{"id":"https://openalex.org/W7223673815","doi":"https://doi.org/10.1152/advan.90061.2026","title":"A Comparison of Game-Based Learning and Peer-Assisted Learning in Cardiovascular Physiology among First-Year Medical Students: A Randomized Controlled Crossover Trial","display_name":"A Comparison of Game-Based Learning and Peer-Assisted Learning in Cardiovascular Physiology among First-Year Medical Students: A Randomized Controlled Crossover Trial","publication_year":2026,"publication_date":"2026-10-22","ids":{"openalex":"https://openalex.org/W7223673815","doi":"https://doi.org/10.1152/advan.90061.2026","pmid":"https://pubmed.ncbi.nlm.nih.gov/42932998"},"language":"en","primary_location":{"id":"doi:10.1152/advan.90061.2026","doi":"https://doi.org/10.1152/advan.90061.2026","is_oa":true,"landing_page_url":"https://doi.org/10.1152/advan.90061.2026","pdf_url":null,"source":{"id":"https://openalex.org/S95725323","display_name":"AJP Advances in Physiology Education","issn_l":"1043-4046","issn":["1043-4046","1522-1229"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320261","host_organization_name":"American Physical Society","host_organization_lineage":["https://openalex.org/P4310320261"],"host_organization_lineage_names":["American Physical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Physiology Education","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1152/advan.90061.2026","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159709010","display_name":"Muppavaram Pranay","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Muppavaram Pranay","raw_affiliation_strings":["Geetanjali Medical College and Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geetanjali Medical College and Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159637462","display_name":"Manjinder Kaur","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Manjinder Kaur","raw_affiliation_strings":["Geetanjali Medical College and Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geetanjali Medical College and Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159623002","display_name":"Naren Kurmi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Naren Kurmi","raw_affiliation_strings":["Geetanjali Medical College and Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geetanjali Medical College and Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150857592","display_name":"Pandya Nilay","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nilay Pandya","raw_affiliation_strings":["Geetanjali Medical College and Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geetanjali Medical College and Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159630557","display_name":"Usha Rani","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Usha Rani","raw_affiliation_strings":["Geetanjali Medical College and Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geetanjali Medical College and Hospital","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85449027,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.8330000042915344,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.8330000042915344,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.15889999270439148,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11526","display_name":"Innovative Teaching Methods","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/educational-games","display_name":"game-based learning","score":0.9900000095367432},{"id":"https://openalex.org/keywords/peer-assisted-learning","display_name":"peer-assisted learning","score":0.8730000257492065},{"id":"https://openalex.org/keywords/cardiovascular-physiology","display_name":"cardiovascular physiology","score":0.7429999709129333},{"id":"https://openalex.org/keywords/educational-board-game","display_name":"educational board game","score":0.734000027179718},{"id":"https://openalex.org/keywords/first-year-medical-students","display_name":"first-year medical students","score":0.8640000224113464},{"id":"https://openalex.org/keywords/active-learning","display_name":"active learning","score":0.796999990940094},{"id":"https://openalex.org/keywords/student-engagement","display_name":"student engagement","score":0.8059999942779541},{"id":"https://openalex.org/keywords/knowledge-retention","display_name":"knowledge retention","score":0.7319999933242798},{"id":"https://openalex.org/keywords/forgetting","display_name":"forgetting","score":0.6809999942779541},{"id":"https://openalex.org/keywords/student-satisfaction","display_name":"student satisfaction","score":0.7549999952316284}],"concepts":[{"id":"https://openalex.org/C87813604","wikidata":"https://www.wikidata.org/wiki/Q1242899","display_name":"Crossover study","level":4,"score":0.704200029373169},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6571000218391418},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5564000010490417},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5091000199317932},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.47839999198913574},{"id":"https://openalex.org/C2986265897","wikidata":"https://www.wikidata.org/wiki/Q23852","display_name":"Human physiology","level":2,"score":0.4740000069141388},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4169999957084656},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.4027000069618225},{"id":"https://openalex.org/C42407357","wikidata":"https://www.wikidata.org/wiki/Q521","display_name":"Physiology","level":1,"score":0.33889999985694885},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.31700000166893005},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31049999594688416},{"id":"https://openalex.org/C2776291881","wikidata":"https://www.wikidata.org/wiki/Q6423378","display_name":"Knowledge level","level":2,"score":0.30660000443458557},{"id":"https://openalex.org/C122507166","wikidata":"https://www.wikidata.org/wiki/Q628906","display_name":"Crossover","level":2,"score":0.29510000348091125},{"id":"https://openalex.org/C10431821","wikidata":"https://www.wikidata.org/wiki/Q6510174","display_name":"Learning effect","level":2,"score":0.27730000019073486},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.27709999680519104},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C105054674","wikidata":"https://www.wikidata.org/wiki/Q3707381","display_name":"Mean difference","level":3,"score":0.2574000060558319}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1152/advan.90061.2026","doi":"https://doi.org/10.1152/advan.90061.2026","is_oa":true,"landing_page_url":"https://doi.org/10.1152/advan.90061.2026","pdf_url":null,"source":{"id":"https://openalex.org/S95725323","display_name":"AJP Advances in Physiology Education","issn_l":"1043-4046","issn":["1043-4046","1522-1229"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320261","host_organization_name":"American Physical Society","host_organization_lineage":["https://openalex.org/P4310320261"],"host_organization_lineage_names":["American Physical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Physiology Education","raw_type":"journal-article"},{"id":"pmid:42932998","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42932998","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in physiology education","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1152/advan.90061.2026","doi":"https://doi.org/10.1152/advan.90061.2026","is_oa":true,"landing_page_url":"https://doi.org/10.1152/advan.90061.2026","pdf_url":null,"source":{"id":"https://openalex.org/S95725323","display_name":"AJP Advances in Physiology Education","issn_l":"1043-4046","issn":["1043-4046","1522-1229"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320261","host_organization_name":"American Physical Society","host_organization_lineage":["https://openalex.org/P4310320261"],"host_organization_lineage_names":["American Physical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Physiology Education","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.975600004196167,"display_name":"Quality education","id":"https://metadata.un.org/sdg/4"},{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4398175611","https://openalex.org/W2724876066","https://openalex.org/W4389028271","https://openalex.org/W7213397458","https://openalex.org/W3032532252","https://openalex.org/W2928356964","https://openalex.org/W4414428298","https://openalex.org/W4389447789","https://openalex.org/W3165638029","https://openalex.org/W4403823620"],"abstract_inverted_index":{"Direct":[0],"comparisons":[1],"between":[2,243],"game-based":[3],"learning":[4,7,19],"and":[5,81,95,216,245,255],"peer-assisted":[6],"(PAL)":[8],"in":[9,20,92,97,182,238],"cardiovascular":[10,50],"physiology":[11,51],"remain":[12],"limited":[13],"despite":[14],"growing":[15],"emphasis":[16],"on":[17],"active":[18],"medical":[21],"education.":[22],"This":[23],"randomized":[24,54],"controlled":[25],"crossover":[26,83],"trial":[27],"compared":[28],"a":[29],"novel":[30],"educational":[31],"board":[32],"game,":[33],"CardioLeague":[34,198,244,248],"(Group":[35,39,135],"A),":[36],"with":[37,115,159,192,251],"PAL":[38,200],"B)":[40],"among":[41],"first-year":[42],"MBBS":[43],"students.":[44],"Thirty-six":[45],"students":[46],"who":[47],"had":[48],"completed":[49],"lectures":[52],"were":[53,100],"1:1":[55],"into":[56],"two":[57,96],"groups":[58,125,184],"(n":[59,107],"=":[60,108,122,145,157,174,228],"18":[61],"each).":[62],"Knowledge":[63,178],"was":[64,113,241,249],"assessed":[65,114],"via":[66],"multiple-choice":[67],"questionnaire":[68,119],"at":[69,164],"pre-test,":[70],"immediately":[71],"after":[72,82,131],"intervention":[73,134],"(post-test":[74,79,88],"1),":[75],"one":[76],"week":[77],"later":[78],"2),":[80],"to":[84,102,140,152,176],"the":[85],"alternate":[86],"method":[87],"3).":[89],"Four":[90],"participants":[91],"Group":[93,98,147],"A":[94],"B":[99],"lost":[101],"follow-up":[103],"before":[104],"post-test":[105,186],"2":[106],"30":[109],"thereafter).":[110],"Learner":[111,195],"perception":[112,196],"an":[116],"18-item":[117],"Likert-scale":[118],"(Cronbach's":[120],"\u03b1":[121],"0.960).":[123],"Both":[124],"showed":[126],"significant":[127,161,236],"within-group":[128],"knowledge":[129,239],"gains":[130,240],"their":[132],"initial":[133],"A:":[136],"13.39":[137],"\u00b1":[138,142,150,154,207,211,221,225],"4.82":[139],"16.56":[141],"4.05,":[143],"P":[144,156,169,213,227],"0.0024**;":[146],"B:":[148],"15.17":[149],"5.73":[151],"17.83":[153],"4.74,":[155],"0.0236*),":[158],"no":[160,234],"between-group":[162],"difference":[163,237],"any":[165],"assessment":[166],"point":[167],"(all":[168],">":[170],"0.05;":[171],"Cohen's":[172],"d":[173],"-0.29":[175],"0.22).":[177],"scores":[179],"declined":[180],"significantly":[181],"both":[183],"by":[185],"3":[187],"(P":[188],"<":[189,214],"0.0001***),":[190],"consistent":[191],"expected":[193],"forgetting.":[194],"favored":[197],"over":[199],"across":[201],"most":[202],"domains,":[203],"including":[204],"engagement":[205,254],"(4.61":[206],"0.45":[208],"vs.":[209,223],"3.84":[210],"0.70,":[212],"0.001***)":[215],"overall":[217],"conclusion":[218],"ratings":[219],"(4.48":[220],"0.98":[222],"3.56":[224],"1.00,":[226],"0.009**).":[229],"These":[230],"findings":[231],"indicate":[232],"that":[233],"statistically":[235],"detected":[242],"PAL,":[246],"while":[247],"associated":[250],"greater":[252],"learner":[253],"satisfaction.":[256]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-27T00:00:00"}
