A Community Practice Program to Enhance Nursing Students' Career Motivation in Geriatric Nursing

July 3, 2026 updated by: Arkers, Wong, The Hong Kong Polytechnic University

Enhancing BSN Students' Career Motivation in Supporting Underprivileged Older Adults Through a Community Practice Program: A Wait-list Randomized Controlled Study

The nursing students' community practice program is nested within the mHealth-based healthcare professional-lay health worker partnership program (mHLPP). This sub-project aims to equip undergraduate nursing students with the necessary skills and knowledge to care for underprivileged older adults.

Study Overview

Detailed Description

The study includes two phases: (1) a wait-list randomized controlled study (Year 1) to evaluate the intervention effectiveness, and (2) a quasi-experimental study (Year 2) for intervention optimization. In the first phase, participants will be randomly assigned to either the intervention group or the wait-list control group. The intervention group will undergo a PERMA Model-Based Community Practice Program, including an orientation, three practicum sessions, and a reflective session. In the second phase, participants of will receive a Capability-Opportunity-Motivation-Behavior (COM-B) Model Based Community Practicum Program with increased intervention frequency.

Study Type

Interventional

Enrollment (Actual)

312

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

    • Hong Kong
      • Hong Kong, Hong Kong, Hong Kong, 999077
        • Food Angel

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

Inclusion Criteria:

  • (1) being a full-time student in the first year of the nursing program; (2) being capable to communicate in Cantonese; (3) providing voluntary written informed consent to participate in the study.

Exclusion Criteria:

  • (1) having prior work experience in a dedicated aged care setting (e.g., as a nursing assistant in a nursing home); (2) having a planned absence during the intervention period that would cause them to miss more than two sessions of the program.

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: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Phase 1: Intervention Group
A PERMA Model-Based Community Practice Program
The 12-hour clinical practice program is guided by the Positive Emotions, Engagement, Relationships, Meaning, and Accomplishments (PERMA) framework. The intervention group undergoes an orientation, three practicum sessions, and a reflective session.
Other: Phase 1: Wait-list Control
A wait-list comparator
The wait-list control group will not receive any intervention for the first 3-month period.
Experimental: Phase 2: Optimized Single-Arm
A Capability-Opportunity-Motivation-Behavior (COM-B) Model Based Community Practicum Program
The participants receive a 80-hour Capability-Opportunity-Motivation-Behavior (COM-B) Model Based Community Practicum Program.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Career motivation
Time Frame: Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Career motivation will be assessed in phase one and two using the Situation Motivation Scale (SIMS) questionnaire.
Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Willingness to Work with Elderly People
Time Frame: Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Willingness to choose a career in gerontological nursing will be primarily assessed in phase two using the Willingness to Work with Elderly People Scale (WEPS).
Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Knowledge
Time Frame: Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
The Facts on Aging Quiz 2 (FAQ 2) was utilized to evaluate knowledge about aging in phase one and two.
Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Attitude towards elderly care
Time Frame: Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Participants' attitudes toward elderly care will be assessed in phase one and two using the Attitudes Toward Old People (ATOP) scale.
Phase 1: Baseline (T1), week 12 (T2), week 18 (T3), and week 30 (T4); Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Empathy
Time Frame: Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).
Changes in students' empathetic orientation will be measured in phase two using the Jefferson Scale of Empathy-Health Profession Students' Version (JSE-HPS).
Phase 2: Baseline (T1), week 12 (T2), week 24 (T3).

Collaborators and Investigators

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

Investigators

  • Principal Investigator: Arkers KC Wong, PhD, The Hong Kong Polytechnic University

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 (Actual)

May 14, 2024

Primary Completion (Actual)

October 30, 2024

Study Completion (Actual)

December 31, 2024

Study Registration Dates

First Submitted

June 29, 2026

First Submitted That Met QC Criteria

July 3, 2026

First Posted (Actual)

July 8, 2026

Study Record Updates

Last Update Posted (Actual)

July 8, 2026

Last Update Submitted That Met QC Criteria

July 3, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • HSEARS20230825003

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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