Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Serious game as oral histology learning strategy for undergraduate dental students; crossover randomized controlled trial

Authors: Lisa R. Amir, Irene C. Leonardy, Salsabila N. Dewatmoko, Rezon Yanuar, Dewi F. Suniarti, Erik Idrus, Kawin Sipiyaruk, Ria Puspitawati

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

Oral histology is perceived by dental students as a challenging subject and often struggle to recognize the long-term relevance of understanding the cells and tissues at the microscopic level. Serious games have been reported to have a positive effect on student cognitive skills and learning motivation. However, there is still a limited amount of research supporting the effectiveness of serious games as a learning method in dentistry. The present study aimed to evaluate the impact of serious game of HistoRM as a complementary learning strategy for oral histology.

Methods

The study design was a crossover randomized controlled trial. A total of 74 first year dental students of Universitas Indonesia participated in the study and divided into 2 groups. Study intervention included HistoRM game for 3 days followed by a combination of HistoRM and script-based handouts for another 4 days. The groups represented different intervention sequences. Evaluation was performed using pre-test, post-test on day 3 and 7 and a questionnaire.

Results

The data showed significant improvement of student cognitive skills (p < 0.001) and it was influenced by the number of game missions completed. Students who completed the whole 15 missions have a higher day-7 post-tests scores (p = 0.03). Perception of dental students on HistoRM was positive in all domains tested, the learning content, games and learning experience domains. Immediate feedback given after each gameplay helped the students understand the subject matters.

Conclusion

Serious game of HistoRM effectively improved students’ understanding of oral histology learning outcome and provided more interesting learning experiences. This innovative learning can be recommended as a complementary learning strategy of oral histology for dental students.
Appendix
Available only for authorised users
Literature
1.
go back to reference Felszeghy S, Pasonen-Seppänen S, Koskela A, Nieminen P, Härkönen K, Paldanius KMA, Gabbouj S, Ketola K, Hiltunen M, Lundin M, Haapaniemi T, Sointu E, Bauman EB, Gilbert GE, Morton D, Mahonen A. Using online game-based platforms to improve student performance and engagement in histology teaching. BMC Med Educ. 2019;22(1):273.CrossRef Felszeghy S, Pasonen-Seppänen S, Koskela A, Nieminen P, Härkönen K, Paldanius KMA, Gabbouj S, Ketola K, Hiltunen M, Lundin M, Haapaniemi T, Sointu E, Bauman EB, Gilbert GE, Morton D, Mahonen A. Using online game-based platforms to improve student performance and engagement in histology teaching. BMC Med Educ. 2019;22(1):273.CrossRef
2.
go back to reference Teshome D. Attitude and perception of medical students towards histology subject at Wollo University, Ethiopia. Adv Med Educ Pract. 2022;1913:337–44.CrossRef Teshome D. Attitude and perception of medical students towards histology subject at Wollo University, Ethiopia. Adv Med Educ Pract. 2022;1913:337–44.CrossRef
3.
go back to reference Qasim WF, Al-Khafaji LK, Alhamdani F. E-Learning attitude in Dental Class between oral histology and embryology (comparative study). Pakistan J Med Health Sci. 2021;15(4):1299–302. Qasim WF, Al-Khafaji LK, Alhamdani F. E-Learning attitude in Dental Class between oral histology and embryology (comparative study). Pakistan J Med Health Sci. 2021;15(4):1299–302.
4.
go back to reference Janssen A, Shaw T, Goodyear P, Kerfoot BP, Bryce D. A little healthy competition: using mixed methods to pilot a team-based digital game for boosting medical student engagement with anatomy and histology content. BMC Med Educ. 2015;12:15:173.CrossRef Janssen A, Shaw T, Goodyear P, Kerfoot BP, Bryce D. A little healthy competition: using mixed methods to pilot a team-based digital game for boosting medical student engagement with anatomy and histology content. BMC Med Educ. 2015;12:15:173.CrossRef
5.
go back to reference Wu YH, Chiang CP. Comparison of virtual microscopy and real microscopy for learning oral histology laboratory course among dental students. J Dent Sci. 2022;17(3):1201–5.CrossRefPubMedPubMedCentral Wu YH, Chiang CP. Comparison of virtual microscopy and real microscopy for learning oral histology laboratory course among dental students. J Dent Sci. 2022;17(3):1201–5.CrossRefPubMedPubMedCentral
6.
go back to reference Johnson S, Purkiss J, Holaday L, Selvig D, Hortsch M. Learning histology - dental and medical students’ study strategies. Eur J Dent Educ. 2015;19(2):65–73.CrossRefPubMed Johnson S, Purkiss J, Holaday L, Selvig D, Hortsch M. Learning histology - dental and medical students’ study strategies. Eur J Dent Educ. 2015;19(2):65–73.CrossRefPubMed
7.
go back to reference Wheeler MA, Ewers M, Buonanno JF. Different rates of forgetting following study versus test trials. Memory. 2003;11(6):571–80.CrossRefPubMed Wheeler MA, Ewers M, Buonanno JF. Different rates of forgetting following study versus test trials. Memory. 2003;11(6):571–80.CrossRefPubMed
8.
go back to reference Cortright RN, Lujan HL, Blumberg AJ, Cox JH, DiCarlo SE. Higher levels of intrinsic motivation are related to higher levels of class performance for male but not female students. Adv Physiol Educ. 2013;37(3):227–32.CrossRefPubMed Cortright RN, Lujan HL, Blumberg AJ, Cox JH, DiCarlo SE. Higher levels of intrinsic motivation are related to higher levels of class performance for male but not female students. Adv Physiol Educ. 2013;37(3):227–32.CrossRefPubMed
9.
go back to reference Bauman EB, Games. Virtual environments, Mobile Applications and a futurist’s crystal ball. Clin Simul Nurs. 2016;12:109–14.CrossRef Bauman EB, Games. Virtual environments, Mobile Applications and a futurist’s crystal ball. Clin Simul Nurs. 2016;12:109–14.CrossRef
10.
go back to reference van Gaalen AEJ, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR. Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract. 2021;26(2):683–711.CrossRefPubMed van Gaalen AEJ, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR. Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract. 2021;26(2):683–711.CrossRefPubMed
11.
go back to reference Qian M, Clark KR. Game-based learning and 21st century skills: a review of recent research. Comput Hum Behav. 2016;63:50–8.CrossRef Qian M, Clark KR. Game-based learning and 21st century skills: a review of recent research. Comput Hum Behav. 2016;63:50–8.CrossRef
12.
go back to reference Gorbanev I, Agudelo-Londoño S, González RA, Cortes A, Pomares A, Delgadillo V, Yepes FJ, Muñoz Ó. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy. Med Educ Online. 2018;23(1):1438718.CrossRefPubMedPubMedCentral Gorbanev I, Agudelo-Londoño S, González RA, Cortes A, Pomares A, Delgadillo V, Yepes FJ, Muñoz Ó. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy. Med Educ Online. 2018;23(1):1438718.CrossRefPubMedPubMedCentral
13.
go back to reference Krath J, Schürmann L, von Korflesch HFO. Revealing the theoretical basis of gamification: a systematic review and analysis of theory in research on gamification, serious games and game-based learning. Comput Hum Behav 2021;125,106963, ISSN 0747 – 563. Krath J, Schürmann L, von Korflesch HFO. Revealing the theoretical basis of gamification: a systematic review and analysis of theory in research on gamification, serious games and game-based learning. Comput Hum Behav 2021;125,106963, ISSN 0747 – 563.
14.
go back to reference Sipiyaruk K, Gallagher JE, Hatzipanagos S, Reynolds PA. A rapid review of serious games: from healthcare education to dental education. Eur J Dent Educ. 2018;22(4):243–57.CrossRefPubMed Sipiyaruk K, Gallagher JE, Hatzipanagos S, Reynolds PA. A rapid review of serious games: from healthcare education to dental education. Eur J Dent Educ. 2018;22(4):243–57.CrossRefPubMed
15.
go back to reference Sipiyaruk K, Hatzipanagos S, Reynolds PA, Gallagher JE. Serious Games and the COVID-19 pandemic in Dental Education: an integrative review of the literature. Comput. 2021;10:42.CrossRef Sipiyaruk K, Hatzipanagos S, Reynolds PA, Gallagher JE. Serious Games and the COVID-19 pandemic in Dental Education: an integrative review of the literature. Comput. 2021;10:42.CrossRef
16.
go back to reference Sailer M, Homner L. The gamification of learning: a Meta-analysis. Educ Psychol Rev. 2020;32:77–112.CrossRef Sailer M, Homner L. The gamification of learning: a Meta-analysis. Educ Psychol Rev. 2020;32:77–112.CrossRef
17.
go back to reference Nieto-Escamez FA, Roldán-Tapia MD. Gamification as Online Teaching Strategy during COVID-19: a Mini-Review. Front Psychol. 2021;21:12:648552.CrossRef Nieto-Escamez FA, Roldán-Tapia MD. Gamification as Online Teaching Strategy during COVID-19: a Mini-Review. Front Psychol. 2021;21:12:648552.CrossRef
19.
go back to reference Lang F, Willuth E, Haney CM, Felinska EA, Wennberg E, Kowalewski KF, Schmidt MW, Wagner M, Müller-Stich BP, Nickel F. Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study. Surg Endosc. 2023;37(3):2050–61. https://doi.org/10.1007/s00464-022-09733-6. Epub 2022 Oct 26.CrossRefPubMed Lang F, Willuth E, Haney CM, Felinska EA, Wennberg E, Kowalewski KF, Schmidt MW, Wagner M, Müller-Stich BP, Nickel F. Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study. Surg Endosc. 2023;37(3):2050–61. https://​doi.​org/​10.​1007/​s00464-022-09733-6. Epub 2022 Oct 26.CrossRefPubMed
20.
go back to reference Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;23:340:c332.CrossRef Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;23:340:c332.CrossRef
22.
go back to reference Orsini CA, Binnie VI, Tricio JA. Motivational profiles and their relationships with basic psychological needs, academic performance, study strategies, self-esteem, and vitality in dental students in Chile. J Educ Eval Health Prof. 2018;19:15:1120. Orsini CA, Binnie VI, Tricio JA. Motivational profiles and their relationships with basic psychological needs, academic performance, study strategies, self-esteem, and vitality in dental students in Chile. J Educ Eval Health Prof. 2018;19:15:1120.
24.
go back to reference Welbers K, Konijn EA, Burgers C, de Vaate AB, Eden A, Brugman BC. Gamification as a tool for engaging student learning: a field experiment with a gamified app. E-Learn Digit Media. 2019;16(2):92–109.CrossRef Welbers K, Konijn EA, Burgers C, de Vaate AB, Eden A, Brugman BC. Gamification as a tool for engaging student learning: a field experiment with a gamified app. E-Learn Digit Media. 2019;16(2):92–109.CrossRef
25.
go back to reference Diehl LA, Souza RM, Gordan PA, Esteves RZ, Coelho IC. InsuOnline, an electronic game for Medical Education on insulin therapy: a Randomized Controlled Trial with Primary Care Physicians. J Med Internet Res. 2017;9(3):e72.CrossRef Diehl LA, Souza RM, Gordan PA, Esteves RZ, Coelho IC. InsuOnline, an electronic game for Medical Education on insulin therapy: a Randomized Controlled Trial with Primary Care Physicians. J Med Internet Res. 2017;9(3):e72.CrossRef
26.
go back to reference Boeker M, Andel P, Vach W, Frankenschmidt A. Game-based e-learning is more effective than a conventional instructional method: a randomized controlled trial with third-year medical students. PLoS ONE. 2013;5(12):e82328.CrossRef Boeker M, Andel P, Vach W, Frankenschmidt A. Game-based e-learning is more effective than a conventional instructional method: a randomized controlled trial with third-year medical students. PLoS ONE. 2013;5(12):e82328.CrossRef
27.
go back to reference Moro C, Phelps C, Stromberga Z. Utilizing serious games for physiology and anatomy learning and revision. Adv Physiol Educ. 2020;1(3):505–7.CrossRef Moro C, Phelps C, Stromberga Z. Utilizing serious games for physiology and anatomy learning and revision. Adv Physiol Educ. 2020;1(3):505–7.CrossRef
28.
go back to reference Wu JH, Du JK, Lee CY. Development and questionnaire-based evaluation of virtual dental clinic: a serious game for training dental students. Med Educ Online. 2021;26(1):1983927.CrossRefPubMedPubMedCentral Wu JH, Du JK, Lee CY. Development and questionnaire-based evaluation of virtual dental clinic: a serious game for training dental students. Med Educ Online. 2021;26(1):1983927.CrossRefPubMedPubMedCentral
29.
go back to reference Arayapisit T, Pojmonpiti D, Dansirisomboon K, Jitverananrangsri K, Poosontipong D, Sipiyaruk K. An educational board game for learning orofacial spaces: an experimental study comparing collaborative and competitive approaches. Anat Sci Educ 2023;25. Arayapisit T, Pojmonpiti D, Dansirisomboon K, Jitverananrangsri K, Poosontipong D, Sipiyaruk K. An educational board game for learning orofacial spaces: an experimental study comparing collaborative and competitive approaches. Anat Sci Educ 2023;25.
30.
go back to reference Sipiyaruk K, Hatzipanagos S, Vichayanrat T, Reynolds PA, Gallagher JE. Evaluating a Dental Public-Health game across two learning contexts. Educ Sci. 2022;12:517.CrossRef Sipiyaruk K, Hatzipanagos S, Vichayanrat T, Reynolds PA, Gallagher JE. Evaluating a Dental Public-Health game across two learning contexts. Educ Sci. 2022;12:517.CrossRef
31.
go back to reference Sipiyaruk K, Hatzipanagos S, Gallagher JE, Reynolds PA. Knowledge Improvement of Dental Students in Thailand and UK Through an Online Serious Game in Dental Public Health. In: Vaz de Carvalho C, Escudeiro P, Coelho A, editors. Serious Games, Interaction, and Simulation: 5th International Conference, SGAMES 2015, Novedrate, Italy, September 16–18, 2015, Revised Selected Papers. Cham: Springer International Publishing, p 80–85. Sipiyaruk K, Hatzipanagos S, Gallagher JE, Reynolds PA. Knowledge Improvement of Dental Students in Thailand and UK Through an Online Serious Game in Dental Public Health. In: Vaz de Carvalho C, Escudeiro P, Coelho A, editors. Serious Games, Interaction, and Simulation: 5th International Conference, SGAMES 2015, Novedrate, Italy, September 16–18, 2015, Revised Selected Papers. Cham: Springer International Publishing, p 80–85.
33.
go back to reference Vlachopoulos D, Makri A. The effect of games and simulations on higher education: a systematic literature review. Int J Educ Technol High Educ. 2017;14:22.CrossRef Vlachopoulos D, Makri A. The effect of games and simulations on higher education: a systematic literature review. Int J Educ Technol High Educ. 2017;14:22.CrossRef
34.
go back to reference Borit M, Stangvaltaite-Mouhat L. GoDental! Enhancing flipped classroom experience with game-based learning. Eur J Dent Educ. 2020;24(4):763–72.CrossRefPubMed Borit M, Stangvaltaite-Mouhat L. GoDental! Enhancing flipped classroom experience with game-based learning. Eur J Dent Educ. 2020;24(4):763–72.CrossRefPubMed
35.
go back to reference Udeozor C, Russo Abegão F, Glassey J. An evaluation of the relationship between perceptions and performance of students in a serious game. J Educ Comput Res. 2022;60(2):322–51.CrossRef Udeozor C, Russo Abegão F, Glassey J. An evaluation of the relationship between perceptions and performance of students in a serious game. J Educ Comput Res. 2022;60(2):322–51.CrossRef
36.
go back to reference Francesco Bellotti B, Kapralos K, Lee P, Moreno-Ger R, Berta. “Assessment in and of Serious Games: An Overview”, Adv Hum Comput Interact 2013;Article ID 136864. Francesco Bellotti B, Kapralos K, Lee P, Moreno-Ger R, Berta. “Assessment in and of Serious Games: An Overview”, Adv Hum Comput Interact 2013;Article ID 136864.
37.
go back to reference Csikszentmihalyi M. Flow: the psychology of optimal performance. New York: HarperCollins Publishers; 1990. Csikszentmihalyi M. Flow: the psychology of optimal performance. New York: HarperCollins Publishers; 1990.
38.
go back to reference Arias-Calderón M, Castro J, Gayol S. Serious Games as a method for enhancing Learning Engagement: Student Perception on Online Higher Education during COVID-19. Front Psychol. 2022;27:13:889975.CrossRef Arias-Calderón M, Castro J, Gayol S. Serious Games as a method for enhancing Learning Engagement: Student Perception on Online Higher Education during COVID-19. Front Psychol. 2022;27:13:889975.CrossRef
Metadata
Title
Serious game as oral histology learning strategy for undergraduate dental students; crossover randomized controlled trial
Authors
Lisa R. Amir
Irene C. Leonardy
Salsabila N. Dewatmoko
Rezon Yanuar
Dewi F. Suniarti
Erik Idrus
Kawin Sipiyaruk
Ria Puspitawati
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03286-3

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue