Mental HealthNCT06542068
Chatbot Effectiveness for Improving Mental Health and Reducing Stress in Nursing Students
A study testing Line Bot Assistance in people with Mental Health and Stress, run by Chang Gung University of Science and Technology at 1 site in Taiwan.
Trial summary
This study aims to evaluate the effectiveness of using a chatbot to improve mental health and reduce stress among nursing students during their internships. The study will be conducted through convenient sampling of nursing students from a technology university in southern Taiwan. Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Mental Health, Stress, Nursing Education
- What is being tested?
- Line Bot Assistance
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 122 participants
- Where
- 1 siteTaiwan
- Study dates
- 26 Aug 2024to 20 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Nursing students from the daytime four-year technical program at a university in southern Taiwan who have been scheduled for clinical internships.
- Students who agree to participate in the study.
Who cannot join
- Students who are only partially completing their internships (fragmented internship students).
- Students who are unable to comply with the intervention measures.
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
Chang Gung University of Science and Technology, Chiayi Campus
Chiayi City
About this study
Official title: Effectiveness of Using Chatbots for Nursing Students to Improve Mental Health and Reduce Stress During Internships.
This study aims to evaluate the effectiveness of using a chatbot to improve mental health and reduce stress among nursing students during their internships. The study will be conducted through convenient sampling of nursing students from a technology university in southern Taiwan. Students will be divided into experimental and control groups to compare differences in mental health and stress levels after receiving support from the chatbot. Expected outcomes include gaining a better understanding of the fundamental characteristics of nursing students and their mental health and stress levels during internships. The results are expected to demonstrate that the chatbot can aid nursing students in handling typical internship issues, stress, and challenges, as well as in accessing mental health resources.
Read the detailed description
Background: The number of suicides and the crude death rate among adolescents aged 15-24 have been gradually increasing. Nursing students experience greater stress compared to students from other disciplines, primarily due to the unfamiliar clinical environment, concerns about managing internships, and worries about their ability to accurately judge and handle patient conditions due to a lack of experience. The diverse and highly complex nature of clinical practice sites significantly impacts the mental health and stress levels of nursing students during their internships. Therefore, it is crucial to pay attention to the cultivation of nursing students as they enter clinical practice. In response to changing times, mobile devices and chatbot tools are critically important support resources for students.Objective:The aim is to understand how chatbot can help nursing students improve their mental health and stress during their internships. Methods:This study will employ a quasi-experimental design and will use convenience sampling to recruit nursing students from a technology university in southern Taiwan. Structured questionnaires will be used to collect data on basic demographic information, a brief health scale, and a clinical internship stress scale. It is estimated that 55 students will be recruited for both the experimental and control groups.Statistical analyses will be conducted using SPSS 28.0 software. Expected Outcomes: The expected outcomes of this study include gaining a better understanding of the basic attributes of nursing students and their mental health and stress levels during internships. The overall findings will serve as a reference for educational planning for nursing internship students and emphasize the importance of technology-assisted connections in practical learning within teaching policies.
- Conditions
- Mental Health, Stress, Nursing Education
- Being tested
- Line Bot Assistance
- Keywords
- Internship Support, Chatbot Assistance, Mental Health
- Medical subject headings
- Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Line Bot AssistanceBehavioural
The chatbot is expected to provide self-help solutions and multiple counseling resources for stress and distress, options for face-to-face or online call requests, and a survey on mental health and stress.
In terms of keywords, it will establish counseling response resources and methods for finding resources for special sensitive situations (e.g., feeling moody, suicidal, stressed, not wanting to intern, etc.).
| Study group | Role | What they receive |
|---|---|---|
| Line Bot Assistance Group | Experimental | During the internship, students will use the Line Bot as a support tool.The Line Bot aims to provide psychological health support and stress management resources, helping students cope with stress and challenges encountered during their clinical internships. Receives: Behavioral: Line Bot Assistance |
| Control Group | No intervention | This group will not receive assistance from the Line Bot chatbot. These students will receive only the regular internship support and resources without the use of any technological assistance tools. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Brief Symptom Rating Scale
Five-point Likert-type scale of 0 to 4, with 0 being not at all and 4 being extremely.A total score on the BSRS-5 above 14, or a score of more than 1 on the additional suicide survey item, may indicate a severe mood disorder. Scores between 10 and 14 may indicate moderate mood disorders, and those between 6 and 9 could indicate mild mood disorders.
Measured: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Clinical Internship Stress Survey Form
Total of 24 questions are included in the survey, utilizing a four-point Likert-type scale ranging from 1 to 4. The total score on the scale falls between 24 and 96, with higher scores indicating increased stress levels during the clinical practicum.
Measured: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2024
- Study start26 Aug 2024
- Primary completion28 Feb 2025
- Study completion20 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mental HealthStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 122 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chang Gung University of Science and Technology
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kuo Ya-Wen, Chang Gung University of Science and Technology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06542068
- Sponsor's protocol ID
- 113-470
- Status last verified
- Oct 2026
- First submitted
- 29 Jul 2024
- Last updated
- 22 Oct 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Using Chatbots for Nursing Students to Improve Mental Health and Reduce Stress During Internships.
- ClinicalTrials.gov ID
- NCT06542068
- Acronym / sponsor ID
- 113-470
- Conditions
- Mental Health, Stress, Nursing Education
- Keywords
- Internship Support, Chatbot Assistance, Mental Health
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 122 participants (actual)
- Lead sponsor
- Chang Gung University of Science and TechnologyUniversity, hospital or other
- Study start
- 26 Aug 2024 (actual)
- Primary completion
- 28 Feb 2025 (actual)
- Study completion
- 20 Jul 2025 (actual)
- First posted
- 7 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effectiveness of using a chatbot to improve mental health and reduce stress among nursing students during their internships. The study will be conducted through convenient sampling of nursing students from a technology university in southern Taiwan. Students will be divided into experimental and control groups to compare differences in mental health and stress levels after receiving support from the chatbot. Expected outcomes include gaining a better understanding of the fundamental characteristics of nursing students and their mental health and stress levels during internships. The results are expected to demonstrate that the chatbot can aid nursing students in handling typical internship issues, stress, and challenges, as well as in accessing mental health resources.
Detailed description
Background: The number of suicides and the crude death rate among adolescents aged 15-24 have been gradually increasing. Nursing students experience greater stress compared to students from other disciplines, primarily due to the unfamiliar clinical environment, concerns about managing internships, and worries about their ability to accurately judge and handle patient conditions due to a lack of experience. The diverse and highly complex nature of clinical practice sites significantly impacts the mental health and stress levels of nursing students during their internships. Therefore, it is crucial to pay attention to the cultivation of nursing students as they enter clinical practice. In response to changing times, mobile devices and chatbot tools are critically important support resources for students.Objective:The aim is to understand how chatbot can help nursing students improve their mental health and stress during their internships. Methods:This study will employ a quasi-experimental design and will use convenience sampling to recruit nursing students from a technology university in southern Taiwan. Structured questionnaires will be used to collect data on basic demographic information, a brief health scale, and a clinical internship stress scale. It is estimated that 55 students will be recruited for both the experimental and control groups.Statistical analyses will be conducted using SPSS 28.0 software. Expected Outcomes: The expected outcomes of this study include gaining a better understanding of the basic attributes of nursing students and their mental health and stress levels during internships. The overall findings will serve as a reference for educational planning for nursing internship students and emphasize the importance of technology-assisted connections in practical learning within teaching policies.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Line Bot Assistance Group | Experimental | Behavioral: Line Bot AssistanceDuring the internship, students will use the Line Bot as a support tool.The Line Bot aims to provide psychological health support and stress management resources, helping students cope with stress and challenges encountered during their clinical internships. |
| Control Group | No intervention | –This group will not receive assistance from the Line Bot chatbot. These students will receive only the regular internship support and resources without the use of any technological assistance tools. |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Nursing students from the daytime four-year technical program at a university in southern Taiwan who have been scheduled for clinical internships.
- Students who agree to participate in the study.
Key exclusion criteria (2 listed)
- Students who are only partially completing their internships (fragmented internship students).
- Students who are unable to comply with the intervention measures.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Line Bot AssistanceThe chatbot is expected to provide self-help solutions and multiple counseling resources for stress and distress, options for face-to-face or online call requests, and a survey on mental health and stress. In terms of keywords, it will establish counseling response resources and methods for finding resources for special sensitive situations (e.g., feeling moody, suicidal, stressed, not wanting to intern, etc.). | Behavioural | Line Bot Assistance Group |
Primary outcome
Brief Symptom Rating Scale
Time frame: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Five-point Likert-type scale of 0 to 4, with 0 being not at all and 4 being extremely.A total score on the BSRS-5 above 14, or a score of more than 1 on the additional suicide survey item, may indicate a severe mood disorder. Scores between 10 and 14 may indicate moderate mood disorders, and those between 6 and 9 could indicate mild mood disorders.
Clinical Internship Stress Survey Form
Time frame: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.
Total of 24 questions are included in the survey, utilizing a four-point Likert-type scale ranging from 1 to 4. The total score on the scale falls between 24 and 96, with higher scores indicating increased stress levels during the clinical practicum.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Oct 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Line Bot Assistance in people with Mental Health and Stress, run by Chang Gung University of Science and Technology at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Brief Symptom Rating Scale (time frame: The students are interning for four weeks. A pre-test was conducted during the first week, and a post-test was administered at the end of the fourth week.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Oct 2026.