Applying Interactive E-books on Breastfeeding to Enhance Nursing Students' Learning

Not Applicable

Not yet recruiting

• Conditions: Nursing Education Research; Nursing Students; Breastfeeding Education

• Registration Number: NCT07071285
• Lead Sponsor: China Medical University Hospital

Brief Summary

This study aims to explore the impact of interactive breastfeeding e-books on nursing students' breastfeeding learning outcomes. The subjects are third-year nursing students from a university in central Taiwan. A randomized controlled design will be adopted. The experimental group will use interactive breastfeeding e-books for learning, while the control group will use traditional face-to-face courses to evaluate the changes in students' breastfeeding knowledge, skills, and learning motivation. The expected results can provide a reference for innovative teaching models in nursing education and promote the future clinical promotion of breastfeeding.

Detailed Description

Breastfeeding is widely considered to be the best source of nutrition for infants, helping to reduce infant morbidity and mortality, reduce the risk of infection and chronic diseases, and promote intellectual development. However, in current nursing education, how to effectively improve students' knowledge and skills of breastfeeding has yet to be developed. Common traditional face-to-face courses are limited by time and venue, which requires students to re-adapt and learn when entering the clinical internship stage, affecting learning efficiency and clinical application. In addition, male students may find it challenging to learn breastfeeding due to gender factors.

With the rapid development of information technology, e-books and multimedia interactive teaching materials have been proven to improve learning motivation and effectiveness, promote individualized learning experience, and enhance problem solving and creative thinking. Through animation, sound effects, pictures, and game quizzes, it can effectively help students master professional knowledge and overcome the limitations of traditional teaching.

This study adopts a randomized controlled experimental design and is expected to recruit 100 third-year nursing students from a university in central Taiwan, divided into an experimental group and a control group. The experimental group studied with an interactive breastfeeding e-book, and the control group took a traditional face-to-face course. Data were collected through a structured questionnaire, and changes in breastfeeding knowledge, skill acquisition, and learning motivation were analyzed using descriptive and inferential statistics. The expected results showed that the interactive e-book not only significantly improved students' learning outcomes, but also helped overcome gender restrictions, enhance learning motivation, promote future clinical promotion of breastfeeding, and serve as an important reference for innovative nursing education models.

Study Timeline

• Status Verified: 2025-07
• Study First Submitted: 2025-07-08
• Study First Submitted QC: 2025-07-08
• Last Update Submitted: 2025-07-08
• Study First Posted: 2025-07-17
• Last Update Posted: 2025-07-17
• Study Start: 2025-08-01
• Primary Completion: 2026-07-31
• Study Completion: 2026-07-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1. It is expected to include 100 people.
2. Age 20 to 30 years old.
3. A third-year nursing student.
4. Studying obstetrics and gynecology nursing this semester.
5. Agree to participate in this study and sign the research consent form.

Exclusion Criteria

1 .Students who are planning to take a leave of absence at the time of data collection.

2.Students who have not taken obstetrics and gynecology nursing this semester or have taken it in the past.

3.Students who are unable to use 3C products.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Breastfeeding Knowledge Questionnaire	The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention	This questionnaire consists of 10 multiple-choice questions. Each correct answer is scored 10 points, and each incorrect answer is scored 0 points, yielding a total score range of 0-100. The questions were self-developed in the form of clinical scenario-based multiple-choice items, focusing on the benefits of breastfeeding, breastfeeding positions, breast milk storage methods, breast milk expression (hand expression), and nursing interventions to maintain milk supply.
Breastfeeding Skills Assessment Scale	The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention	Breastfeeding skills were assessed using a "Breastfeeding Skills Assessment Scale," which includes 20 steps such as hand hygiene before procedures, self-introduction, patient identification, ensuring privacy, explaining the purpose and process, breastfeeding positions, and hand expression techniques. Each step is scored as follows: completely correct = 5 points, partially correct = 3 points, and incorrect = 0 points. The total score ranges from 0-100, with higher scores indicating better application of breastfeeding skills.
Breastfeeding Self-Efficacy Scale	The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention	Breastfeeding self-efficacy was evaluated using a 10-item Breastfeeding Self-Efficacy Scale. Each item is rated on a 4-point Likert scale, where 1 = not at all capable and 4 = expert level. The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy in performing breastfeeding skills.
ARCS-Based Learning Motivation Scale	The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention	The scale assesses learners' motivation toward the educational materials across four dimensions: Attention (12 items), Relevance (9 items), Confidence (9 items), and Satisfaction (6 items), for a total of 36 items. Responses are rated on a 5-point Likert scale, ranging from 5 ("Strongly Agree") to 1 ("Strongly Disagree"). The total score ranges from 36 to 180 points, with higher scores indicating stronger learning motivation.
Critical Thinking Disposition Scale	The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention	This scale consists of 20 items and adopts a 6-point Likert scoring method: 1 (Never), 2 (Almost Never), 3 (Rarely), 4 (Sometimes), 5 (Often), and 6 (Always). It measures critical thinking disposition, which refers to an individual's tendency to engage in systematic analysis, maintain an open-minded attitude with empathy, and possess a wise curiosity for questioning, integration, and reflection, all of which facilitate critical thinking processes.

Trial Locations

Locations (1)

China Medical University; 🇨🇳 Taichung, Taiwan