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The Effect of Serious Games on Medical Students’ Motivation, Flow and Learning

Author

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  • Ihsen Zairi
  • Mohamed Ben Dhiab
  • Khadija Mzoughi
  • Imtinene Ben Mrad

Abstract

Background and aim Serious games are interactive games with a purpose for education, developed generally under software technology, serious games also include tabletop games (board games and card games), and many of them are used in medical settings like hospital training. Previous work indicates that serious games can enhance students' motivation, interaction, and engagement. This study aimed to evaluate the effectiveness of a serious game on medical students' learning outcomes and determine its effect on students' flow and motivation and examine the relationship between the flow and motivation. Methods This was a prospective study performed for two years (2018-2019 and 2019-2020 academic years). A total of 108 third-year medical students participated in this study. Students were asked to play a serious game on a computer for twenty minutes. A set of questionnaires containing evaluation grids to measure the flow and the motivation were given to students. The effectiveness of the game was assessed using pre-and post-tests. Results Complete datasets were available for 97 students. Flow and motivation dimensions experienced by the students were generally high (mean = 54,5). Significant and positive relationships between the sub-scale of flow experience and intrinsic motivation to know, intrinsic motivation to experience simulation, and the three types of extrinsic motivation were found. There was a negative correlation between the flow dimension and intrinsic motivation toward accomplishments and amotivation. There was a significant difference between the mean scores of pre-tests and post-tests ( p

Suggested Citation

  • Ihsen Zairi & Mohamed Ben Dhiab & Khadija Mzoughi & Imtinene Ben Mrad, 2022. "The Effect of Serious Games on Medical Students’ Motivation, Flow and Learning," Simulation & Gaming, , vol. 53(6), pages 581-601, December.
    • Handle: RePEc:sae:simgam:v:53:y:2022:i:6:p:581-601
    DOI: 10.1177/10468781221123919
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    References listed on IDEAS

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    1. Casper Harteveld & Rui Guimarães & Igor S. Mayer & Rafael Bidarra, 2010. "Balancing Play, Meaning and Reality: The Design Philosophy of LEVEE PATROLLER," Simulation & Gaming, , vol. 41(3), pages 316-340, June.
    2. Pelin AKYOL & Osman İMAMOĞLU, 2019. "The Relationship between Motivation and Flow States in Sports Faculty Students," Asian Journal of Education and Training, Asian Online Journal Publishing Group, vol. 5(3), pages 440-446.
    3. Rosemary Garris & Robert Ahlers & James E. Driskell, 2002. "Games, Motivation, and Learning: A Research and Practice Model," Simulation & Gaming, , vol. 33(4), pages 441-467, December.
    4. Pelin AKYOL & Osman IMAMOGLU, 2019. "The Relationship between Motivation and Flow States in Sports Faculty Students," Asian Journal of Education and Training, Asian Online Journal Publishing Group, vol. 5(3), pages 440-446.
    5. Giovanni Moneta, 2004. "The Flow Model of Intrinsic Motivation in Chinese: Cultural and Personal Moderators," Journal of Happiness Studies, Springer, vol. 5(2), pages 181-217, June.
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    1. Asma BOURIAMI & Samia BOUSSAA & Ahmed Rhassane EL ADIB, 2025. "Effects of Role-Play Simulation-Based Case Studies on Motivation and Learning Strategies in Healthcare Sciences: A Randomized Controlled Trial," Simulation & Gaming, , vol. 56(2), pages 192-209, April.

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