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The Effectiveness of Comic-based Learning Materials on Nursing Students' Knowledge, Attitudes, and Confidence in Dementia Care

2 de noviembre de 2026 actualizado por: Taipei Medical University

This randomized controlled trial aims to evaluate the effectiveness of comic-based dementia care educational materials in improving nursing students' knowledge, attitudes, and confidence in dementia care. A total of 84 nursing students will be recruited from a university in northern Taiwan and randomly assigned to either an experimental group receiving comic-based educational materials or a control group receiving text-based educational materials. Outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention.

Descripción general del estudio

Descripción detallada

The increasing prevalence of dementia highlights the importance of preparing nursing students with adequate dementia care knowledge, positive attitudes, and confidence. Although various educational interventions have been implemented, limitations remain in their accessibility and dissemination. Comic-based educational materials may offer an accessible and engaging approach to dementia education; however, evidence regarding their effectiveness remains limited.

A randomized controlled trial will be conducted among 84 nursing students recruited through convenience sampling from Taipei Medical University. After providing written informed consent and completing baseline assessments, participants will be randomly assigned to two parallel groups using block randomization with a block size of four. The allocation sequence will be prepared by an independent individual not involved in recruitment or intervention delivery. Assignments will be concealed in sequentially numbered, opaque envelopes and opened in enrollment order.

The experimental group will read a researcher-developed comic-based dementia care handbook, while the control group will read printed text-based educational materials covering the same content. Both groups will study independently in a quiet classroom for 60 minutes, after which materials will be collected to minimize contamination.

Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC), attitudes toward dementia using the Chinese version of the Dementia Attitudes Scale (DAS-C), and confidence in dementia care using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). These outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention. Learning materials satisfaction will be assessed immediately after the intervention.

Data will be analyzed using descriptive statistics, t-tests, chi-square tests, and generalized estimating equations (GEE).

Tipo de estudio

Intervencionista

Inscripción (Estimado)

84

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Chia-Ling Lin
  • Número de teléfono: +886-2-2736-1661ext. 27725
  • Correo electrónico: g462112022@tmu.edu.tw

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Sí

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Nursing students aged 18 to 65 years.
  2. Have not previously completed any dementia-related courses.
  3. Able to read Chinese. Exclusion Criteria: No.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Comic-Based Dementia Education

Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. Materials will be collected immediately afterward.

Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. The handbook presents dementia-related knowledge, communication strategies, and care principles through illustrated scenarios and dialogues. Educational materials will be collected immediately after the session.

Comparador activo: Text-Based Dementia Education

Participants will independently read researcher-developed printed text-based dementia educational materials for 60 minutes in a quiet classroom. Materials will be collected immediately afterward.

Participants will independently read researcher-developed printed text-based dementia care educational materials for 60 minutes in a quiet classroom. The materials cover the same educational content as the comic-based handbook, including dementia-related knowledge, communication strategies, and care principles. Educational materials will be collected immediately after the session.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Dementia Knowledge Assessed by the DKAS-TC
Periodo de tiempo: Baseline, immediately after the intervention, and one month after the intervention.

Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC). The scale consists of 25 items covering causes and characteristics, communication and behavior, care considerations, and risks and health promotion. A partial-credit scoring system is used, with each item scored from 0 to 2. Total scores range from 0 to 50, with higher scores indicating greater dementia knowledge.

Baseline, immediately after the intervention, and one month after the intervention.
Attitudes Toward Dementia Assessed by the DAS-C
Periodo de tiempo: Baseline, immediately after the intervention, and one month after the intervention.

Attitudes toward dementia will be assessed using the Chinese version of the Dementia Attitudes Scale (DAS-C). The scale consists of 17 items rated on a five-point Likert scale, including three reverse-scored items. Total scores range from 17 to 85, with higher scores indicating more positive attitudes toward people living with dementia.

Baseline, immediately after the intervention, and one month after the intervention.
Confidence in Dementia Care Assessed by the CODE-TW
Periodo de tiempo: Baseline, immediately after the intervention, and one month after the intervention.

Confidence in dementia care will be assessed using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). The scale consists of 9 items rated on a five-point Likert scale, assessing confidence in recognizing and understanding dementia, communication and interaction, and care management. Total scores range from 9 to 45, with higher scores indicating greater confidence in dementia care.

Baseline, immediately after the intervention, and one month after the intervention.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Learning Materials Satisfaction
Periodo de tiempo: Immediately after the 60-minute educational intervention. Measure Description

Learning materials satisfaction will be assessed using a 10-item questionnaire developed by Chao et al. (2021). Each item is rated on a five-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly agree). Total scores range from 10 to 50, with higher scores indicating greater satisfaction with the assigned educational materials.

Immediately after the 60-minute educational intervention. Measure Description

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Yeu-Hui Chuang, Taipei Medical University

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

9 de noviembre de 2026

Finalización primaria (Estimado)

31 de octubre de 2027

Finalización del estudio (Estimado)

31 de octubre de 2027

Fechas de registro del estudio

Enviado por primera vez

2 de noviembre de 2026

Primero enviado que cumplió con los criterios de control de calidad

2 de noviembre de 2026

Publicado por primera vez (Actual)

6 de noviembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

6 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

2 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Descripción del plan IPD

Individual participant data will not be shared with other researchers to protect participant confidentiality.

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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