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

Sponsor
National Taiwan Normal University
Study ID
NCT07501572
Status
Enrolling By Invitation

Conditions

  • Tobacco Use

Eligibility Criteria

Sex
ALL
Age
10 Years - 12 Years
Healthy Volunteers
Accepted

Interventions

  • Robot-assisted Immersive Escape Room Game — BEHAVIORAL
    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 a classroom setting.
  • Traditional Tobacco Harm Prevention Education — BEHAVIORAL
    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.

Study Details

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.

Key Dates

First listed
Mar 30, 2026
Start date
Apr 1, 2026
Status verified
Jan 2026
Primary completion
May 1, 2026
Completion
Jun 1, 2026

Study Design

Enrollment
200 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Robot-Assisted Immersive Escape Room Intervention
    Students participate in a 60-minute robot-assisted immersive escape room intervention designed to prevent e-cigarette use. The program uses the "Anti-Smoking Kebbi" robot as a non-player character (NPC) to guide students through interactive puzzles and scenario-based tasks that teach the health risks of e-cigarette use and strategies for tobacco prevention.
  • Active Comparator: Traditional Tobacco Harm Prevention Education
    Students receive a 60-minute traditional health education session on tobacco and e-cigarette harms delivered by trained teachers using lectures, slides, and classroom discussion, consistent with standard school-based health education practices.

Primary Outcome Measure

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

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