Chatbot Effectiveness for Improving Mental Health and Reducing Stress in Nursing Students

August 2, 2024 updated by: Kuo Ya-Wen, Chang Gung University of Science and Technology

Effectiveness of Using Chatbots for Nursing Students to Improve Mental Health and Reduce Stress During Internships.

This study aims to evaluate the effectiveness of using a chatbot to improve mental health and reduce stress among nursing students during their internships. The study will be conducted through convenient sampling of nursing students from a technology university in southern Taiwan. Students will be divided into experimental and control groups to compare differences in mental health and stress levels after receiving support from the chatbot. Expected outcomes include gaining a better understanding of the fundamental characteristics of nursing students and their mental health and stress levels during internships. The results are expected to demonstrate that the chatbot can aid nursing students in handling typical internship issues, stress, and challenges, as well as in accessing mental health resources.

Study Overview

Status

Not yet recruiting

Intervention / Treatment

Detailed Description

Background: The number of suicides and the crude death rate among adolescents aged 15-24 have been gradually increasing. Nursing students experience greater stress compared to students from other disciplines, primarily due to the unfamiliar clinical environment, concerns about managing internships, and worries about their ability to accurately judge and handle patient conditions due to a lack of experience. The diverse and highly complex nature of clinical practice sites significantly impacts the mental health and stress levels of nursing students during their internships. Therefore, it is crucial to pay attention to the cultivation of nursing students as they enter clinical practice. In response to changing times, mobile devices and chatbot tools are critically important support resources for students.Objective:The aim is to understand how chatbot can help nursing students improve their mental health and stress during their internships. Methods:This study will employ a quasi-experimental design and will use convenience sampling to recruit nursing students from a technology university in southern Taiwan. Structured questionnaires will be used to collect data on basic demographic information, a brief health scale, and a clinical internship stress scale. It is estimated that 55 students will be recruited for both the experimental and control groups.Statistical analyses will be conducted using SPSS 28.0 software. Expected Outcomes: The expected outcomes of this study include gaining a better understanding of the basic attributes of nursing students and their mental health and stress levels during internships. The overall findings will serve as a reference for educational planning for nursing internship students and emphasize the importance of technology-assisted connections in practical learning within teaching policies.

Study Type

Interventional

Enrollment (Estimated)

110

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Nursing students from the daytime four-year technical program at a university in southern Taiwan who have been scheduled for clinical internships.

Students who agree to participate in the study.

Exclusion Criteria:

Students who are only partially completing their internships (fragmented internship students).

Students who are unable to comply with the intervention measures.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Line Bot Assistance Group
During the internship, students will use the Line Bot as a support tool.The Line Bot aims to provide psychological health support and stress management resources, helping students cope with stress and challenges encountered during their clinical internships.

The chatbot is expected to provide self-help solutions and multiple counseling resources for stress and distress, options for face-to-face or online call requests, and a survey on mental health and stress.

In terms of keywords, it will establish counseling response resources and methods for finding resources for special sensitive situations (e.g., feeling moody, suicidal, stressed, not wanting to intern, etc.).

No Intervention: Control Group
This group will not receive assistance from the Line Bot chatbot. These students will receive only the regular internship support and resources without the use of any technological assistance tools.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Brief Symptom Rating Scale
Time Frame: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Five-point Likert-type scale of 0 to 4, with 0 being not at all and 4 being extremely.A total score on the BSRS-5 above 14, or a score of more than 1 on the additional suicide survey item, may indicate a severe mood disorder. Scores between 10 and 14 may indicate moderate mood disorders, and those between 6 and 9 could indicate mild mood disorders.
The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Clinical Internship Stress Survey Form
Time Frame: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Total of 24 questions are included in the survey, utilizing a four-point Likert-type scale ranging from 1 to 4. The total score on the scale falls between 24 and 96, with higher scores indicating increased stress levels during the clinical practicum.
The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 26, 2024

Primary Completion (Estimated)

February 28, 2025

Study Completion (Estimated)

July 31, 2025

Study Registration Dates

First Submitted

July 29, 2024

First Submitted That Met QC Criteria

August 2, 2024

First Posted (Actual)

August 7, 2024

Study Record Updates

Last Update Posted (Actual)

August 7, 2024

Last Update Submitted That Met QC Criteria

August 2, 2024

Last Verified

August 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 113-470

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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