Trial Outcomes & Findings for Chatbot Facilitated Education on Child and Adolescent Abuse (NCT NCT06167031)
NCT ID: NCT06167031
Last Updated: 2025-08-17
Results Overview
This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment. It comprises eight simulated child abuse scenarios, with participants rating their intention to report each case on an 11-point scale ranging from 0 (no intention to report) to 10 (definite intention to report). The total possible score is 80, with higher scores indicating a stronger and more consistent intention to report suspected CAN cases.
COMPLETED
NA
98 participants
Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
2025-08-17
Participant Flow
We enrolled the participants for a year from July 2023 at a tertiary hospital in eastern Taiwan.
Course promotion commenced in July 2023. The first participant was not enrolled until the inaugural course launched on January 10, 2024. During the six-month preparatory period, we engaged in iterative planning, instructional design, and repeated testing of both the course delivery system and the integrated chatbot functionality.
Participant milestones
| Measure |
Chatbot-facilitated Education Group
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate lecture-based teaching.
|
Lecture-based Teaching Group
Lecture-based teaching: The control group only receives lecture-based teaching.
|
|---|---|---|
|
Overall Study
STARTED
|
49
|
49
|
|
Overall Study
COMPLETED
|
44
|
48
|
|
Overall Study
NOT COMPLETED
|
5
|
1
|
Reasons for withdrawal
| Measure |
Chatbot-facilitated Education Group
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate lecture-based teaching.
|
Lecture-based Teaching Group
Lecture-based teaching: The control group only receives lecture-based teaching.
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
5
|
1
|
Baseline Characteristics
Race and Ethnicity were not collected from any participant.
Baseline characteristics by cohort
| Measure |
Chatbot-facilitated Education Group
n=44 Participants
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate teaching.
|
Lecture-based Teaching Group
n=48 Participants
Lecture-based teaching: The control group only receives lecture-based teaching.
|
Total
n=92 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
27.6 years
STANDARD_DEVIATION 5.4 • n=44 Participants
|
29.2 years
STANDARD_DEVIATION 7.0 • n=48 Participants
|
28.5 years
STANDARD_DEVIATION 6.3 • n=92 Participants
|
|
Sex: Female, Male
Female
|
40 Participants
n=44 Participants
|
39 Participants
n=48 Participants
|
79 Participants
n=92 Participants
|
|
Sex: Female, Male
Male
|
4 Participants
n=44 Participants
|
9 Participants
n=48 Participants
|
13 Participants
n=92 Participants
|
|
Race and Ethnicity Not Collected
|
—
|
—
|
0 Participants
Race and Ethnicity were not collected from any participant.
|
|
Job tenure
|
5.2 years
STANDARD_DEVIATION 5.1 • n=44 Participants
|
6.0 years
STANDARD_DEVIATION 6.2 • n=48 Participants
|
5.6 years
STANDARD_DEVIATION 5.7 • n=92 Participants
|
|
Units
Emergency depaertment
|
15 Participants
n=44 Participants
|
17 Participants
n=48 Participants
|
32 Participants
n=92 Participants
|
|
Units
Pediatric
|
10 Participants
n=44 Participants
|
2 Participants
n=48 Participants
|
12 Participants
n=92 Participants
|
|
Units
Medical Surgical Unit
|
14 Participants
n=44 Participants
|
24 Participants
n=48 Participants
|
38 Participants
n=92 Participants
|
|
Units
Adult intensive care units
|
5 Participants
n=44 Participants
|
5 Participants
n=48 Participants
|
10 Participants
n=92 Participants
|
|
Level of nursing
N
|
9 Participants
n=44 Participants
|
18 Participants
n=48 Participants
|
27 Participants
n=92 Participants
|
|
The motives for participating
Required competency in the workplace
|
11 Participants
n=44 Participants
|
14 Participants
n=48 Participants
|
25 Participants
n=92 Participants
|
|
The motives for participating
Assignment of workplace
|
1 Participants
n=44 Participants
|
1 Participants
n=48 Participants
|
2 Participants
n=92 Participants
|
|
The motives for participating
Requirement of nursing credits
|
13 Participants
n=44 Participants
|
13 Participants
n=48 Participants
|
26 Participants
n=92 Participants
|
|
Level of nursing
N1
|
8 Participants
n=44 Participants
|
5 Participants
n=48 Participants
|
13 Participants
n=92 Participants
|
|
Level of nursing
N2
|
18 Participants
n=44 Participants
|
16 Participants
n=48 Participants
|
34 Participants
n=92 Participants
|
|
Level of nursing
N3
|
9 Participants
n=44 Participants
|
9 Participants
n=48 Participants
|
18 Participants
n=92 Participants
|
|
Level of nursing
N4
|
0 Participants
n=44 Participants
|
0 Participants
n=48 Participants
|
0 Participants
n=92 Participants
|
|
Education
Associate Degree
|
3 Participants
n=44 Participants
|
7 Participants
n=48 Participants
|
10 Participants
n=92 Participants
|
|
Education
Bachelor's Degree
|
41 Participants
n=44 Participants
|
41 Participants
n=48 Participants
|
82 Participants
n=92 Participants
|
|
Education
Master's Degree
|
0 Participants
n=44 Participants
|
0 Participants
n=48 Participants
|
0 Participants
n=92 Participants
|
|
Education
Doctorate (Ph.D.)
|
0 Participants
n=44 Participants
|
0 Participants
n=48 Participants
|
0 Participants
n=92 Participants
|
|
The experience of dealing with child and adolescent abuse and neglect
Yes
|
26 Participants
n=44 Participants
|
22 Participants
n=48 Participants
|
48 Participants
n=92 Participants
|
|
The experience of dealing with child and adolescent abuse and neglect
No
|
18 Participants
n=44 Participants
|
26 Participants
n=48 Participants
|
44 Participants
n=92 Participants
|
|
The experience of receiving training in child and adolescent abuse and neglect
Yes
|
14 Participants
n=44 Participants
|
17 Participants
n=48 Participants
|
31 Participants
n=92 Participants
|
|
The experience of receiving training in child and adolescent abuse and neglect
No
|
30 Participants
n=44 Participants
|
31 Participants
n=48 Participants
|
61 Participants
n=92 Participants
|
|
The experience of receiving education by using a chatbot
Yes
|
1 Participants
n=44 Participants
|
0 Participants
n=48 Participants
|
1 Participants
n=92 Participants
|
|
The experience of receiving education by using a chatbot
No
|
43 Participants
n=44 Participants
|
48 Participants
n=48 Participants
|
91 Participants
n=92 Participants
|
|
The motives for participating
Interest
|
19 Participants
n=44 Participants
|
20 Participants
n=48 Participants
|
39 Participants
n=92 Participants
|
PRIMARY outcome
Timeframe: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment. It comprises eight simulated child abuse scenarios, with participants rating their intention to report each case on an 11-point scale ranging from 0 (no intention to report) to 10 (definite intention to report). The total possible score is 80, with higher scores indicating a stronger and more consistent intention to report suspected CAN cases.
Outcome measures
| Measure |
Chatbot-facilitated Education Group
n=44 Participants
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate lecture-based teaching.
|
Lecture-based Teaching Group
n=48 Participants
Lecture-based teaching: The control group only receives lecture-based teaching.
|
|---|---|---|
|
Intention to Report Child and Adolescent Abuse and Neglect
Pre-test
|
60.77 score on a scale
Standard Deviation 10.11
|
61.56 score on a scale
Standard Deviation 10.41
|
|
Intention to Report Child and Adolescent Abuse and Neglect
Post-test 1
|
71.07 score on a scale
Standard Deviation 6.51
|
68.29 score on a scale
Standard Deviation 8.91
|
|
Intention to Report Child and Adolescent Abuse and Neglect
Post-test 2
|
69.34 score on a scale
Standard Deviation 11.77
|
68.73 score on a scale
Standard Deviation 8.81
|
PRIMARY outcome
Timeframe: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment and consists of three sections: five items on attitudes toward child discipline, six items on perceptions of abusive parents, and seven items on professional responsibility in reporting child abuse, totaling 18 items. Participants rate each item on a 7-point Likert scale ranging from 0 (strongly disagree) to 6 (strongly agree). The maximum possible score is 108. Higher scores reflect more negative attitudes toward physical discipline, lower tolerance for abusive behavior by parents, and stronger endorsement of professional responsibility in reporting suspected child abuse.
Outcome measures
| Measure |
Chatbot-facilitated Education Group
n=44 Participants
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate lecture-based teaching.
|
Lecture-based Teaching Group
n=48 Participants
Lecture-based teaching: The control group only receives lecture-based teaching.
|
|---|---|---|
|
Attitude Toward Reporting Child and Adolescent Abuse and Neglect
Pre-test
|
83.52 score on a scale
Standard Deviation 8.72
|
82.40 score on a scale
Standard Deviation 8.69
|
|
Attitude Toward Reporting Child and Adolescent Abuse and Neglect
Post-test 1
|
84.70 score on a scale
Standard Deviation 9.50
|
82.19 score on a scale
Standard Deviation 8.53
|
|
Attitude Toward Reporting Child and Adolescent Abuse and Neglect
Post-test 2
|
85.14 score on a scale
Standard Deviation 9.08
|
80.73 score on a scale
Standard Deviation 11.0
|
PRIMARY outcome
Timeframe: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment and includes 13 true-false items. Participants are instructed to respond with "true," "false," or "don't know" for each statement. Correct responses receive one point, while incorrect or "don't know" responses receive zero. The total possible score is 13, with higher scores indicating greater knowledge of CAN and its relevant legal framework.
Outcome measures
| Measure |
Chatbot-facilitated Education Group
n=44 Participants
Chatbot facilitated teaching: The experimental group will use "chatbot" to facilitate lecture-based teaching.
|
Lecture-based Teaching Group
n=48 Participants
Lecture-based teaching: The control group only receives lecture-based teaching.
|
|---|---|---|
|
Knowledge About Child and Adolescent Abuse and Neglect
Pre-test
|
7.95 score on a scale
Standard Deviation 2.12
|
8.75 score on a scale
Standard Deviation 1.79
|
|
Knowledge About Child and Adolescent Abuse and Neglect
Post-test 1
|
9.66 score on a scale
Standard Deviation 1.70
|
9.52 score on a scale
Standard Deviation 1.86
|
|
Knowledge About Child and Adolescent Abuse and Neglect
Post-test 2
|
9.32 score on a scale
Standard Deviation 1.89
|
9.29 score on a scale
Standard Deviation 2.06
|
Adverse Events
Chatbot-facilitated Education Group
Lecture-based Teaching Group
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place