<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20260218068909N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-05-27</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <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.</public_title>
      <acronym></acronym>
      <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.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-06-13</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>32</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/89495</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, 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 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.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Training on the use of the pneumatic tourniquet device..</hc_freetext>
      <i_freetext>Intervention 1: 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. Intervention 2: 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.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is No further information is available.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mina Amiri Doreh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Central Building of Shiraz University of Medical Sciences، Zand Blvd, Shiraz, Iran</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1978_71345</zip>
        <telephone>+98 917 738 9781</telephone>
        <email>minaamiri753@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mina Amiri Doreh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Central Building of Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>71345-1978</zip>
        <telephone>+98 917 738 9781</telephone>
        <email>minaamiri753@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <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.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Other paramedical students
Have no previous practical experience with the pneumatic tourniquet device</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>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.</i_keyword>
      <i_keyword>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.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>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.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>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.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-04-11</approval_date>
        <contact_name>Nursing and Midwifery School, School of Management and Medical Informatics, Shiraz University of Med</contact_name>
        <contact_address>Central Building of Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
