Development of Game-Based Learning Model for Medical Coding I Class with Students in Diploma of Medical Record in Kanchanabhishek Institute of Medical and Public Health Technology

Abstract

This research and development study aimed to describe learning situations in order to develop an instructional game-based model for Medical Coding I class, and to evaluate the effects of the instructional model on knowledge of students in Diploma of Medical Record. There were 3 main steps in this study. Firstly, a learning situation was carried out using focus group discussion among 6 students in their second year, as well as 6 instructors. Secondly, the draft of an instructional game-based model was evaluated by three experts, in order to improve its proprieties and the possibility of developing an effective instructional model. Lastly, the effects of the instructional model on the knowledge of students was measured. The   first year students were randomly assigned in a control group or an experimental group (50 students per group). Descriptive statistics, independent t-test and paired t-test were used   to analyze data. The results of this study were as follows.

In terms of the learning situation analysis, students in Medical Coding I class reported that the lecture on the ICD-10 medical coding was boring. Moreover, at the end of the class activities, the students were not enthusiastic about finding out the answers. They were waiting to get the answer keys from instructors. Students wanted learning activities that would encourage them to improve their knowledge and memory.

The developed game-based instructional model consisted of various activities, such as “Kahoot online program”, and “finding medical coding” competition game.

The knowledge score after using the model was higher than before using the model at the statistically significant level of .001. Moreover, the mean score on knowledge was higher after using the model (M=24.70, SD=3.68) than before (M=17.76, SD=2.99), at the significant level of .001.       The game-based teaching technique on Medical Coding I Course can apply to improve class activity which is appropriate for students. Moreover, it is easy to add up some questions, and content.