Evaluation of a Chatbot With CALMO (Chatbot-Assisted Learning Model) to Enhance Clinical Learning in Nursing Students

NCT06780228 | Not Yet Recruiting DMC

• 1 other identifier: ISG230111
• Study Type: interventional
• Target: 174
• Locations: 0 countries
• Sites: N/A

Brief Summary

The present proposed study will design and develop a chatbot to support graduating nursing students' clinical learning. The efficacy of this chatbot technology will be evaluated, using a mixed methods quasi-experimental design. the proposed study hypothesizes that the chatbot-assisted clinical education has the potential to promote clinical performance by improving nursing knowledge, general self-efficacy, and self-reflection and insight.

Conditions

Clinical Competence

Keywords

Clinical learning; Nursing students; Chatbot; Focus group interview; Quasi-experimental design

Outcome Measures

Primary Outcomes (2)

• nursing knowledge

  multiple-choice questionnaire (MCQ) consisting of 50 items will be administered to evaluate students' nursing knowledge. the score ranges from 0 to 50. the higher the score, the better nursing knowledge.

  before-intervention at baseline (T0), 4 weeks after baseline (week 4, T1) and after intervention (week 12; T2).

• General self-efficacy

  A 10-item General Self-Efficacy Scale to assess a general sense of perceived self-efficacy to manage hassles. It is scored with possible responses, 1=not at all true; 2=hardly true; 3=moderately true; and 4=exactly true, yielding a total score between 10 and 40. The higher the score, the higher the optimistic to cope with daily hassles.

  before-intervention at baseline (T0), 4 weeks after baseline (week 4, T1) and after intervention (week 12; T2).

Secondary Outcomes (2)

• Self-reflection and insight

  : before-intervention at baseline (T0), 4 weeks after baseline (week 4, T1) and after intervention (week 12; T2).

• Qualitative Comments on the Perceptions of Chatbot-assisted technology

  at the end of the 12-week study

Study Arms (2)

Chatbot assisted learning

EXPERIMENTAL

The participants will recevie a self-developed web-based chatbot platform which is accessible via smartphones. It provides real-time dialogue with the chatbot through texts, visual aids, and audio files. The intervention will be available throughout the 12-week study. the chatbot is characterized by a gender-neutral persona, assumes the role of a friendly and empathetic clinical mentor. Its communication style can be described as calm, tolerant, supportive, and appreciative. Participants will receive weekly Short Message Service (SMS) notifications to remind them to consult with the chatbot.

Behavioral: chatbot-assisted clinical learning

control group _usual care

NO INTERVENTION

Participants in the Control Group will receive their usual clinical education support during the intervention period

Interventions

chatbot-assisted clinical learning BEHAVIORAL

The participants will recevie a self-developed web-based chatbot platform which is accessible via smartphones. It provides real-time dialogue with the chatbot through texts, visual aids, and audio files. The intervention will be available throughout the 12-week study. the chatbot is characterized by a gender-neutral persona, assumes the role of a friendly and empathetic clinical mentor. Its communication style can be described as calm, tolerant, supportive, and appreciative. Participants will receive weekly SMS notifications to remind them to consult with the chatbot.

Chatbot assisted learning

Eligibility Criteria

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

You may qualify if:

• Baccalaureate nursing students participating in their final clinical placement
• have sufficient knowledge of English language
• own a smartphone with internet access
• possess a valid Hong Kong phone number
• possess a valid email address

You may not qualify if:

• those who have been involved in the pilot test of the proposed chatbot intervention

Sponsors & Collaborators

• Caritas Institute of Higher Education: lead
• Tung Wah College: collaborator

Study Officials

• Winnie LS CHENG, PhD

  Saint Francis University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Winnie LS CHENG, PhD

CONTACT

852-37024434; wcheng@sfu.edu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: In this study, outcome assessors were effectively blinded to participant group assignments through the use of an advanced electronic data collection platform. Each participant was assigned a unique identifier by the system, which masked their group allocation. Assessors accessed participant data through a secure portal that only displayed these identifiers and relevant clinical data, without any indication of group membership.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: January 11, 2025
• First Posted: January 17, 2025
• Study Start: January 11, 2025
• Primary Completion (Estimated): September 30, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: January 17, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share