The Impact of Chatbot-Assisted Nursing Education on Perceived Burden of Care and Caregiver Stress

August 6, 2024 updated by: Esra Yılmaz Bayrakçeken, Ataturk University

The Effect of Chatbot-Assisted Nursing Education on Perceived Care Burden and Caregiver Stress

Caregivers play a key role in the provision of day-to-day care and the coordination of care services. Caregivers of stroke patients use dysfunctional coping strategies to cope with the stressors and burden of care they encounter during this long caregiving process. In this study, it will be tried to improve the stress coping skills of caregivers by using an application with chatbot support based on the COM-B model.In the study, introductory information form, stress coping styles scale, depression, anxiety, stress (DASS 21) and burden of care measurement tool will be used. The study will be conducted in a randomized controlled manner. Chatbot will be applied to the experimental group and the control group will be exposed to routine practice. The study group will consist of individuals who care for those who are discharged home from Atatürk University stroke center. Experiments and controls will be accessed by searching the hospital records. The fact that nursing education is given through a chatbot and that the chatbot is designed according to a stress training model (behavior change wheel) reflects the originality of the study. With this study, caregivers are expected to be able to manage stress effectively by teaching them how to cope with stress.

Study Overview

Status

Not yet recruiting

Intervention / Treatment

Detailed Description

gree relatives who care for the patients who receive 3-5 points from the Modified Rankin Scale will be discharged from the stroke center of the Neurology Clinic of Atatürk University Health Research and Application Center located in the city center of Erzurum.With the expectation of a 50 percent reduction in the rate of stressed patients in the intervention group and a 10 percent decrease in the control group, it was decided to include 31 people in each group with 90 percent power and 5 percent type 1 error. The sample calculation was calculated using the open epi version 3.01 web interface.It is expected that the implementation and reporting of the research will take 2 years. Year 1 Preparation of chatbot and determination of experimental controls. Implementation of training. Collection of results and writing of the report in 1 year.

The caregivers included in the experimental group will be told about the study and their written consent will be obtained. Individuals in the experimental group will be asked to apply the data collection forms prepared before the use of the application is explained. After the pre-test data is collected, a chatbot-supported application will be installed on the caregivers in the experimental group. In order for them to participate in the sessions and complete the trainings in the determined plan flow, caregivers will be called by phone and reminders will be made and checked. The sessions are expected to end in 4 weeks (8 sessions) (Gabrielli et al., 2021).A participant will be scheduled to finish the application within a maximum of 4 weeks. No intervention will be applied to the control group, they will be followed up within the scope of the routine follow-up and treatment protocol of the clinic. The chatbot-supported application, which will be prepared for stroke patient care providers, has been prepared in line with the literature using the COM-B model according to the needs of caregivers. The prepared training content was sent to the experts and the final shape was given by taking the opinions of the experts

Study Type

Interventional

Enrollment (Estimated)

62

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • To be at least a primary school graduate
  • Caregivers have the cognitive capacity to use chatbots (The chatbot application will be installed on the caregiver's android phone and the status of using it will be evaluated)
  • Willingness to participate in the study
  • To be open to communication and cooperation
  • Having a phone with Android operating system
  • Have literacy skills
  • Not having participated in stress training before

Exclusion Criteria:

  • Having received any psychiatric diagnosis.
  • Taking antipsychotic medication

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1 week : What is Stroke, Taking Care of the Individual with Physical Needs-1
Session 1 What is Stroke, The Importance of Post-Stroke Rehabilitation, Obtaining accurate health information, Contacting the Health Team, Difficult caregiving behaviors Support mechanisms in stroke patient care
Assigned Interventions
Experimental: Week 1: What is a Stroke, Caring for Someone with Physical Needs-2
Session 2 Personal Care, Prevent pressure sores Position and handling techniques Pain In-bed exercises Self-care Nutrition Sleep Speech & Communication Medication Management Emotional and Cognitive Changes in the Stroke Individual
Assigned Interventions
Experimental: Week 2: Stress of Care, Becoming resistant to stress Coping with stress-1
Session 1 Caregiving role barriers and facilitators Positive Aspects of Caregiving Care Stress and Its Causes, Reaction to Stress Maintaining emotional balance in the caregiving process
Assigned Interventions
Experimental: Week 2: Stress of Care, Becoming resistant to stress Coping with stress-2
Self-knowledge and motivation Maintenance and Time Management Controlling the Body in the Caregiving Process Breathing and relaxation
Assigned Interventions
Experimental: Week 3: Supporting oneself in the caregiving process and becoming resistant to stress-1

Session 1:

Personal space and comfort in the care process Taking time for yourself Unreasonable beliefs and mental regulation technique Tackling anxieties

Assigned Interventions
Experimental: Week 3: Supporting oneself in the caregiving process and becoming resistant to stress-2
The importance of nutrition The importance of physical activity Regulation of sleep
Assigned Interventions
Experimental: 4 week: Control of emotions and spirituality in the process of care-1
Anger management Unleashing emotions and social relationships Use of humor
Assigned Interventions
Experimental: 4 week: Control of emotions and spirituality in the process of care-2
Communication and Empathy Spirituality and religious coping Pray Be happy
Assigned Interventions

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
İntroductory form
Time Frame: [Time Frame: up to 1 day]
Consists of questions such as age, gender, marital status, educational status, family type, social security, occupation, having any systemic disease, duration of living with the individual care, and the status of receiving home care services.
[Time Frame: up to 1 day]

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Burden of Care Scale (BVS)
Time Frame: [Time Frame: up to 5 week ]
The burden of care was developed in 1980 by Zarit, Reever, and Bach-Peterson. It is a measurement tool used to evaluate the stress experienced by caregivers of individuals in need of care or the elderly. There are 22 items in the measuring tool. Substances are evaluated in Likert type.
[Time Frame: up to 5 week ]
Lazarus Coping Skills Scale
Time Frame: [Time Frame: up to 5 week ]
The Lazarus Stress Coping Skills Scale is a measurement tool used to evaluate individuals' coping mechanisms with stress. Şahin and Durak (1995) developed the 30-item Stress Coping Styles Scale based on the Ways of Coping Inventory developed by Folkman and Lazarus (1985).
[Time Frame: up to 5 week ]
Depression-Anxiety-Stress (DAS-21) Scale
Time Frame: [Time Frame: up to 5 week ]
DASS-21 was created by Lovibond and Lovibond by abbreviation of DAS-42 (Lovibond & Lovibond, 1995; Lovibond, 1995). The psychometric properties of the Turkish version of the "Depression, Anxiety, Stress-21" (DAS-21) scale in the normal and clinical sample were made by Sarıçam (Sarıçam, 2018).
[Time Frame: up to 5 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 10, 2024

Primary Completion (Estimated)

November 30, 2024

Study Completion (Estimated)

July 31, 2025

Study Registration Dates

First Submitted

August 6, 2024

First Submitted That Met QC Criteria

August 6, 2024

First Posted (Actual)

August 9, 2024

Study Record Updates

Last Update Posted (Actual)

August 9, 2024

Last Update Submitted That Met QC Criteria

August 6, 2024

Last Verified

August 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • esrabayrakceken1

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

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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