ClinicalTrials.gg
Not yet recruitingNCT07922109Updated Nov 6, 2026

The Effectiveness of Comic-based Learning Materials on Nursing Students' Knowledge, Attitudes, and Confidence in Dementia Care

An interventional study of Comic-Based Dementia Care Education and Text-Based Dementia Care Education in Dementia Care Education, Students, Nursing and Education, Nursing, sponsored by Taipei Medical University. Not yet recruiting. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Taipei Medical University · Not applicable, Interventional, and Other

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This randomized controlled trial aims to evaluate the effectiveness of comic-based dementia care educational materials in improving nursing students' knowledge, attitudes, and confidence in dementia care. A total of 84 nursing students will be recruited from a university in northern Taiwan and randomly assigned to either an experimental group receiving comic-based educational materials or a control group receiving text-based educational materials. Outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention.

Read the detailed description

The increasing prevalence of dementia highlights the importance of preparing nursing students with adequate dementia care knowledge, positive attitudes, and confidence. Although various educational interventions have been implemented, limitations remain in their accessibility and dissemination. Comic-based educational materials may offer an accessible and engaging approach to dementia education; however, evidence regarding their effectiveness remains limited.

A randomized controlled trial will be conducted among 84 nursing students recruited through convenience sampling from Taipei Medical University. After providing written informed consent and completing baseline assessments, participants will be randomly assigned to two parallel groups using block randomization with a block size of four. The allocation sequence will be prepared by an independent individual not involved in recruitment or intervention delivery. Assignments will be concealed in sequentially numbered, opaque envelopes and opened in enrollment order.

The experimental group will read a researcher-developed comic-based dementia care handbook, while the control group will read printed text-based educational materials covering the same content. Both groups will study independently in a quiet classroom for 60 minutes, after which materials will be collected to minimize contamination.

Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC), attitudes toward dementia using the Chinese version of the Dementia Attitudes Scale (DAS-C), and confidence in dementia care using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). These outcomes will be assessed at baseline, immediately after the intervention, and one month after the intervention. Learning materials satisfaction will be assessed immediately after the intervention.

Data will be analyzed using descriptive statistics, t-tests, chi-square tests, and generalized estimating equations (GEE).

02

Conditions studied

  • Dementia Care Education
  • Students, Nursing
  • Education, Nursing
  • Dementia
  • Health Knowledge, Attitudes, Practice

Keywords

  • Education, Nursing
  • Dementia
  • Health Knowledge, Attitudes, Practice
  • Comic-Based Learning
  • Students, Nursing
  • Randomized Controlled Trial
  • Dementia Knowledge
  • Dementia Attitudes
  • Dementia Confidence
  • Comic-based Education
03

In context

Dementia

2,372 studies on the registry are indexed under Dementia; 574 are open to participants now.

This study's planned enrollment of 84 is close to the median of 90 across 1,758 interventional studies indexed under Dementia.

Browse Dementia studies →

Lead sponsor

Taipei Medical University is the lead sponsor of 257 studies on the registry; 59 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  1. Nursing students aged 18 to 65 years.
  2. Have not previously completed any dementia-related courses.
  3. Able to read Chinese. Exclusion Criteria: No.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    Comic-Based Dementia Education

    Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. Materials will be collected immediately afterward.

    Behavioral: Comic-Based Dementia Care Education

  • Active comparator
    Text-Based Dementia Education

    Participants will independently read researcher-developed printed text-based dementia educational materials for 60 minutes in a quiet classroom. Materials will be collected immediately afterward.

    Behavioral: Text-Based Dementia Care Education

Interventions

  • BehavioralComic-Based Dementia Care Education

    Participants will independently read a researcher-developed comic-based dementia care handbook for 60 minutes in a quiet classroom. The handbook presents dementia-related knowledge, communication strategies, and care principles through illustrated scenarios and dialogues. Educational materials will be collected immediately after the session.

  • BehavioralText-Based Dementia Care Education

    Participants will independently read researcher-developed printed text-based dementia care educational materials for 60 minutes in a quiet classroom. The materials cover the same educational content as the comic-based handbook, including dementia-related knowledge, communication strategies, and care principles. Educational materials will be collected immediately after the session.

06

What researchers measure

Primary outcomes

  1. Dementia Knowledge Assessed by the DKAS-TC

    Dementia knowledge will be assessed using the Traditional Chinese version of the Dementia Knowledge Assessment Scale (DKAS-TC). The scale consists of 25 items covering causes and characteristics, communication and behavior, care considerations, and risks and health promotion. A partial-credit scoring system is used, with each item scored from 0 to 2. Total scores range from 0 to 50, with higher scores indicating greater dementia knowledge.

    Time frame: Baseline, immediately after the intervention, and one month after the intervention.

  2. Attitudes Toward Dementia Assessed by the DAS-C

    Attitudes toward dementia will be assessed using the Chinese version of the Dementia Attitudes Scale (DAS-C). The scale consists of 17 items rated on a five-point Likert scale, including three reverse-scored items. Total scores range from 17 to 85, with higher scores indicating more positive attitudes toward people living with dementia.

    Time frame: Baseline, immediately after the intervention, and one month after the intervention.

  3. Confidence in Dementia Care Assessed by the CODE-TW

    Confidence in dementia care will be assessed using the Taiwanese version of the Confidence in Dementia Scale (CODE-TW). The scale consists of 9 items rated on a five-point Likert scale, assessing confidence in recognizing and understanding dementia, communication and interaction, and care management. Total scores range from 9 to 45, with higher scores indicating greater confidence in dementia care.

    Time frame: Baseline, immediately after the intervention, and one month after the intervention.

Secondary outcomes

  1. Learning Materials Satisfaction

    Learning materials satisfaction will be assessed using a 10-item questionnaire developed by Chao et al. (2021). Each item is rated on a five-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly agree). Total scores range from 10 to 50, with higher scores indicating greater satisfaction with the assigned educational materials.

    Time frame: Immediately after the 60-minute educational intervention. Measure Description

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers to protect participant confidentiality.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Oct 2027, 11 months later.

Of 855 non-industry interventional studies with no phase under Dementia, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 11 months is below that.

Counting every sponsor, half of 901 studies reached it within 25 months; a quarter within 11 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2026
First posted
Nov 6, 2026
StartEst.
Nov 9, 2026
Primary completionEst.
Oct 31, 2027
CompletionEst.
Oct 31, 2027
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07922109
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Nov 9, 2026 (estimated)
Primary completion
Oct 31, 2027 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Chia-Ling Lin
Contact
g462112022@tmu.edu.tw
+886-2-2736-1661ext. 27725
Yeu-Hui Chuang
principal investigator · Taipei Medical University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion