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

2 november 2026 bijgewerkt door: 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.

Studie Overzicht

Gedetailleerde beschrijving

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).

Studietype

Ingrijpend

Inschrijving (Geschat)

84

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 65 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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.

Actieve vergelijker: 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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Dementia Knowledge Assessed by the DKAS-TC
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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.

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Learning Materials Satisfaction
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Yeu-Hui Chuang, Taipei Medical University

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

9 november 2026

Primaire voltooiing (Geschat)

31 oktober 2027

Studie voltooiing (Geschat)

31 oktober 2027

Studieregistratiedata

Eerst ingediend

2 november 2026

Eerst ingediend dat voldeed aan de QC-criteria

2 november 2026

Eerst geplaatst (Werkelijk)

6 november 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

6 november 2026

Laatste update ingediend die voldeed aan QC-criteria

2 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Beschrijving IPD-plan

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

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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