ClinicalTrials.gg
CompletedNCT07914699Updated Nov 4, 2026

Effects of Tabletop Role-Playing Games on Nursing Students

An interventional study of Tabletop Role-Playing Game Program in Social Anxiety, Self Confidence and Psychological Well-Being, sponsored by Kocaeli University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Kocaeli University · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Sep 2025, registered Oct 2026).
Updated Nov 4, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
230
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 163 studies in Psychological Well-Being with a site in Turkey — 37 open to participants now, 47 under way, none of them phase 3. Psychological Well-Being · Turkey.

Enrollment
2nd of 150
230 · median 63
Started
2025
with 52 others
No phase
150 of 163
37 open now
Registered
154th of 163
by date

Among the 163 studies in Psychological Well-Being with a site in Turkey, this one is the 2nd largest by enrollment of the 150 interventional ones that give a count, is one of 53 that started in 2025, is one of 150 with no phase, and was the 154th registered.

Psychological Well-Being

2,193 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

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Open to participants now

37 of the 163 studies in Psychological Well-Being with a site in Turkey are open now. Recruiting first, the newest first:

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All 37 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 402 Psychological Well-Being studies recruiting now, 218 (54%) set no upper age limit and 158 (39%) stop at 75 or younger; 120 take children under 18; 203 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

This randomized controlled study evaluates the effects of a four-month tabletop role-playing game (TTRPG) program on self-confidence, social anxiety, and mental well-being among undergraduate nursing students. TTRPGs are collaborative games in which participants create and portray fictional characters in a structured fictional setting, with dice used to determine the outcomes of certain actions. Nursing students are randomly assigned to a TTRPG intervention group or a no-intervention control group. Self-confidence, social anxiety, and mental well-being are assessed at baseline, at month 2, and at month 4 using validated self-report scales.

Read the detailed description

Nursing education can be demanding and may be associated with psychological challenges, including reduced self-confidence, social anxiety, and difficulties in maintaining mental well-being. Innovative and engaging approaches that may support nursing students' psychological well-being are therefore of interest. Tabletop role-playing games (TTRPGs) provide a collaborative and interactive environment in which participants create and portray fictional characters, communicate with other players, solve problems, make decisions, and respond to changing situations within a structured fictional setting. The use of dice adds an element of uncertainty and allows different outcomes to emerge during gameplay.

This study investigates whether participation in a structured TTRPG program improves self-confidence and mental well-being and reduces social anxiety among nursing students. Students are stratified by academic year and randomly allocated to an intervention group or a control group using a computer-generated allocation sequence with sequentially prepared opaque sealed envelopes.

The intervention group participates in face-to-face TTRPG sessions informed by Dungeons \& Dragons gameplay mechanics, delivered in 60-minute sessions twice weekly for four months in small groups of approximately seven students. A game leader facilitates the sessions according to a standardized study protocol. The intervention is designed as an educational and recreational activity, not as a therapeutic or psychological treatment. The control group receives no study intervention and continues usual academic and social activities.

Outcomes are assessed at baseline, at month 2 (mid-intervention), and at month 4 (end of intervention) using the Self-Confidence Scale, the Liebowitz Social Anxiety Scale (anxiety and avoidance subscales), and the Warwick-Edinburgh Mental Well-being Scale. Changes in these outcomes are compared between and within groups over time.

03

Conditions studied

  • Social Anxiety
  • Self Confidence
  • Psychological Well-Being

Keywords

  • Tabletop Role-Playing Games
  • Role Playing
  • Game-Based Learning
  • Nursing Students
  • Nursing Education
  • Mental Health
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Being enrolled in the first, second, third, or fourth year of the undergraduate nursing programme at Kocaeli University during the 2025-2026 academic year.
  • Voluntarily agreeing to participate in the study.
  • Being able to speak and understand Turkish.
  • Having no previous experience with tabletop role-playing games (TTRPGs).
  • Providing to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Not attending the TTRPG sessions during the intervention period, according to the predefined study criteria.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
230 participants (actual)

Study arms

  • Experimental
    Tabletop Role-Playing Game (TTRPG) Program

    Undergraduate nursing students (stratified by academic year) participate in a structured, face-to-face tabletop role-playing game (TTRPG) program informed by Dungeons \& Dragons gameplay mechanics, delivered in 60-minute sessions twice weekly for four months in small groups of approximately seven students. Outcomes are assessed at baseline, month 2, and month 4.

    Behavioral: Tabletop Role-Playing Game Program

  • No intervention
    Control: Usual Academic Activities

    Undergraduate nursing students (stratified by academic year) receive no study intervention and continue their usual academic and social activities during the four-month study period. Outcomes are assessed at baseline, month 2, and month 4.

Interventions

  • BehavioralTabletop Role-Playing Game Program

    A structured, face-to-face tabletop role-playing game program delivered in 60-minute sessions twice weekly for four months in small groups of approximately seven students, using printed game materials, character sheets, dice, and the Dungeons \& Dragons rulebook. Each participant creates a fictional character; a trained game leader presents the scenario and facilitates the narrative, while students communicate, plan strategies, make individual and group decisions, and solve problems within the game. Sessions are recreational and collaborative and do not include psychotherapy or counselling. Session structure, frequency, duration, and facilitation procedures are standardized across groups.

06

What researchers measure

Primary outcomes

  1. Change in Self-Confidence Total Score Measured by the Self-Confidence Scale

    Self-confidence is measured with the Turkish Self-Confidence Scale (Akın, 2007), a 33-item self-report instrument rated on a 5-point Likert scale (1 = never, 5 = always). The total score is reported as the mean item score, ranging from 1 (minimum) to 5 (maximum); higher scores indicate greater self-confidence.

    Time frame: Baseline, month 2 (mid-intervention), and month 4 (end of intervention)

Secondary outcomes

  1. Change in Social Fear/Anxiety Measured by the Liebowitz Social Anxiety Scale Fear/Anxiety Subscale

    Social fear/anxiety is measured with the fear/anxiety subscale of the Turkish version of the Liebowitz Social Anxiety Scale (LSAS). Each of the 24 social and performance situations is rated for fear/anxiety from 0 (none) to 3 (severe). Subscale scores range from 0 (minimum) to 72 (maximum); higher scores indicate greater social fear/anxiety (worse outcome).

    Time frame: Baseline, month 2 (mid-intervention), and month 4 (end of intervention)

  2. Change in Social Avoidance Measured by the Liebowitz Social Anxiety Scale Avoidance Subscale

    Social avoidance is measured with the avoidance subscale of the Turkish version of the Liebowitz Social Anxiety Scale (LSAS). Each of the 24 social and performance situations is rated for avoidance from 0 (never) to 3 (usually). Subscale scores range from 0 (minimum) to 72 (maximum); higher scores indicate greater social avoidance (worse outcome).

    Time frame: Baseline, month 2 (mid-intervention), and month 4 (end of intervention)

  3. Change in Mental Well-being Measured by the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)

    Mental well-being is measured with the Turkish version of the Warwick-Edinburgh Mental Well-being Scale, a 14-item self-report instrument rated on a 5-point Likert scale (1 = none of the time, 5 = all of the time). Total scores range from 14 (minimum) to 70 (maximum); higher scores indicate greater mental well-being.

    Time frame: Baseline, month 2 (mid-intervention), and month 4 (end of intervention)

07

Study locations

1 site
  • Kocaeli University
    Kocaeli, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers because no data-sharing plan has been established. The study data will be handled confidentially to protect participants' privacy and comply with applicable ethical requirements.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2025 to primary completion in Sep 2025, 0 months.

Of 1,259 non-industry interventional studies with no phase under Psychological Well-Being, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 34. This study's 0 months is below that.

Counting every sponsor, half of 1,302 studies reached it within 16 months; a quarter within 7 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 9, 2026
First posted
Nov 4, 2026
StartActual
Sep 5, 2025
Primary completionActual
Sep 5, 2025
CompletionActual
Jan 20, 2026
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07914699
Lead sponsor
Kocaeli University
Responsible party
Şükriye ŞAHİN (Assit. Prof., Kocaeli University) — Principal investigator
First posted
Nov 4, 2026
Start date
Sep 5, 2025
Primary completion
Sep 5, 2025
Completion
Jan 20, 2026
Last update
Nov 4, 2026

Study contacts

Sukriye Sahin
principal investigator · Kocaeli University, Faculty of Health Sciences, Department of Nursing, Kocaeli, Türkiye

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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