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

2 november 2026 uppdaterad av: 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.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Beräknad)

84

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 65 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Beteende: Comic-Based Dementia Care Education

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.
Aktiv komparator: 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.
Beteende: Text-Based Dementia Care Education

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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Dementia Knowledge Assessed by the DKAS-TC
Tidsram: 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
Tidsram: 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
Tidsram: 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.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Learning Materials Satisfaction
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Taipei Medical University

Utredare

  • Huvudutredare: Yeu-Hui Chuang, Taipei Medical University

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

9 november 2026

Primärt slutförande (Beräknad)

31 oktober 2027

Avslutad studie (Beräknad)

31 oktober 2027

Studieregistreringsdatum

Först inskickad

2 november 2026

Först inskickad som uppfyllde QC-kriterierna

2 november 2026

Första postat (Faktisk)

6 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

6 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

2 november 2026

Senast verifierad

1 november 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • N202609028

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

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

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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