Trial Radar AI | ||
|---|---|---|
Clinical Trial NCT07419984 for Education, Medical, Grand Rounds is active, not recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
One study matched filter criteria
Card View
Gamified Neurology Grand Rounds 240 Crossover Design
Clinical Trial NCT07419984 is an interventional study for Education, Medical, Grand Rounds that is active, not recruiting. It started on 1 January 2026 with plans to enroll 240 participants. Led by West China Hospital, it is expected to complete by 30 August 2026. The latest data from ClinicalTrials.gov was last updated on 23 February 2026.
Brief Summary
The goal of this research study is to learn if a new, game-based way of teaching neurology grand rounds (called "gamified teaching") works better than the traditional lecture-based format for neurology residents. It will also test whether using wristbands that measure stress and attention can help teachers adjust their pace in real time, and whether earning digital achievement badges motivates residents to keep learn...Show More
Official Title
Gamification vs. Traditional Teaching in Neurology Grand Rounds: A Randomized Crossover Trial Integrating Cognitive Load Monitoring and Blockchain Incentives
Conditions
Education, MedicalGrand RoundsOther Study IDs
- WestChinaH-HX-2025-013
NCT ID Number
Start Date (Actual)
2026-01-01
Last Update Posted
2026-02-23
Completion Date (Estimated)
2026-08-30
Enrollment (Estimated)
240
Study Type
Interventional
PHASE
N/A
Status
Active, not recruiting
Keywords
gamification
cognitive load
wearable sensors
clinical reasoning
randomized crossover trial
cognitive load
wearable sensors
clinical reasoning
randomized crossover trial
Primary Purpose
Other
Design Allocation
Randomized
Interventional Model
Crossover Assignment
Masking
Single
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalSequence A: Gamified First, Then Traditional Participants in this arm receive gamified neurology grand rounds during Period 1 (Weeks 1-2, four sessions), followed by a 4-week washout period with no neurology grand rounds, then receive traditional lecture-based neurology grand rounds during Period 2 (Weeks 7-8, four sessions). Gamified sessions use a custom web-based platform featuring team-based clinical simulations, real-time decision feedback, points, leaderb...Show More | Gamified Neurology Grand Rounds A web-based interactive teaching platform using team-based clinical simulation, real-time decision feedback, points, leaderboards, and blockchain-minted NFT achievement badges. Four 55-minute sessions delivered over 2 weeks. Cases cover stroke, epilepsy, movement disorders, neuroinfectious diseases, neurodegenerative disorders, neuro-ophthalmology, headache, and spinal cord disorders. Participants work in teams of 3-...Show More |
ExperimentalSequence B - Traditional First, Then Gamified Participants in this arm receive traditional lecture-based neurology grand rounds during Period 1 (Weeks 1-2, four sessions), followed by a 4-week washout period with no neurology grand rounds, then receive gamified neurology grand rounds during Period 2 (Weeks 7-8, four sessions). Gamified sessions use a custom web-based platform featuring team-based clinical simulations, real-time decision feedback, points, leaderb...Show More | Gamified Neurology Grand Rounds A web-based interactive teaching platform using team-based clinical simulation, real-time decision feedback, points, leaderboards, and blockchain-minted NFT achievement badges. Four 55-minute sessions delivered over 2 weeks. Cases cover stroke, epilepsy, movement disorders, neuroinfectious diseases, neurodegenerative disorders, neuro-ophthalmology, headache, and spinal cord disorders. Participants work in teams of 3-...Show More Traditional Component Instructor-led PowerPoint lecture covering identical case content as gamified sessions. Linear presentation: history → physical exam → localization → etiology → differential diagnosis → management. Intermittent Q\&A encouraged. No game elements, simulation, points, leaderboards, or blockchain incentives. Four 55-minute sessions delivered over 2 weeks. |
Active ComparatorParallel Control: Traditional Only Participants in this arm receive traditional lecture-based neurology grand rounds during both Period 1 (Weeks 1-2, four sessions) and Period 2 (Weeks 7-8, four sessions), with a 4-week washout period in between. All sessions cover identical case content used in the experimental arms, delivered via instructor-led PowerPoint lecture with intermittent Q\&A. No gamified elements are introduced at any point. This arm cont...Show More | Traditional Component Instructor-led PowerPoint lecture covering identical case content as gamified sessions. Linear presentation: history → physical exam → localization → etiology → differential diagnosis → management. Intermittent Q\&A encouraged. No game elements, simulation, points, leaderboards, or blockchain incentives. Four 55-minute sessions delivered over 2 weeks. |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Immediate Knowledge Acquisition (Post-Session Test Score) | Standardized 15-item multiple-choice quiz assessing comprehension of case localization, etiology, differential diagnosis, and management. Each item has one correct answer. Score is percentage correct (0-100%). Tests are administered immediately following each grand rounds session. Internal consistency confirmed via pilot testing (Cronbach's α ≥ 0.7). | Within 30 minutes after each grand rounds session (8 total sessions per participant; measured across both study periods, Weeks 1-2 and Weeks 7-8) |
3-Month Knowledge Retention (Delayed Retention Test Score and Retention Rate) | Parallel-form 15-item multiple-choice test matching the immediate post-test in blueprint, difficulty, and internal consistency, but with different question wording and distractor options. Retention rate is calculated as (3-month test score / average immediate post-test score across both periods) × 100%. Higher scores indicate better long-term retention. | 3 months (± 2 weeks) after completion of Period 2 intervention (Week 8) |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Diagnostic Redundancy Ratio | Efficiency of clinical reasoning measured as the ratio of actual diagnostic tests ordered by a participant/team to the minimal necessary tests defined by expert consensus. Lower ratio indicates more efficient test selection. For gamified sessions, data extracted from platform clickstream logs; for traditional sessions, recorded by research assistant during Q\&A. | During each grand rounds session (8 total sessions; Weeks 1-2 and Weeks 7-8) |
Time to Key Information Extraction | Speed of accurate clinical localization. For gamified sessions: number of click steps from case start to first correct localization decision. For traditional sessions: minutes from session start to first correct verbal localization response. Shorter time indicates more efficient reasoning. | During each grand rounds session (8 total sessions; Weeks 1-2 and Weeks 7-8) |
Learner Engagement - Interaction Frequency | Frequency of voluntary learning behaviors. For traditional sessions: number of hand-raises, questions asked, or comments made (recorded by research assistant). For gamified sessions: clickstream depth (average interactions per minute, including decisions, feedback reviews, leaderboard checks). Higher values indicate greater engagement. | During each grand rounds session (8 total sessions; Weeks 1-2 and Weeks 7-8) |
Flow Experience | Self-reported immersion and absorption during the learning session. Measured using a single-item slider question: "During this session, I felt completely immersed and lost track of time." Response range: 0 (not at all) to 100 (completely). Administered immediately after each session. | Within 10 minutes after each grand rounds session (8 total sessions; Weeks 1-2 and Weeks 7-8) |
Subjective Cognitive Load | Perceived mental effort required to follow the session. Measured using the Paas 9-point Likert scale (1 = very low cognitive load, 9 = very high cognitive load). Administered immediately after each session. | Within 10 minutes after each grand rounds session (8 total sessions; Weeks 1-2 and Weeks 7-8) |
Instructor Pacing Adjustment Effectiveness | Impact of real-time cognitive load alerts on group cognitive load. Measured as the change in Group Cognitive Load Index (GCLI) slope from 5 minutes before to 5 minutes after an instructor receives an adaptive alert (GCLI \>80% or \<30% for ≥2 minutes). Negative slope change indicates successful load reduction. | During gamified grand rounds sessions only (4 sessions per participant in crossover arms; Weeks 1-2 for Sequence A, Weeks 7-8 for Sequence B) |
Perceived Value of Blockchain Badges | Usefulness and ease of use of the NFT achievement badge system. Measured using a modified Technology Acceptance Model (TAM) survey with 7-point Likert scales (1 = strongly disagree, 7 = strongly agree). Subscales: perceived usefulness (e.g., "Badges help me track learning progress") and perceived ease of use (e.g., "Digital wallet is easy to use"). | At 3-month follow-up (Week 20, ±2 weeks) |
Self-Directed Learning Behavior | Voluntary educational activities following study completion. Measured via: (1) frequency of neurology textbook/journal borrowing from institutional library, and (2) completion rate of optional online neurology courses recorded in the residency learning management system. Higher values indicate greater sustained motivation. | During the 3-month period following completion of Period 2 (Weeks 8-20) |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
- Currently enrolled in postgraduate year 1 (PGY1), PGY2, or PGY3 of an accredited neurology residency program
- No prior formal participation in structured gamified neurology teaching programs focused on clinical reasoning
- Able to attend all eight scheduled grand rounds sessions across both study periods and all assessments (baseline, post-session, washout, and 3-month follow-up)
- Willing to provide written informed consent and comply with all study procedures, including wearing the Empatica E4 wristband during teaching sessions
- Scheduled off-service rotations, vacation, or other commitments that would prevent attendance at any study session or assessment
- Uncorrected severe visual or auditory impairment that would limit participation in multimedia-based gamified sessions or case presentations
- History of skin conditions or allergies that would preclude wearing the Empatica E4 wristband (e.g., contact dermatitis)
- Inability to provide informed consent (e.g., cognitive impairment or language barrier)
West China HospitalStudy Responsible Party
Zhigang Lan, Principal Investigator, Professor, West China Hospital
No contact data.
1 Study Locations in 1 Countries
Sichuan
West China Hospital of Sichuan University, Chengdu, Sichuan, China