Effectiveness of an Web Application in Enhancing Informal Caregivers' Nasogastric Tube Feeding Competency

February 10, 2026 updated by: Cheong Run Qi, Tan Tock Seng Hospital

Effectiveness of an Nasogastric Web Application in Reducing Time to Achieve Nasogastric Tube Feeding Competency Among Informal Caregivers

The goal of this trial is to determine whether adding a nasogastric tube web application to standard face-to-face caregiver training helps informal caregivers learn nasogastric tube feeding more quickly than standard training alone.

The main question is:

Does the use of a nasogastric tube web application alongside standard face-to-face caregiver training shorten the time required for caregivers to learn nasogastric tube feeding, compared with standard training alone?

Researchers will compare two groups: caregivers who receive standard face-to-face training plus access to the web application and caregivers who only receive standard face-to-face training to see who will learn nasogastric tube feeding more quickly.

Participants will:

  • Receive either standard face-to-face training plus the web application or standard face-to-face training alone when identified for nasogastric tube feeding training.
  • Have their time taken to learn nasogastric tube feeding recorded.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Nasogastric tube feeding is a technically-demanding procedure that requires both practical skill and sound clinical judgement to avoid potentially serious complications. It is therefore essential that caregivers receive adequate training to perform this task safely and effectively. Evidence suggests that digital caregiver training interventions-particularly those that include simulation-based learning and multimodal audio-visual content-can improve caregiver skills in learning and performing procedures such as nasogastric tube feeding. However, the effectiveness of a web application in improving informal caregivers' ability to perform nasogastric tube feeding has not yet been evaluated.

Assessing the usefulness of this web application may help improve existing training methods and technological supports for caregivers, enhance the quality of home-based care, strengthen continuity of care between hospital and home settings, and reduce unnecessary healthcare use.

Study Type

Interventional

Enrollment (Estimated)

136

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 Locations

  • Singapore
      • Singapore, Singapore
        • Nursing Implementation, Translation & Research Office (NITRO); Tan Tock Seng Hospital

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
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Caregivers who will receive standard face-to-face training

Inclusion Criteria:

  • Individual who has been identified by the healthcare team to undergo caregiver training for nasogastric feeding to assist a patient with nutritional needs.
  • No prior training or experience in nasogastric feeding.
  • Potentially able to complete course of caregiver training for nasogastric feeding in the hospital of enrolment.
  • Aged 21 and above.

Exclusion Criteria:

  • Caregivers who are cognitively impaired.
  • Have received prior training for nasogastric feeding.
  • Will not be able to complete their course of caregiving training for nasogastric feeding in the hospital of enrolment.

Caregivers who will receive standard face-to-face training plus access to the web application

Inclusion Criteria:

  • Individual who has been identified by the healthcare team to undergo caregiver training for nasogastric feeding to assist a patient with nutritional needs.
  • No prior training or experience in nasogastric feeding.
  • Potentially able to complete course of caregiver training for nasogastric feeding in the hospital of enrolment.
  • Have the basic literacy skills to use the nasogastric tube web application.
  • Able to access and use the nasogastric web application over the course of their training in nasogastric tube feeding to support their learning.
  • Aged 21 and above.

Exclusion Criteria:

  • Caregivers who are cognitively impaired.
  • Have received prior training for nasogastric feeding.
  • Will not be able to complete their course of caregiving training for nasogastric feeding in the hospital of enrolment.
  • Have no or limited literacy ability to use the nasogastric web application
  • Unable to access and use the nasogastric web application over the course of their training in nasogastric tube feeding.

Patients

Inclusion Criteria:

  • Aged 50 years and above.
  • Patient whose caregiver has been identified to undergo nasogastric tube feeding training to support their nutritional needs.
  • Has mental capacity as per the approved documentation of capacity form or has a legal representative willing to provide consent to allow study team to extract medical records.

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: Health Services Research
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Standard face-to-face training
Caregivers in this arm will receive the standard face-to-face training for nasogastric tube feeding
Experimental: Standard face-to-face training plus access to the web application
Caregivers in this arm will receive the standard face-to-face training for nasogastric tube feeding plus access to the nasogastric tube web application to support their learning.
Other: Nasogastric tube web application
The application was co-developed with caregivers and has been content validated by multiple experts. It can be accessed using web-enabled smart device. The application has four main features; (1) video demonstrations; (2) micro-learning modules to build knowledge, (3) quizzes to test understanding, and (4) virtual simulation scenarios to mirror real-world scenarios for hands-on practice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time taken to achieve competency
Time Frame: Through study completion, an average of 1 week
Time taken in hours and minutes for caregivers to achieve competency in nasogastric tube (NG) feeding
Through study completion, an average of 1 week
Number of training sessions to achieve competency
Time Frame: Through study completion, an average of 1 week
Number of training sessions taken for caregivers to competency in nasogastric tube feeding
Through study completion, an average of 1 week

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in knowledge of nasogastric tube feeding
Time Frame: Through study completion, an average of 1 week
Knowledge of nasogastric tube feeding will be measured using a self-developed Nasogastric Tube Feeding Knowledge Scale. The scale was designed to examine caregiver understanding of nasogastric tube management. It contains 8 items answered using a true-false format. Each item answered correctly will receive one point. Higher scores indicate higher caregiver knowledge.
Through study completion, an average of 1 week
Change in confidence in performing nasogastric tube feeding
Time Frame: Through study completion, an average of 1 week
Confidence in performing nasogastric tube feeding will be measured using a self-developed Perceived Confidence in Nasogastric Tube Feeding Scale. The scale was designed to examine caregiver confidence in performing nasogastric tube feeding. It contains 7 items rated on a 5-point scale from 0(not confident at all) to 4(very confident). Higher scores indicate higher caregiver confidence.
Through study completion, an average of 1 week
Change in preparedness for caregiving
Time Frame: Through study completion, an average of 1 week
Preparedness for caregiving will be measured using the Preparedness for Caregiving Scale. The scale was designed to assess how well prepared caregivers perceive they are in the various aspects of caregiving. It contains 8 questions rated on a 5-point scale from 0(not at all prepared) to 4(very well prepared). Higher scores indicate higher caregiver preparedness.
Through study completion, an average of 1 week
Caregiver acceptance of the web application as a technological training aid
Time Frame: Through study completion, an average of 1 week
This outcome will only be measured in caregivers in the experimental arm (standard face-to-face training plus access to the web application). Caregiver acceptance of the web application as a technological training aid will be measured using an adapted version of the Unified Theory of Acceptance and Use of Technology (UTAUT) scale. The scale contains 15 questions rated on a 5-point scale from 1(strongly disagree) to 5(strongly agree) in 5 domains - performance expectancy, effort expectancy, social influence, facilitating conditions and intention. Higher scores indicate higher acceptance.
Through study completion, an average of 1 week

Collaborators and Investigators

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

Sponsor

Tan Tock Seng Hospital

Collaborators

Khoo Teck Puat Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

March 1, 2026

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

January 15, 2026

First Submitted That Met QC Criteria

February 10, 2026

First Posted (Actual)

February 17, 2026

Study Record Updates

Last Update Posted (Actual)

February 17, 2026

Last Update Submitted That Met QC Criteria

February 10, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2025-1814
  • CareEco21-0032 (Other Grant/Funding Number: National Innovation Challenge Grant Call on Caregiving Ecosystem)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Data will not be shared due to privacy and ethical considerations.

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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