Interim Evaluation

Combined evaluation report. Created on 2026-09-04.

Analysis complementing the paper "Evaluating an AI-supported serious game in digital health management education: Mixed-Methods Approach" (Hering et al., 2026).

1. Data overview

Means and standard deviations by construct

InstrumentDimensionnMSD
PPS-155.951.01
BUS-11-154.180.70
CMS Teaching-Learning-154.981.03
Comprehensibility155.170.75
Realism155.270.94
Teaching design155.110.80
Learning outcomes154.531.29
CMS Pace-152.000.38
CMS Time-151.670.49
CMS Scope-151.800.41
AI model solutions-153.980.66
Completeness154.100.55
Traceability153.900.55
Justification153.840.67
Overall evaluation154.130.82
NPS-158.401.72

Note: n = individual rating per student summarized across HSO and MSH; HSO = Osnabrück University of Applied Sciences; MSH = Medical School Hamburg; PPS = Persona Perception Scale, BUS = Bot Usability Scale; CMS = Centre for Management Simulations; M = Mean score; SD = Standard deviation; for process analysis, evaluations of both the current-state and target-state analyses were pooled.

2. Instrument Results / Figures

Modified PPS

Modified PPS comprises 9 items. Individual rating per student summarized across HSO and MSH (n = 15 per item)

Modified PPS

Note: PPS = Persona Perception Scale. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

Modified BUS-11

Modified BUS-11 comprises 7 items. Individual rating per student summarized across HSO and MSH (n = 15 per item)

Modified BUS-11

Note: BUS = Bot Usability Scale. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

Modified CMS Teaching-Learning Experience

Modified CMS Teaching-Learning Experience comprises 10 items. Individual rating per student summarized across HSO and MSH (n = 15 per item)

Modified CMS Teaching-Learning Experience

Note: CMS = Centre for Management Simulations. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

CMS Pace

Individual rating per student summarized across HSO and MSH (n = 15)

CMS Pace

Note: CMS = Centre for Management Simulations. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

CMS Time

Individual rating per student summarized across HSO and MSH (n = 15)

CMS Time

Note: CMS = Centre for Management Simulations. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

CMS Scope

Individual rating per student summarized across HSO and MSH (n = 15)

CMS Scope

Note: CMS = Centre for Management Simulations. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

AI-generated Model Solution

AI-generated Model Solution comprises 9 items. Individual rating per student summarized across HSO and MSH (n = 15 per item)

AI-generated Model Solution

Note: MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

NPS - Net Promoter Score

Individual rating per student summarized across HSO and MSH (n = 15)

NPS - Net Promoter Score

Note: NPS = Net Promoter Score. MSH = Medical School Hamburg; HSO = Osnabrück University of Applied Sciences.

3. Instrument Results / Statistics

Item means and standard deviations

InstrumentDimensionItemnMSD
PPSI1: The stakeholders seem like real persons.155.870.74
PPSI2: The quotes from the stakeholders match other information displayed, such as name and position.156.400.83
PPSI3: The information from stakeholders seems consistent.156.070.88
PPSI4: The stakeholders provide enough information to enable decisions to be made on behalf of the respective user group they represent.156.000.85
PPSI5: The stakeholders provide enough information to apply the methods in terms of content completeness.155.930.80
PPSI6: I feel like I understand the stakeholders.156.330.82
PPSI7: I can imagine a day in the life of the stakeholders.155.271.53
PPSI8: I can use the information provided by stakeholders to apply the methods (application of the information).156.270.96
PPSI9: The stakeholders can improve my ability to make decisions about the user group they describe.155.401.06
BUS-11I1: Communicating with the stakeholders was clear.154.200.56
BUS-11I2: The stakeholders were able to keep track of context.153.800.56
BUS-11I3: The stakeholders' responses were easy to understand.154.600.51
BUS-11I4: I find the stakeholders understand what I want and help me achieve the objective of the course.153.930.70
BUS-11I5: The stakeholders give me the appropriate amount of information.153.800.86
BUS-11I6: I feel like the stakeholders' responses were accurate.154.330.62
BUS-11I7: My waiting time for a response from the stakeholders was short.154.600.63
CMS Teaching-LearningComprehensibilityI1: The game results are easy to follow.154.930.59
CMS Teaching-LearningComprehensibilityI2: I’ve understood how the simulation works.155.400.83
CMS Teaching-LearningRealismI3: The case study feels realistic.155.201.15
CMS Teaching-LearningRealismI4: The situations depicted in the simulation appear realistic.155.330.72
CMS Teaching-LearningTeaching designI5: The course is well structured throughout all its stages (introduction, briefing, working phase, debriefing, peer group feedback).154.870.83
CMS Teaching-LearningTeaching designI6: There are ample opportunities to seek feedback from the lecturer.155.130.83
CMS Teaching-LearningTeaching designI7: Consultations with the lecturer take place in a constructive atmosphere.155.330.72
CMS Teaching-LearningLearning outcomesI8: I've learnt a ton through the simulation game so far.154.271.16
CMS Teaching-LearningLearning outcomesI9: My understanding of the subject has developed as a result of the course.154.601.50
CMS Teaching-LearningLearning outcomesI10: I find the simulation game very motivating.154.731.22
CMS PaceThe pace of the course is ...152.000.38
CMS TimeThe time available for each game round is ...151.670.49
CMS ScopeThe scope of the group discussions and lecturer feedback is ...151.800.41
AI model solutionsCompletenessI1: ... covered all the key aspects of the method.154.070.46
AI model solutionsCompletenessI2: ... covered all the key content.154.130.64
AI model solutionsTraceabilityI3: ... clearly illustrated how the results were derived.153.870.52
AI model solutionsTraceabilityI4: ... consisted of steps that built logically upon one another.153.930.59
AI model solutionsJustificationI5: ... provided enough explanations for the results presented.153.670.72
AI model solutionsJustificationI6: ... used clearly worded explanations.153.930.59
AI model solutionsJustificationI7: ... and the explanations they contain helped me to understand the results better.153.930.70
AI model solutionsOverall evaluationI8: ... helped me reflect on our approach.154.270.88
AI model solutionsOverall evaluationI9: ... supported my understanding of the method and its overall purpose.154.000.76
NPSWould you recommend using the simulation game in future courses?158.401.72

Note: n = individual rating per student summarized across HSO and MSH; HSO = Osnabrück University of Applied Sciences; MSH = Medical School Hamburg; PPS = Persona Perception Scale, BUS = Bot Usability Scale; CMS = Centre for Management Simulations; M = Mean score; SD = Standard deviation; for process analysis, evaluations of both the current-state and target-state analyses were pooled.