Enhancing Healthcare Students' Attitudes Toward Dementia Care Through Virtual Reality Education

NCT06629844 | Completed DMC

• 2 other identifiers: 3359-KEPK23KK0168
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This quasi-experimental study focuses on Indonesian nursing students and aims to examine the effectiveness of virtual reality (VR) dementia educational programs. The study addresses the following research questions:

1. 1.What is the current state of knowledge and awareness about dementia among participants before engaging in a VR dementia education program?
2. 2.What is the effect of a VR dementia education program on improving participants' attitude, knowledge, and intention to help toward people living with dementia, and how are participants satisfied with the VR dementia education program? Participants will voluntarily join a 120-minute class education program, with each participant attending only once. The program, integrated into the faculty's dementia-related courses, will be structured around a series of components, including introduction, pre-program questionnaire, lecture, bad drama (unfriendly communication), bad version of VR, discussion, Lecture (about dementia), good VR, good drama, Lecture, N-impro, post-program questionnaire, and conclusion.

Conditions

Nursing Students; Education Program on Dementia

Keywords

Aged; Dementia; Education Program; Healthcare Student; Long-term care; Virtual Reality

Outcome Measures

Primary Outcomes (1)

• Attitudes Toward People with Dementia Scale

  Participants' attitudes toward persons living with dementia (PLWD) will be assessed using the Attitudes Toward People with Dementia Scale. Factors related to attitudes toward people with dementia: Development of the Attitude Toward Dementia Scale and Dementia Knowledge Scale. The original scale was published in Japanese, and a forward-backward translation process was conducted to produce the Indonesian version of the scale. The questionnaire consists of 14 items and it is designed to evaluate participants' attitudes toward PLWD. The total score ranged from 14 to 56, with high scores indicating favorable attitudes.

  3-5 minutes for completion of the questionnaire

Secondary Outcomes (3)

• Knowledge of Dementia

  3-5 minutes for completion of the questionnaire

• Intention to Help Persons Living with Dementia (PLWD)

  2-3 minutes for completion of the vignettes

• User Experience Questionnaire (UEQ)

  3-5 minutes for completion of the questionnaire

Study Arms (2)

Virtual Reality Program

EXPERIMENTAL

The experiment group will receive the VR dementia education program, which will be conducted once for each participant.

Other: The VR dementia education group

Standard Course Material

ACTIVE COMPARATOR

The control group will receive the standard course material through the university's e-learning platform.

Other: The control group

Interventions

The VR dementia education group OTHER

The intervention group will receive the VR dementia education program, which will be conducted once for each participant, and each session will accommodate a maximum of 20 participants. The VR dementia education program will follow the flow below, integrating video dramatizations, VR experiences, lectures, and discussions. The program is designed to simulate real-life dementia care situations, encourage reflection, and enhance nursing students' understanding of dementia management. The following are the steps for intervention: Introduction (3 minutes), Pre-Program Questionnaire (10 minutes), Lecture Introduction (2 minutes), Bad Drama (Unfriendly Communication) (10 minutes), Bad VR (10 minutes), Discussion (5 minutes), Lecture 1: What is Dementia? (10 minutes), Good VR (10 minutes), Good Drama (10 minutes), Lecture 2: What Can We Do to Support PLWD? (5 minutes), N-impro (10 minutes), Post-Program Questionnaire (10 minutes), Conclusion (5 minutes).

Virtual Reality Program

The control group OTHER

The intervention begins with an introduction to the VR dementia program, outlining its objectives and setting participant expectations. A pre-program questionnaire follows to assess baseline knowledge, attitudes, and intention to assist people with dementia. A brief lecture introduces a dramatization showing ineffective communication with a PLWD, followed by a VR scenario highlighting poor care practices. After discussing these observations, participants attend a lecture explaining dementia's symptoms and progression, with culturally adapted video content for Indonesian audiences. Next, a positive VR scenario demonstrates best practices in dementia care, followed by a video on supportive communication. A second lecture offers practical strategies for caregiving and communication, complemented by an N-impro session to deepen understanding. The session concludes with a post-program questionnaire and final reflection to encourage real-world application of the learned skills.

Standard Course Material

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Nursing students enrolled in the designated semester and courses that align with the program's implementation at Universitas Airlangga.

You may not qualify if:

• \- Students who are not enrolled in the specified semester and courses or those who have prior experience with similar VR dementia education programs could influence the results.

Sponsors & Collaborators

• Universitas Airlangga: lead
• Tokyo University: collaborator

Study Sites (1)

Faculty of Nursing, Universitas Airlangga

Surabaya, East Java, 60115, Indonesia

Location

Related Publications (9)

• Sari DW, Igarashi A, Takaoka M, Yamahana R, Noguchi-Watanabe M, Teramoto C, Yamamoto-Mitani N. Virtual reality program to develop dementia-friendly communities in Japan. Australas J Ageing. 2020 Sep;39(3):e352-e359. doi: 10.1111/ajag.12797. Epub 2020 Jun 2.

  PMID: 32483931 BACKGROUND

• Wu J, Igarashi A, Suzuki H, Matsumoto H, Kugai H, Takaoka M, Yamamoto-Mitani N. Effects of a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study. Int J Older People Nurs. 2024 May;19(3):e12616. doi: 10.1111/opn.12616.

  PMID: 38769648 BACKGROUND

• Suzuki H, Igarashi A, Matsumoto H, Kugai H, Takaoka M, Sakka M, Ito K, Hagiwara Y, Yamamoto-Mitani N. A Dementia-Friendly Educational Program Using Virtual Reality for the General Public in Japan: A Randomized Controlled Trial for DRIVE. Gerontologist. 2024 Nov 1;64(11):gnae113. doi: 10.1093/geront/gnae113.

  PMID: 39140623 BACKGROUND

• Igarashi A, Matsumoto H, Takaoka M, Kugai H, Suzuki M, Yamamoto-Mitani N. Educational Program for Promoting Collaboration Between Community Care Professionals and Convenience Stores. J Appl Gerontol. 2020 Jul;39(7):760-769. doi: 10.1177/0733464819871878. Epub 2019 Sep 3.

  PMID: 31478434 BACKGROUND

• Matsumoto H, Hagiwara Y, Yamamoto-Mitani N, Igarashi A. A Randomized Control Trial for ReDeSign: A Dementia-Friendly Mobile Microlearning Training for Store Workers in Japan. Gerontologist. 2023 Sep 2;63(8):1300-1310. doi: 10.1093/geront/gnac182.

  PMID: 36508394 BACKGROUND

• GBD 2021 Demographics Collaborators. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950-2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):1989-2056. doi: 10.1016/S0140-6736(24)00476-8. Epub 2024 Mar 11.

  PMID: 38484753 BACKGROUND

• Leroi I, Kitagawa K, Vatter S, Sugihara T. Dementia in 'super-aged' Japan: challenges and solutions. Neurodegener Dis Manag. 2018 Aug;8(4):257-266. doi: 10.2217/nmt-2018-0007. Epub 2018 Jul 24.

  PMID: 30040019 BACKGROUND

• Igarashi A, Eltaybani S, Takaoka M, Noguchi-Watanabe M, Yamamoto-Mitani N. Quality Assurance in Long-Term Care and Development of Quality Indicators in Japan. Gerontol Geriatr Med. 2020 Nov 27;6:2333721420975320. doi: 10.1177/2333721420975320. eCollection 2020 Jan-Dec.

  PMID: 35047653 BACKGROUND

• Matsumoto H, Igarashi A, Suzuki M, Yamamoto-Mitani N. Association between neighbourhood convenience stores and independent living in older people in Japan. Australas J Ageing. 2019 Jun;38(2):116-123. doi: 10.1111/ajag.12607. Epub 2019 Jan 30.

  PMID: 30701659 BACKGROUND

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Dianis Wulan Sari, Ph.D

  Faculty of Nursing, Universitas Airlangga

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 3, 2024
• First Posted: October 8, 2024
• Study Start: October 14, 2024
• Primary Completion: January 25, 2025
• Study Completion: May 25, 2025
• Last Updated: November 19, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)