Chatbot Facilitated Education on Child and Adolescent Abuse

Study Overview
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Brief Summary
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Background: Child and adolescent abuse and neglect (CAAN) cases are increasing both in Taiwan and worldwide. As the first healthcare professionals who come in contact with CAAN cases, nurses play a crucial role. Studies show that the lack of professional knowledge and ability of nursing staff on CAAN affects the effectiveness of timely identification and notification. Therefore, it is extremely important to improve the knowledge and ability of nursing staff to assess and report CAAN. With advancements in technology, continuing education for nurses is now more extensive than traditional lecture teaching. Online education, which breaks down the barriers of time and space in learning, has thrived after the COVID-19 pandemic. Chatbots are an option for individual learning and can increase accessibility and convenience for nurses learning how to recognize and report CAAN. Objective: The aims of the study are to evaluate the effectiveness of using chatbots as teaching aids to assist nursing personnel in preventing child abuse. This evaluation will be the impact of learning on CAAN competency. Method: The study utilizes an experimental design in which participants are purposively sampled and subsequently randomized into either the experimental or control group. The experimental group will use chatbot to facilitate teaching. The control group only receives lecture-based teaching. The course content is comprised of two main subjects: CAAN and Nurses' Roles and Functions in CAAN, which was developed using the ADDIE model. The study employs the CAAN Knowledge and Competency Scale which retrieves from the Child abuse report intention scale (CARIS) by Feng and Wu (2005). Additionally, the learning effect is assessed at three different time points: before the course, one week after, and four weeks after. Expected Results: The study predicts that the learning effects of the experimental group, which used chatbots, will be better than those of the control group. It is expected that these results will be able to implement in various educational fields, including CAAN and interdisciplinary teams.

Official Title
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The Effectiveness of Chatbot Facilitated Education on Child and Adolescent Abuse for Nurses

Conditions
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Child Abuse

Intervention / Treatment
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* Other: chatbot facilitate teaching
* Other: ecture-based teaching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nurses who work in Hualien Tzu Chi Hospital finish the probationary period, directly do the practical care want to participate and sign the consent Exclusion Criteria: The nurses will be excluded if they are in an administrative position or withdraw the protocol for any reason.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 65 Years

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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Chatbot-facilitated Group<br> | Other: chatbot facilitate teaching<br>* The experimental group will use chatbot to facilitate teaching.<br>|
| Active Comparator: Controlled Group<br> | Other: ecture-based teaching<br>* The control group only receives lecture-based teaching.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intention to report questionnaire | The questionnaire has eight child abuse cases, and the participants will select a score from 0 to 10 depending on their intention to report. A higher score means they intend to report the cases. | Three different time points: Baseline (before the course), one week after, and four weeks after. | 
| attitude toward reporting questionnaire | The questionnaire has three aspects, which are child discipline, abusive parents, and professional responsibility for reporting child abuse. The participants will select a score from 0 to 6, depending on their agreement level. A higher score means they have negative attitudes toward child physical discipline, lower tolerance towards the perpetrators, and positive attitudes toward the responsibility of reporting suspected child abuse. | Three different time points: Baseline (before the course), one week after, and four weeks after. | 
| knowledge questionnaire | The questionnaire has thirteen true-false questions. A higher score means they have enough knowledge of child abuse and the relative law. | Three different time points: Baseline (before the course), one week after, and four weeks after. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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child and adolescent abuse and neglect (CAAN), chatbots, attitude toward reporting, intention to report