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Effects of a Serious Game on Knowledge, Attitude and Practice in Vector Control and Dengue Prevention Among Adults in Primary Care

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ClinicalTrials.gov Identifier: NCT05307484
Recruitment Status : Completed
First Posted : April 1, 2022
Last Update Posted : April 1, 2022
Information provided by (Responsible Party):
SingHealth Polyclinics

Brief Summary:
Dengue can be mitigated by both vector control and vaccination. Serious games in healthcare can be used to raise the community awareness of vector control in dengue prevention in a simulated interactive learning environment, by motivating serious game participants to optimise their own performance and influence their behaviour. The results show a specially designed serious game can better engage local residents by raising their awareness in vector control and proactiveness in dengue prevention. At least 8 out of 10 participants were willing to be vaccinated against dengue if they knew of the availability of a safe and effective vaccine.

Condition or disease Intervention/treatment Phase
Dengue Other: Serious game Other: Dengue prevention website Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 400 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: A randomized controlled trial was conducted among volunteer adults who were visiting a regional primary care clinic in Sengkang, Singapore. 400 participants were randomly allocated to receive information regarding dengue prevention from either playing a serious game (intervention) or visiting a dengue prevention website (control). Before and after receiving information on dengue prevention, participants completed a self-administered questionnaire within a 2-week interval to assess the knowledge, attitude and practice (KAP) score and their interest to vaccinate against dengue. Participants, who played serious game, evaluated the game with the Systems Usability Score (SUS).
Masking: Double (Investigator, Outcomes Assessor)
Masking Description: Randomization sequence was prepared by the bio-statistician who was not involved in the enrollment of the participants. The outcome data was collected via a participant-administered questionnaire on an online secured platform, without contact with the study members. All data were de-identified and the statistical analysis was performed by the bio-statistician, who was blinded to group allocation, only after the completion of enrollment of all participants. The principal investigator was not involved in the enrollment or randomization process of participants in this study.
Primary Purpose: Prevention
Official Title: Effects of a Serious Game on Knowledge, Attitude and Practice in Vector Control and Dengue Prevention Among Adults in Primary Care: A Randomized Controlled Trial
Actual Study Start Date : March 3, 2021
Actual Primary Completion Date : September 17, 2021
Actual Study Completion Date : September 17, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Dengue

Arm Intervention/treatment
Experimental: Serious game group
Participants in the intervention group installed a mobile application, 'Sam's Mozzie Adventure'. This is a locally designed serious game which was co-created between SingHealth Polyclinics and AI Innovation Labs (AI2 Labs) Private Limited, specifically for this study. The principal investigator reviewed existing publicly available information on dengue prevention, including those on the National Environmental Agency (NEA) 'Stop Dengue' website, and provided the relevant content and pedagogical knowledge to the team of app developers from AI2 Labs. After creating the syllabus, the developers deployed their technological knowledge to integrate the dengue prevention information into the serious game. The participants were instructed to complete playing this serious game within 2 weeks.
Other: Serious game
This is a serious game in the form of a mobile application, designed to educate adults on dengue prevention.
Other Name: Sam's Mozzie Adventure

Active Comparator: Dengue prevention website group
The control group accessed the NEA 'Stop Dengue' website which contained dengue prevention information in the forms of online articles, posters and video. The participants were instructed to complete reading the online resources within 2 weeks.
Other: Dengue prevention website
This is a website containing information regarding dengue prevention.
Other Name: National Environmental Agency 'Stop Dengue' website

Primary Outcome Measures :
  1. Change of knowledge, attitude and practice (KAP) assessment score on dengue fever prevention [ Time Frame: Change from baseline KAP score at 2 weeks (or within 2 weeks after completion of intervention) ]

    This outcome is measured via a participant-administered questionnaire which was used and validated in previous regional studies. It is divided into 3 sections: (1) knowledge (16 items), (2) attitude (15 items), (3) practice (15 items) in preventing dengue.

    The minimum and maximum values of this questionnaire are 0 and 46 respectively. A higher score indicates a better outcome.

Secondary Outcome Measures :
  1. Change of interest to vaccinate against Dengue [ Time Frame: Change from baseline Dengue vaccination interest at 2 weeks (or within 2 weeks after completion of intervention) ]

    This outcome is measured via a participant-administered questionnaire. It consists of 1 section: (1) interest to vaccinate against Dengue (1 item).

    A higher proportion of participants indicating interest to vaccinate against Dengue indicates a better outcome.

  2. System Usability Scale (SUS) score of serious game [ Time Frame: At 2 weeks from start of study (or within 2 weeks after completion of intervention by the serious game group) ]

    This outcome is measured via a participant-administered questionnaire. It is modified from the validated SUS template to evaluate the usability of this serious game. The SUS has 10 statements, and a 5-point Likert scale is used to indicate the participant's agreement with the statements.

    The response of each participants is collated and a standardized formula is applied to calculate the final SUS score. A score above 68 is above average and scores below 68 is below average in terms of system usability.

    A score of less than 68 indicates that the participants may have less than average user experience with the serious game.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   21 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Adult who is visiting Sengkang Polyclinic.
  • Able to understand English.
  • Has a mobile phone which was compatible with the serious game and willing to download and attempt the serious game.
  • Able to complete questionnaires on the online secured platform, Form.sg.

Exclusion Criteria:

  • Adult who is not able to use a mobile phone due to physical or cognitive impairments.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05307484

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SingHealth Polyclinics - Sengkang
Singapore, Singapore, 545025
Sponsors and Collaborators
SingHealth Polyclinics
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Principal Investigator: Alon Tan SingHealth Polyclinics
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Responsible Party: SingHealth Polyclinics
ClinicalTrials.gov Identifier: NCT05307484    
Other Study ID Numbers: 2020/3091
First Posted: April 1, 2022    Key Record Dates
Last Update Posted: April 1, 2022
Last Verified: March 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by SingHealth Polyclinics:
Serious game
Dengue prevention
Primary care
Additional relevant MeSH terms:
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Arbovirus Infections
Vector Borne Diseases
Virus Diseases
Flavivirus Infections
Flaviviridae Infections
RNA Virus Infections
Hemorrhagic Fevers, Viral