Robot-Assisted Immersive Escape Room Game for Tobacco Harm Prevention Among Elementary School Students

Официальное название

Effectiveness of a Robot-Assisted Immersive Escape Room Game for Tobacco Harm Prevention Among Fifth- and Sixth-Grade Elementary School Students

Обзор

This study evaluates the effectiveness of a robot-assisted immersive escape room intervention for tobacco harm prevention among upper-grade elementary school students. A total of 200 fifth- and sixth-grade students from elementary schools in New Taipei City, Taiwan, will participate in this quasi-experimental, parallel-group design. Participants will be allocated non-randomly to either the experimental group, which receives the robot-assisted immersive escape room intervention, or the active comparator group, which receives standard classroom-based tobacco harm prevention education. In the experimental arm, an educational robot named "Anti-Smoking Kebbi" serves as a non-player character (NPC) to facilitate human-robot interaction through puzzle-solving and scenario-based learning focused on e-cigarette and tobacco hazards. Both groups will be assessed using validated questionnaires at three time points: baseline (pre-intervention), immediately post-intervention, and 1-month follow-up. Primary and secondary outcome measures will include changes in tobacco harm knowledge, health beliefs, smoking refusal self-efficacy, extended expectation confirmation, learning engagement, behavioral intention, and advocacy intention.

Подробное описание

This study investigates the effectiveness of a robot-assisted immersive escape room game for tobacco harm prevention among elementary school students. The intervention integrates human-robot interaction and gamified learning to enhance students' understanding of e-cigarette and tobacco-related health risks.

A quasi-experimental parallel-group design will be used. Approximately 200 fifth- and sixth-grade students from elementary schools in New Taipei City, Taiwan will participate. Schools will be assigned to either the experimental group or the control group based on matched characteristics such as school size and location.

Students in the experimental group will participate in a 60-minute robot-assisted immersive escape room activity. The educational robot "Anti-Smoking Kebbi" acts as a non-player character (NPC) guiding students through puzzle-solving tasks related to tobacco harm prevention. The control group will receive a standard classroom-based tobacco harm prevention lesson delivered by trained teachers.

Data will be collected using structured questionnaires administered at baseline, immediately after the intervention, and at one-month follow-up. Outcomes include tobacco harm knowledge, health beliefs, smoking refusal self-efficacy, , extended expectation confirmation, learning engagement, behavioral Intention, and advocacy Intention will be assessed using structured questionnaires at baseline, immediately after the intervention, and at one-month follow-up.

Вмешательства

• Поведенческое Robot-assisted Immersive Escape Room Game
  Students participate in a 60-minute robot-assisted immersive escape room designed to prevent e-cigarette use. The session is facilitated by the educational robot "Anti-Smoking Kebbi," which acts as a non-player character (NPC) guiding students through interactive puzzles and scenario-based challenges. The activity integrates human-robot interaction and gamified learning strategies to teach the health risks of e-cigarette use and tobacco prevention concepts. The intervention is delivered once in
• Поведенческое Traditional Tobacco Harm Prevention Education
  Students receive a 60-minute standard classroom-based health education session on tobacco and e-cigarette harms delivered by trained teachers. The session uses lectures, presentation slides, and guided discussion to introduce the health risks of tobacco and e-cigarette use and strategies for prevention. The intervention is delivered once in a classroom setting.

Первичные конечные точки

• Change in Tobacco Harm Knowledge [Срок оценки: Baseline (pre-intervention), immediately post-intervention, and 1-month follow-up]

Вторичные конечные точки (6)

• Change in Health Beliefs About Tobacco Use [Срок оценки: Baseline, immediately post-intervention, and 1-month follow-up.]
• Change in Smoking Refusal Self-Efficacy [Срок оценки: Baseline, immediately post-intervention, and 1-month follow-up.]
• Extended Expectation Confirmation [Срок оценки: Baseline, immediately post-intervention, and 1-month follow-up.]
• Learning Engagement [Срок оценки: Immediately post-intervention.]
• Behavioral Intention [Срок оценки: Immediately post-intervention.]
• Advocacy Intention [Срок оценки: Immediately post-intervention and 1-month follow-up.]

Критерии участия

Критерии включения

• Fifth or sixth grade students from elementary schools in New Taipei City

Age 10-12 years

Written consent from parent/guardian

Verbal assent from student

Able to understand Chinese questionnaires

Критерии исключения

• Prior participation in tobacco harm education trials

History of tobacco-related allergies

Unable to complete questionnaires

Parental refusal to participate

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

Тайвань · 1 центр

• Shuangfeng Elementary School, New Taipei City — New Taipei City

Идентификаторы

NCT: NCT07501572 · 202504HM004

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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