@article{10818/47824,
year = {2020},
month = {2},
url = {http://hdl.handle.net/10818/47824},
abstract = {Objective: Differences in cultural background between health providers and patients can reduce effective access
to health services in multicultural settings. Health sciences educators have recently suggested that game-based
learning may be effective for cross-cultural care training. This scoping review maps published knowledge on
educational games intended to foster cross-cultural care training and highlights the research gaps for future
research.
Materials and Methods: A scoping review searched PubMed, Eric, Embase, Lilacs, PsycINFO, and Google
Scholar for theoretical and empirical research, using terms relevant to cross-cultural care and game-based
learning. A participatory research framework engaged senior medical students and participatory research experts in conducting and evaluating the review.
Results: Forty-one documents met the inclusion criteria, all from developed countries. The most common source of
publication was nursing and medicine (39%; 16/41) and used the cultural competence approach (44%; 18/41).
Around one-half of the publications (51%; 21/41) were theoretical and 39% (16/41) were empirical. Empirical
studies most commonly used mixed methods (44%; 7/16), followed by strictly quantitative (31%; 5/16) or qualitative (25%; 4/16) approaches. There were no randomized controlled trials and only one study engaged end-users
in the design. Empirical studies most frequently assessed role-play-related games (44%; 7/16) and used game
evaluation-related outcomes or learning-related outcomes. None used patient-oriented outcomes. Findings suggest
that educational games are an effective and engaging educational intervention for cross-cultural care training.
Conclusions: The paucity of studies on educational games and cross-cultural care training precludes a systematic review. Future empirical studies should focus on randomized counterfactual designs and patient-related
outcomes. We encourage involving end-users in developing content for educational games},
publisher = {Games for Health Journal},
title = {Game-Based Learning Interventions to Foster Cross-Cultural Care Training: A Scoping Review},
doi = {10.1089/g4h.2019.0078},
author = {Pimentel, Juan and Arias, Alexandra and Ramírez, David and Molina, Adriana and Chomat, Anne Marie and Cockcroft, Anne and Andersson, Neil},
}