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治験 NCT07419984（対象：医学教育、Grand Rounds）は実施中／登録終了です。詳細は治験レーダーのタイル表示と AI 発見ツールで確認するか、ここで質問してください。 | ||
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Gamified Neurology Grand Rounds 240 クロスオーバー法
治験（臨床試験）の詳細は主に英語で提供されていますが、治験レーダーAIがサポートします！「治験解説」をクリックして、選択した言語で試験情報を表示し、議論してください。
治験番号 NCT07419984 は 介入研究 臨床試験 で、医学教育、Grand Rounds に関するものです。現在は 実施中／登録終了 で、2026年1月1日 から開始しています。240 名の参加者 の募集が計画されています。この試験は West China Hospital によって主導され、2026年8月30日 に完了予定です。ClinicalTrials.gov からの最新更新日は 2026年2月23日 です。
概要
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...もっと見る
公式タイトル
Gamification vs. Traditional Teaching in Neurology Grand Rounds: A Randomized Crossover Trial Integrating Cognitive Load Monitoring and Blockchain Incentives
疾患名
医学教育Grand Roundsその他の研究識別子
- WestChinaH-HX-2025-013
NCT番号
開始日
2026-01-01
最終更新日
2026-02-23
終了予定日
2026-08-30
目標参加者数
240
試験の種類
介入研究
治験の相・段階
該当なし
状況
実施中／登録終了
キーワード
gamification
cognitive load
wearable sensors
clinical reasoning
randomized crossover trial
cognitive load
wearable sensors
clinical reasoning
randomized crossover trial
主目的
その他
割付方法
無作為化
介入モデル
クロスオーバー法
盲検化
単盲検
群（アーム）／介入
| 参加グループ/群 | 介入/治療法 |
|---|---|
実験的Sequence 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...もっと見る | 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-...もっと見る |
実験的Sequence 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...もっと見る | 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-...もっと見る 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. |
実薬対照薬Parallel 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...もっと見る | 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. |
主要評価項目
副次評価項目
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
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) |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
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) |
参加アシスタント
適格基準
対象年齢
成人, 高齢者
試験の最低年齢
18 Years
対象性別
全て
- 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 Hospital責任者
Zhigang Lan, 主任研究者, Professor, West China Hospital
連絡先情報がありません。
1 1カ国の場所
Sichuan
West China Hospital of Sichuan University, Chengdu, Sichuan, China