游戏化对沙特阿拉伯抗微生物药物耐药性知识及其与牙科的影响：一项随机对照试验。
The effects of gamification on antimicrobial resistance knowledge and its relationship to dentistry in Saudi Arabia: a randomized controlled trial.
机构信息
Dental Public Health Division, Preventative Dentistry Department, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia.
Medicine and Medical Science Research Center, Deanship of Scientific Research, Umm Al-Qura University, Makkah, Saudi Arabia.
出版信息
BMC Public Health. 2020 May 13;20(1):680. doi: 10.1186/s12889-020-08806-2.
BACKGROUND
Antimicrobial resistance (AMR) has reached alarming levels and is considered to be a worldwide public health problem. One of the most significant factors contributing to the spread of AMR is the lack of proper knowledge about the use of antibiotics, which are being used more frequently in dentistry. Recent studies have found that gamification shows promising results for helping the average person improve their knowledge about health and may also be used to boost knowledge about AMR among the public. This study aimed to assess the effects of gamification on AMR awareness, using a board game to promote knowledge about AMR among the public in Saudi Arabia.
METHODS
Using a single-blinded parallel group randomized controlled trial design, 94 volunteers were recruited and randomized into two groups. The study group received information about AMR by playing a board game, while the control group received the same information given in a conventional lecture. The participants were evaluated three times: (T1) before the intervention, (T2) immediately after the intervention, and (T3) one month after the intervention for follow-up to evaluate their retention of the information.
RESULTS
Results showed that there were significant improvements (p < 0.05) in knowledge scores for T2 and T3 in comparison to the T1 baseline scores in both groups. However, the knowledge scores also relapsed significantly from T2 to T3 in both groups. Nevertheless, the difference in knowledge score T1 to T3 was significantly higher in the study group in comparison to the control group, and the participants had higher mean scores to use the game as health promotion method.
CONCLUSIONS
Gamification using a board game can significantly improve AMR knowledge, with better retention than conventional lecture. It is a promising method for boosting public knowledge about AMR and its relationship to dentistry.
TRIAL REGISTRATION
ISRCTN registry: ISRCTN15884410 (retrospectively registered 26-October-2019).
背景
抗菌药物耐药性（AMR）已经达到令人震惊的水平，被认为是一个全球性的公共卫生问题。导致 AMR 传播的一个最重要因素是人们对抗生素使用缺乏正确的认识，而抗生素在牙科中使用得越来越频繁。最近的研究表明，游戏化在帮助普通人提高健康知识方面显示出了有前景的效果，也可以用于提高公众对抗菌药物耐药性的认识。本研究旨在评估游戏化对抗菌药物耐药性认识的影响，使用棋盘游戏来提高沙特阿拉伯公众对抗菌药物耐药性的认识。
方法
采用单盲平行组随机对照试验设计，招募了 94 名志愿者，并将他们随机分为两组。实验组通过玩棋盘游戏来了解 AMR 信息，而对照组则通过传统讲座获得相同的信息。参与者在三个时间点进行评估：（T1）干预前，（T2）干预后立即，（T3）干预后一个月进行随访，以评估他们对信息的保留情况。
结果
结果显示，两组的知识得分在 T2 和 T3 时均有显著提高（p < 0.05），与 T1 基线得分相比。然而，两组的知识得分在 T2 到 T3 之间也显著下降。尽管如此，与对照组相比，实验组 T1 到 T3 的知识得分差异显著更高，并且参与者对使用游戏作为健康促进方法的评分更高。
结论
使用棋盘游戏的游戏化可以显著提高对抗菌药物耐药性的认识，保留效果优于传统讲座。这是一种提高公众对抗菌药物耐药性及其与牙科关系的认识的有前途的方法。
试验注册
ISRCTN 注册：ISRCTN8624462 （2019 年 10 月 26 日回溯注册）。
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