Augmented Reality Animations for Smoking Cessation Counseling Training

NCT07024485 | Completed

• 1 other identifier: EA250324
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This proposed study aims to develop augmented reality (AR) based intervention during the smoking cessation counselling(SCC) training for master nursing students in the University of Hong Kong. Hypotheses to be tested: (1) AR animations can improve nursing students' knowledge, skills in SCC compared to conventional teaching methods. (2)Student satisfaction and engagement with AR-based learning can be improved. (3) The training will increase master nursing students' self-efficacy to application of 5As SCC skill. The study is a pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio, using AR animations for intervention and control groups. The intervention group receives messages related to SCC, while the control group receives generic mental health information. The subjects are MN students enrolled in the "Tobacco Dependency Nursing Intervention and Management" course. The study uses various tools for measurement, including Providers Smoking Cessation Training Evaluation(ProSCiTE), and The Instructional Materials Motivation Survey (IMMS). The main outcome measures include SCC practice frequency,SCC knowledge score, SCC attitude score, and SCC practice score. Data will be entered into SPSS for Windows (version 20) for analysis. Descriptive statistics including frequency, percentage, and mean will be used to summarize the outcomes and other variables. By intention-to-treat analysis, participants who are lost or refuse the follow-up will be treated as no change in the training outcomes. Chi-square tests and t-tests will be used to compare outcomes between intervention and control groups. The effect size, Cohen's d, will be computed for the standardized mean of the pre-post differences, both with and without adjustment for baseline characteristics. Additionally, Cohen's f will be calculated to assess the magnitude of the intervention effect in the linear mixed models. These models, which account for multiple observations per subject and clustering effects, will be used to analyze the intervention's impact on self-efficacy, motivation, and KAP. Both the main effect (group allocation) and interaction effect (group × time) will be examined to determine the intervention's effectiveness.

Conditions

Smoking Cessation Counseling Ability and Practice

Keywords

AR animation; nursing students; smoking cessation training

Outcome Measures

Primary Outcomes (1)

• Self-efficacy

  Self-efficacy in applying the 5As framework of SCC will be measured using the Providers Smoking Cessation Training Evaluation (ProSCiTE) scale. This validated tool includes subscales measuring knowledge, attitude, self-efficacy, and behavior. The self-efficacy subscale evaluates the confidence of nursing students in delivering SCC. Scoring: Each item is rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Minimum score: 13 Maximum score: 65 Higher scores indicate greater self-efficacy in providing SCC.

  T0: Baseline (Day 1 of course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session)

Secondary Outcomes (2)

• Learning motivation and satisfaction

  T0: Baseline (Day 1 of the course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session)

• knowledge, attitude, and behavior in Smoking Cessation Counselling

  T0: Baseline (Day 1 of the course) T1: Pre-tutorial (Immediately before the tutorial session) T2: Post-tutorial (Immediately after the tutorial session) T3: Follow-up (2 months after the tutorial session)

Study Arms (2)

Intervention group

EXPERIMENTAL

Teaching format: Tutorial includes Augmented Reality (AR) animations Learning materials: Watch 4 smokers' real-life scenario videos + read case texts + interact with AR animations Discussion preparation: Develop quit plan using 5As model and AR animations; prepare for role-play Role-play and simulation: Use AR visuals to support counseling demonstration; each group role-plays using 5As model Technology/tools required:Smartphone with browser (iOS/Android); no app download needed

Device: AR animations and 5As model based on smoking cessation counseling Knowledge-Attitude-Practice (KAP)

Control group

PLACEBO COMPARATOR

Teaching format: Traditional tutorial without AR animations Learning materials: Watch 4 smokers' real-life scenario videos + read case texts only Discussion preparation: Develop quit plan using 5As model; prepare for role-play (no AR used) Role-play and simulation: Role-play based on text and video only; 5As model used Technology/tools required:No specific technology required

Device: 5As model based on smoking cessation counseling Knowledge-Attitude-Practice (KAP)

Interventions

AR animations and 5As model based on smoking cessation counseling Knowledge-Attitude-Practice (KAP) DEVICE

The intervention group received a tutorial that incorporated Augmented Reality (AR) animations alongside conventional teaching materials. In addition to watching four real-life smoker scenario videos and reading corresponding case texts, students used their smartphones to interact with AR animations that visualized the physiological effects of smoking (e.g., lung cancer, vascular disease, aging). These animations were used during group discussions and role-play sessions, helping students to assess smokers' knowledge, illustrate health risks, and tailor counseling plans using the 5As model. The AR experience was designed to enhance learning engagement, emotional connection, and self-efficacy in delivering smoking cessation counseling.

Intervention group

5As model based on smoking cessation counseling Knowledge-Attitude-Practice (KAP) DEVICE

The control group, received a conventional tutorial without the use of AR technology. They watched the same four smoker scenario videos and read the same case texts, then engaged in small group discussions and role-play activities to develop quit plans using the 5As counseling model. However, unlike the intervention group, their learning process relied solely on textual and video materials, without the immersive or interactive elements provided by AR. This approach represents standard smoking cessation training methods commonly used in nursing education.

Control group

Eligibility Criteria

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

You may qualify if:

• master nursing students (1-2 years)
• able to read, understand, and write in English
• willing to participate in this study

You may not qualify if:

• \- students who have taken any training courses in the past 6 months.

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

Hong KongLKS Faculty of MedicineHong Kong

Hong Kong, Hong Kong, 00, China

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double-blinding technique will be used to conceal the allocation. Participants will not know which group they are in as placebo messages will be introduced. Using a central allocation web-based-controlled randomization, outcome assessors and data analysts will be blind to group allocation, only the principal investigator will be aware of who belongs to the control and intervention groups.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: June 3, 2025
• First Posted: June 17, 2025
• Study Start: May 23, 2025
• Primary Completion: May 23, 2025
• Study Completion: May 23, 2025
• Last Updated: June 17, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: Data will be available for 5 years.
• Access Criteria: Research data and documentation will be available upon request.

Locations

CN (1)