This study aims to evaluate the effectiveness of an aging simulation experience course in enhancing the aging knowledge, care attitudes, empathy, communication skills, and learning satisfaction of care service personnel working in residential long-term care institutions.

This randomized controlled trial aims to evaluate the effectiveness of an aging simulation experience course in improving aging knowledge, care attitudes, empathy, communication skills, and learning satisfaction among care workers in long-term care institutions. A total of 162 participants will be randomly assigned to an experimental group receiving an aging knowledge lecture, a hands-on aging simulation using aging suits, and a peer discussion session, or to a control group receiving only the lecture. Outcomes will be assessed before the intervention, and one and two months after. Both quantitative and qualitative analyses will be conducted to measure training effectiveness and inform future caregiver education programs.

Inclusion Criteria:

• Participants must be care workers currently employed at residential long-term care institutions in Eastern Taiwan, aged between 20 and 70 years. They must have at least one month of work experience in their current role, be literate, capable of completing written questionnaires, able to communicate in Mandarin or Taiwanese, and willing to provide informed consent to participate in the study.

Exclusion Criteria:

• Individuals will be excluded if they do not meet the above inclusion criteria, decline to participate or withdraw consent during the study, or are physically unable to safely engage in the aging simulation activity due to health or mobility limitations.