About this trial
This study aims to examine the effects of a newly developed training program on the empathy of undergraduate nursing students. The objectives are: (i) designing and implementing an User Interface (UI) using Unity featuring 3D virtual clients representing individuals with physical disabilities, bodily discomforts, and psychosocial disturbances, paired with a chatbot interface for interactive questions-and-answers; (ii) developing a brief empathy training program incorporating AI-generated virtual clients into traditional teaching methods, including didactic lectures, skills rehearsal, mindfulness-based training, and practice with AI-generated virtual clients; and (iii) assessing the impact of this training program on the empathetic attitude, empathetic communication skills, and cognitive flexibility of undergraduate nursing students.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
undergraduate students enrolled in a nursing program
no previous experience with empathy-related training
no previous experience working in healthcare settings
age 18 years or above
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Empathy training
Other interventionParticipants in the intervention group will undertake two sessions, each lasting four hours, of empathy training over a one-week period with group size of 6 to 8 participants. The empathy training will base on our newly developed protocol, including: (i) didactic lectures; (ii) practical skills demonstration and role-play, (iii) a mindfulness-based training; and (iv) practice of empathic skills in two different randomly selected scenarios with feedback from the AI system. Each participants will encounter different scenarios that simulate diverse clinical challenges.
Treatment groups
Trial outcomes
Primary outcomes
Interpersonal Reactivity Index
The Interpersonal Reactivity Index (IRI) will be used to assess self-reported empathetic attitude. IRI consists of 4 subscale with 28 items rating on a 5 - point Likert scale (0 - 4). Score ranges from 0 - 112, higher score means better empathy.
Secondary outcomes
Consultation and Relational Empathy
The Consultation and Relational Empathy (CARE) measure will be used to assess participants' empathic communication skills, focusing on patient-perceived empathy during clinical interactions. CARE consists of 10 items rating on a 5 point Likert scale. Score ranges from 10 - 50, higher score means better perceived relational empathy.
Cognitive Flexibility Inventory
Cognitive Flexibility Inventory (CFI) will be used to assess self-reported cognitive flexibility. CFI consists of 20 items rating on 1-7 Likert scale (score range 20 - 140), higher score means greater flexibiity and lower score means more cognitive rigidity.
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