Effect of Augmented Reality Animations in Nursing Smoking Cessation Training for Nursing Students: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Self-efficacy
研究概览
简要总结
This proposed study aims to develop augmented reality (AR) based intervention during the smoking cessation counselling(SCC) training for master nursing students in the University of Hong Kong.
Hypotheses to be tested: (1) AR animations can improve nursing students' knowledge, skills in SCC compared to conventional teaching methods. (2)Student satisfaction and engagement with AR-based learning can be improved. (3) The training will increase master nursing students' self-efficacy to application of 5As SCC skill.
The study is a pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio, using AR animations for intervention and control groups. The intervention group receives messages related to SCC, while the control group receives generic mental health information. The subjects are MN students enrolled in the "Tobacco Dependency Nursing Intervention and Management" course.
The study uses various tools for measurement, including Providers Smoking Cessation Training Evaluation(ProSCiTE), and The Instructional Materials Motivation Survey (IMMS). The main outcome measures include SCC practice frequency,SCC knowledge score, SCC attitude score, and SCC practice score.
Data will be entered into SPSS for Windows (version 20) for analysis. Descriptive statistics including frequency, percentage, and mean will be used to summarize the outcomes and other variables. By intention-to-treat analysis, participants who are lost or refuse the follow-up will be treated as no change in the training outcomes. Chi-square tests and t-tests will be used to compare outcomes between intervention and control groups. The effect size, Cohen's d, will be computed for the standardized mean of the pre-post differences, both with and without adjustment for baseline characteristics. Additionally, Cohen's f will be calculated to assess the magnitude of the intervention effect in the linear mixed models. These models, which account for multiple observations per subject and clustering effects, will be used to analyze the intervention's impact on self-efficacy, motivation, and KAP. Both the main effect (group allocation) and interaction effect (group × time) will be examined to determine the intervention's effectiveness.
详细描述
This study proposes the development and evaluation of an augmented reality (AR)-based intervention integrated into the smoking cessation counselling (SCC) training for Master of Nursing (MN) students at the University of Hong Kong. The goal is to enhance students' competencies in applying the 5As framework (Ask, Advise, Assess, Assist, Arrange) in tobacco dependency interventions.
This study adopts a two-arm, waitlist-controlled, pragmatic randomized controlled trial (RCT) design with a 1:1 allocation ratio. Eligible participants are MN students enrolled in the "Tobacco Dependency Nursing Intervention and Management" course (NURS8205) in the Spring 2025 semester. Participants will be randomly assigned into intervention and control groups, stratified by tutorial group, and balanced across four trained facilitators.
Intervention Group: Receives the AR-enhanced SCC tutorial, which includes the following components:
- Viewing videos of four simulated smoker-patient scenarios.
- Reviewing case-based written materials.
- Interacting with AR animations embedded in the learning platform, which visualize behavioral counselling techniques and simulate patient-provider communication aligned with the 5As model.
Control Group: Receives the standard tutorial format, which includes:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Double-blinding technique will be used to conceal the allocation. Participants will not know which group they are in as placebo messages will be introduced. Using a central allocation web-based-controlled randomization, outcome assessors and data analysts will be blind to group allocation, only the principal investigator will be aware of who belongs to the control and intervention groups.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •master nursing students (1-2 years)
- •able to read, understand, and write in English
- •willing to participate in this study
排除标准
- •students who have taken any training courses in the past 6 months.
结局指标
主要结局
Self-efficacy
时间窗: T0: Baseline (Day 1 of course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session)
Self-efficacy in applying the 5As framework of SCC will be measured using the Providers Smoking Cessation Training Evaluation (ProSCiTE) scale. This validated tool includes subscales measuring knowledge, attitude, self-efficacy, and behavior. The self-efficacy subscale evaluates the confidence of nursing students in delivering SCC. Scoring: Each item is rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Minimum score: 13 Maximum score: 65 Higher scores indicate greater self-efficacy in providing SCC.
次要结局
- Learning motivation and satisfaction(T0: Baseline (Day 1 of the course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session))
- knowledge, attitude, and behavior in Smoking Cessation Counselling(T0: Baseline (Day 1 of the course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session))
研究者
Dr. Derek Yee-Tak Cheung
Assistant Professor
The University of Hong Kong