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.
調査の概要
状態
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Bilecik、トルコ（Türkiye）、11230
- Bilecik Seyh Edebali University
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：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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実験的：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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介入なし：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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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Self-Efficacy Scale for Supporting Breastfeeding Mothers
時間枠：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
時間枠：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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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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