The Effects of Contextual-Based Augmented Reality Facilitated Education in Promoting Oral Mucositis Care Among Nurses

Mackay Memorial Hospital

Status: Invitation-only

Conditions: Nursing Education

Treatments: Other: Situational Augmented Reality-Assisted Teaching; Other: Classroom Teaching

Study type: Interventional

Funder types: Other

Identifiers

NCT07327333

24MMHIS312e

Details and patient eligibility

About

In recent years, cancer has become one of the leading causes of death worldwide, with an increasing number of people being diagnosed with the disease. Current cancer treatments include surgery, chemotherapy (CT), radiotherapy (RT), concurrent chemoradiotherapy (CCRT), targeted therapy, immunotherapy, and hematopoietic stem cell transplantation (HSCT). While these treatments have improved survival rates for many patients, they often lead to adverse side effects, one of the most common being oral mucositis (OM). Oral mucositis in cancer patients differs from general types of oral ulcers, primarily caused by the toxicity of chemotherapy drugs and radiation therapy, leading to extensive damage to epithelial cells. This study aims to validate the effectiveness of "situational augmented reality-assisted instruction" in an educational intervention program for oral mucositis care in enhancing nursing personnel's knowledge of oral mucositis care, oral mucositis care abilities, clinical reasoning skills, and learning engagement. A randomized clinical trial (RCT) was conducted using convenience sampling, targeting nursing personnel from cancer-related units at a teaching hospital in northern Taiwan. A follow-up study with repeated measures in two groups was performed. Self-developed scales based on relevant literature and expert recommendations were used to assess knowledge of oral mucositis care and self-evaluated oral mucositis care abilities. Additionally, the Clinical Reasoning Scale (CRS) by Huang et al. (2023) and the Learning Engagement Scale revised by Chiu (2020) were employed as research tools. Data were analyzed using SPSS version 29.0, with descriptive statistics including frequency distribution, percentage, mean, and standard deviation. The results of this study will provide relevant institutions and educational training units with references for the content and assessment of oral mucositis care courses for cancer nursing personnel, and further applications of the research findings.

Enrollment: 110 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Cancer-related nursing staff from a medical center in northern Taiwan.
• Individuals willing to participate in this study and who have signed the informed consent form.

Exclusion criteria

• Nursing staff from non-cancer-related departments or departments not included in the eligibility criteria.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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110 participants in 2 patient groups, including a placebo group

Situational Augmented Reality-Assisted Teaching

Experimental group

Description:

Using situational augmented reality-assisted teaching as a case, different grades of oral mucositis are presented for learners to perform care for various stages of oral mucositis. Through clinical reasoning, learners select appropriate interventions and directly observe changes and outcomes in the patient's oral mucosa.

Treatment:

Other: Situational Augmented Reality-Assisted Teaching

Classroom Teaching

Placebo Comparator group

Description:

Here is the translation in English: "Explain the causes and effects of oral mucositis. Explain the timing of oral mucositis assessment, assessment tools, and how to use them. Explain the different stages of oral mucositis and how to provide appropriate treatment and care for each stage. Share clinical case examples, guide learners to describe the case situations, and encourage them to understand and reflect on how to perform proper assessment and care, and provide feedback to the learners." Explain the causes and effects of oral mucositis. Describe the appropriate timing for oral mucositis assessment, introduce assessment tools, and demonstrate how to use them. Discuss the different grades of oral mucositis and how to provide proper treatment and care based on its severity. Share real-life clinical cases to guide learners in describing the scenario, understanding and reflecting on how to conduct proper assessment and care, and provide feedback to the learners.

Treatment:

Other: Classroom Teaching