Clinical Research Directory

Comparing Instructor-led Versus Blended Cardiopulmonary Resuscitation Training Among Nursing Students

Objectives of the Study The current study aimed to investigate how individual and team personality traits, academic motivation, and academic procrastination predict CPR training outcomes at individual and team levels, and to what extent these associations vary across different CPR training modalities (instructor-led versus blended). Material and methods Design This study employed an experimental, posttest-only control group design. Subjects The target population comprised undergraduate nursing students enrolled in the BSN program. The inclusion criteria were determined as follows: (1) third- and fourth-year students, (2) they had already completed foundational coursework. On the other hand, the exclusion criteria were: (1) students enrolled in the program through bridging tracks, and (2) students who had completed the comprehensive clinical course. Potential participants were randomly selected from eligible nursing students listed in academic records, screened for inclusion criteria, and invited via email. A total of 133 nursing students were enrolled and randomly assigned to one of two study groups. They were then divided into groups of 6 using block randomization to balance group sizes. Because the interventions differed in content and delivery, blinding of students and instructors was not possible. The required sample size was calculated through an independent samples t-test aimed at detecting a moderate effect size (Cohen's d = 0.5) between the two training groups, with a statistical power of 0.80 and a significance level of 0.05. Based on that, a minimum of 63 students per group was required to ensure adequate power to detect statistically significant differences in the measured outcomes. Randomization Participants were selected using a random sampling technique following the acquisition of a complete list of eligible nursing students from official academic records. Based on the predefined inclusion and exclusion criteria, a filtered list of potential participants was generated. From this list, students were randomly selected and invited to participate through a recruitment link sent to their email addresses. Those who filled out the link were screened again for eligibility, and then the researchers contacted those who met the criteria to notify them of their enrollment. Recruited participants were then assigned to one of the two study groups, ensuring an unbiased and systematic approach to participant recruitment (Figure 1). Randomization utilized stratified randomization (to ensure that the distribution of both nursing schools is similar across treatment groups) and block randomization (to ensure that the number of participants assigned to each treatment group remains roughly equal throughout the trial). Due to the varying educational materials and delivery methods, it was not possible to blind or conceal the allocation to either students or instructors. Interventions All CPR training sessions were conducted over nine weeks (May - July 2025) at the Life Support Center at the private university, which is accredited by the American Heart Association (AHA) and equipped with high-fidelity manikins and advanced audiovisual technology. Following participant selection, students were randomly assigned to one of two intervention groups, each receiving a different CPR training modality. Both training methods were based on the most recent guidelines from the AHA and delivered by certified instructors to ensure consistency and quality of instruction (American Heart Association \[AHA\], 2020). Each participant received an official invitation via email, which included a cover letter, details of the training schedule, course materials, and an informed consent form. To reduce potential external influences, both groups received their respective training at the same time. Upon completion of the training, participants were immediately asked to complete the postest self-reported questionnaires through Google Forms, with all items set as mandatory. Students were instructed to complete the surveys independently and were assured of the confidentiality and anonymity of their responses. Intervention and Data Collection All CPR training sessions were conducted over nine weeks (May - July 2025) at the Life Support Center at the private university, which is accredited by the American Heart Association (AHA) and equipped with high-fidelity manikins and advanced audiovisual technology, providing a realistic and interactive environment to support hands-on, experiential learning under standardized conditions. Following participant selection, students were randomly assigned to one of two intervention groups, each receiving a different CPR training modality. Both training methods were based on the most recent AHA guidelines and delivered by certified instructors to ensure consistency and quality of instruction. participants were assessed at day of the course and after 3 months.

Aconselha + Movimento: Protocol for Online Training on Physical Activity and Sedentary Behavior Counseling

This study aims to develop, implement, and evaluate the effectiveness of an online training program on physical activity and sedentary behavior counseling for primary health care workers. The training program is designed to improve competencies related to physical activity and sedentary behavior counseling within primary health care settings. Health professionals working in primary health care units from selected municipalities in Brazil will be invited to participate. Outcomes related to counseling competencies and professional practices will be assessed before and after participation in the training program.

Dissemination of Physical Activity-related Health Competence in Vocational Education of Nursing Care

The "TakeCare!" study addresses the problem that vocational students of nursing care cope with great physical and psychological demands during their daily routines. To meet these demands, the Bavarian curriculum for generalist nurses has adopted the promotion of physical activity-related health competence (PAHCO) for vocational students. However, it must be assumed that the concept has not yet been adopted comprehensively across the Bavarian nursing landscape. Therefore, the "TakeCare!" study tackles the question of how PAHCO can be implemented most appropriately in Bavarian nursing schools. Drawing on experiences from the project PArC-AVE, three different dissemination approaches will being tested and compared with a control group. A total of 16 nursing schools from different regions of Bavaria will be assigned to four different study arms (cluster-randomized design). In the long term, the project aims to derive recommendations for all nursing schools in Bavaria.

Evaluating Learning Curves and Competence in Colorectal Endoscopic Mucosal Resection Among Advanced Endoscopy Trainees

Quality improvement project with the aim to use a standardized assessment tool (EMR-STAT) to establish learning curves and competence thresholds for key cognitive and technical colorectal EMR core skills among advanced endoscopy trainees (AETs).

VR-Based Intervention for Caregiving Competence in Dementia

This study aims to develop and evaluate the effectiveness of a VR-based educational intervention designed to improve the dementia caregiving abilities of formal caregivers in residential care homes. The intervention focuses on enhancing caregivers' knowledge and skills in managing behavioral symptoms of dementia through immersive VR scenarios, group discussions, and evidence-based management strategies, with the goal of better equipping them to provide high-quality care for residents with dementia.

Motivational Training Program for Pre-service Physical Education Teachers

This study presents the protocol for a non-randomized controlled trial evaluating a motivational-based training program for pre-service Physical Education teachers. The experimental group will participate in a 14-hour training program based on Self-Determination Theory and the circumplex model. The program consists of theoretical and practical training to foster motivating teaching styles and minimize demotivating ones. The control group will follow the standard curriculum of the Master's in Physical Education Teacher Education program without exposure to the specific intervention.

Inforcing Spiritual Care: Enhancing Well-Being and Competency in Psychiatric Nurses

This study was done to evaluate the effectiveness of spiritual care education program in enhancing the well-being and competency of psychiatric nurses.

Physical Literacy-based Intervention for Older Adults

The ageing population creates concerns and challenges worldwide. The large number of older adults (aged over 65) in Hong Kong continues to rise as people live longer. This may result in heavy burdens on public services and problems such as a shortage of medical resources. The purpose of this study is to implement a physical literacy-based intervention (PLBI) among older adults in Hong Kong in order to achieve the goal of health promotion. A two-arm cluster randomized controlled trial will be employed in this proposed study. Ten daycare centers for the elderly in Hong Kong will be invited to participate in this study. The intervention group will receive functional fitness training and mastering physical literacy class twice a week with buddy peer support, and they will be asked to keep a reflective writing journal on a daily basis for 12 weeks in total. Participants will be evaluated at baseline (week 0), post-intervention (week 12), and at 6-week follow-up (week 18). This will consist of objective and self-reported measures covering elements within physical literacy (i.e. physical competence, motivation and confidence, knowledge and understanding) and also physical activity levels on an individual basis. The study intends to introduce a conceptual framework of physical literacy for the elderly through an intervention that allows older people to develop daily behaviour habits, which should promote active ageing for the elderly and greater self-esteem in later life. After this study, participants may share their positive experiences, and encourage their peers in the community to become physically literate in the future. In the long run, due to the feasibility and sustainability of these potential programs, this proposed study has the potential to connect seniors through social engagement and contribute to healthy living.