This study aims to evaluate a teaching approach designed to improve students' skills in elderly care. The approach combines case-based learning (using real-life care scenarios) with blended learning methods, including online learning, role-playing activities, and peer teaching.

University students enrolled in an elderly care course will participate in the study. Their knowledge of elderly care, ability to learn independently, and confidence in providing care will be measured before the course, after the course, and after completing an internship.

The study will assess changes in students' knowledge, self-directed learning ability, and confidence in caregiving over time. It will also examine whether these changes are sustained after the internship experience.

Inclusion Criteria:

• At least 18 years of age
• Conscious and able to communicate in Mandarin or Taiwanese
• Provided informed consent after being informed of the study purpose

Exclusion Criteria:

• Refusal to provide consent
• Currently on leave of absence
• Diagnosed with severe mental illness by a physician
• Otherwise deemed unsuitable for participation