Applying Interactive E-books on Breastfeeding to Enhance Nursing Students' Learning

NCT07071285 | Active Not Recruiting

• 1 other identifier: CMUH114-REC3-125
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to explore the impact of interactive breastfeeding e-books on nursing students' breastfeeding learning outcomes. The subjects are third-year nursing students from a university in central Taiwan. A randomized controlled design will be adopted. The experimental group will use interactive breastfeeding e-books for learning, while the control group will use traditional face-to-face courses to evaluate the changes in students' breastfeeding knowledge, skills, and learning motivation. The expected results can provide a reference for innovative teaching models in nursing education and promote the future clinical promotion of breastfeeding.

Conditions

Nursing Education Research; Nursing Students; Breastfeeding Education

Keywords

e-book; nursing education; learning motivation; Breastfeeding Education; Nursing Students

Outcome Measures

Primary Outcomes (5)

• Breastfeeding Knowledge Questionnaire

  This questionnaire consists of 10 multiple-choice questions. Each correct answer is scored 10 points, and each incorrect answer is scored 0 points, yielding a total score range of 0-100. The questions were self-developed in the form of clinical scenario-based multiple-choice items, focusing on the benefits of breastfeeding, breastfeeding positions, breast milk storage methods, breast milk expression (hand expression), and nursing interventions to maintain milk supply.

  The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention

• Breastfeeding Skills Assessment Scale

  Breastfeeding skills were assessed using a "Breastfeeding Skills Assessment Scale," which includes 20 steps such as hand hygiene before procedures, self-introduction, patient identification, ensuring privacy, explaining the purpose and process, breastfeeding positions, and hand expression techniques. Each step is scored as follows: completely correct = 5 points, partially correct = 3 points, and incorrect = 0 points. The total score ranges from 0-100, with higher scores indicating better application of breastfeeding skills.

  The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention

• Breastfeeding Self-Efficacy Scale

  Breastfeeding self-efficacy was evaluated using a 10-item Breastfeeding Self-Efficacy Scale. Each item is rated on a 4-point Likert scale, where 1 = not at all capable and 4 = expert level. The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy in performing breastfeeding skills.

  The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention

• ARCS-Based Learning Motivation Scale

  The scale assesses learners' motivation toward the educational materials across four dimensions: Attention (12 items), Relevance (9 items), Confidence (9 items), and Satisfaction (6 items), for a total of 36 items. Responses are rated on a 5-point Likert scale, ranging from 5 ("Strongly Agree") to 1 ("Strongly Disagree"). The total score ranges from 36 to 180 points, with higher scores indicating stronger learning motivation.

  The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention

• Critical Thinking Disposition Scale

  This scale consists of 20 items and adopts a 6-point Likert scoring method: 1 (Never), 2 (Almost Never), 3 (Rarely), 4 (Sometimes), 5 (Often), and 6 (Always). It measures critical thinking disposition, which refers to an individual's tendency to engage in systematic analysis, maintain an open-minded attitude with empathy, and possess a wise curiosity for questioning, integration, and reflection, all of which facilitate critical thinking processes.

  The experimental group and the control group will Baseline (prior to intervention), immediately after intervention, and 4 weeks after intervention

Study Arms (2)

E-book

EXPERIMENTAL

Breastfeeding eBook learning mode.

Behavioral: E-Book

face-to-face teaching

ACTIVE COMPARATOR

face-to-face teaching of breastfeeding

Behavioral: face-to-face teaching

Interventions

E-Book BEHAVIORAL

Breastfeeding eBook learning mode.

E-book

face-to-face teaching BEHAVIORAL

face-to-face teaching of breastfeeding

face-to-face teaching

Eligibility Criteria

• Age: 20 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• It is expected to include 100 people.
• Age 20 to 30 years old.
• A third-year nursing student.
• Studying obstetrics and gynecology nursing this semester.
• Agree to participate in this study and sign the research consent form.

You may not qualify if:

• Students who are planning to take a leave of absence at the time of data collection.
• Students who have not taken obstetrics and gynecology nursing this semester or have taken it in the past.
• Students who are unable to use 3C products.

Sponsors & Collaborators

• China Medical University Hospital: lead

Study Sites (1)

China Medical University

Taichung, Taiwan, 406040, Taiwan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The study design will adopt a randomized controlled trial with repeated measures. A 60-minute intervention has been developed.Block randomization stratified by gender will be used, and eligible participants will be randomly assigned to either the experimental or control group in a 1:1 ratio using Random Allocation Software.Research assistants will code group assignments ("Group 1" and "Group 2") according to the randomization list, place the assignments into opaque sealed envelopes, and arrange them sequentially.On the day of the study, envelopes will be distributed in the order participants submit their consent forms. Participants will open the envelope themselves to learn their group assignment.

Study Record Dates

• First Submitted: July 8, 2025
• First Posted: July 17, 2025
• Study Start: September 19, 2025
• Primary Completion: September 30, 2025
• Study Completion (Estimated): July 31, 2026
• Last Updated: October 6, 2025

Record last verified: 2025-10

Locations

TW (1)