Efficacy of Instant Messaging Reinforcement on the Learning Outcomes of Smoking Cessation Counseling Training in Nursing Students: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- SCC practice measurement
研究概览
简要总结
This research aims to assess the impact of instant messaging reinforcement on the learning outcomes of smoking cessation counseling (SCC) training among master of nursing (MN) students at the University of Hong Kong. The hypotheses suggest that this reinforcement can enhance students' SCC knowledge and techniques, improve their perception of SCC, and increase their application of SCC in clinical work.
The study is a pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio, using WhatsApp Messenger (WhatsApp) messages 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 Ecological momentary assessment (EMA) and Providers Smoking Cessation Training Evaluation (ProSCiTE). The main outcome measures include SCC practice frequency, SCC knowledge score, SCC attitude score, and SCC practice score.
Data analysis will be performed in Statistical Package for the Social Sciences (SPSS), using descriptive statistics, intention-to-treat analysis, Chi-square and t-tests, Cohen's d for effect size, and linear mixed models. The expected results suggest that instant messaging reinforcement will enhance SCC knowledge, attitude, and practice among MN students.
详细描述
This study aims to evaluate the efficacy of instant messaging reinforcement on the learning outcomes of smoking cessation counseling (SCC) training among master of nursing (MN) students at the University of Hong Kong.
Hypotheses to be tested: (1) Instant messaging reinforcement can increase MN students' mastery of SCC knowledge and techniques. (2) Instant messaging reinforcement can increase MN students' positive perception towards SCC and their willingness to provide SCC in their clinical work. (3) Instant messaging reinforcement can increase MN students' SCC practice, i.e. the frequency at which they perform Ask, Advise, Assess, Assist, and Arrange (5As), during their clinical work.
Design and subjects: This proposed study is a 2-arm, placebo-control, pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio. The intervention involves sending reinforcement WhatsApp messages to participants. To ensure that the subjects do not know their assigned group, the investigators also sent WhatsApp messages to the control group, but these messages are unrelated to smoking cessation counseling. The targeted subjects are MN students who are taking the course "Tobacco Dependency Nursing Intervention and Management (NURS8205)" in the spring semester of 2024. The course mentioned would be attended by all students regardless of their participation in this study.
Intervention group: 3 WhatsApp messages per week for six weeks after course training. These messages are about the core content of the course developed based on the Knowledge-Attitude-Practice (KAP) model.
Control group: WhatsApp messages about generic mental health information with the same frequency and schedule as the intervention group.
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
- •MN students (1 or 2 years)
- •Able to access WhatsApp and receive messages
排除标准
- •Currently attending any other SCC training program other than this course
结局指标
主要结局
SCC practice measurement
时间窗: The EMA will be conducted every night for two weeks after 6 weeks of instant messaging reinforcement
Participants' SCC practice would be measured through ecological momentary assessment (EMA) by asking how many times they have performed Ask, Advise, Assess, Assist, and Arrange (5As) on each working day
次要结局
- SCC practice score(through study completion, an average of 6 months)
- SCC knowledge score(through study completion, an average of 6 months)
- SCC attitude score(through study completion, an average of 6 months)
研究者
Dr. Derek Yee-Tak Cheung
Assistant Professor
The University of Hong Kong