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

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.

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.

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.

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.

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.

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.