The Effects of Using Augmented Reality (AR) System to Train Foreign Care Workers.

NCT05938166 | Recruiting

• 1 other identifier: KMUHIRB-SV(II)-20230019
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to evaluate the effect of augmented reality (AR) system training intervention of foreign care workers on the salivary biomarker and oral function of older people. This randomized controlled trial included experimental group: AR group (EG-A) Video group (EG-B) and control group(CG), respectively. The EG-A will receive augmented reality (AR) system training intervention with AR tooth-cleaning skills session course add video-based oral hygiene education course . The EG-B receive video-based oral hygiene education course and The CG only receive only a leaflet.

Conditions

Oral Dryness and Saliva Altered; Oral Manifestations; Swallowing Disorder

Keywords

AR (augmented reality); Oral Care Behavior; Saliva Biomarker

Outcome Measures

Primary Outcomes (18)

• Tongue Coating Index(TCI)

  The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows: Score 0: Tongue coating not visible. Score 1: Tongue coating thin, papillae of tongue visible. Score 2: Tongue coating very thick, papillae of tongue not visible. Range= 0 to 18 Score

  Change from Baseline TCI at 1-month after intervention

• Tongue Coating Index(TCI)

  The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows: Score 0: Tongue coating not visible. Score 1: Tongue coating thin, papillae of tongue visible. Score 2: Tongue coating very thick, papillae of tongue not visible. Range= 0 to 18 Score

  Change from Baseline TCI at 3-month after intervention

• Tongue Coating Index(TCI)

  The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows: Score 0: Tongue coating not visible. Score 1: Tongue coating thin, papillae of tongue visible. Score 2: Tongue coating very thick, papillae of tongue not visible. Range= 0 to 18 Score

  Change from Baseline TCI at 6-month after intervention

• Oral Dryness Status

  The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows: Normal: 2.75 g/2min. Oral dryness: 2 g/2min.

  Change from Baseline Oral Dryness Status at 1-month after intervention

• Oral Dryness Status

  The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows: Normal: 2.75 g/2min. Oral dryness: 2 g/2min.

  Change from Baseline Oral Dryness Status at 3-month after intervention

• Oral Dryness Status

  The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows: Normal: 2.75 g/2min. Oral dryness: 2 g/2min.

  Change from Baseline Oral Dryness Status at 6-month after intervention

• Lip-Tongue Motor Function

  The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows: Pa:times/ per 15 seconds Ta:times /per 15 seconds Ka:times /per 15 seconds

  Change from Baseline lip-tongue motor function Status at 1-month after intervention

• Lip-Tongue Motor Function

  The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows: Pa:times/ per 15 seconds Ta:times /per 15 seconds Ka:times /per 15 seconds

  Change from Baseline lip-tongue motor function Status at 3-month after intervention

• Lip-Tongue Motor Function

  The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows: Pa:times/ per 15 seconds Ta:times /per 15 seconds Ka:times /per 15 seconds

  Change from Baseline lip-tongue motor function Status at 6-month after intervention

• Maximum tongue pressure (MTP)

  The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows: 1. First times / Maximum Kpa value. 2. Second times / Maximum Kpa value. 3. Third times / Maximum Kpa value. Average of maximum tongue pressure in 3 times.

  Change from Baseline Maximum tongue pressure status at 1-month after intervention

• Maximum tongue pressure (MTP)

  The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows: 1. First times / Maximum Kpa value. 2. Second times / Maximum Kpa value. 3. Third times / Maximum Kpa value. Average of maximum tongue pressure in 3 times.

  Change from Baseline Maximum tongue pressure status at 2-month after intervention

• Maximum tongue pressure (MTP)

  The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows: 1. First times / Maximum Kpa value. 2. Second times / Maximum Kpa value. 3. Third times / Maximum Kpa value. Average of maximum tongue pressure in 3 times.

  Change from Baseline Maximum tongue pressure status at 3-month after intervention

• Masticatory Function

  The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows: To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors . 1. light green: very poor chewing ability. 2. light yellow: poor chewing ability. 3. light pink: no good chewing ability. 4. pink: good chewing ability. 5. red: very good chewing ability.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 1-month after intervention status at 3-month after intervention

• Masticatory Function

  The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows: To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors . 1. light green: very poor chewing ability. 2. light yellow: poor chewing ability. 3. light pink: no good chewing ability. 4. pink: good chewing ability. 5. red: very good chewing ability.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 3-month after intervention status at 3-month after intervention

• Masticatory Function

  The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows: To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors . 1. light green: very poor chewing ability. 2. light yellow: poor chewing ability. 3. light pink: no good chewing ability. 4. pink: good chewing ability. 5. red: very good chewing ability.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 6-month after intervention status at 3-month after intervention

• Saliva Swallowing Test(RSST)

  The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows: participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 1-month after intervention

• Saliva Swallowing Test(RSST)

  The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows: participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 3-month after intervention

• Saliva Swallowing Test(RSST)

  The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows: participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

  Change from Baseline Change from Baseline Maximum tongue pressure status at 6-month after intervention

Secondary Outcomes (3)

• GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

  Change from Baseline at 1 month after intervention

• GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

  Change from Baseline at 3 month after intervention

• GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

  Change from Baseline at 6 month after intervention

Study Arms (3)

experimental group (EG-A)

EXPERIMENTAL

Behavioral: The experimental of A group received a 40-minute AR tooth-cleaning skills session and a 50-minute video-based oral hygiene education course.

Device: oral care augmented reality (AR); Other: video-based oral hygiene education course

experimental group (EG-B)

EXPERIMENTAL

The experimental of B group received a 50-minute video-based oral hygiene education course.

Other: video-based oral hygiene education course

Control Group

NO INTERVENTION

The CG only receive only a booklet of traditional classroom oral health education

Interventions

oral care augmented reality (AR) DEVICE

Augmented reality (AR) is an extension of perceptible reality, whereby additional information, such as texts or virtual objects, can be displayed in the user's field of vision.The oral care augmented reality (AR) simulation training can train foreign care workers by switching languages (Indonesian) and therefore reduce language-related learning barriers.

experimental group (EG-A)

video-based oral hygiene education course OTHER

50-minute video-based oral hygiene education course

experimental group (EG-A); experimental group (EG-B)

Eligibility Criteria

• Age: 21 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \. The Indonesian caregivers who are employed in Kaohsiung City are aged between 21 and 65 and have simple Chinese communication skills.
• \. The elderly people being cared for is over 65 years old.

You may not qualify if:

• \. Elderly people who are unable to cooperate with instructions.
• \. Elderly people with facial impairment.

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

Study Sites (1)

Kaohsiung Medical University

Kaohsiung City, Sanmin Dist, 807, Taiwan

RECRUITING

Related Publications (1)

• Chang AH, Lin PC, Lin PC, Lin YC, Kabasawa Y, Lin CY, Huang HL. Effectiveness of Virtual Reality-Based Training on Oral Healthcare for Disabled Elderly Persons: A Randomized Controlled Trial. J Pers Med. 2022 Feb 4;12(2):218. doi: 10.3390/jpm12020218.

  PMID: 35207706 BACKGROUND

MeSH Terms

Conditions

Xerostomia; Oral Manifestations; Deglutition Disorders

Condition Hierarchy (Ancestors)

Salivary Gland Diseases; Mouth Diseases; Stomatognathic Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Esophageal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Pharyngeal Diseases; Otorhinolaryngologic Diseases

Central Study Contacts

leu k hsun, Master

CONTACT

+886-7-3121101; leu1026@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 3, 2023
• First Posted: July 10, 2023
• Study Start: January 3, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: March 7, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

TW (1)