The Effect of Escape Room Game on Reproductive Health Knowledge and Gender Equality Perception

NCT07346313 — Not applicable, Completed, 80 participants, Karamanoğlu Mehmetbey University

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The Effect of Escape Room Game-Supported Reproductive Health Education on University Students' Knowledge Level of Sexual and Reproductive Health and Gender Perception: A Randomised Controlled Trial

Registry	NCT07346313
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: none, health services research
Enrollment	80 (Actual)
Sponsor	Karamanoğlu Mehmetbey University (Other); collaborators: Necmettin Erbakan University
Conditions	Sexual Health, Reproductive Health, Gender Equality, Health Education
Interventions	Escape Room Game on Reproductive Health and Gender Equality, Standard Theoretical Education (Behavioral)
Dates	start 2025-02-10, primary completion 2025-06-15, completion 2025-06-15, first posted 2026-01-16, last updated 2026-04-01
Locations	1 site in Turkey (Türkiye)

-Summary

This study aims to evaluate the impact of an "escape room" educational game on university students' knowledge of sexual/reproductive health and their perceptions of gender equality. The research compares a group of students who received traditional theoretical education with a group that participated in an escape room game titled "Hidden Files in the Secret Laboratory" in addition to the same theoretical training. The primary goal is to determine if gamified learning enhances knowledge levels and shapes gender equality perceptions more effectively than standard education alone.

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+Detailed description

This is a pretest-posttest, parallel-group, randomized controlled experimental study conducted at Karamanoğlu Mehmetbey University (2024-2025 Spring Semester).

The study population consists of 80 volunteer students enrolled in the Reproductive Health and Family Planning course, divided into two groups:

Intervention Group (n=40): Received standard theoretical education plus the "Hidden Files in the Secret Laboratory" themed escape room game.

Control Group (n=40): Received only the standard theoretical education.

Data collection was performed using a Descriptive Information Form, the Sexual Health and Reproductive Health Knowledge Scale, and the Gender Perception Scale. The study follows the CONSORT 2025 guidelines. Statistical analysis is performed using SPSS 26.0, including Chi-Square, ANOVA, and t-tests to compare pretest and posttest results between the groups.

+Arms and interventions

Arm	Type	Interventions	Description
Intervention Group	Experimental	Behavioral: Escape Room Game on Reproductive Health and Gender Equality; Behavioral: Standard Theoretical Education	Both groups receive a standard theoretical education on reproductive health and family planning. Immediately following the educational session, the intervention group participates in the "Hidden Files in the Secret Laboratory" themed escape room game as an additional active learning module.
Control Group	Active comparator	Behavioral: Standard Theoretical Education	This group receives the same standard theoretical education on reproductive health and family planning as the intervention group. To ensure educational equality and prepare all students equally for their final examinations, no additional game intervention is applied during the study period. However, to maintain ethical fairness, students in the control group are allowed to play the escape room game upon request after the post-test data collection is completed.

Escape Room Game on Reproductive Health and Gender Equality (Behavioral): A gamified educational intervention using an escape room format to teach reproductive health, sexual rights, and gender equality. Participants solve puzzles and complete tasks related to these topics within a set timeframe to improve their knowledge and perceptions.
Standard Theoretical Education (Behavioral): Standard theoretical education on reproductive health and family planning.

+Outcome measures

Primary outcomes

Gender Perception Scale Score [Baseline (Pre-test) and 1 week after the intervention (Post-test).]: This scale evaluates the participants' perceptions of gender equality. It consists of multiple items rated on a Likert-type scale. Total scores are calculated, where higher scores reflect a more positive and egalitarian perception of gender roles.
Sexual Health and Reproductive Health Knowledge Scale Score [Baseline (Pre-test) and 1 week after the intervention (Post-test).]: This scale measures the participants' knowledge levels regarding sexual and reproductive health. The score is calculated based on correct answers to specific questions. Higher scores indicate a higher level of knowledge.

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Being 18 years of age or older.
* Being proficient in the Turkish language.
* Enrolled in the "Reproductive Health and Family Planning" course for the first time.

Exclusion Criteria:

* Having any impairment that prevents effective communication (e.g., being a foreign national with insufficient Turkish reading/writing skills, or having hearing, speech, or cognitive disorders).

+Locations (1)

Facility	City	Country	Status
Karamanoglu Mehmetbey Universty	Karaman	Turkey (Türkiye)

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