Dementia Care EducationNCT07922109
The Effectiveness of Comic-based Learning Materials on Nursing Students' Knowledge, Attitudes, and Confidence in Dementia Care
A study testing Comic-Based Dementia Care Education and Text-Based Dementia Care Education in people with Dementia Care Education and Students, Nursing, run by Taipei Medical University.
Trial summary
This randomized controlled trial aims to evaluate the effectiveness of comic-based dementia care educational materials in improving nursing students' knowledge, attitudes, and confidence in dementia care. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Dementia Care Education, Students, Nursing, Education, Nursing
- What is being tested?
- Comic-Based Dementia Care Education and Text-Based Dementia Care Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- No sites listed yet
- Study dates
- 9 Nov 2026to 31 Oct 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Nursing students aged 18 to 65 years.
- Have not previously completed any dementia-related courses.
- Able to read Chinese. Exclusion Criteria: No.
Who cannot join
None listed.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
This randomized controlled trial aims to evaluate the effectiveness of comic-based dementia care educational materials in improving nursing students' knowledge, attitudes, and confidence in dementia care. A total of 84 nursing students will be recruited from a university in northern Taiwan and randomly assigned to either an experimental group receiving comic-based educational materials or a control group receiving text-based educational materials. Outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention.
Read the detailed description
The increasing prevalence of dementia highlights the importance of preparing nursing students with adequate dementia care knowledge, positive attitudes, and confidence. Although various educational interventions have been implemented, limitations remain in their accessibility and dissemination. Comic-based educational materials may offer an accessible and engaging approach to dementia education; however, evidence regarding their effectiveness remains limited.
A randomized controlled trial will be conducted among 84 nursing students recruited through convenience sampling from Taipei Medical University. After providing written informed consent and completing baseline assessments, participants will be randomly assigned to two parallel groups using block randomization with a block size of four. The allocation sequence will be prepared by an independent individual not involved in recruitment or intervention delivery. Assignments will be concealed in sequentially numbered, opaque envelopes and opened in enrollment order.
The experimental group will read a researcher-developed comic-based dementia care handbook, while the control group will read printed text-based educational materials covering the same content. Both groups will study independently in a quiet classroom for 60 minutes, after which materials will be collected to minimize contamination.
Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC), attitudes toward dementia using the Chinese version of the Dementia Attitudes Scale (DAS-C), and confidence in dementia care using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). These outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention. Learning materials satisfaction will be assessed immediately after the intervention.
Data will be analyzed using descriptive statistics, t-tests, chi-square tests, and generalized estimating equations (GEE).
- Conditions
- Dementia Care Education, Students, Nursing, Education, Nursing, Dementia, Health Knowledge, Attitudes, Practice
- Being tested
- Comic-Based Dementia Care Education, Text-Based Dementia Care Education
- Keywords
- Education, Nursing, Dementia, Health Knowledge, Attitudes, Practice, Comic-Based Learning, Students, Nursing, Randomized Controlled Trial, Dementia Knowledge, Dementia Attitudes, Dementia Confidence, Comic-based Education
- Medical subject headings
- Dementia, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Comic-Based Dementia Care EducationBehavioural
Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. The handbook presents dementia-related knowledge, communication strategies, and care principles through illustrated scenarios and dialogues. Educational materials will be collected immediately after the session.
Text-Based Dementia Care EducationBehavioural
Participants will independently read researcher-developed printed text-based dementia care educational materials for 60 minutes in a quiet classroom. The materials cover the same educational content as the comic-based handbook, including dementia-related knowledge, communication strategies, and care principles. Educational materials will be collected immediately after the session.
| Study group | Role | What they receive |
|---|---|---|
| Comic-Based Dementia Education | Experimental | Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. Materials will be collected immediately afterward. Receives: Behavioral: Comic-Based Dementia Care Education |
| Text-Based Dementia Education | Active comparator | Participants will independently read researcher-developed printed text-based dementia educational materials for 60 minutes in a quiet classroom. Materials will be collected immediately afterward. Receives: Behavioral: Text-Based Dementia Care Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dementia Knowledge Assessed by the DKAS-TC
Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC). The scale consists of 25 items covering causes and characteristics, communication and behavior, care considerations, and risks and health promotion. A partial-credit scoring system is used, with each item scored from 0 to 2. Total scores range from 0 to 50, with higher scores indicating greater dementia knowledge.
Measured: Baseline, immediately after the intervention, and one month after the intervention.
Attitudes Toward Dementia Assessed by the DAS-C
Attitudes toward dementia will be assessed using the Chinese version of the Dementia Attitudes Scale (DAS-C). The scale consists of 17 items rated on a five-point Likert scale, including three reverse-scored items. Total scores range from 17 to 85, with higher scores indicating more positive attitudes toward people living with dementia.
Measured: Baseline, immediately after the intervention, and one month after the intervention.
Confidence in Dementia Care Assessed by the CODE-TW
Confidence in dementia care will be assessed using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). The scale consists of 9 items rated on a five-point Likert scale, assessing confidence in recognizing and understanding dementia, communication and interaction, and care management. Total scores range from 9 to 45, with higher scores indicating greater confidence in dementia care.
Measured: Baseline, immediately after the intervention, and one month after the intervention.
Secondary outcomes (1)
Learning Materials Satisfaction
Learning materials satisfaction will be assessed using a 10-item questionnaire developed by Chao et al. (2021). Each item is rated on a five-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly agree). Total scores range from 10 to 50, with higher scores indicating greater satisfaction with the assigned educational materials.
Measured: Immediately after the 60-minute educational intervention. Measure Description
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2026
- Study start9 Nov 2026 (estimated)
- Primary completion31 Oct 2027 (estimated)
- Study completion31 Oct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dementia Care EducationStudies of the same condition, open and under way.
- More trials run by Taipei Medical UniversityThe sponsor's other registered studies.
- 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 84 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Taipei Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Yeu-Hui Chuang, Principal investigator, Taipei Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07922109
- Sponsor's protocol ID
- N202609028
- Status last verified
- Nov 2026
- First submitted
- 2 Nov 2026
- Last updated
- 6 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared with other researchers to protect participant confidentiality.
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Comic-based Learning Materials on Nursing Students' Knowledge, Attitudes, and Confidence in Dementia Care
- ClinicalTrials.gov ID
- NCT07922109
- Acronym / sponsor ID
- N202609028
- Conditions
- Dementia Care Education, Students, Nursing, Education, Nursing, Dementia, Health Knowledge, Attitudes, Practice
- Keywords
- Education, Nursing, Dementia, Health Knowledge, Attitudes, Practice, Comic-Based Learning, Students, Nursing, Randomized Controlled Trial, Dementia Knowledge, Dementia Attitudes
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 84 participants (estimated)
- Lead sponsor
- Taipei Medical UniversityUniversity, hospital or other
- Study start
- 9 Nov 2026 (estimated)
- Primary completion
- 31 Oct 2027 (estimated)
- Study completion
- 31 Oct 2027 (estimated)
- First posted
- 6 Nov 2026 (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 randomized controlled trial aims to evaluate the effectiveness of comic-based dementia care educational materials in improving nursing students' knowledge, attitudes, and confidence in dementia care. A total of 84 nursing students will be recruited from a university in northern Taiwan and randomly assigned to either an experimental group receiving comic-based educational materials or a control group receiving text-based educational materials. Outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention.
Detailed description
The increasing prevalence of dementia highlights the importance of preparing nursing students with adequate dementia care knowledge, positive attitudes, and confidence. Although various educational interventions have been implemented, limitations remain in their accessibility and dissemination. Comic-based educational materials may offer an accessible and engaging approach to dementia education; however, evidence regarding their effectiveness remains limited.
A randomized controlled trial will be conducted among 84 nursing students recruited through convenience sampling from Taipei Medical University. After providing written informed consent and completing baseline assessments, participants will be randomly assigned to two parallel groups using block randomization with a block size of four. The allocation sequence will be prepared by an independent individual not involved in recruitment or intervention delivery. Assignments will be concealed in sequentially numbered, opaque envelopes and opened in enrollment order.
The experimental group will read a researcher-developed comic-based dementia care handbook, while the control group will read printed text-based educational materials covering the same content. Both groups will study independently in a quiet classroom for 60 minutes, after which materials will be collected to minimize contamination.
Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC), attitudes toward dementia using the Chinese version of the Dementia Attitudes Scale (DAS-C), and confidence in dementia care using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). These outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention. Learning materials satisfaction will be assessed immediately after the intervention.
Data will be analyzed using descriptive statistics, t-tests, chi-square tests, and generalized estimating equations (GEE).
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Comic-Based Dementia Education | Experimental | Behavioral: Comic-Based Dementia Care EducationParticipants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. Materials will be collected immediately afterward. |
| Text-Based Dementia Education | Active comparator | Behavioral: Text-Based Dementia Care EducationParticipants will independently read researcher-developed printed text-based dementia educational materials for 60 minutes in a quiet classroom. Materials will be collected immediately afterward. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Nursing students aged 18 to 65 years.
- Have not previously completed any dementia-related courses.
- Able to read Chinese. Exclusion Criteria: No.
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| Comic-Based Dementia Care EducationParticipants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. The handbook presents dementia-related knowledge, communication strategies, and care principles through illustrated scenarios and dialogues. Educational materials will be collected immediately after the session. | Behavioural | Comic-Based Dementia Education |
| Text-Based Dementia Care EducationParticipants will independently read researcher-developed printed text-based dementia care educational materials for 60 minutes in a quiet classroom. The materials cover the same educational content as the comic-based handbook, including dementia-related knowledge, communication strategies, and care principles. Educational materials will be collected immediately after the session. | Behavioural | Text-Based Dementia Education |
Primary outcome
Dementia Knowledge Assessed by the DKAS-TC
Time frame: Baseline, immediately after the intervention, and one month after the intervention.
Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC). The scale consists of 25 items covering causes and characteristics, communication and behavior, care considerations, and risks and health promotion. A partial-credit scoring system is used, with each item scored from 0 to 2. Total scores range from 0 to 50, with higher scores indicating greater dementia knowledge.
Attitudes Toward Dementia Assessed by the DAS-C
Time frame: Baseline, immediately after the intervention, and one month after the intervention.
Attitudes toward dementia will be assessed using the Chinese version of the Dementia Attitudes Scale (DAS-C). The scale consists of 17 items rated on a five-point Likert scale, including three reverse-scored items. Total scores range from 17 to 85, with higher scores indicating more positive attitudes toward people living with dementia.
Confidence in Dementia Care Assessed by the CODE-TW
Time frame: Baseline, immediately after the intervention, and one month after the intervention.
Confidence in dementia care will be assessed using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). The scale consists of 9 items rated on a five-point Likert scale, assessing confidence in recognizing and understanding dementia, communication and interaction, and care management. Total scores range from 9 to 45, with higher scores indicating greater confidence in dementia care.
1 secondary outcome
Learning Materials Satisfaction
Time frame: Immediately after the 60-minute educational intervention. Measure Description
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared with other researchers to protect participant confidentiality.
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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.
Yeu-Hui Chuang principal investigator
Taipei Medical University
Questions about this trial
What is this clinical trial studying?
A study testing Comic-Based Dementia Care Education and Text-Based Dementia Care Education in people with Dementia Care Education and Students, Nursing, run by Taipei Medical University.
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 3 inclusion and 0 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: opening soon, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Chia-Ling Lin (+886-2-2736-1661ext. 27725, g462112022@tmu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dementia Knowledge Assessed by the DKAS-TC (time frame: Baseline, immediately after the intervention, and one month after the intervention.). The study lists 3 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 6 Nov 2026.