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Trial registered on ANZCTR


Registration number
ACTRN12623000441617
Ethics application status
Approved
Date submitted
25/01/2023
Date registered
1/05/2023
Date last updated
1/05/2023
Date data sharing statement initially provided
1/05/2023
Type of registration
Retrospectively registered

Titles & IDs
Public title
The Effect of Taboo Game Adapted for Anatomy Lesson on Exam Anxiety and Academic Achievement in Nursing Students: A Randomized Controlled Study
Scientific title
The Effect of Taboo Game Adapted for Anatomy Lesson on Exam Anxiety and Academic Achievement in Nursing Students: A Randomized Controlled Study
Secondary ID [1] 308832 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
test anxiety, academic achievement 328790 0
Condition category
Condition code
Mental Health 325802 325802 0 0
Anxiety

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
According to the subject distribution;
It was played for 1 hour, once a week for 14 weeks. Implemented session attendance checklists under lecturer supervision. Introduction to Anatomy 20 cards, 20 cards, the most widely used medical terms, the motion system is 20 cards, and the Extremity bones of the axial skeleton the bones of 40 cards, 25 cards joint system, circulatory system, the heart and the arterial system 40, card, 40 the venous circulation and the lymphatic system, card system Nov 40, card, digestive system 40, card, respiratory system 40, card, 40 of the urinary system, card, reproductive system 40, card, endocrine system 40, card, Central nervous system 40 cards with Peripheral nervous system, sensory organs, so it will be a total of 30 card, 467 card has been prepared.
The students of the experimental group will be asked to follow the following rules by playing the taboo game created with that topic every week after the lesson:
1. A person from the research team comes with a set of playing cards in his hand and starts the game.
2. Students have one minute to guess as many terms as possible.
3. Another person who is on the research team is next to the student to make sure that he does not use the words “taboo” and to save time.
4. A student cannot skip terms right away when defining words. If the student is experiencing a certain difficulty, someone from the team can help. The student can move to the next one only after the allotted time (~ 10-15 seconds).
Anatomy course is a course that is taught for 14 weeks (One Semester) and a different topic is explained every week. Below is the 14-week plan:
1. Introduction to anatomy, the most used medical terms
2. Introduction to the movement system, axial skeletal bones
3. Extremity bones, Joint system
4. Circulatory system, heart and arterial system
5. Venous circulation, lymphatic system
6. Musculature
7. The digestive System and its organs
8. Respiratory system and organs
9. Urinary System and organs
10. Female and male reproductive system and organs
11. Endocrine System
12. Central nervous system
13. Peripheral nervous system
14. Sensory organs and Literature reading
Both the control group (Konya-Nursing 1. Class) as well as the experimental group (Seydisehir-Nursing 1. Class) takes the course with the same credit from the same instructor.
Before the taboo game, a sociodemographic information form and an exam anxiety inventory will be applied to both groups. Together with the experimental group, the taboo game prepared on this topic will be played after the topic covered every week. The cards prepared about the subject are written next to each subject. after the end of the 14-week fall semester, the exam anxiety inventory will be used again and the final grades of the anatomy course will be reviewed.
Intervention code [1] 325278 0
Behaviour
Comparator / control treatment
Against which the study intervention is being compared active control.
The group that does not play the taboo game
Control group
Active

Outcomes
Primary outcome [1] 334056 0
testing anxiety
Test Anxiety Inventory (TAI): the period between 1974 and 1979, examination and evaluation of work by Spielberger and students about the negative thoughts and feelings in order to measure was developed and published in 1980. SKE was adapted into Turkish by Albayrak-Kaymak (1985) and Öner (1990). There are two different sub-dimensions measuring the dimensions of emotionality (emotionality) and worry (worry) in the "TAI", which consists of a total of 20 items. The delusion sub-dimension of the inventory includes 8 items and these are 2,3,4,5,8,12,17 and 20. They are substances. The affectivity dimension is measured with 12 items, these are 1,6,7,9,10,11,13,14,15,16,18 and 19". The inventory is rated in 4" likert type ("almost never", "sometimes", "often" and "almost always"). Inventory points are obtained for each item according to the marked option. From the marked options, the answer "almost never" is calculated as 1 point, the answer ""sometimes"" is calculated as 2 points, the answer ""often""is calculated as 3 points, the answer ""almost always"" is calculated as 4 points. Only 1 in the inventory. The item is the opposite item and its scoring is done in reverse. 1 Of the inventory. In the article ""almost never"" the answer receives 4 points, and in descending order, 1 point is given in the answer ""almost always"".
As a result of the application, 3 types of points are calculated from the TAI in the form of delusion (TAI – K), affectivity (TAI – D) and all test (TAI – T) score. Delusion inventory that can be obtained from the lowest sub-dimension scores and the highest delusion 8 sub-dimension score is 32, duyussallik low sub-dimension scores of 12, the highest duyussallik sub-dimension scores 48", and the lowest Test score in all 20, the highest of all the test score is 80. If the score level obtained from the inventory is high, the level of delusion, affectivity and exam anxiety is also assessed as high (Öner, 1990, 1997). Reliability and validity studies of the "TAI" translated into Turkish have also been carried out. The Envaterin Cronbach Alpha value of KR-20 for the entire test.the test retest method coefficients for the entire test, which is 87.with 90 .it has been reported that it varies between 70 (Decer, 1990,1997). The Cronbach alpha value of the scale obtained by the item-total test score correlations technique did not fall below 0.46 and 0.43 for all 45 tests; Pearson Product-of-Moments correlation coefficients as a result of the test-retest reliability study.with 70 .it has been found among 90 (Decer, 2012).
Timepoint [1] 334056 0
first week
Primary outcome [2] 334057 0
academic achievement
Academic success; The end of the semester of the experimental and control group, that is, the end of the lessons and the taboo game, as well as the anatomy course will be evaluated based on the general exam grade point averages.
Timepoint [2] 334057 0
first week
Secondary outcome [1] 419203 0
testing anxiety
Test Anxiety Inventory (TAI): the period between 1974 and 1979, examination and evaluation of work by Spielberger and students about the negative thoughts and feelings in order to measure was developed and published in 1980. SKE was adapted into Turkish by Albayrak-Kaymak (1985) and Öner (1990). There are two different sub-dimensions measuring the dimensions of emotionality (emotionality) and worry (worry) in the "TAI", which consists of a total of 20 items. The delusion sub-dimension of the inventory includes 8 items and these are 2,3,4,5,8,12,17 and 20. They are substances. The affectivity dimension is measured with 12 items, these are 1,6,7,9,10,11,13,14,15,16,18 and 19". The inventory is rated in 4" likert type ("almost never", "sometimes", "often" and "almost always"). Inventory points are obtained for each item according to the marked option. From the marked options, the answer "almost never" is calculated as 1 point, the answer ""sometimes"" is calculated as 2 points, the answer ""often""is calculated as 3 points, the answer ""almost always"" is calculated as 4 points. Only 1 in the inventory. The item is the opposite item and its scoring is done in reverse. 1 Of the inventory. In the article ""almost never"" the answer receives 4 points, and in descending order, 1 point is given in the answer ""almost always"".
As a result of the application, 3 types of points are calculated from the TAI in the form of delusion (TAI – K), affectivity (TAI – D) and all test (TAI – T) score. Delusion inventory that can be obtained from the lowest sub-dimension scores and the highest delusion 8 sub-dimension score is 32, duyussallik low sub-dimension scores of 12, the highest duyussallik sub-dimension scores 48", and the lowest Test score in all 20, the highest of all the test score is 80. If the score level obtained from the inventory is high, the level of delusion, affectivity and exam anxiety is also assessed as high (Öner, 1990, 1997). Reliability and validity studies of the "TAI" translated into Turkish have also been carried out. The Envaterin Cronbach Alpha value of KR-20 for the entire test.the test retest method coefficients for the entire test, which is 87.with 90 .it has been reported that it varies between 70 (Decer, 1990,1997). The Cronbach alpha value of the scale obtained by the item-total test score correlations technique did not fall below 0.46 and 0.43 for all 45 tests; Pearson Product-of-Moments correlation coefficients as a result of the test-retest reliability study.with 70 .it has been found among 90 (Decer, 2012).
Timepoint [1] 419203 0
14th week
Secondary outcome [2] 419204 0
academic achievement
Academic success; The end of the semester of the experimental and control group, that is, the end of the lessons and the taboo game, as well as the anatomy course will be evaluated based on the general exam grade point averages.
Timepoint [2] 419204 0
14th week

Eligibility
Key inclusion criteria
Criteria for Inclusion of Participants in the Study:
1) To be a student of Necmettin Erbakan University Faculty of Nursing
2) To be a student of Necmettin Erbakan University Seydisehir Kamil Akkanat Faculty of Health Sciences Nursing Department
3) Taking Anatomy class for the first time
4) to indicate that he will be eligible for active participation in classes and taboo game for 14 weeks
5) Willingness to participate in the study of their own free will (signed informed consent)
Criteria for Excluding Participants in the Study:
1) To have come with horizontal and vertical transition
Minimum age
18 Years
Maximum age
25 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1) To have come with horizontal and vertical (Transition transition from another class or university).

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s

The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Randomization and Blinding:
In the study, the experimental group was Necmettin Erbakan University Seydisehir Kamil Akkanat Faculty of Health Sciences Nursing department 1. The students of the class, the control group Necmettin Erbakan University Faculty of Nursing 1. The class will be composed of students. The class lists will be used depending on the list order taken from the school. Random.org according to the randomization table made from, assignments will be made from the class lists. Try ygurthis ”X” control group will be called ”Y".
Blinding: the groups will be called “X“ and ”Y" and sent to an independent statistician, the statistician will be blinded, the teaching staff conducting the Anatomy lesson will be blinded, the person preparing the randomization table and the control group will be blinded. In order for the control group to be blinded, this group was planned to be from another faculty. The experimental group and the researchers were not blinded
In order to prevent bias and ensure confidentiality during the randomization phase, randomization will be performed by a statistical specialist other than the researchers. The instructor who describes the lesson in both groups will not know who is in the experimental and who is in the control group. The analysis of the coded data in terms of groups will be carried out by a statistician. After the statistical analyzes are performed and the research report is written, the coding for the intervention and control group will be explained. Thus, blinding will be provided in terms of collecting and reporting research data. Randomization was performed according to the class list ranking.
Phase
Not Applicable
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
Actual
26/09/2022
Date of last participant enrolment
Anticipated
Actual
26/09/2022
Date of last data collection
Anticipated
Actual
30/12/2022
Sample size
Target
32
Accrual to date
Final
32
Recruitment outside Australia
Country [1] 25238 0
Turkey
State/province [1] 25238 0
Konya

Funding & Sponsors
Funding source category [1] 313329 0
Self funded/Unfunded
Name [1] 313329 0
Tuba KORKMAZ ASLAN
Country [1] 313329 0
Turkey
Primary sponsor type
Individual
Name
Tuba KORKMAZ ASLAN
Address
Anabaglar Mah. Prof. Dr. Necmettin Erbakan Cad. No:19, D:3, 42360 Seydisehir/Konya
Country
Turkey
Secondary sponsor category [1] 314744 0
None
Name [1] 314744 0
NONE
Address [1] 314744 0
NONE
Country [1] 314744 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 312309 0
Necmettin Erbakan University Health Sciences Scientific Research Ethics Committee
Ethics committee address [1] 312309 0
Necmettin Erbakan Üniversitesi
Meram Tip Fakültesi
42080, Meram, Konya, Türkiye
Ethics committee country [1] 312309 0
Turkey
Date submitted for ethics approval [1] 312309 0
Approval date [1] 312309 0
14/09/2022
Ethics approval number [1] 312309 0

Summary
Brief summary
Aim: To determine the effect of the taboo game adapted for the anatomy lesson on exam anxiety and academic success in nursing students.
Materials and Methods: It is a parallel group randomized controlled study. 65 nursing students were randomly selected and 33 control and 32 taboo game groups were formed. Exam anxiety and academic success of the control and intervention groups after the game were evaluated with 467 Anatomy taboo cards for 14 weeks.
Trial website
Trial related presentations / publications
Public notes
The Universe and Sample of the Research:
The Universe of the Research: The universe of the research Necmettin Erbakan University Faculty of Nursing 1. Class (Quota: 140) and Necmettin Erbakan University Seydisehir Kamil Akkanat Faculty of Health Sciences Nursing department 1. The class (Quota: 70) will consist of students.
Sample of the research: It was found that the taboo game provides the same benefits of vocabulary teaching as both achievement and attitude in seventh grade students (Tuna & Kartal 2021). When considered in this context, it is thought that the taboo game will increase academic success and reduce exam anxiety in students because it makes the Anatomy lesson fun to study. Therefore, according to the data of this study, in the sample calculation “G.Power 3.1.9.4” program in the analysis by using power, Alpha 0.05 margin of error, 95% with a power of the number of people that need to be reached in the experimental group, 14 people 14 people in the control group were determined in each group at 15% and increased above (Lightning Kaptanoglu, 2013) experiment, 32, 33 control; in total control and experimental groups was determined to be 65 student.
In the second week of the study, three students left and instead, the previous or next names were selected according to the student numbers and included in the study. In the 6th week of the study, a student left the study.







Data Collection Techniques and Tools: The taboo game has been adapted to meet the content and organization of the anatomy course, which is 4 ECTS compulsory for first-year students (2 theoretical + 2 Practical) in the fall semester. The goal of the game is for the individual to make his partner guess as many primary words as possible within a certain time, without using the words “taboo” to describe the main term. The one who correctly defines the most basic words wins. The creation of playing cards is as follows; the cards will be prepared using anatomical words. At Taboo (Hasbro Inc., Pawtucket, RI), a person is given a set of cards containing both the primary word or phrase and five "taboo" words. The primary word (WIP) at the top of each card is clearly separated from the five taboo words at the bottom. For example, the taboo words under the WIP "acromion" can be "deltoid", "shoulder", "bulge", "top" and "bone". Taboo words can be adjusted according to the student's level and difficulty, and the cards can be laminated for repeated use. Finally, a voice alert and a 1-minute timer (eg. October Jul. Additional materials will be provided, including (hourglass) (Lofton 2022).

Sociodemographic Information Form: It was prepared by researchers by scanning the literature (Kahyaoglu Süt, et all 2019; Akyüz, Yilmaz & Aldemir 2020; Ekenler & Altinel 2021; Kim, Jillapali & Boyd 2021; Ökten & Güdek Seferoglu 2022). The form consists of 11 questions in total.
Test Anxiety Inventory (TAI): the period between 1974 and 1979, examination and evaluation of work by Spielberger and students about the negative thoughts and feelings in order to measure was developed and published in 1980. SKE was adapted into Turkish by Albayrak-Kaymak (1985) and Öner (1990). There are two different sub-dimensions measuring the dimensions of emotionality (emotionality) and worry (worry) in the "TAI", which consists of a total of 20 items. The delusion sub-dimension of the inventory includes 8 items and these are 2,3,4,5,8,12,17 and 20. They are substances. The affectivity dimension is measured with 12 items, these are 1,6,7,9,10,11,13,14,15,16,18 and 19". The inventory is rated in 4" likert type ("almost never", "sometimes", "often" and "almost always"). Inventory points are obtained for each item according to the marked option. From the marked options, the answer "almost never" is calculated as 1 point, the answer ""sometimes"" is calculated as 2 points, the answer ""often""is calculated as 3 points, the answer ""almost always"" is calculated as 4 points. Only 1 in the inventory. The item is the opposite item and its scoring is done in reverse. 1 Of the inventory. In the article ""almost never"" the answer receives 4 points, and in descending order, 1 point is given in the answer ""almost always"".
As a result of the application, 3 types of points are calculated from the TAI in the form of delusion (TAI – K), affectivity (TAI – D) and all test (TAI – T) score. Delusion inventory that can be obtained from the lowest sub-dimension scores and the highest delusion 8 sub-dimension score is 32, duyussallik low sub-dimension scores of 12, the highest duyussallik sub-dimension scores 48", and the lowest Test score in all 20, the highest of all the test score is 80. If the score level obtained from the inventory is high, the level of delusion, affectivity and exam anxiety is also assessed as high (Öner, 1990, 1997). Reliability and validity studies of the "TAI" translated into Turkish have also been carried out. The Envaterin Cronbach Alpha value of KR-20 for the entire test.the test retest method coefficients for the entire test, which is 87.with 90 .it has been reported that it varies between 70 (Decer, 1990,1997). The Cronbach alpha value of the scale obtained by the item-total test score

Contacts
Principal investigator
Name 124194 0
Mrs Tuba KORKMAZ ASLAN
Address 124194 0
Anabaglar Neighborhood Prof. Dr. Necmettin Erbakan street No:19, D:3, 42360 Seydisehir/Konya
Country 124194 0
Turkey
Phone 124194 0
+90 332 582 2117
Fax 124194 0
+90 332 582 5756
Email 124194 0
[email protected]
Contact person for public queries
Name 124195 0
Tuba Korkmaz Aslan
Address 124195 0
Anabaglar Neighborhood Prof. Dr. Necmettin Erbakan street No:19, D:3, 42360 Seydisehir/Konya
Country 124195 0
Turkey
Phone 124195 0
+905376231630
Fax 124195 0
Email 124195 0
[email protected]
Contact person for scientific queries
Name 124196 0
Tuba Korkmaz Aslan
Address 124196 0
Anabaglar Neighborhood Prof. Dr. Necmettin Erbakan street No:19, D:3, 42360 Seydisehir/Konya
Country 124196 0
Turkey
Phone 124196 0
+905376231630
Fax 124196 0
Email 124196 0
[email protected]

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment


What supporting documents are/will be available?




Results publications and other study-related documents

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