About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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.
Disqualifiers
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.
Individual who has been identified by the healthcare team to undergo caregiver training for nasogastric feeding to assist a patient with nutritional needs.
Trial design
Parallel
Treatments tested in this trial
Nasogastric tube web application
Other interventionThe 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.
Treatment groups
Trial outcomes
Primary outcomes
Time taken to achieve competency
Time taken in hours and minutes for caregivers to achieve competency in nasogastric tube (NG) feeding
Number of training sessions to achieve competency
Number of training sessions taken for caregivers to competency in nasogastric tube feeding
Secondary outcomes
Change in knowledge of nasogastric tube feeding
Knowledge of nasogastric tube feeding will be measured using a self-developed Nasogastric Tube Feeding Knowledge Scale. The scale was designed to examine caregiver understanding of nasogastric tube management. It contains 8 items answered using a true-false format. Each item answered correctly will receive one point. Higher scores indicate higher caregiver knowledge.
Change in confidence in performing nasogastric tube feeding
Confidence in performing nasogastric tube feeding will be measured using a self-developed Perceived Confidence in Nasogastric Tube Feeding Scale. The scale was designed to examine caregiver confidence in performing nasogastric tube feeding. It contains 7 items rated on a 5-point scale from 0(not confident at all) to 4(very confident). Higher scores indicate higher caregiver confidence.
Change in preparedness for caregiving
Preparedness for caregiving will be measured using the Preparedness for Caregiving Scale. The scale was designed to assess how well prepared caregivers perceive they are in the various aspects of caregiving. It contains 8 questions rated on a 5-point scale from 0(not at all prepared) to 4(very well prepared). Higher scores indicate higher caregiver preparedness.
Caregiver acceptance of the web application as a technological training aid
This outcome will only be measured in caregivers in the experimental arm (standard face-to-face training plus access to the web application). Caregiver acceptance of the web application as a technological training aid will be measured using an adapted version of the Unified Theory of Acceptance and Use of Technology (UTAUT) scale. The scale contains 15 questions rated on a 5-point scale from 1(strongly disagree) to 5(strongly agree) in 5 domains - performance expectancy, effort expectancy, social influence, facilitating conditions and intention. Higher scores indicate higher acceptance.
Sponsors and contacts
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Tan Tock Seng Hospital
Lead sponsor
Khoo Teck Puat Hospital
Collaborator
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