Establishing and Evaluating the Effectiveness of an Augmented Reality Technology in Gender Empowerment System

Establishing and Evaluating the Effectiveness of an Augmented Reality Technology in Gender Empowerment System for Long-term Care Workers: A Randomized Controlled Trial

Background: In the interventional study of gender mainstreaming, few studies have been conducted on gender empowerment in long-term care. And there are still some limitations in the gender curriculum of current in-service education. This research will cooperate with the digital learning promotion plan to stimulate learners' senses to strengthen their feelings about gender equality issues and events to have a more flexible and diverse learning experience and enhance geriatric care competencies.

Purpose: This study is a two-year plan, and the purpose of each year are as follows: 1). To conduct learning needs assessment of long-term care workers, and to develop and construct an educational training module for gender empowerment system of AR interactive experience.

2). To verify the effectiveness of the gender equality knowledge, attitude, awareness, and self-confidence of the research subjects after the "Apply of augmented reality technology" was introduced into the gender curriculum.

Study Overview

• Status: Not yet recruiting
• Conditions: Gender; Empowerment; Long Term Care
• Intervention / Treatment: Other: AR's platform for gender empowerment

Detailed Description

Background: In the interventional study of gender mainstreaming, few studies have been conducted on gender empowerment in long-term care. And there are still some limitations in the gender curriculum of current in-service education. This research will cooperate with the digital learning promotion plan to stimulate learners' senses to strengthen their feelings about gender equality issues and events to have a more flexible and diverse learning experience and enhance geriatric care competencies.

Purpose: This study is a two-year plan, and the purpose of each year are as follows: 1). To conduct learning needs assessment of long-term care workers, and to develop and construct an educational training module for gender empowerment system of AR interactive experience.

2). To verify the effectiveness of the gender equality knowledge, attitude, awareness, and self-confidence of the research subjects after the "Apply of augmented reality technology" was introduced into the gender curriculum.

Methods: This study will adopt a mixed research approach. We'll conduct focus group interviews in the first year. The interviewers want to invite specialists in the fields of long-term care/geriatric nursing education, scholars from the gender talent pool of the Ministry of Education, and specialists in the engineering of digital smart systems. Additionally, it is intended to include senior front-line long-term care providers in the planning and creation of lesson plans for this platform system. A randomized clinical trial (RCT) will be adopted which uses a 2-armed, controlled experiment, parallel-group design, and multi-center in the second year. The setting and participants will be recruited from four long-term care institution in Taipei and New Taipei city. Through the cluster random sampling method, two institutions will be randomly selected from the computer based on the " institution " from each long-term care institution, and then the allocation concealment mechanism will be based on the inclusion criteria to recruit research participants, then according to their willingness to participate in this project. The intervention will be divided into two groups, namely treatment group (AR intervention group) and control group (waiting list control group). The experimental group's intervention consists of a course that embraces AR's platform for gender empowerment. The intervention course will require 50-60 minutes for preliminary planning, and participants in the experimental group can design at least three course modules to suit their learning needs. The control group will adopt the classroom narration method. The following are the primary outcome indicators: gender equality knowledge scale, gender equality attitude and awareness scale, self-confidence visual analog scale, learning effectiveness and System Usability Scale (SUS). The researcher uses structured questionnaires to collect data before intervention (To) and after intervention (T1), 1 month (T2) after the intervention. Data will be analyzed using the Generalized Estimating Equation to analyze the repeated measurements and intention-to-treat analysis for reducing attrition bias.

• Study Type: Interventional
• Enrollment (Anticipated): 120
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Chia-Jung Hsieh; Phone Number: 3135 +886(2)2822-7101; Email: chiajung@ntunhs.edu.tw
• Study Contact Backup: Name: Ya-Ling Shih; Phone Number: 8608 +886(3)538-1183; Email: tiffanysyl0902@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Acceptance conditions for research subjects

  1. have worked in the home care institution for at least one year
  2. have normal vision and hearing, and can operate digital mobile phones or tablets
  3. are willing to participate in this research.

Exclusion Criteria:

• The exclusion conditions are

  1. under the age of 20
  2. the staff member is currently an administrative post and does not belong to the front-line long-term care staff.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: AR's platform for gender empowerment; The experimental group's intervention consists of a course that embraces AR's platform for gender empowerment. The intervention course will require 50-60 minutes for preliminary planning, and participants in the experimental group can design at least three course modules to suit their learning needs.	Other: AR's platform for gender empowerment; The intervention of the experimental group is to accept the courses of the gender empowerment platform introduced by AR. The preliminary plan is 50-60 minutes each time. The content of the teaching plan course will adopt the course module design. Group content, and among the three module courses, there must be a core module course unit that is the workplace sexual harassment prevention unit
No Intervention: control group; The control group will adopt the classroom narration method.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Attitudes and Consciousness Awareness Scale for Gender Equality	This scale will refer to the Sustainable Development Goals development attitude and awareness (Álvarez-Nieto et al., 2022), and initially formulate the attitude of gender equality (8 items) and the self-awareness scale of practical awareness (4 items), with a total of 12 items ( One of the questions is a reverse question), and its answer options range from 1 (strongly disagree) to 7 (strongly agree) on a Likert scale, with a maximum score of 84 points. The higher the score, the attitude towards Sustainable Development Goals 5 (gender equality) and The self-awareness of practical awareness is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out	pre-intervention
Knowledge Scale for Gender Equality	According to the literature, aiming at friendly sex discrimination (Clow, Ricciardelli, & Bartfay, 2014 ), gender concept and workplace sexual harassment prevention law (Xie, Huang, 2018), which are easy to be ignored, a 10-item cognitive topic is initially formulated. Higher means that the knowledge of personal gender equality is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out.	pre-intervention
Self-Attitude toward Gender Roles	This scale was developed by the Industrial Bureau of the Ministry of Economic Affairs of the Chinese government (2012) with reference to World Health Organization (2011) and foreign research, with a total of 6 items (Council of Europe, 2004; Su, , Richardson & Wang, 2010), and after four sessions After the expert meeting, it was confirmed that it conforms to the measurement concept of gender mainstreaming construction (Industrial Bureau, Ministry of Economic Affairs, 2012). In addition, it was found to have good internal consistency in the study of gender equality, and the Cronbach's α value was .82 (Hsieh et al., 2022), the higher the score of this scale, the better the individual's gender awareness; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of the research objects will be carried out.	pre-intervention
Gender Awareness toward Health Care	This scale is mainly developed after referring to the literature of "Attitudes towards Women Scale", with a total of 5 items (Spence, Helmreich & Stapp, 1978). It is better to verify the reliability and validity of domestic scholars surnamed Lu (1988). And this study also cites this scale in the field of health care. The higher the score of this scale, the more serious the gender awareness bias in health care. The scale itself has good expert content validity, and Cronbach's α value is .90 (Hsieh et al., 2022)	pre-intervention
Clinical Executive Confidence Scale (Visual Analog Scale)	Based on the effectiveness evaluation of past literature courses, the research subjects are evaluated based on their own handling of clinical cases or the actual situation of event items, and self-assessment of the degree of confidence in mastering the situation, measured by Visual Analogue Scale (VAS) 0-100mm 0 means the lowest level of confidence in mastering the care, and 100 means the highest level of confidence in mastering the care (Xu, Wang, Liu, Zheng, Yang, 2018).	pre-intervention
Attitudes and Consciousness Awareness Scale for Gender Equality	This scale will refer to the Sustainable Development Goals development attitude and awareness (Álvarez-Nieto et al., 2022), and initially formulate the attitude of gender equality (8 items) and the self-awareness scale of practical awareness (4 items), with a total of 12 items ( One of the questions is a reverse question), and its answer options range from 1 (strongly disagree) to 7 (strongly agree) on a Likert scale, with a maximum score of 84 points. The higher the score, the attitude towards Sustainable Development Goals 5 (gender equality) and The self-awareness of practical awareness is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out	one week after intervention
Knowledge Scale for Gender Equality	According to the literature, aiming at friendly sex discrimination (Clow, Ricciardelli, & Bartfay, 2014 ), gender concept and workplace sexual harassment prevention law (Xie, Huang, 2018), which are easy to be ignored, a 10-item cognitive topic is initially formulated. Higher means that the knowledge of personal gender equality is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out.	one week after intervention
Self-Attitude toward Gender Roles	This scale was developed by the Industrial Bureau of the Ministry of Economic Affairs of the Chinese government (2012) with reference to World Health Organization (2011) and foreign research, with a total of 6 items (Council of Europe, 2004; Su, , Richardson & Wang, 2010), and after four sessions After the expert meeting, it was confirmed that it conforms to the measurement concept of gender mainstreaming construction (Industrial Bureau, Ministry of Economic Affairs, 2012). In addition, it was found to have good internal consistency in the study of gender equality, and the Cronbach's α value was .82 (Hsieh et al., 2022), the higher the score of this scale, the better the individual's gender awareness; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of the research objects will be carried out.	one week after intervention
Gender Awareness toward Health Care	This scale is mainly developed after referring to the literature of "Attitudes towards Women Scale", with a total of 5 items (Spence, Helmreich & Stapp, 1978). It is better to verify the reliability and validity of domestic scholars surnamed Lu (1988). And this study also cites this scale in the field of health care. The higher the score of this scale, the more serious the gender awareness bias in health care. The scale itself has good expert content validity, and Cronbach's α value is .90 (Hsieh et al., 2022)	one week after intervention
Clinical Executive Confidence Scale (Visual Analog Scale)	Based on the effectiveness evaluation of past literature courses, the research subjects are evaluated based on their own handling of clinical cases or the actual situation of event items, and self-assessment of the degree of confidence in mastering the situation, measured by Visual Analogue Scale (VAS) 0-100mm 0 means the lowest level of confidence in mastering the care, and 100 means the highest level of confidence in mastering the care (Xu, Wang, Liu, Zheng, Yang, 2018).	one week after intervention
Learning Effectiveness and Usability Assessment scale	This assessment refers to questions (8 items) by which the reference literature was used to understand the usefulness and ease of use of the lessons and scenarios taught. The validity of the content of this assessment was determined through discussions among nursing practice educators and experts (Álvarez-Nieto et al .,2022), used to examine the perceived reality and relevance of teaching methods and content, this scale responds to a seven-point Likert-style scale, where 1 (strongly disagree) to 7 (strongly agree), the score The higher the value, the better the effectiveness of the teaching and learning and the ease of operation of the equipment; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of the research object will be carried out	one week after intervention
Attitudes and Consciousness Awareness Scale for Gender Equality	This scale will refer to the Sustainable Development Goals development attitude and awareness (Álvarez-Nieto et al., 2022), and initially formulate the attitude of gender equality (8 items) and the self-awareness scale of practical awareness (4 items), with a total of 12 items ( One of the questions is a reverse question), and its answer options range from 1 (strongly disagree) to 7 (strongly agree) on a Likert scale, with a maximum score of 84 points. The higher the score, the attitude towards Sustainable Development Goals 5 (gender equality) and The self-awareness of practical awareness is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out	from enrollment to end of treatment at one month
Knowledge Scale for Gender Equality	According to the literature, aiming at friendly sex discrimination (Clow, Ricciardelli, & Bartfay, 2014 ), gender concept and workplace sexual harassment prevention law (Xie, Huang, 2018), which are easy to be ignored, a 10-item cognitive topic is initially formulated. Higher means that the knowledge of personal gender equality is better; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of this research object will be carried out.	from enrollment to end of treatment at one month
Self-Attitude toward Gender Roles	This scale was developed by the Industrial Bureau of the Ministry of Economic Affairs of the Chinese government (2012) with reference to World Health Organization (2011) and foreign research, with a total of 6 items (Council of Europe, 2004; Su, , Richardson & Wang, 2010), and after four sessions After the expert meeting, it was confirmed that it conforms to the measurement concept of gender mainstreaming construction (Industrial Bureau, Ministry of Economic Affairs, 2012). In addition, it was found to have good internal consistency in the study of gender equality, and the Cronbach's α value was .82 (Hsieh et al., 2022), the higher the score of this scale, the better the individual's gender awareness; and as mentioned above, the expert validity will be checked again, and the internal consistency analysis of the tool use of the research objects will be carried out.	from enrollment to end of treatment at one month
Gender Awareness toward Health Care	This scale is mainly developed after referring to the literature of "Attitudes towards Women Scale", with a total of 5 items (Spence, Helmreich & Stapp, 1978). It is better to verify the reliability and validity of domestic scholars surnamed Lu (1988). And this study also cites this scale in the field of health care. The higher the score of this scale, the more serious the gender awareness bias in health care. The scale itself has good expert content validity, and Cronbach's α value is .90 (Hsieh et al., 2022)	from enrollment to end of treatment at one month
Clinical Executive Confidence Scale (Visual Analog Scale)	Based on the effectiveness evaluation of past literature courses, the research subjects are evaluated based on their own handling of clinical cases or the actual situation of event items, and self-assessment of the degree of confidence in mastering the situation, measured by Visual Analogue Scale (VAS) 0-100mm 0 means the lowest level of confidence in mastering the care, and 100 means the highest level of confidence in mastering the care (Xu, Wang, Liu, Zheng, Yang, 2018).	from enrollment to end of treatment at one month

Collaborators and Investigators

• Sponsor: National Taipei University of Nursing and Health Sciences

Publications and helpful links

General Publications

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• Moon S, Park K. The effect of digital reminiscence therapy on people with dementia: a pilot randomized controlled trial. BMC Geriatr. 2020 May 6;20(1):166. doi: 10.1186/s12877-020-01563-2.
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• Hsieh CJ, Pan K, Lee HC, Shih YL. Gender Equality in Employment among Health Care Undergraduate Students: A Cross-Sectional Survey. Healthcare (Basel). 2022 Mar 15;10(3):543. doi: 10.3390/healthcare10030543.
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Study record dates

Study Major Dates

• Study Start (Anticipated): March 1, 2023
• Primary Completion (Anticipated): July 31, 2025
• Study Completion (Anticipated): July 31, 2025

Study Registration Dates

• First Submitted: December 31, 2022
• First Submitted That Met QC Criteria: January 8, 2023
• First Posted (Estimate): January 16, 2023

Study Record Updates

• Last Update Posted (Estimate): January 16, 2023
• Last Update Submitted That Met QC Criteria: January 8, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Keywords: augmented reality; long-term care; e-Learning; gender empowerment; gender awareness and attitude of gender; gender equality
• Other Study ID Numbers: FJU-IRB-C111100

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No