Dietary Advice Training in Nursing Using Simulation and Interactive Fiction

NCT ID: NCT06737276

Last Updated: 2024-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2022-05-31

Brief Summary

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The goal of this randomised controlled trial is to evaluate the effectiveness of training nursing students using interactive fiction and role-play simulations as teaching methodologies in improving learning and decision-making competencies related to dietary advice.

Detailed Description

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Conditions

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Simulation Training Computer Simulation Diet, Food, and Nutrition Nutrition Assessment Nutrition Therapy Education, Nursing Teaching Innovation

Keywords

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Simulation Training Computer Simulation Diet, Food, and Nutrition Nutrition Assessment Nutrition Therapy Education, Nursing Teaching Innovation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This study is a two-stage simultaneous parallel (CG) and crossover (EG1 and EG2) randomised controlled trial.
Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
The researchers were blinded concerning the randomisation sequence and the allocation of participants to the interventions.

Study Groups

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Experimental Group 1 (EG1)

Participants received a multimodal intervention (intervention order: interactive fiction activities and role-play simulation).

Group Type EXPERIMENTAL

Interactive fiction activities

Intervention Type OTHER

The case studies were prepared using interactive fiction through Twine. Each case simulated a nursing consultation with a patient requiring dietary advice, and the patient's evolution depended on the students' choices. All cases created had similar structures, durations, and difficulties to avoid complexity-related bias. For each circumstance, three possible dietary advice options were offered to the patient: one option that would be ideal, one suitable option, and one unsuitable option.

Role-play simulation

Intervention Type OTHER

Role-play activity of the nursing consultation on dietary advice according to Nemec et al. (2021) recommendations. Ten case studies of a nursing consultation on dietary advice involving a nurse and a patient were designed with the consensus of a group of nursing professionals with expertise in food and nutrition, health literacy, and communication. Each student was assigned a role and provided with the necessary information to play their character or understand their patient's context. The information provided was different according to the role assigned. They had to perform a simulation of eight minutes, similar to the time available in the student's primary care consultations in the referral health system. Thus, the patient and the family member had to explain the situation or health problem, the professional would analyse it, and together, they would try to reach a therapeutic agreement. After the consultation, a debriefing was carried out.

Experimental Group 2 (EG2)

Participants received a multimodal intervention (intervention order: role-play simulation and interactive fiction activities).

Group Type EXPERIMENTAL

Interactive fiction activities

Intervention Type OTHER

The case studies were prepared using interactive fiction through Twine. Each case simulated a nursing consultation with a patient requiring dietary advice, and the patient's evolution depended on the students' choices. All cases created had similar structures, durations, and difficulties to avoid complexity-related bias. For each circumstance, three possible dietary advice options were offered to the patient: one option that would be ideal, one suitable option, and one unsuitable option.

Role-play simulation

Intervention Type OTHER

Role-play activity of the nursing consultation on dietary advice according to Nemec et al. (2021) recommendations. Ten case studies of a nursing consultation on dietary advice involving a nurse and a patient were designed with the consensus of a group of nursing professionals with expertise in food and nutrition, health literacy, and communication. Each student was assigned a role and provided with the necessary information to play their character or understand their patient's context. The information provided was different according to the role assigned. They had to perform a simulation of eight minutes, similar to the time available in the student's primary care consultations in the referral health system. Thus, the patient and the family member had to explain the situation or health problem, the professional would analyse it, and together, they would try to reach a therapeutic agreement. After the consultation, a debriefing was carried out.

Control Group (CG)

Participants received a conventional practical teaching based on lectures.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Interactive fiction activities

The case studies were prepared using interactive fiction through Twine. Each case simulated a nursing consultation with a patient requiring dietary advice, and the patient's evolution depended on the students' choices. All cases created had similar structures, durations, and difficulties to avoid complexity-related bias. For each circumstance, three possible dietary advice options were offered to the patient: one option that would be ideal, one suitable option, and one unsuitable option.

Intervention Type OTHER

Role-play simulation

Role-play activity of the nursing consultation on dietary advice according to Nemec et al. (2021) recommendations. Ten case studies of a nursing consultation on dietary advice involving a nurse and a patient were designed with the consensus of a group of nursing professionals with expertise in food and nutrition, health literacy, and communication. Each student was assigned a role and provided with the necessary information to play their character or understand their patient's context. The information provided was different according to the role assigned. They had to perform a simulation of eight minutes, similar to the time available in the student's primary care consultations in the referral health system. Thus, the patient and the family member had to explain the situation or health problem, the professional would analyse it, and together, they would try to reach a therapeutic agreement. After the consultation, a debriefing was carried out.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* First year of the Degree in Nursing at a Spanish university who were enrolled in the subject "Food, Nutrition and Dietetics".

Exclusion Criteria

* Lack of attendance since the beginning of the course.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Cadiz

OTHER

Sponsor Role lead

Responsible Party

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Antonio Jesús Marín Paz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antonio-Jesús Marín-Paz, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Cadiz

Locations

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Faculty of Nursing

Algeciras, Cadiz, Spain

Site Status

Countries

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Spain

References

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Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. PLoS Med. 2010 Mar 24;7(3):e1000251. doi: 10.1371/journal.pmed.1000251.

Reference Type BACKGROUND
PMID: 20352064 (View on PubMed)

World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053. No abstract available.

Reference Type BACKGROUND
PMID: 24141714 (View on PubMed)

Marquez-Hernandez VV, Garrido-Molina JM, Gutierrez-Puertas L, Garcia-Viola A, Aguilera-Manrique G, Granados-Gamez G. How to measure gamification experiences in nursing? Adaptation and validation of the Gameful Experience Scale [GAMEX]. Nurse Educ Today. 2019 Oct;81:34-38. doi: 10.1016/j.nedt.2019.07.005. Epub 2019 Jul 12.

Reference Type BACKGROUND
PMID: 31319349 (View on PubMed)

Farres-Tarafa M, Bande D, Roldan-Merino J, Hurtado-Pardos B, Biurrun-Garrido A, Molina-Raya L, Raurell-Torreda M, Casas I, Lorenzo-Seva U. Reliability and validity study of the Spanish adaptation of the "Student Satisfaction and Self-Confidence in Learning Scale" (SCLS). PLoS One. 2021 Jul 23;16(7):e0255188. doi: 10.1371/journal.pone.0255188. eCollection 2021.

Reference Type BACKGROUND
PMID: 34297773 (View on PubMed)

Ludin SM. Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey. Intensive Crit Care Nurs. 2018 Feb;44:1-10. doi: 10.1016/j.iccn.2017.06.002. Epub 2017 Jun 26.

Reference Type BACKGROUND
PMID: 28663105 (View on PubMed)

Correa-Rodriguez M, Pocovi G, Schmidt-RioValle J, Gonzalez-Jimenez E, Rueda-Medina B. Assessment of dietary intake in Spanish university students of health sciences. Endocrinol Diabetes Nutr (Engl Ed). 2018 May;65(5):265-273. doi: 10.1016/j.endinu.2018.01.005. Epub 2018 Mar 26. English, Spanish.

Reference Type BACKGROUND
PMID: 29599102 (View on PubMed)

Nemec R, Brower E, Allert J. A Guide to Implementing Role-Play in the Nursing Classroom. Nurs Educ Perspect. 2021 Nov-Dec 01;42(6):E163-E164. doi: 10.1097/01.NEP.0000000000000678.

Reference Type BACKGROUND
PMID: 32472870 (View on PubMed)

Jeffries PR, Rodgers B, Adamson K. NLN Jeffries Simulation Theory: Brief Narrative Description. Nurs Educ Perspect. 2015 Sep-Oct;36(5):292-3. doi: 10.5480/1536-5026-36.5.292. No abstract available.

Reference Type BACKGROUND
PMID: 26521496 (View on PubMed)

Dwan K, Li T, Altman DG, Elbourne D. CONSORT 2010 statement: extension to randomised crossover trials. BMJ. 2019 Jul 31;366:l4378. doi: 10.1136/bmj.l4378.

Reference Type BACKGROUND
PMID: 31366597 (View on PubMed)

Lo YT, Yang CC, Yeh TF, Tu HY, Chang YC. Effectiveness of immersive virtual reality training in nasogastric tube feeding education: A randomized controlled trial. Nurse Educ Today. 2022 Dec;119:105601. doi: 10.1016/j.nedt.2022.105601. Epub 2022 Oct 12.

Reference Type BACKGROUND
PMID: 36244254 (View on PubMed)

Karkada S, Radhakrishnan J, Natarajan J, Matua GA, Kaddoura M. Knowledge and Competency of Novice Nursing Students in Nasogastric Tube Feeding: Is Simulation Better than Case Scenario? Oman Med J. 2019 Nov;34(6):528-533. doi: 10.5001/omj.2019.96.

Reference Type BACKGROUND
PMID: 31745417 (View on PubMed)

Bridenbaugh JR, Tomesko J, Sandiford D, Tracey DL. Enteral Nutrition Simulation Workshop Enhances Knowledge and Skills of Graduate Nutrition Students. J Nutr Educ Behav. 2023 Apr;55(4):311-315. doi: 10.1016/j.jneb.2022.11.003. Epub 2023 Jan 18. No abstract available.

Reference Type BACKGROUND
PMID: 36670026 (View on PubMed)

Tinoco JDS, Enders BC, Sonenberg A, Lira ALBC. Virtual clinical simulation in nursing education: a concept analysis. Int J Nurs Educ Scholarsh. 2021 Jun 18;18(1). doi: 10.1515/ijnes-2020-0001.

Reference Type BACKGROUND
PMID: 34139113 (View on PubMed)

Lei YY, Zhu L, Sa YTR, Cui XS. Effects of high-fidelity simulation teaching on nursing students' knowledge, professional skills and clinical ability: A meta-analysis and systematic review. Nurse Educ Pract. 2022 Mar;60:103306. doi: 10.1016/j.nepr.2022.103306. Epub 2022 Feb 2.

Reference Type BACKGROUND
PMID: 35202957 (View on PubMed)

Bordelon CJ, Smith TS, Wood T, Watts P. Simulation to Enhance Communication Skills in Neonatal Nursing Practice. Neonatal Netw. 2020 Nov 1;39(6):347-355. doi: 10.1891/0730-0832/11-T-674.

Reference Type BACKGROUND
PMID: 33318231 (View on PubMed)

Lame G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2020 Mar 4;6(2):87-94. doi: 10.1136/bmjstel-2018-000370. Epub 2018 Sep 29.

Reference Type BACKGROUND
PMID: 32133154 (View on PubMed)

Hegland PA, Aarlie H, Stromme H, Jamtvedt G. Simulation-based training for nurses: Systematic review and meta-analysis. Nurse Educ Today. 2017 Jul;54:6-20. doi: 10.1016/j.nedt.2017.04.004. Epub 2017 Apr 19.

Reference Type BACKGROUND
PMID: 28456053 (View on PubMed)

Shea A, Brophy L, Nininger J, Abbott M, Wilson L. Nutrition integration across the nursing curriculum: A novel teaching model within a pre-licensure program. J Prof Nurs. 2021 Nov-Dec;37(6):1162-1166. doi: 10.1016/j.profnurs.2021.10.006. Epub 2021 Oct 28.

Reference Type BACKGROUND
PMID: 34887035 (View on PubMed)

Gianfrancesco C, Johnson M. Exploring the provision of diabetes nutrition education by practice nurses in primary care settings. J Hum Nutr Diet. 2020 Apr;33(2):263-273. doi: 10.1111/jhn.12720. Epub 2019 Dec 2.

Reference Type BACKGROUND
PMID: 31793070 (View on PubMed)

Tangvik RJ, Tell GS, Guttormsen AB, Eisman JA, Henriksen A, Nilsen RM, Ranhoff AH. Nutritional risk profile in a university hospital population. Clin Nutr. 2015 Aug;34(4):705-11. doi: 10.1016/j.clnu.2014.08.001. Epub 2014 Aug 12.

Reference Type BACKGROUND
PMID: 25159298 (View on PubMed)

Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr. 2017 Aug;36(4):958-967. doi: 10.1016/j.clnu.2016.06.025. Epub 2016 Jul 19.

Reference Type BACKGROUND
PMID: 27499391 (View on PubMed)

Xu X, Parker D, Ferguson C, Hickman L. Where is the nurse in nutritional care? Contemp Nurse. 2017 Jun;53(3):267-270. doi: 10.1080/10376178.2017.1370782. No abstract available.

Reference Type BACKGROUND
PMID: 28920553 (View on PubMed)

Gan T, Cheng HL, Tse MYM. A systematic review of nurse-led dietary interventions for cancer patients and survivors. Asia Pac J Oncol Nurs. 2021 Dec 29;9(2):81-87. doi: 10.1016/j.apjon.2021.12.013. eCollection 2022 Feb.

Reference Type BACKGROUND
PMID: 35529414 (View on PubMed)

Crimarco A, Landry MJ, Gardner CD. Ultra-processed Foods, Weight Gain, and Co-morbidity Risk. Curr Obes Rep. 2022 Sep;11(3):80-92. doi: 10.1007/s13679-021-00460-y. Epub 2021 Oct 22.

Reference Type BACKGROUND
PMID: 34677812 (View on PubMed)

Chen Z, Khandpur N, Desjardins C, Wang L, Monteiro CA, Rossato SL, Fung TT, Manson JE, Willett WC, Rimm EB, Hu FB, Sun Q, Drouin-Chartier JP. Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies. Diabetes Care. 2023 Jul 1;46(7):1335-1344. doi: 10.2337/dc22-1993.

Reference Type BACKGROUND
PMID: 36854188 (View on PubMed)

Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F. Consumption of ultra-processed foods and health status: a systematic review and meta-analysis. Br J Nutr. 2021 Feb 14;125(3):308-318. doi: 10.1017/S0007114520002688. Epub 2020 Aug 14.

Reference Type BACKGROUND
PMID: 32792031 (View on PubMed)

Elizabeth L, Machado P, Zinocker M, Baker P, Lawrence M. Ultra-Processed Foods and Health Outcomes: A Narrative Review. Nutrients. 2020 Jun 30;12(7):1955. doi: 10.3390/nu12071955.

Reference Type BACKGROUND
PMID: 32630022 (View on PubMed)

Blanco-Rojo R, Sandoval-Insausti H, Lopez-Garcia E, Graciani A, Ordovas JM, Banegas JR, Rodriguez-Artalejo F, Guallar-Castillon P. Consumption of Ultra-Processed Foods and Mortality: A National Prospective Cohort in Spain. Mayo Clin Proc. 2019 Nov;94(11):2178-2188. doi: 10.1016/j.mayocp.2019.03.035. Epub 2019 Oct 14.

Reference Type BACKGROUND
PMID: 31623843 (View on PubMed)

Mazza E, Ferro Y, Pujia R, Mare R, Maurotti S, Montalcini T, Pujia A. Mediterranean Diet In Healthy Aging. J Nutr Health Aging. 2021;25(9):1076-1083. doi: 10.1007/s12603-021-1675-6.

Reference Type BACKGROUND
PMID: 34725664 (View on PubMed)

Other Identifiers

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sol-202200229602-tra

Identifier Type: -

Identifier Source: org_study_id