Nursing EducationSEL-ARNCT07874061
Augmented Reality Virtual Patient Simulation to Enhance Social-Emotional Competence and Self-Efficacy in Nursing Students
A study testing VP-I and VP-AR in people with Nursing Education and Social-Emotional Learning, run by Chang Gung Memorial Hospital.
Trial summary
This randomized crossover teaching practice study evaluates whether smart technology and media-integrated friendly childbirth education can improve nursing students' social-emotional competence and self-efficacy. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Nursing Education, Social-Emotional Learning, Self-Efficacy
- What is being tested?
- VP-I and VP-AR
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- 2 Nov 2026to 30 Jun 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Undergraduate nursing students enrolled in the friendly childbirth course.
- Aged 18 years or older.
- Able to understand the study information and provide informed consent.
- Able to participate in the course learning activities and complete the study assessments.
Who cannot join
- Students who do not provide informed consent.
- Students who withdraw consent before completing the study procedures.
- Students who are unable to complete the study assessments because of circumstances that substantially interfere with participation.
About this study
Official title: A Friendly Beginning From the Heart: A Teaching Practice Using Smart Technology and Media-Integrated Friendly Childbirth to Enhance Students' Social-Emotional Competence and Self-Efficacy
This randomized crossover teaching practice study evaluates whether smart technology and media-integrated friendly childbirth education can improve nursing students' social-emotional competence and self-efficacy. All participants will receive both instructional conditions: virtual patient-based augmented reality learning (VP-AR) and VP-I. Students will be randomly assigned to one of two intervention sequences: VP-I followed by VP-AR (AB sequence) or VP-AR followed by VP-I (BA sequence). Outcomes will be assessed using validated questionnaires, scenario-based learning performance, and students' learning experiences.
Read the detailed description
This randomized crossover teaching practice study will be conducted among nursing students enrolled in a friendly childbirth course. All eligible participants will receive both instructional conditions, VP-I and virtual patient-based augmented reality learning (VP-AR), during two prespecified instructional periods. Participants will be randomly assigned using computer-generated stratified block randomization to one of two intervention sequences.
In the AB sequence, participants will receive VP-I during Period 1 followed by VP-AR during Period 2. In the BA sequence, participants will receive VP-AR during Period 1 followed by VP-I during Period 2. The primary outcomes are changes in students' social-emotional learning literacy and general self-efficacy. Secondary outcomes include emotion regulation strategies, scenario-based learning performance, and course learning experience.
Outcome assessments will be conducted at the prespecified baseline, period-specific, and post-intervention assessment points according to the study protocol. The study will compare participants' outcomes between the VP-I and VP-AR instructional conditions while accounting for intervention sequence and period effects.
- Conditions
- Nursing Education, Social-Emotional Learning, Self-Efficacy
- Being tested
- VP-I, VP-AR
- Keywords
- Friendly Childbirth, Smart Technology, Virtual Patient, Augmented Reality, Nursing Students, Randomized Crossover Trial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VP-IBehavioural
VP-I is an instructional condition used in the friendly childbirth course. Participants complete the approved learning activities and teaching scenarios specified in the study protocol.
VP-ARBehavioural
VP-AR is a virtual patient-based augmented reality instructional condition integrated into the friendly childbirth course. Participants complete the approved smart technology-supported learning activities and teaching scenarios specified in the study protocol.
| Study group | Role | What they receive |
|---|---|---|
| Sequence AB: VP-I Followed by VP-AR | Experimental | Participants receive VP-I during Period 1 followed by VP-AR during Period 2. Receives: Behavioral: VP-I; Behavioral: VP-AR |
| Sequence BA: VP-AR Followed by VP-I | Experimental | Participants receive VP-AR during Period 1 followed by VP-I during Period 2. Receives: Behavioral: VP-I; Behavioral: VP-AR |
What is being measured
The primary outcome is the main question the study is designed to answer.
Difference in Change in Social-Emotional Learning Literacy Between VP-I and VP-AR Periods
Change in students' social-emotional learning literacy measured by the 21-item Social-Emotional Learning Literacy Scale for College Students. The total score is calculated according to the scale scoring instructions, with higher scores indicating higher social-emotional learning literacy.
Measured: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Difference in Change in General Self-Efficacy Between VP-I and VP-AR Periods
Change in students' general self-efficacy measured by the 10-item General Self-Efficacy Scale. The total score is calculated according to the scale scoring instructions, with higher scores indicating higher general self-efficacy.
Measured: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Secondary outcomes (3)
Change in Emotion Regulation Strategies
Change in students' emotion regulation strategies measured by the 15-item Emotion Regulation Strategies Scale for College Students. Subscale and total scores are calculated according to the scale scoring instructions.
Measured: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Scenario-Based Learning Performance
Students' performance in friendly childbirth learning scenarios, assessed using system-recorded learning performance indicators, including scenario completion, response accuracy, and related task performance.
Measured: During the two intervention periods from Week 5 through Week 17
Course Learning Experience
Students' perceived learning experience during the friendly childbirth course, assessed using the course learning experience questionnaire and written learning reflections.
Measured: At the post-intervention assessment at Week 18
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2026
- Study start2 Nov 2026 (estimated)
- Primary completion30 Jun 2027 (estimated)
- Study completion30 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing EducationStudies 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
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Participants will be randomly assigned to one of two intervention sequences. In the AB sequence, participants will receive VP-I during Period 1 followed by VP-AR during Period 2. In the BA sequence, participants will receive VP-AR during Period 1 followed by VP-I during Period 2. All participants will receive both instructional conditions.
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Chang Gung Memorial Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Chang Gung University of Science and Technology
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07874061
- Sponsor's protocol ID
- 202600651B0
- Acronym
- SEL-AR
- Status last verified
- Oct 2026
- First submitted
- 8 Oct 2026
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Friendly Beginning From the Heart: A Teaching Practice Using Smart Technology and Media-Integrated Friendly Childbirth to Enhance Students' Social-Emotional Competence and Self-Efficacy
- ClinicalTrials.gov ID
- NCT07874061
- Acronym / sponsor ID
- SEL-AR / 202600651B0
- Conditions
- Nursing Education, Social-Emotional Learning, Self-Efficacy
- Keywords
- Friendly Childbirth, Smart Technology, Virtual Patient, Augmented Reality, Nursing Students, Randomized Crossover Trial
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Chang Gung Memorial HospitalUniversity, hospital or other
- Collaborators
- Chang Gung University of Science and Technology
- Study start
- 2 Nov 2026 (estimated)
- Primary completion
- 30 Jun 2027 (estimated)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 14 Oct 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 crossover teaching practice study evaluates whether smart technology and media-integrated friendly childbirth education can improve nursing students' social-emotional competence and self-efficacy. All participants will receive both instructional conditions: virtual patient-based augmented reality learning (VP-AR) and VP-I. Students will be randomly assigned to one of two intervention sequences: VP-I followed by VP-AR (AB sequence) or VP-AR followed by VP-I (BA sequence). Outcomes will be assessed using validated questionnaires, scenario-based learning performance, and students' learning experiences.
Detailed description
This randomized crossover teaching practice study will be conducted among nursing students enrolled in a friendly childbirth course. All eligible participants will receive both instructional conditions, VP-I and virtual patient-based augmented reality learning (VP-AR), during two prespecified instructional periods. Participants will be randomly assigned using computer-generated stratified block randomization to one of two intervention sequences.
In the AB sequence, participants will receive VP-I during Period 1 followed by VP-AR during Period 2. In the BA sequence, participants will receive VP-AR during Period 1 followed by VP-I during Period 2. The primary outcomes are changes in students' social-emotional learning literacy and general self-efficacy. Secondary outcomes include emotion regulation strategies, scenario-based learning performance, and course learning experience.
Outcome assessments will be conducted at the prespecified baseline, period-specific, and post-intervention assessment points according to the study protocol. The study will compare participants' outcomes between the VP-I and VP-AR instructional conditions while accounting for intervention sequence and period effects.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned to one of two intervention sequences. In the AB sequence, participants will receive VP-I during Period 1 followed by VP-AR during Period 2. In the BA sequence, participants will receive VP-AR during Period 1 followed by VP-I during Period 2. All participants will receive both instructional conditions.
| Arm | Type | Receives |
|---|---|---|
| Sequence AB: VP-I Followed by VP-AR | Experimental | Behavioral: VP-I, Behavioral: VP-ARParticipants receive VP-I during Period 1 followed by VP-AR during Period 2. |
| Sequence BA: VP-AR Followed by VP-I | Experimental | Behavioral: VP-I, Behavioral: VP-ARParticipants receive VP-AR during Period 1 followed by VP-I during Period 2. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Undergraduate nursing students enrolled in the friendly childbirth course.
- Aged 18 years or older.
- Able to understand the study information and provide informed consent.
- Able to participate in the course learning activities and complete the study assessments.
Key exclusion criteria (3 listed)
- Students who do not provide informed consent.
- Students who withdraw consent before completing the study procedures.
- Students who are unable to complete the study assessments because of circumstances that substantially interfere with participation.
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 |
|---|---|---|
| VP-IVP-I is an instructional condition used in the friendly childbirth course. Participants complete the approved learning activities and teaching scenarios specified in the study protocol. | Behavioural | Sequence AB: VP-I Followed by VP-AR, Sequence BA: VP-AR Followed by VP-I |
| VP-ARVP-AR is a virtual patient-based augmented reality instructional condition integrated into the friendly childbirth course. Participants complete the approved smart technology-supported learning activities and teaching scenarios specified in the study protocol. | Behavioural | Sequence AB: VP-I Followed by VP-AR, Sequence BA: VP-AR Followed by VP-I |
Primary outcome
Difference in Change in Social-Emotional Learning Literacy Between VP-I and VP-AR Periods
Time frame: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Change in students' social-emotional learning literacy measured by the 21-item Social-Emotional Learning Literacy Scale for College Students. The total score is calculated according to the scale scoring instructions, with higher scores indicating higher social-emotional learning literacy.
Difference in Change in General Self-Efficacy Between VP-I and VP-AR Periods
Time frame: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Change in students' general self-efficacy measured by the 10-item General Self-Efficacy Scale. The total score is calculated according to the scale scoring instructions, with higher scores indicating higher general self-efficacy.
3 secondary outcomes
Change in Emotion Regulation Strategies
Time frame: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17
Scenario-Based Learning Performance
Time frame: During the two intervention periods from Week 5 through Week 17
Course Learning Experience
Time frame: At the post-intervention assessment at Week 18
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 14 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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing VP-I and VP-AR in people with Nursing Education and Social-Emotional Learning, run by Chang Gung Memorial Hospital.
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 4 inclusion and 3 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 14 Oct 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?
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?
Difference in Change in Social-Emotional Learning Literacy Between VP-I and VP-AR Periods (time frame: From baseline assessment at Week 4 through the end of each intervention period during Weeks 5 to 17). 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 14 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.