NCT07117604

Brief Summary

The purpose of this clinical trial is to determine the effect of a virtual reality application on nursing students' skills in breaking bad news and approaching crying patients at a nursing faculty in western Turkey. The primary questions to be addressed are: Is there a significant difference in breaking bad news skills between students receiving the virtual reality intervention and those receiving the standard curriculum? Is there a significant difference in skills related to approaching crying patients between students receiving the virtual reality intervention and those receiving the standard curriculum? Comparison group: The researchers will compare the intervention group, which receives the virtual reality application, with the control group, which follows the standard curriculum, to assess differences in skill development. Participants: Nursing students aged 18 years or older, who are taking a communication course for the first time and voluntarily participating. Participants will be randomly assigned to the intervention or control groups. Participants in the intervention group will: Attend an orientation session for the virtual reality application, Engage in a virtual reality scenario based on the SPIKES protocol involving breaking bad news and approaching a crying patient, Participate in a debriefing session to discuss their experiences. Participants in the control group will receive the standard curriculum course.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2025

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 22, 2025

Completed
10 days until next milestone

Study Start

First participant enrolled

August 1, 2025

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

August 12, 2025

Completed
Last Updated

August 12, 2025

Status Verified

August 1, 2025

Enrollment Period

Same day

First QC Date

July 22, 2025

Last Update Submit

August 11, 2025

Conditions

Keywords

Virtual realitycancerbreaking bad newsnursingcommunication

Outcome Measures

Primary Outcomes (2)

  • Change in the Questionnaire on Knowledge of Breaking Bad News

    The level of knowledge and skills in breaking bad news and approaching a crying patient will be assessed using validated questionnaire: the Questionnaire on Knowledge of Breaking Bad News

    Pre- and post-intervention assessments conducted within 15 days.

  • Change in the Questionnaire on Knowledge of Approaching a Crying Patient

    The level of knowledge and skills in breaking bad news and approaching a crying patient will be assessed using validated questionnaire: the Questionnaire on Knowledge of Approaching a Crying Patient.

    Pre- and post-intervention assessments conducted within 15 days.

Study Arms (2)

The students in the intervention group received training on virtual reality.

EXPERIMENTAL

In the intervention group, interventions were performed in the following three sessions: orientation, VR viewing, and discussion. During the orientation session, the participants in the intervention group were made familiar with the virtual reality application, and given information on roles and a general overview. A sample visual was displayed for adaptation, and the participants were asked if they had any problems. Then they explored the avatars of a patient, a physician and a nurse in the virtual reality environment and familiarized themselves with the environment (approximately 10 minutes). Although the participants only observed the virtual environment, they felt that they were part of the virtual environment. The researchers provided technical support to the participants throughout the application. Each participant participated in the virtual reality application once. In the debriefing session, the participants' observations of the virtual reality environment were discussed.

Other: Virtual Reality

Students in the control group received no training.

ACTIVE COMPARATOR

Students in the control group received no training. The students in the control group were told that the program would be implemented to those who volunteered after the study was completed.

Other: Control group

Interventions

Standard virtual reality applications rely on computer-generated animation environments and avatars; however, in the present study, the content created by actors/actresses with theater training by using cameras and audio recording devices suitable for creating virtual reality content included images of real environments and people.

Also known as: Virtual Glasses
The students in the intervention group received training on virtual reality.

While the participants in the intervention group received training on virtual reality, those in the control group took the standard curriculum course. Students in the control group received no training. The students in the control group were told that the program would be implemented to those who volunteered after the study was completed.

Also known as: Active Comparator
Students in the control group received no training.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • being ≥18 years old
  • being a nursing student,
  • taking a communication course for the first time
  • volunteering to participate in the study

You may not qualify if:

  • having a condition preventing the student from using the VR tool
  • having problems such as nausea and vomiting due to the use of VR headsets
  • having been participated in any training given on breaking bad news

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

NeoplasmsCommunication

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Central Study Contacts

Yağmur Yaşa, Research Assistant

CONTACT

Ezgi Karadağ, Professor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: The students who agreed to participate in the study were randomly assigned to the intervention and control groups. The first student who agreed to participate in the study was assigned to the intervention group, and the second to the control group. The students in the intervention group received training on virtual reality. Students in the control group received no training. The students in the control group were told that the program would be implemented to those who volunteered after the study was completed.All the participants in the intervention group participated in the virtual reality session individually and then in the debriefing session related to the scenario. While the participants in the intervention group received training on virtual reality, those in the control group took the standard curriculum course.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Assistant

Study Record Dates

First Submitted

July 22, 2025

First Posted

August 12, 2025

Study Start

August 1, 2025

Primary Completion

August 1, 2025

Study Completion

August 1, 2025

Last Updated

August 12, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share