An interventional study of chatbot facilitated teaching and lecture-based teaching in Child Abuse, sponsored by Tzu Chi University. Completed at 1 site in Taiwan. Open to participants aged 20 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-17.
Sponsored by Tzu Chi University · Not applicable, Interventional, and Other
The study aims to evaluate the effectiveness of chatbot-facilitated education (CFE) in assisting nursing personnel to prevent child and adolescent abuse and neglect (CAN). The main questions it aims to answer are:
Researchers will compare CFE to lecture-based teaching to verify if CFE can improve the nurses' competency of CAN.
Participants will:
Based on the rigor of the study and the anticipated benefits to the participants, we will:
Tzu Chi University is the lead sponsor of 20 studies on the registry; 5 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Nurses who
Exclusion Criteria:
The nurses will be excluded if they are in an administrative position or withdraw the protocol for any reason.
The participants will receive a lecture on the CAN course with assistance from a chatbot. The instructor will pose questions to the participants, who will respond using the chatbot.
Other: chatbot facilitated teaching
The participants will only receive a lecture on the CAN course.
Other: lecture-based teaching
The experimental group will use "chatbot" to facilitate teaching.
The control group only receives lecture-based teaching.
Intention to Report Child and Adolescent Abuse and Neglect
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.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
Attitude Toward Reporting Child and Adolescent Abuse and Neglect
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.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
Knowledge About Child and Adolescent Abuse and Neglect
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.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
We enrolled the participants for a year from July 2023 at a tertiary hospital in eastern Taiwan.
| Milestone | Chatbot-facilitated Education Group | Lecture-based Teaching Group |
|---|---|---|
| Started | 49 | 49 |
| Completed | 44 | 48 |
| Not completed | 5 | 1 |
| Withdrew: Lost to follow-up | 5 | 1 |
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.
| score on a scale | Chatbot-facilitated Education Group | Lecture-based Teaching Group |
|---|---|---|
| Pre-test | 60.77 ± 10.11 | 61.56 ± 10.41 |
| Post-test 1 | 71.07 ± 6.51 | 68.29 ± 8.91 |
| Post-test 2 | 69.34 ± 11.77 | 68.73 ± 8.81 |
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.
| score on a scale | Chatbot-facilitated Education Group | Lecture-based Teaching Group |
|---|---|---|
| Pre-test | 83.52 ± 8.72 | 82.40 ± 8.69 |
| Post-test 1 | 84.70 ± 9.50 | 82.19 ± 8.53 |
| Post-test 2 | 85.14 ± 9.08 | 80.73 ± 11.0 |
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.
| score on a scale | Chatbot-facilitated Education Group | Lecture-based Teaching Group |
|---|---|---|
| Pre-test | 7.95 ± 2.12 | 8.75 ± 1.79 |
| Post-test 1 | 9.66 ± 1.70 | 9.52 ± 1.86 |
| Post-test 2 | 9.32 ± 1.89 | 9.29 ± 2.06 |
Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Chatbot-facilitated Education Group | 0/49 (0%) | 0/49 (0%) | 0/49 (0%) |
| Lecture-based Teaching Group | 0/49 (0%) | 0/49 (0%) | 0/49 (0%) |
Five participants in the experimental group and one in the control group didn't finish either post-test one or two. So they couldn't be included in the analysis.
| Age, Continuous(years) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Mean | 27.6 ± 5.4 | 29.2 ± 7.0 | 28.5 ± 6.3 |
| Sex: Female, Male(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Female | 40 | 39 | 79 |
| Male | 4 | 9 | 13 |
| Race and Ethnicity Not Collected(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Job tenure(years) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Mean | 5.2 ± 5.1 | 6.0 ± 6.2 | 5.6 ± 5.7 |
| Units(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Emergency depaertment | 15 | 17 | 32 |
| Pediatric | 10 | 2 | 12 |
| Medical Surgical Unit | 14 | 24 | 38 |
| Adult intensive care units | 5 | 5 | 10 |
| Level of nursing(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| N | 9 | 18 | 27 |
| N1 | 8 | 5 | 13 |
| N2 | 18 | 16 | 34 |
| N3 | 9 | 9 | 18 |
| N4 | 0 | 0 | 0 |
| Education(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Associate Degree | 3 | 7 | 10 |
| Bachelor's Degree | 41 | 41 | 82 |
| Master's Degree | 0 | 0 | 0 |
| Doctorate (Ph.D.) | 0 | 0 | 0 |
| The experience of dealing with child and adolescent abuse and neglect(Participants) | Chatbot-facilitated Education Group | Lecture-based Teaching Group | Total |
|---|---|---|---|
| Yes | 26 | 22 | 48 |
| No | 18 | 26 | 44 |
3 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — Our study won't share the IPD with others. It has been written on the participants' consent.
This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.
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Tzu Chi University