{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:04:43Z","timestamp":1772211883871,"version":"3.50.1"},"reference-count":66,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Universidad de Guayaquil","award":["FCI-021-2024"],"award-info":[{"award-number":["FCI-021-2024"]}]},{"name":"Universidad Bolivariana del Ecuador","award":["PROY-UBE-2024-019"],"award-info":[{"award-number":["PROY-UBE-2024-019"]}]},{"name":"Universidad Tecnol\u00f3gica Indoam\u00e9rica","award":["305.254.2022"],"award-info":[{"award-number":["305.254.2022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computers"],"abstract":"<jats:p>This study aimed to evaluate the effectiveness of the CONGA game, an interactive and gamified digital tool that uses AI-generated or manually created questions with feedback, to improve colon cancer literacy among tenth- semester Software Engineering students at the University of Guayaquil. Grounded in Paulo Freire\u2019s critical pedagogy, CONGA operationalizes the concept of \u201cconscientiza\u00e7\u00e3o\u201d (critical consciousness awakening) by engaging learners in dialogical reflection on medical myths and encouraging critical evaluation of health information sources. This work addresses an age group\u2014emerging adulthood\u2014that is often overlooked in cancer prevention campaigns despite increasing cancer incidence in this population. The game incorporates an adaptive engine that personalizes difficulty and scoring based on player performance, enhancing engagement and learning personalization. A controlled experiment compared the game-based intervention with traditional lecture-based instruction, using pre- and post-test assessments to measure knowledge gains and misconception reduction. Results demonstrated that the CONGA group achieved a significantly higher post-test correct response rate of 82%, compared to 57% in the traditional instruction group, and showed a 70.4% reduction in incorrect responses versus 42.4% in the control group. These findings indicate that CONGA\u2019s adaptive, feedback-driven design was more effective in enhancing short-term knowledge acquisition and immediate conceptual clarification following a single session. The study concludes that, based on immediate post-intervention assessments, gamified learning represents a scalable and engaging pedagogical strategy for colon cancer literacy, particularly in our local younger population. However, these results reflect short-term learning gains measured immediately after a single session, and further research is needed to evaluate long-term knowledge acquisition.<\/jats:p>","DOI":"10.3390\/computers15030143","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T15:52:38Z","timestamp":1772207558000},"page":"143","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["CONGA: CONscientization GAme for Colon Cancer Literacy in Last-Semester Software Engineering Students"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6283-8197","authenticated-orcid":false,"given":"Franklin","family":"Parrales-Bravo","sequence":"first","affiliation":[{"name":"Artificial Intelligence Research Group, Universidad Bolivariana del Ecuador, Duran 092405, Ecuador"},{"name":"Grupo de Investigaci\u00f3n en Inteligencia Artificial, Facultad de Ciencias Matem\u00e1ticas y F\u00edsicas, Universidad de Guayaquil, Guayaquil 090514, Ecuador"},{"name":"Faculty of Computer Science, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7130-6393","authenticated-orcid":false,"given":"Jonatan","family":"Guillen-Salabarria","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n en Inteligencia Artificial, Facultad de Ciencias Matem\u00e1ticas y F\u00edsicas, Universidad de Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3616-2074","authenticated-orcid":false,"given":"Janio","family":"Jad\u00e1n-Guerrero","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n de Ciencias Humanas y de la Educaci\u00f3n (CICHE), Universidad Tecnol\u00f3gica Indoam\u00e9rica, Quito 170103, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9332-0825","authenticated-orcid":false,"given":"Leonel","family":"Vasquez-Cevallos","sequence":"additional","affiliation":[{"name":"Departamento de Investigaci\u00f3n, Universidad ECOTEC, Samborondon 092301, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Wu, S., Zhang, Y., Lin, Z., and Wei, M. 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