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Comparison of the Effect of an Interactive vs Non-Interactive Educational Mobile Application on Nursing Students' Knowledge, Self-Efficacy, and Skills in Weaning, Extubation, and Re-intubation techniques for Mechanically Ventilated Patients

Protocol summary

Study aim
The comparison of interactive vs non-interactive mobile application on the knowledge, self-efficacy and skills of nursing students regarding weaning techniques, extubation and re-intubation of patients under mechanical ventilation.
Design
The present research is a semi-experimental study conducted on 70 nursing students of Mashhad University of Medical Sciences (semester seven, entries of Mehr and Bahman of the year 1399). The research sample is randomly selected from all students (about 120 people). For creating a random list, the Stata software will be used, using block randomization.
Settings and conduct
The study will be conducted on the students of the 7th semester of Mashhad Nursing and Midwifery College. They will be randomly divided into two control and intervention groups to use interactive and non-interactive applications.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Students who voluntarily wish to participate in the study. Having an educational mobile phone is also one of the inclusion criteria. They should not have prior experience using the related educational applications (weaning, extubation, and reintubation).
Intervention groups
The intervention group, consisting of educational content WENING, EXTOBASION, and ENTUBASION, receives content through an interactive application and responds to questions. If the answers are correct or incorrect, they receive a brief explanation. The control group also receives educational content through a non-interactive application and answers questions. In the case of a correct or incorrect response, they receive an appropriate emoji.
Main outcome variables
knowledge, skill and self-efficacy

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20231001059571N1
Registration date: 2023-11-27, 1402/09/06
Registration timing: prospective

Last update: 2023-11-27, 1402/09/06
Update count: 0
Registration date
2023-11-27, 1402/09/06
Registrant information
Name
Alireza Samimi Sarangi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3876 2354
Email address
samimisa2@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-12-21, 1402/09/30
Expected recruitment end date
2024-05-19, 1403/02/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the Effect of an Interactive vs Non-Interactive Educational Mobile Application on Nursing Students' Knowledge, Self-Efficacy, and Skills in Weaning, Extubation, and Re-intubation techniques for Mechanically Ventilated Patients
Public title
Comparison of the Effect of an Interactive vs Non-Interactive Educational Mobile Application on Nursing Students' Knowledge, Self-Efficacy, and Skills in Weaning, Extubation, and Re-intubation techniques for Mechanically Ventilated Patients
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Students who voluntarily want to participate in research Students who do not have previous experience using the relevant educational applications (weaning, extubation and reintubation) Having an educational mobile phone is also one of the conditions for participating in the research
Exclusion criteria:
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
Random allocation of individuals to two groups, intervention and control, will be performed using STATA software (version 17) by a statistical expert. This software provides a random sequence of 70 letters, A and B, in a 1:1 ratio (35 A's and 35 B's). In the subsequent phase, 35 A cards and 35 B cards will be prepared in line with the sequence generated by the software, placed in sealed dark envelopes, and numbered from 1 to 70. As each participant arrives, based on the number assigned to them, the corresponding envelope will be opened, determining the volunteer's group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Mashhad University of Medical Sciences
Street address
Daneshgah Ave, Ghoreishi Building
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Approval date
2023-10-18, 1402/07/26
Ethics committee reference number
IR.MUMS.NURSE.REC.1402.084

Health conditions studied

1

Description of health condition studied
موضوع مطالعه بیماری نمیباشد
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
knowledge
Timepoint
Before intervention and seven days after using the application
Method of measurement
MCQ

2

Description
self efficacy
Timepoint
Before intervention and seven days after using the application
Method of measurement
self efficacy questionnaire

3

Description
skill
Timepoint
Before intervention, seven days after using the application, and during the ICU internship (encountering real patients under mechanical ventilation)."
Method of measurement
OSCE exam before and after the intervention, and the logbook of ICU internship to assess skills during the internship

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In the interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong answer, in addition to displaying a message about the wrong choice, without referring to the correct option, a short explanation will be given about why the chosen answer is wrong. But if the correct option is selected, in addition to encouraging the student, a brief explanation is given to emphasize the correct option and confirm the student's learning, and a point is also considered for him. If they need more information, students can contact the research team by writing a comment. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. Also, students can compare their scores with other students and see their rank in the group at any time. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted.
Category
Other

2

Description
Control group: In the non-interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong or correct answer, they can see different emojis. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted.
Category
Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Reza Hospital
Full name of responsible person
Alireza Samimi Sarangi
Street address
Imam Reza Squ.
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Phone
+98 51 3876 2354
Email
samimisa2@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Mohsen Tafaghodi
Street address
Ghoreishi Building, Daneshgah Street
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Phone
+98 51 3841 1538
Email
Tafaghodim@mums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Razie Froutan
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nursery
Street address
Ferdowsi University, Khorazmi Building, Faculty of Nursing and Midwifery
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Phone
+98 51 3852 8514
Email
www.Raziefroutan@mums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Razie Froutan
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nursery
Street address
Ferdowsi University, Khorazmi Building, Faculty of Nursing and Midwifery
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Phone
+98 51 3852 8514
Email
www.Raziefroutan@mums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Alireza Samimi Sarangi
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Mashhad,ladan Blva.20th street, plaque 5
City
Mashhad
Province
Razavi Khorasan
Postal code
9178154653
Phone
+98 51 3876 2354
Fax
Email
samimisa2@mums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
There is no further information
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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