Virtual Reality Video-based Learning

Study Overview
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Brief Summary
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This teaching development aims to enhance the clinical reasoning and empathy of nursing students in nursing students in smoking cessation training. The evaluation aims to assess the feasibility and efficacy of virtual reality (VR) video-based learning for enhancing self-efficacy in delivering smoking cessation intervention. The proposed study is 2-arm, waitlist-control, pragmatic randomized controlled trial (RCT) (allocation ratio 1:1), by comparing the self-efficacy and performance of clinical reasoning between nursing students who are provided VR videos of a smoker's real-life scenario and reading materials (intervention group) and those who are only provided the same reading materials (control). Individual randomization will be used. All participants will be given a group assignment and expected to complete the assignment by the end of the tutorial. The group assignment and self-administered pre- and post-learning survey will be used for the teaching outcome evaluation.

Detailed Description
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The proposed study is 2-arm, waitlist-control, pragmatic randomized controlled trial (RCT) (allocation ratio 1:1), by comparing the self-efficacy and performance of clinical reasoning between nursing students who are provided VR videos of a smoker's real-life scenario and reading materials (intervention group) and those who are only provided the same reading materials (control). Individual randomization will be used. All participants will be given a group assignment and expected to complete the assignment by the end of the tutorial. The group assignment and self-administered pre- and post-learning survey will be used for the teaching outcome evaluation.

Official Title
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Efficacy of Virtual Reality (VR) Video-based Learning for Enhancing Nursing Students' Self-efficacy in Delivering Smoking Cessation Intervention: A Randomized Controlled Trial

Conditions
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Smoking Cessation, Nursing Education

Intervention / Treatment
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* Behavioral: VR materials
* Behavioral: Tutorial guide


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The study targets to recruit candidates of Master of Nursing who are taking the course Tobacco Dependency Nursing Intervention and Management (NURS8205) (n=65). All candidates are registered nurses. Exclusion Criteria: Students who cannot understand Cantonese will be excluded from the trial.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Provided with a tutorial guide, and VR-based teaching materials in the tutorial session | Behavioral: VR materials<br>* In the lecture room for the intervention group, participants in the intervention group will be given QR codes for viewing these online videos and VR cardboards, a web including photo hunt sections that allow viewers to find cues for smoking cessation treatment. They are asked to view these videos and photos with their own mobile phones.<br>Behavioral: Tutorial guide<br>* A tutorial guide including description of the smokers' cases<br>|
| Experimental: Control group<br>Provided with the tutorial guide in the tutorial session. | Behavioral: Tutorial guide<br>* A tutorial guide including description of the smokers' cases<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-efficacy in delivering smoking cessation intervention | (1) Understand the quitting barriers of smokers barriers; (2) Design quit plan for smoking patients; (3) Prioritize interventions for smoking patients; (4) Educate smoking patients on essential tasks; (5) Overall confidence in the management of smoking patients; and (6) Overall competence in the management of smoking patients. Each item can be scored from 0 (not at all competent) to 10 (extremely competent). | Before and after the tutorial (at 1-day) | 
| Empathy in delivering smoking cessation intervention | (1) Show empathy to smoking patients; (2) Show care to smoking patients; (3) Being positive; (4) See things from smokers' perspective; (5) Can you show tender feeling for smokers? (0: Not at all, 5: half and half, 10: extremely); (6) Do you feel sorry for smokers who are unable to quit? (0: Not sorry at all, 5: half and half, 10: extremely sorry); (7) Do you feel sorry for smokers who do not want to quit? (0: Not sorry at all, 5: half and half, 10: extremely sorry); and (8) Do you feel annoyed if smokers ignore your cessation advice (0: Not annoyed at all, 5: half and half, 10: extremely annoyed). Each item can be scored from 0 (not at all competent) to 10 (extremely competent). | Before and after the tutorial (at 1-day) | 
| Lasater Clinical Judgment Rubric | (1) Effective noticing: Focused observation; (2) Effective noticing: Recognizing deviations from expected patterns; (3) Effective noticing: Information seeking; (4) Effective interpreting: Prioritizing data; (5) Effective interpreting: Making sense of data; (6) Effective responding: Well-planned intervention/flexibility; (7) Effective responding: Being skilful; (8) Effective reflecting: Evaluation/self-analysis. Each item can be scored from exemplary, accomplished, developing and beginning. | After the tutorial (at 1-day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nursing, Virtual reality, Smoking