Table 6 Themes of students’ free comments on the CWP activity

Perceptions about how student’s felt about the game itself

• “Very exciting we’d love more of this”

• “I like the idea it is creative and fun”

• “Exciting And enjoyable”

• “I find it fun, and I truly enjoyed it”

• “It was fun learning process solving the puzzle with my classmate”

• “I liked how we did not use any reference to answer it was a mind refreshing activity.”

Perceptions about the game effectiveness as tool to improve learning

• “it’s an effective method to enhance learning in fun way, it should be in every topic”

• “I found the idea very different than our usual methods which is truly appreciated”

• “It gives us a good review and it is not associated with marks”

• “Solving crossword puzzles is good review of material I hope to get more for next subject”

• “Interactive learning is fun and efficient way to obtain knowledge and should be used more in all classes rather than the traditional way of teaching”

• “Change the narration style and create a stimulating learning environment for students”

• “It is much better studying in game format rather than normal assignments.”

Perceptions about the game as a self-assessment tool for learning

• “It makes me focus more on the spelling which is important”

• “The activities enhance memorization of the information”

• “Perfect method to evaluate our knowledge”

• “It was fun and forces us to learn the spilling of drugs”

• “Was great help to remember as reviewing after study “

• “Improves thinking and memorizing”

• “I think it’s a good idea change in the routine it made me want to pay more attention in class”

• “It facilities the learning and being familiar with the drugs”

Perceptions about the learning environment

• “it’s good and make the class more active”

• “It makes the group more comfortable with each other, so has a good process in communication”

• “It is an amazing activity to be engaged in learning”

• “It’s getting quite competitive”

• “I had good time doing this game with my classmates and it makes me revise the information that I studied in therapeutic”