An interventional study of OSCEs and Lecture in Delirium, sponsored by Taipei Medical University. Completed at 1 site in Taiwan. Open to participants aged 20 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-26.
Sponsored by Taipei Medical University · Not applicable, Interventional, and Health services research
Delirium is a disturbance in consciousness with reduced ability to focus, sustain, or shift attention that occurs over a short period of time and tends to fluctuate over the course of the day. 50% to 81.7% had delirium during their ICU hospitalization. Delirium is associated with increased physical restraint, ventilation use, length of ICU stay, and mortality. However, there is no established delirium care pathway in target hospital. Chen et al. (2014) demonstrated that structured assessment stations with immediate feedback may improve overall learning efficiency over an EBP workshop alone. However, no published delirium care education study has used OSCEs as an intervention for healthcare professionals. The aim is to evaluate the effects of implementing a Scenario- based education intervention, including objective structured clinical examinations (OSCEs) on delirium care among healthcare professionals. This is a knowledge translation research, builds on eight years of delirium care research in University of Wollongong, Australia. The research will be undertaken at ICUs in a medical center in northern of Taiwan. There are two phases: (1) systematic review to identify delirium screen tool, and (2) a randomized controlled trial was conducted to determine the effects of implementing a Scenario-based education intervention, including OSCE (experimental group), and on-line education only (control group) focused on recognition and management of delirium. The hypothesis is: Scenario-based education intervention, including OSCE can increase the competence and self-efficacy among healthcare professionals in delirium care.
OSCEs are an integral aspect of all levels of medical education but limited to undergraduate nursing and allied health education. OSCEs are rarely used in the workplace as learning activities with nursing and allied health clinicians. This is the reason why this education initiative was innovative. OSCEs are simulated 'real life' clinical scenarios presented to clinicians who are required to demonstrate to an assessor the clinical tasks which form an OSCE scenario.
1,057 studies on the registry are indexed under Delirium; 238 are open to participants now.
This study's enrollment of 100 is below the median of 120 across 599 interventional studies indexed under Delirium.
Browse Delirium studies →Taipei Medical University is the lead sponsor of 245 studies on the registry; 56 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
1.Unwilling to involved the research
1. face-to-face delirium care session (30 minutes in duration); 2. online learning delirium care activities (20 minutes in duration); and 3. delirium care OSCE and reflective activity (30 minutes in duration).
Behavioral: OSCEs · Behavioral: Lecture · Behavioral: E-learning
1. face-to-face delirium care session (30 minutes in duration); 2. online learning delirium care activities (20 minutes in duration)
Behavioral: Lecture · Behavioral: E-learning
Scenario-based education intervention, including objective structured clinical examinations (OSCEs)
Face-to-face Education using Delirium Care Flip Chart
Delirium care video
Delirium Knowledge
1. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) developed by Ho et al. (2021) was used in this study. 2. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) consists of 16 multiple-choice questions, with 1 point awarded for each correct answer, and a maximum score of 16 points. The total score of the participants is analyzed as a continuous variable. The total range from 0 to 16 (minimum score: 0 point; and maximum score 16 points). Higher points represent better ICU Delirium Care Knowledge. 3. The overall KR-20 coefficient of the questionnaire is 0.85, the intra-class correlation coefficient over a 30-day interval is 0.97, the content validity index (CVI) is 83%, and the exploratory factor analysis (EFA) demonstrates appropriate structural validity, with four factors explaining 60.87% of the total variance, indicating good reliability and validity.
Time frame: T0(Baseline), T1(Immediately after the intervention), T2(Six weeks after the intervention)
| Milestone | Experimental Group | Control Group |
|---|---|---|
| Started | 61 | 39 |
| Completed | 59 | 38 |
| Not completed | 2 | 1 |
1. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) developed by Ho et al. (2021) was used in this study. 2. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) consists of 16 multiple-choice questions, with 1 point awarded for each correct answer, and a maximum score of 16 points. The total score of the participants is analyzed as a continuous variable. The total range from 0 to 16 (minimum score: 0 point; and maximum score 16 points). Higher points represent better ICU Delirium Care Knowledge. 3. The overall KR-20 coefficient of the questionnaire is 0.85, the intra-class correlation coefficient over a 30-day interval is 0.97, the content validity index (CVI) is 83%, and the exploratory factor analysis (EFA) demonstrates appropriate structural validity, with four factors explaining 60.87% of the total variance, indicating good reliability and validity.
| point | Experimental Group | Control Group |
|---|---|---|
| T0 | 12.40 ± 1.72 | 13.26 ± 1.50 |
| T1 | 13.08 ± 1.69 | 12.71 ± 2.02 |
| T2 | 13.10 ± 1.81 | 13.78 ± 1.33 |
Collected over 6months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Experimental Group | 0/59 (0%) | 0/59 (0%) | 0/59 (0%) |
| Control Group | 0/38 (0%) | 0/38 (0%) | 0/38 (0%) |
| Age, Customized(Participants) | Experimental Group | Control Group | Total |
|---|---|---|---|
| 20-24 year-old | 16 | 9 | 25 |
| 25-34 year-old | 39 | 25 | 64 |
| 35-44 year-old | 3 | 2 | 5 |
| 45-54 year-old | 1 | 2 | 3 |
| Sex: Female, Male(Participants) | Experimental Group | Control Group | Total |
|---|---|---|---|
| Female | 55 | 37 | 92 |
| Male | 4 | 1 | 5 |
| Race (NIH/OMB)(Participants) | Experimental Group | Control Group | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 59 | 38 | 97 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Education(Participants) | Experimental Group | Control Group | Total |
|---|---|---|---|
| Associate Degree | 9 | 5 | 14 |
| Bachelor Degree | 49 | 32 | 81 |
| Master Degree | 1 | 1 | 2 |
| ICU training(Participants) | Experimental Group | Control Group | Total |
|---|---|---|---|
| Yes | 51 | 34 | 85 |
| No | 8 | 4 | 12 |
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Taipei Medical University