Comparing Mixed Reality, Video-Based, and Instructor-Led Training for Nasogastric Tube Insertion in Nursing Students
NURSE-TRAIN
2 other identifiers
interventional
160
1 country
1
Brief Summary
This study explores how nursing students learn to insert a nasogastric tube (NGT), a common but potentially risky clinical procedure. The goal is to compare three different teaching methods: Mixed Reality (MR) glasses with virtual instructions Video-based learning Traditional instructor-led training The study investigates which method leads to better learning outcomes, how usable the technologies are, and how students experience MR in their learning. Participants will be first-year nursing students with no prior experience in NGT insertion. They will be randomly assigned to one of the three training methods, complete the procedure, and answer questionnaires about their performance and experience. Six months later, they will repeat the procedure to assess long-term learning.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2025
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 12, 2025
CompletedFirst Submitted
Initial submission to the registry
November 23, 2025
CompletedFirst Posted
Study publicly available on registry
December 19, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2027
December 19, 2025
December 1, 2025
2.1 years
November 23, 2025
December 6, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
NGT Checklist Performance Score
Student performance in nasogastric tube (NGT) insertion is assessed using a structured NGT checklist. Total score on the NGT checklist is 38 point. Higher scores indicate better procedural performance. The checklist evaluates both technical and non-technical procedural steps to determine clinical competence. Assessment is conducted immediately after the intervention (M1) and again six months later (M2) without instructional support. Checklist completed by a research assistant or staff member observing the student performing the NGT procedure on a manikin. The NGT checklist is based on validated tools (e.g., Kebede et al., 2024) and is designed to objectively measure students' ability to perform NGT insertion safely and correctly.
Immediately after training; 6 months after training
Secondary Outcomes (5)
User Experience Questionnaire (UEQ)
Immediately after intervention
System Usability Scale (SUS)
Immediately after intervention
NASA Task Load Index (NASA TLX)
Immediately after intervention
Student Reflection Texts
Immediately after intervention
Nasogastric Tube (NGT) theory pre- and post-test
Baseline; Immediately after intervention
Study Arms (3)
Mixed Reality Group
EXPERIMENTALParticipants in this arm receive nasogastric tube (NGT) insertion training using Meta Quest 3 mixed reality glasses. The instructional application, developed with CTRL Studio, provides stepwise virtual guidance. Students receive technical familiarization before practice. The instructional content is standardized and identical to other groups. This arm evaluates the effectiveness and usability of MR-based training.
Video-Based Learning Group
EXPERIMENTALParticipants in this arm receive NGT insertion training by watching a video recorded from the operator's point of view using a head-mounted, voice-controlled smart camera. The video is identical to the MR and instructor-led groups and can be replayed during practice. No verbal guidance is provided during the procedure. This arm evaluates the effectiveness and usability of video-based training.
Instructor-Led Training Group (Control)
EXPERIMENTALParticipants in this arm receive classroom-based instruction including theoretical slides and a live demonstration of the NGT insertion procedure. Students practice individually on a manikin under teacher supervision. The teacher answers questions but does not provide step-by-step coaching. This arm serves as the control condition and represents traditional teaching methods.
Interventions
Participants use Meta Quest 3 mixed reality glasses with a stepwise instructional application developed in CTRL Studio. The application provides interactive virtual guidance for nasogastric tube (NGT) insertion. Students receive technical familiarization before practice. Content is standardized and identical to other groups.
Participants watch a video of the NGT insertion procedure recorded from the operator's point of view using a head-mounted, voice-controlled smart camera. The video is identical to the MR and instructor-led groups and can be replayed during practice. No verbal guidance is provided during the procedure.
Participants receive classroom-based instruction including theoretical slides and a live demonstration of the NGT insertion procedure. Students practice individually on a manikin under teacher supervision. The teacher answers questions but does not provide step-by-step coaching.
Eligibility Criteria
You may qualify if:
- First-year nursing student
- Performing nasogastric tube (NGT) insertion for the first time
- No prior theoretical education or pre-material on NGT insertion procedure
You may not qualify if:
- Previous nursing education (e.g., practical nurse qualification)
- Diagnosis of epilepsy
- Presence of a pacemaker
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Turkulead
- Turku University of Applied Sciencescollaborator
Study Sites (1)
Turku University of Applied Sciences
Turku, 20520, Finland
Study Officials
- PRINCIPAL INVESTIGATOR
Marika Leppänen, Doctoral Researcher
University of Turku, Department of Nursing Science
- STUDY CHAIR
Heli Virtanen, Professor
University of Turku, Department of Nursing Science
- STUDY CHAIR
Minna Kyttälä, Professor
University of Turku, Department of Education
- STUDY CHAIR
Teijo Lehtonen, Doctor of Science (Technology)
University of Turku, Department of Computing
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Only the outcomes assessor is blinded to group allocation. Students, instructors, and researchers are aware of the assigned intervention. The assessor evaluates NGT insertion performance without knowledge of which instructional method the student received.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
November 23, 2025
First Posted
December 19, 2025
Study Start
February 12, 2025
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
April 1, 2027
Last Updated
December 19, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share
No, individual participant data (IPD) will not be shared. The data collected in this study will be used solely for statistical analysis and the publication of aggregated results in peer-reviewed scientific articles. Due to ethical considerations, including participant confidentiality and the nature of the consent obtained, individual-level data will not be made publicly available.