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

Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Nasogastric tube web application
  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.

Первичные конечные точки

• Time taken to achieve competency [Срок оценки: Through study completion, an average of 1 week]
• Number of training sessions to achieve competency [Срок оценки: Through study completion, an average of 1 week]

Вторичные конечные точки (4)

• Change in knowledge of nasogastric tube feeding [Срок оценки: Through study completion, an average of 1 week]
• Change in confidence in performing nasogastric tube feeding [Срок оценки: Through study completion, an average of 1 week]
• Change in preparedness for caregiving [Срок оценки: Through study completion, an average of 1 week]
• Caregiver acceptance of the web application as a technological training aid [Срок оценки: Through study completion, an average of 1 week]

Критерии участия

Caregivers who will receive standard face-to-face training

Критерии включения

• 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.

Критерии исключения

• 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

Критерии включения

• 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.

Критерии исключения

• 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

Критерии включения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Сингапур · 1 центр

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

Публикации

• Siew AL, Chew EYH, Chan EY, Siow EKC. Mastering the Art of Caregiving: Instructional Approaches to Teaching Healthcare-Related Procedural Skills to Informal Caregivers-An Integrative Review. J Adv Nurs. 2026 Jan;82(1):272-289. doi: 10.1111/jan.16944. Epub 2025 Mar 30. PMID 40159713

Идентификаторы

NCT: NCT07414563 · 2025-1814 · CareEco21-0032

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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