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| ID | Type | Description | Link |
|---|---|---|---|
| CareEco21-0032 | Other Grant/Funding Number | National Innovation Challenge Grant Call on Caregiving Ecosystem |
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| Name | Class |
|---|---|
| Khoo Teck Puat Hospital | OTHER |
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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:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard face-to-face training | No Intervention | Caregivers in this arm will receive the standard face-to-face training for nasogastric tube feeding | |
| Standard face-to-face training plus access to the web application | Experimental | Caregivers in this arm will receive the standard face-to-face training for nasogastric tube feeding plus access to the nasogastric tube web application to support their learning. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasogastric tube web application | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Time taken to achieve competency | Time taken in hours and minutes for caregivers to achieve competency in nasogastric tube (NG) feeding | Through study completion, an average of 1 week |
| Number of training sessions to achieve competency | Number of training sessions taken for caregivers to competency in nasogastric tube feeding | Through study completion, an average of 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Change in knowledge of nasogastric tube feeding | 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. |
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Caregivers who will receive standard face-to-face training
Inclusion Criteria:
Exclusion Criteria:
Caregivers who will receive standard face-to-face training plus access to the web application
Inclusion Criteria:
Exclusion Criteria:
Patients
Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nursing Implementation, Translation & Research Office (NITRO); Tan Tock Seng Hospital | Singapore | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40159713 | Background | Siew AL, Chew EYH, Chan EY, Siow EKC. Mastering the Art of Caregiving: Instructional Approaches to Teaching Healthcare-Related Procedural Skills to Informal Caregivers-An Integrative Review. J Adv Nurs. 2026 Jan;82(1):272-289. doi: 10.1111/jan.16944. Epub 2025 Mar 30. |
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Data will not be shared due to privacy and ethical considerations.
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Two-group quasi-experimental design
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| Through study completion, an average of 1 week |
| Change in confidence in performing nasogastric tube feeding | 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. | Through study completion, an average of 1 week |
| Change in preparedness for caregiving | 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. | Through study completion, an average of 1 week |
| Caregiver acceptance of the web application as a technological training aid | 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. | Through study completion, an average of 1 week |
| ID | Term |
|---|---|
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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