Dietary Advice Training in Nursing Using Simulation and Interactive Fiction

NCT06737276 | Completed

• 1 other identifier: sol-202200229602-tra
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomised controlled trial is to evaluate the effectiveness of training nursing students using interactive fiction and role-play simulations as teaching methodologies in improving learning and decision-making competencies related to dietary advice.

Conditions

Simulation Training; Computer Simulation; Diet, Food, and Nutrition; Nutrition Assessment; Nutrition Therapy; Education, Nursing; Teaching Innovation

Keywords

Simulation Training; Computer Simulation; Diet, Food, and Nutrition; Nutrition Assessment; Nutrition Therapy; Education, Nursing; Teaching Innovation

Outcome Measures

Primary Outcomes (3)

• Learning

  The assessment of the learning level during the intervention was measured by correcting the three unpublished case studies created using the interactive fiction methodology. Each case study consisted of 6 questions with 3 possible answers (1 point for the ideal answer, 0.5 points for the adequate answer and 0 points for the inadequate answer). For readability, the final scores were reconverted proportionally out of 10 before statistical analysis.

  Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

• Decision-making

  Measurement instrument: Clinical Decision-Making in Nursing Scale (CDMNS). It comprises the search for options or alternatives, information seeking and unbiased assimilation of new information, evaluation and re-evaluation of consequences, and probing of goals and values.

  Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

• Quality of simulations

  Measurement instrument: Simulation Design Scale (SDS). This scale measures students' perceptions of 5 dimensions related to simulation design: information, support, problem-solving, guided feedback and fidelity.

  Post-test 1 (30th day), and Post-test 2 (60th day)

Secondary Outcomes (2)

• Enjoyable experience

  Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

• Satisfaction

  Post-test 1 (30th day), and Post-test 2 (60th day)

Study Arms (3)

Experimental Group 1 (EG1)

EXPERIMENTAL

Participants received a multimodal intervention (intervention order: interactive fiction activities and role-play simulation).

Other: Interactive fiction activities; Other: Role-play simulation

Experimental Group 2 (EG2)

EXPERIMENTAL

Participants received a multimodal intervention (intervention order: role-play simulation and interactive fiction activities).

Other: Interactive fiction activities; Other: Role-play simulation

Control Group (CG)

NO INTERVENTION

Participants received a conventional practical teaching based on lectures.

Interventions

Interactive fiction activities OTHER

The case studies were prepared using interactive fiction through Twine. Each case simulated a nursing consultation with a patient requiring dietary advice, and the patient's evolution depended on the students' choices. All cases created had similar structures, durations, and difficulties to avoid complexity-related bias. For each circumstance, three possible dietary advice options were offered to the patient: one option that would be ideal, one suitable option, and one unsuitable option.

Experimental Group 1 (EG1); Experimental Group 2 (EG2)

Role-play simulation OTHER

Role-play activity of the nursing consultation on dietary advice according to Nemec et al. (2021) recommendations. Ten case studies of a nursing consultation on dietary advice involving a nurse and a patient were designed with the consensus of a group of nursing professionals with expertise in food and nutrition, health literacy, and communication. Each student was assigned a role and provided with the necessary information to play their character or understand their patient's context. The information provided was different according to the role assigned. They had to perform a simulation of eight minutes, similar to the time available in the student's primary care consultations in the referral health system. Thus, the patient and the family member had to explain the situation or health problem, the professional would analyse it, and together, they would try to reach a therapeutic agreement. After the consultation, a debriefing was carried out.

Experimental Group 1 (EG1); Experimental Group 2 (EG2)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• First year of the Degree in Nursing at a Spanish university who were enrolled in the subject "Food, Nutrition and Dietetics".

You may not qualify if:

• Lack of attendance since the beginning of the course.

Sponsors & Collaborators

• University of Cadiz: lead

Study Sites (1)

Faculty of Nursing

Algeciras, Cadiz, 11207, Spain

Location

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Study Officials

• Antonio-Jesús Marín-Paz, PhD

  University of Cadiz

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The researchers were blinded concerning the randomisation sequence and the allocation of participants to the interventions.
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This study is a two-stage simultaneous parallel (CG) and crossover (EG1 and EG2) randomised controlled trial.

Study Record Dates

• First Submitted: December 5, 2024
• First Posted: December 17, 2024
• Study Start: February 1, 2022
• Primary Completion: May 31, 2022
• Study Completion: May 31, 2022
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ANALYTIC CODE
• Time Frame: Unending.
• Access Criteria: All data from this study will be available upon request to the author by correspondence, under justified reasons. The teaching material created for the interventions will be deposited in the university's institutional repository.

Locations

ES (1)