The Effect of a Comprehensive Dementia Education Program on Improving Attitudes Toward People Living With Dementia: a Randomized Controlled Trial
Phase: NA
Conditions: Dementia
Sponsor: Universitas Airlangga

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NCT number:  
Document date: 2025/11/16 
 
 
 
 
 
UNIVERSITAS AIRLANGGA 
November, 2025 
 
 
Research Title 
The effect of a comprehensive dementia education program on
improving attitudes toward people living with dementia: a 
Randomized Controlled Trial 

 
Clinical Trial 
1. Study Overview 
Title: The Effect of a Comprehensive Dementia Education Program on Improving Attitudes 
Toward People Living with Dementia: A Randomized Controlled Trial 
Acronym: VReducationRCT 
Sponsor: Universitas Airlangga 
Version: 1.0 
Date: November 2025 
 
2. Background and Rationale 
Dementia education is critical for preparing future nurses to care for an aging population. 
VR-based educational programs have shown promise in improving empathy, knowledge, 
and attitudes. This study tests a VR dementia education program among Indonesian nursing 
students using an RCT design. 
 
3. Study Objectives 
Primary Objective: 
To evaluate the effect of a comprehensive VR dementia education program on attitudes 
toward people living with dementia. 
 
Secondary Objectives: 
• To measure changes in dementia knowledge. 
• To assess intention to help persons living with dementia. 
• To evaluate user experience and satisfaction with the VR program. 
 
4. Study Design 
Design: Parallel-group, open-label RCT. 
Arms: 
1. Experimental: VR Dementia Education Program 
2. Active Comparator: Conventional Lecture Program 
 
Randomization: 
• Individual-level randomization using simple randomization (computer-generated list). 
 
5. Study Population 
Participants: Fifth-semester nursing students. 
Inclusion Criteria: 
• Registered in the targeted semester and course. 
• Provide informed consent. 
 
Exclusion Criteria: 
• Prior exposure to VR dementia training. 
• Not enrolled in designated courses. 
 
 

6. Recruitment Procedures 
Recruitment through class announcement, LMS, and Google Forms. 
Participants assigned new unique IDs to protect confidentiality. 
Study explained via Zoom (control group) and in class (intervention group). 
7. Interventions 
Experimental Arm (VR Program): 
• Single-session VR dementia education program with max 20 students. 
• Components include introduction, questionnaires, undesirable and desirable VR, dramas, 
lectures, N-impro, reflection, and conclusion. 
 
Control Arm: 
• Study briefing + pre-test via Zoom. 
• Conventional dementia lecture via LMS. 
• Post-test via Zoom. 
• Summary assignment required. 
 
8. Outcome Measures 
Primary Outcome: 
• Attitudes Toward People With Dementia Scale (14 items). 
 
Secondary Outcomes: 
• Dementia Knowledge Scale 
• Intention to Help (vignettes) 
• User Experience Questionnaire (UEQ) for intervention arm 
 
9. Statistical Analysis Plan (SAP) 
Analysis Principles: 
• Intention-to-treat (ITT) analysis. 
• Significance level: α = 0.05 (two-sided). 
• Missing data handled by multiple imputation if >5%. 
 
Primary Outcome Analysis: 
• Compare change in attitude scores (T1 to T2 and T1 to T3) between groups. 
• Independent t-test or Mann–Whitney U (non-parametric). 
• Repeated-measures ANOVA or mixed-effects model for time × group interaction. 
 
Secondary Outcomes: 
• Knowledge: Pre-post difference tested using paired t-test, ANCOVA controlling baseline. 
• Intention to help: Likert-scale comparisons using Mann–Whitney U. 
• UEQ: Descriptive statistics, domain scores, and comparison with normative database. 
 
Subgroup Analyses: 
• Gender 
• Prior dementia experience (family exposure) 
 
Sample Size: 

• Estimated 60 intervention, 150 control (educational-program constraints). 
 
Data Monitoring: 
• Conducted internally by the research team. 
 
Software: 
• SPSS 29 / R version 4.3 
10. Ethical Considerations 
Ethics approval: KEPK 3922-KEPK. 
Confidentiality protected through new unique participant IDs. 
Participation voluntary; withdrawal allowed at any time. 
 
Data Storage: 
• Encrypted drive, stored for 5 years, accessible only to PI and research team. 
11. Timeline 
• Recruitment: Sept–Oct 2025 
• Intervention: Oct–Nov 2025 
• Follow-up: Jan–Feb 2026 
• Analysis & Reporting: Mar–May 2026 
 
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INFORMED CONSENT FORM 
 
Dear participant, 
 
We invite nursing students to complete the questionnaire below. 
 
Information about this study: 
Title 
: The Effect of a Comprehensive Dementia Education Program on 
Improving Attitudes Toward People Living with Dementia: A 
Randomized Controlled Trial 
Purpose  
: To identify the effect of a Comprehensive Dementia Education 
Program on improving nursing students' attitudes toward people living 
with dementia. 
Principal Investigator: Dianis Wulan Sari, Faculty of Nursing, Universitas Airlangga 
Contact Person           : Dianis; 0812-5949-7373 
Study Period  
: October 1, 2025 – May 30, 2026 
This study is administered once and will take about 90 minutes. 
 
We would like to assure you that: 
▪ Your participation in this study is voluntary. You have the right to refuse or agree to 
participate. 
▪ Your information will be treated anonymously and confidentially, and will not be used 
for purposes other than this research. 
▪ You may leave questions unanswered without penalty. 
▪ Your responses will be stored in an encrypted drive and will be deleted five years after 
the publication of the research. 
 
Completing and returning this questionnaire signifies your consent to participate in this study. 
Once your response is submitted, it cannot be withdrawn. 
 
Do you agree to participate in this survey? 
□ Yes, I agree 
□ No, I do not agree 
 
This statement is made to be used as necessary.