Design, Development and Evaluation of Web-based Escape Rooms to Support the Teaching Process in Undergraduate Medical Education


Toraman Ç. (Executive), Alimoğlu M. K., Tekin M., Saygılı E. S., Kılınçarslan M. G., Tekeş E., et al.

TUBITAK Project, 2023 - 2026

  • Project Type: TUBITAK Project
  • Begin Date: December 2023
  • End Date: March 2026

Project Abstract

In the emergency remote teaching process during the COVID-19, there emerged many problems in medical education such as decreased student participation and motivation in online learning environments and formative assessment process. To overcome these problems, new methods and learning environments have been needed. "Escape Room", which forms the basis of this project, offers a learning environment where students individually or in small groups encounter various problems through scenarios and try to solve them in a time limit.

This Project, which will be the first study in Turkey related to Escape Rooms, aims to investigate the impact of the Escape Rooms on medical student participation in online learning environments, reinforcement of prior learning, transfer of prior knowledge to new situations, and remediation of gaps in learning, and its effectiveness as a formative assessment tool. To do this, the following steps will be taken: (1) designing web-based Escape Rooms to increase student participation, reinforcement of learning, and provide effective feedback, (2) developing software to transfer Escape Room games to the digital learning environment, (3) increasing attendance in online learning, (4) reinforcing learning objectives, (5) providing effective feedback to students, (6) organizing a conference or workshop for medical educators and administrators about the use of Escape Rooms in education, and (7) ensuring the flexibility to add new scenarios by users and educators, and providing free access to the application.

The ADDIE model of instructional design, which consists of five stages: analysis, design, development, implementation, and evaluation, will be used as the project's method. In the analysis stage, two separate groups with 15-20 participants from Çanakkale Onsekiz Mart University (COMU) Faculty of Medicine 3rd and 4th grade students at two different levels will be identified and focus group interviews will be conducted, then the current situation and needs will be determined by identifying remote learning systems, problems encountered in emergency remote teaching, and students' views on emergency remote learning. Based on the data, the structure and content of the Escape Rooms will be reviewed. In the design stage, scenarios will be created. In the development stage, an e-learning platform will be developed based on these scenarios. The implementation stage will be carried out in pilot and actual steps. Two improvement cycles will take place in the pilot implementation. In the first improvement cycle, a task-based usability test will be conducted with  40 volunteer students (20 students from 3rd and 20 from 4th year). Participant views will be obtained through surveys and semi-structured interviews. Quantitative data from the survey will be analyzed using descriptive statistics, while qualitative data will be analyzed using content analysis. The actual implementation step will be carried out at COMU. In the evaluation stage, the level of students' engagement with the multimedia learning material, level of achievement, ability to transfer the learning outcomes in line with the learning objectives, and the opinions of medical faculty students who participated in the learning environment will be evaluated. The scale of engagement with multimedia learning material will be used for the assessment, and final and clinical internship block end-of-semester exams will be used to determine the level of achievement, log records will be kept, and descriptive statistics to analyze quantitative data. The qualitative data at the end of the focus-group interviews and applications will be analyzed using inductive content analysis.

Escape Rooms will not only be used to increase students' participation in online learning environments but also reinforce what they learn, and they will be used as a formative assessment tool to support the measurement and evaluation process.