Dysphagia, Family Caregivers, Informal Caregiver, Nasogastric Feeding, Training Family Caregivers
Conditions
Keywords
Nasogastric Tube Feeding, Caregiver Training, Family Caregivers, Web Application
Brief summary
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.
Detailed description
Nasogastric tube feeding is a technically-demanding procedure that requires both practical skill and sound clinical judgement to avoid potentially serious complications. It is therefore essential that caregivers receive adequate training to perform this task safely and effectively. Evidence suggests that digital caregiver training interventions-particularly those that include simulation-based learning and multimodal audio-visual content-can improve caregiver skills in learning and performing procedures such as nasogastric tube feeding. However, the effectiveness of a web application in improving informal caregivers' ability to perform nasogastric tube feeding has not yet been evaluated. Assessing the usefulness of this web application may help improve existing training methods and technological supports for caregivers, enhance the quality of home-based care, strengthen continuity of care between hospital and home settings, and reduce unnecessary healthcare use.
Interventions
OTHERNasogastric tube web application
The 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.
Sponsors
Tan Tock Seng Hospital
Khoo Teck Puat Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Two-group quasi-experimental design
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Caregivers who will receive standard face-to-face training Inclusion Criteria: * 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.
Exclusion criteria
* 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. Caregivers who will receive standard face-to-face training plus access to the web application Inclusion Criteria: * 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. * Have the basic literacy skills to use the nasogastric tube web application. * Able to access and use the nasogastric web application over the course of their training in nasogastric tube feeding to support their learning. * Aged 21 and above.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time taken to achieve competency | Through study completion, an average of 1 week | Time taken in hours and minutes for caregivers to achieve competency in nasogastric tube (NG) feeding |
| Number of training sessions to achieve competency | Through study completion, an average of 1 week | Number of training sessions taken for caregivers to competency in nasogastric tube feeding |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in knowledge of nasogastric tube feeding | Through study completion, an average of 1 week | 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 | Through study completion, an average of 1 week | 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 | Through study completion, an average of 1 week | 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 | Through study completion, an average of 1 week | 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. |
Countries
Singapore
Outcome results
None listed