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Culturally-Tailored AI Chatbot Simulation for Therapeutic Communication and Empathy in Psychiatric Nursing Students
Sponsor: Alexandria University
Summary
Therapeutic communication and empathy are core competencies in psychiatric nursing, yet students often have limited opportunities to practise them safely with culturally realistic patients and families. This randomized controlled trial will test whether a culturally tailored, large language model (LLM)-driven AI chatbot simulation improves therapeutic communication competence and empathy among fourth-year nursing students at the Faculty of Nursing, Alexandria University, Egypt.
Official title: Effectiveness of a Culturally-Tailored AI Chatbot Simulation on Enhancing Therapeutic Communication Competence and Empathy Among Psychiatric Nursing Students: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2026-10-20
Completion Date
2026-12
Last Updated
2026-10-29
Healthy Volunteers
Yes
Conditions
Interventions
Culturally-Tailored AI Chatbot Simulation
Four weekly individual modules on a secure web-based platform: a 20-minute orientation and three 15-20-minute cases (major depressive disorder, schizophrenia spectrum disorder, bipolar I disorder, manic episode). Students hold free-text conversations with an LLM-driven simulated patient and family member in culturally embedded scenarios (Egyptian colloquial Arabic, idioms of distress, religious explanatory models, family reputation and stigma, medication cost) with bracketed non-verbal cues. Platform features include a Perspective-Taking Drill ("If I were the patient right now, I would feel...") and automated feedback with separate communication and empathy scores. Students follow the Student Clinical Handout, which includes a safety and crisis escalation protocol. Modules are ungraded and an instructor is available in every session.
Instructor-Facilitated Peer Role-Play
Instructor-facilitated role-play in pairs of the same orientation and three cases, matched to the intervention arm in number, order, and length of sessions, using the same Student Clinical Handout. Partners alternate nurse and patient roles using script cards with the same case, cultural content, and cue descriptions; an additional student plays the family member. No AI-embedded Perspective-Taking Drill or automated feedback is provided.
Locations (1)
Faculty of Nursing, Alexandria University
Alexandria, Alexandria Governorate, Egypt