instruction on academic engagement and learning the use of the pneumatic tourniquet device.
Purpose: Education/Guidance
Inclusion/Exclusion criteria: Inclusion criteria:

Be a second-semester student of operating room technology at Shiraz University of Medical Sciences. Have enrolled in the "Introduction to Surgical Instruments and Equipment" course. Have not passed any practical units related to surgical equipment in previous semesters. Have signed the written informed consent formBe committed to attending at least 80% of the training sessions.

Exclusion criteria:

Other paramedical students Have no previous practical experience with the pneumatic tourniquet device
Age: No age limit
Gender: Both

Phase

N/A

Groups that have been masked

Data analyser

Sample size

Target sample size: 32

Randomization (investigator's opinion)

Randomized

Randomization description

Participants will be selected from eligible students using simple random sampling by coin toss. They will then be allocated to either the intervention or control group using block randomization with blocks of four. The allocation sequence will be generated by the specialized website sealedenvelope.com. The randomization and allocation process will be carried out by a research colleague who has no direct involvement in the intervention or outcome assessment, ensuring allocation concealment. The unit of randomization is the individual.

Blinding (investigator's opinion)

Single blinded

Blinding description

Due to the nature of the educational intervention, blinding of participants, instructor, and outcome assessors is not feasible. However, to minimize bias in data analysis, the statistician will be blinded to group allocation. The data will be provided to the statistician with labels of Group 1 and Group 2, and they will remain unaware of which group is the intervention group and which is the control group.

Placebo

Not used

Assignment

Parallel

Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee: Name of ethics committee

Nursing and Midwifery School, School of Management and Medical Informatics, Shiraz University of Med

Street address

Central Building of Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran

City

Shiraz

Province

Fars

Postal code

1978_71345
Approval date: 2026-04-11, 1405/01/22
Ethics committee reference number: IR.SUMS.NUMIMG.REC.1405.012

Health conditions studied

1

Description of health condition studied: Training on the use of the pneumatic tourniquet device.
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description: Students' learning score regarding the use of the pneumatic tourniquet device, measured by a researcher-made multiple-choice test.
Timepoint: Before the intervention, immediately after the intervention, and one month after the intervention
Method of measurement: A researcher-made multiple-choice test whose face validity, content validity, and reliability will be designed and psychometrically evaluated based on the Polit and Beck method.

Secondary outcomes

1

Description: Students' academic engagement score measured by the Student Engagement Scale.
Timepoint: Before the intervention, immediately after the intervention, and one month after the intervention
Method of measurement: Student Engagement Scale by Gunuc et al. 2015, translated and validated by Barghi Irani et al. 2019, with 48 items and 6 subscales on a five-point Likert scale.

Intervention groups

1

Description: Control group: Video-based instruction consisting of a standard educational video on the pneumatic tourniquet device, developed based on the GREET guideline and prepared under the supervision of the Virtual School, the national center of excellence for advanced e-learning in medical sciences. The video will be presented in a single two-hour session in the classroom with an instructor present as a facilitator. Students may ask questions and receive clarifications during the video presentation. No game-based activity will be conducted after the video.
Category: Behavior

2

Description: Intervention group: Combined instruction consisting of a standard educational video on the pneumatic tourniquet device, developed based on the GREET guideline, followed by an interactive educational game designed on the Genially platform. Both contents are prepared under the supervision of the Virtual School, the national center of excellence for advanced e-learning in medical sciences. The intervention will be delivered in a single three-hour session in the classroom with an instructor present. The educational video is presented first, then the game is played on the central classroom display, with all students completing the game stages collaboratively and simultaneously through group discussion. The game includes scenarios, questions, and interactive activities related to the content and provides immediate feedback.
Category: Behavior

Recruitment centers

1

Recruitment center: Name of recruitment center

School of Nursing and Midwifery, Shiraz, Iran

Full name of responsible person

Mina Amiri Doreh

Street address

Central Building of Shiraz University of Medical Sciences, Zand St, Shiraz, Iran

City

Shiraz

Province

Fars

Postal code

1978_71345

Phone

+98 917 738 9781

Email

minaamiri753@gmail.com

1

Sponsor: Name of organization / entity

Shiraz University of Medical Sciences

Full name of responsible person

Mina Amiri Dore

Street address

Central Building of Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran

City

Shiraz

Province

Fars

Postal code

1978_71345

Phone

+98 917 738 9781

Email

minaamiri753@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?: Yes
Title of funding source: Shiraz University of Medical Sciences
Proportion provided by this source: 100
Public or private sector: Public
Domestic or foreign origin: Domestic
Category of foreign source of funding: empty
Country of origin
Type of organization providing the funding: Academic

Person responsible for general inquiries

Contact: Name of organization / entity

Shiraz University of Medical Sciences

Full name of responsible person

Mina Amiri Doreh

Position

Assistant professor

Latest degree

Ph.D.

Other areas of specialty/work

Nursery

Street address

Central Building of Shiraz University of Medical Sciences، Zand Blvd, Shiraz, Iran

City

Shiraz

Province

Fars

Postal code

1978_71345

Phone

+98 917 738 9781

Email

minaamiri753@gmail.com

Person responsible for scientific inquiries

Contact: Name of organization / entity

Shiraz University of Medical Sciences

Full name of responsible person

Mina Amiri Doreh

Position

Assistant professor

Latest degree

Ph.D.

Other areas of specialty/work

Nursery

Street address

Central Building of Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran

City

Shiraz

Province

Fars

Postal code

71345-1978

Phone

+98 917 738 9781

Email

minaamiri753@gmail.com

Person responsible for updating data

Contact: Name of organization / entity

Shiraz University of Medical Sciences

Full name of responsible person

Mina Amiri Doreh

Position

Assistant professor

Latest degree

Ph.D.

Other areas of specialty/work

Nursery

Street address

Central Building of Shiraz University of Medical Sciences, Zand St, Shiraz Iran

City

Shiraz

Province

Fars

Postal code

1978_71345

Phone

+98 917 738 9781

Email

minaamiri753@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD): Undecided - It is not yet known if there will be a plan to make this available
Study Protocol: Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan: Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form: Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report: Undecided - It is not yet known if there will be a plan to make this available
Analytic Code: Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary: Undecided - It is not yet known if there will be a plan to make this available

Investigating the effectiveness of video-based instruction compared to a combined video and game-based instruction on academic engagement and learning of operating room technology students at Shiraz University of Medical Sciences regarding the use of the pneumatic tourniquet device.