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NCT Number: NCT07414563

Effectiveness of an Web Application in Enhancing Informal Caregivers' Nasogastric Tube Feeding Competency

The goal of this trial is to determine whether adding a nasogastric tube web application to standard face-to-face caregiver training helps informal caregivers learn nasogastric tube feeding more quickly than standard training alone.

The main question is:

Does the use of a nasogastric tube web application alongside standard face-to-face caregiver training shorten the time required for caregivers to learn nasogastric tube feeding, compared with standard training alone?

Researchers will compare two groups: caregivers who receive standard face-to-face training plus access to the web application and caregivers who only receive standard face-to-face training to see who will learn nasogastric tube feeding more quickly.

Participants will:

* Receive either standard face-to-face training plus the web application or standard face-to-face training alone when identified for nasogastric tube feeding training. * Have their time taken to learn nasogastric tube feeding recorded.

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Key information

Conditions

Nasogastric Feeding Deglutition Disorders Digestive System Diseases Dysphagia Esophageal Diseases Family Caregivers Gastrointestinal Diseases Informal Caregiver Otorhinolaryngologic Diseases Pharyngeal Diseases Training Family Caregivers

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Nursing Implementation, Translation & Research Office (NITRO); Tan Tock Seng Hospital

Singapore

About this study

Nasogastric tube feeding is a technically-demanding procedure that requires both practical skill and sound clinical judgement to avoid potentially serious complications. It is therefore essential that caregivers receive adequate training to perform this task safely and effectively. Evidence suggests that digital caregiver training interventions-particularly those that include simulation-based learning and multimodal audio-visual content-can improve caregiver skills in learning and performing procedures such as nasogastric tube feeding. However, the effectiveness of a web application in improving informal caregivers' ability to perform nasogastric tube feeding has not yet been evaluated.

Assessing the usefulness of this web application may help improve existing training methods and technological supports for caregivers, enhance the quality of home-based care, strengthen continuity of care between hospital and home settings, and reduce unnecessary healthcare use.

Who can participate

Healthy volunteers accepted: Yes

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

Caregivers who will receive standard face-to-face training

Inclusion criteria

  • Individual who has been identified by the healthcare team to undergo caregiver training for nasogastric feeding to assist a patient with nutritional needs.
  • No prior training or experience in nasogastric feeding.
  • Potentially able to complete course of caregiver training for nasogastric feeding in the hospital of enrolment.
  • Aged 21 and above.

Exclusion criteria

  • Caregivers who are cognitively impaired.
  • Have received prior training for nasogastric feeding.
  • Will not be able to complete their course of caregiving training for nasogastric feeding in the hospital of enrolment.

Caregivers who will receive standard face-to-face training plus access to the web application

Inclusion criteria

  • Individual who has been identified by the healthcare team to undergo caregiver training for nasogastric feeding to assist a patient with nutritional needs.
  • No prior training or experience in nasogastric feeding.
  • Potentially able to complete course of caregiver training for nasogastric feeding in the hospital of enrolment.
  • Have the basic literacy skills to use the nasogastric tube web application.
  • Able to access and use the nasogastric web application over the course of their training in nasogastric tube feeding to support their learning.
  • Aged 21 and above.

Exclusion criteria

  • Caregivers who are cognitively impaired.
  • Have received prior training for nasogastric feeding.
  • Will not be able to complete their course of caregiving training for nasogastric feeding in the hospital of enrolment.
  • Have no or limited literacy ability to use the nasogastric web application
  • Unable to access and use the nasogastric web application over the course of their training in nasogastric tube feeding.

Patients

Inclusion criteria

  • Aged 50 years and above.
  • Patient whose caregiver has been identified to undergo nasogastric tube feeding training to support their nutritional needs.
  • Has mental capacity as per the approved documentation of capacity form or has a legal representative willing to provide consent to allow study team to extract medical records.

Treatment and study plan

Nasogastric tube web application

Other

The application was co-developed with caregivers and has been content validated by multiple experts. It can be accessed using web-enabled smart device. The application has four main features; (1) video demonstrations; (2) micro-learning modules to build knowledge, (3) quizzes to test understanding, and (4) virtual simulation scenarios to mirror real-world scenarios for hands-on practice.

Primary outcomes

  1. Time taken to achieve competency

    Time frame: Through study completion, an average of 1 week

    Time taken in hours and minutes for caregivers to achieve competency in nasogastric tube (NG) feeding

  2. Number of training sessions to achieve competency

    Time frame: Through study completion, an average of 1 week

    Number of training sessions taken for caregivers to competency in nasogastric tube feeding

Secondary outcomes

  1. Change in knowledge of nasogastric tube feeding

    Time frame: Through study completion, an average of 1 week

    Knowledge of nasogastric tube feeding will be measured using a self-developed Nasogastric Tube Feeding Knowledge Scale. The scale was designed to examine caregiver understanding of nasogastric tube management. It contains 8 items answered using a true-false format. Each item answered correctly will receive one point. Higher scores indicate higher caregiver knowledge.

  2. Change in confidence in performing nasogastric tube feeding

    Time frame: Through study completion, an average of 1 week

    Confidence in performing nasogastric tube feeding will be measured using a self-developed Perceived Confidence in Nasogastric Tube Feeding Scale. The scale was designed to examine caregiver confidence in performing nasogastric tube feeding. It contains 7 items rated on a 5-point scale from 0(not confident at all) to 4(very confident). Higher scores indicate higher caregiver confidence.

  3. Change in preparedness for caregiving

    Time frame: Through study completion, an average of 1 week

    Preparedness for caregiving will be measured using the Preparedness for Caregiving Scale. The scale was designed to assess how well prepared caregivers perceive they are in the various aspects of caregiving. It contains 8 questions rated on a 5-point scale from 0(not at all prepared) to 4(very well prepared). Higher scores indicate higher caregiver preparedness.

  4. Caregiver acceptance of the web application as a technological training aid

    Time frame: Through study completion, an average of 1 week

    This outcome will only be measured in caregivers in the experimental arm (standard face-to-face training plus access to the web application). Caregiver acceptance of the web application as a technological training aid will be measured using an adapted version of the Unified Theory of Acceptance and Use of Technology (UTAUT) scale. The scale contains 15 questions rated on a 5-point scale from 1(strongly disagree) to 5(strongly agree) in 5 domains - performance expectancy, effort expectancy, social influence, facilitating conditions and intention. Higher scores indicate higher acceptance.

Sponsors and collaborators

Lead sponsor

Tan Tock Seng Hospital

Other

Collaborators

  • Khoo Teck Puat Hospital

Registry information

Official study title

Effectiveness of an Nasogastric Web Application in Reducing Time to Achieve Nasogastric Tube Feeding Competency Among Informal Caregivers

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Feb 17, 2026
Registry last updated
Feb 17, 2026

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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