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NCT Number: NCT06737276

Dietary Advice Training in Nursing Using Simulation and Interactive Fiction

The goal of this randomised controlled trial is to evaluate the effectiveness of training nursing students using interactive fiction and role-play simulations as teaching methodologies in improving learning and decision-making competencies related to dietary advice.

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Key information

Conditions

Simulation Training Computer Simulation Diet, Food, and Nutrition Education, Nursing Nutrition Assessment Nutrition Therapy Teaching Innovation

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Nursing

Algeciras, Cadiz, 11207, Spain

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • First year of the Degree in Nursing at a Spanish university who were enrolled in the subject "Food, Nutrition and Dietetics".

Exclusion criteria

  • Lack of attendance since the beginning of the course.

Treatment and study plan

Interactive fiction activities

Other

The case studies were prepared using interactive fiction through Twine. Each case simulated a nursing consultation with a patient requiring dietary advice, and the patient's evolution depended on the students' choices. All cases created had similar structures, durations, and difficulties to avoid complexity-related bias. For each circumstance, three possible dietary advice options were offered to the patient: one option that would be ideal, one suitable option, and one unsuitable option.

Role-play simulation

Other

Role-play activity of the nursing consultation on dietary advice according to Nemec et al. (2021) recommendations. Ten case studies of a nursing consultation on dietary advice involving a nurse and a patient were designed with the consensus of a group of nursing professionals with expertise in food and nutrition, health literacy, and communication. Each student was assigned a role and provided with the necessary information to play their character or understand their patient's context. The information provided was different according to the role assigned. They had to perform a simulation of eight minutes, similar to the time available in the student's primary care consultations in the referral health system. Thus, the patient and the family member had to explain the situation or health problem, the professional would analyse it, and together, they would try to reach a therapeutic agreement. After the consultation, a debriefing was carried out.

Primary outcomes

  1. Learning

    Time frame: Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

    The assessment of the learning level during the intervention was measured by correcting the three unpublished case studies created using the interactive fiction methodology. Each case study consisted of 6 questions with 3 possible answers (1 point for the ideal answer, 0.5 points for the adequate answer and 0 points for the inadequate answer). For readability, the final scores were reconverted proportionally out of 10 before statistical analysis.

  2. Decision-making

    Time frame: Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

    Measurement instrument: Clinical Decision-Making in Nursing Scale (CDMNS). It comprises the search for options or alternatives, information seeking and unbiased assimilation of new information, evaluation and re-evaluation of consequences, and probing of goals and values.

  3. Quality of simulations

    Time frame: Post-test 1 (30th day), and Post-test 2 (60th day)

    Measurement instrument: Simulation Design Scale (SDS). This scale measures students' perceptions of 5 dimensions related to simulation design: information, support, problem-solving, guided feedback and fidelity.

Secondary outcomes

  1. Enjoyable experience

    Time frame: Pre-test (0 day), Post-test 1 (30th day), and Post-test 2 (60th day)

    Measurement instrument: Gameful Experience Gamification (GAMEX) scale. It measures 6 dimensions of students' experience in gamified experiences or environments involving interactive enjoyment mechanisms.

  2. Satisfaction

    Time frame: Post-test 1 (30th day), and Post-test 2 (60th day)

    Measurement instrument: Student Satisfaction and Self-Confidence in Learning Scale (SCLS). It has 5 items on student satisfaction with instructional methods, learning materials and instructors, as well as 8 items on self-confidence in learning.

Sponsors and collaborators

Lead sponsor

University of Cadiz

Other

Registry information

Official study title

Dietary Advice Training in Nursing Using Simulation and Interactive Fiction: a Randomised Controlled Trial

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Dec 17, 2024
Registry last updated
Dec 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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