AI Role-Play Coaching for Breastfeeding Counseling
The Effect of AI-Powered Role-Play Coaching on Breastfeeding Counseling Skills Among Nursing Students: A Randomized Controlled Trial
Breastfeeding counseling is critically important for both maintaining the mother's motivation to breastfeed and ensuring the baby's healthy nutrition. Artificial intelligence (AI)-based role-playing coaching is an innovative teaching approach that allows students to experience the counseling process through digital scenarios, identify and correct their mistakes in a risk-free environment, and receive instant feedback based on their performance. In this context, this study aims to examine the effect of AI-assisted role-playing coaching on breastfeeding counseling skills in nursing students using a randomized controlled experimental design.
The study was conducted in the Nursing Laboratory of a university's Nursing Department between March 2026 and July 2026. Participants were divided into three groups: Peer role-playing group, Classical theoretical training (control) group, and AI-assisted role-playing group. Data were collected using a personal information form, the Self-Efficacy Scale for Supporting Breastfeeding Mothers, and the Breastfeeding Counseling Role-Playing Assessment Rubric. The findings show that the peer role-playing group has a higher ability to establish open, supportive, and empathetic communication with the mother, while the AI-assisted role-playing group has a higher ability to collect, evaluate, and provide feedback on data. Furthermore, breastfeeding self-efficacy was found to be higher in the AI-assisted role-playing group.
The data obtained have the potential to generate evidence for the use of next-generation learning technologies in nursing education and contribute to training graduate nurses ready for clinical practice. It will also provide a scientific basis for developing training strategies aimed at improving the quality of breastfeeding support services.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Bilecik, Turquie (Türkiye), 11230
- Bilecik Seyh Edebali University
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Inclusion Criteria:
- Proficient in computer use
- Fluent in Turkish
- Willing to participate in the study
- A third-year nursing student currently taking the "Obstetrics and Gynecology Nursing" course
Exclusion Criteria:
- Those who do not agree to participate in the study
- Those who do not have sufficient knowledge of Turkish
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: AI-powered role-playing group
The students in this group worked with a Turkish chatbot based on a large language model (such as ChatGPT).
The chatbot was positioned as a virtual patient assuming the role of "mother" in the training scenario.
Thus, students conducted the counseling session by engaging in a natural dialogue with an AI.
By generating context-sensitive responses and providing appropriate reactions to the counseling messages the students sent, the AI enabled students to practice their communication and counseling skills in a realistic setting.
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The students in this group worked with a Turkish chatbot based on a large language model (such as ChatGPT).
The chatbot was positioned as a virtual patient assuming the role of "mother" in the training scenario.
Thus, students conducted the counseling session by engaging in a natural dialogue with an AI.
By generating context-sensitive responses and providing appropriate reactions to the counseling messages the students sent, the AI enabled students to practice their communication and counseling skills in a realistic setting.
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Expérimental: Peer role-play group
In this group, students formed small pairs or trios to act out the scenarios.
By taking turns switching roles, they played the role of "mother" one time and the role of "counselor" the next.
This allowed them to both practice their counseling skills and view the counseling process from the "mother's" perspective.
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In this group, students formed small pairs or trios to act out the scenarios.
By taking turns switching roles, they played the role of "mother" one time and the role of "counselor" the next.
This allowed them to both practice their counseling skills and view the counseling process from the "mother's" perspective.
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Aucune intervention: Traditional theoretical training (control) group
In this group, students learned about the same topics through brief instructional presentations, case studies, and question-and-answer sessions.
However, this training did not include practical role-playing exercises or one-on-one coaching.
Consequently, a traditional training method focused primarily on knowledge transfer was applied to this group.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Self-Efficacy Scale for Supporting Breastfeeding Mothers
Délai: half an hour after the intervention
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Developed by Dennis (2003) for use with breastfeeding mothers, the scale was revised by Blackman et al. and validated in Turkish by Bayri Bingöl et al. (2025).
The scale is a 4-point Likert-type measure consisting of 37 items with response options of "Very easy," "Easy," "Difficult," and "Very difficult."
Higher scores on the scale indicate higher self-efficacy in breastfeeding counseling.
In the Turkish validity and reliability study of the scale, the total Cronbach's alpha value was 0.97.
Permission to use the scale in our study was obtained from Assoc.
Prof. Dr. Fadime BAYRI BİNGÖL.
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half an hour after the intervention
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Breastfeeding Counseling Role-Play Assessment Rubric
Délai: half an hour after the intervention
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This assessment tool is a structured rubric developed to measure nursing students' breastfeeding counseling skills. The rubric aims to comprehensively evaluate students' cognitive, affective, and psychomotor competencies during role-play exercises based on a mastitis case scenario. The criteria cover seven key dimensions: communication and empathy, data collection and clinical assessment, educational role, problem-solving and guidance, professional attitude, time management, and reflection. Each dimension is scored using three-level behavioral indicators (high=3, moderate=2, low=1) that qualitatively describe the student's performance. The total score obtained in the rubric reflects the student's overall competence regarding the breastfeeding counseling process (High level: 18-21, moderate level: 13-17, low level: ≤12). In determining the criteria, clinical skill and communication-based assessment tools found in the nursing education literature were taken into consideration. The rubri |
half an hour after the intervention
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Collaborateurs et enquêteurs
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Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Breastfeeding-AI-2026
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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