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Developing and Testing a Small Private Online Course (SPOC) for Nurse-patient Communication About Sex.

Sponsor
Chang Gung Memorial Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT05729672
Collaborator
(none)
150
Enrollment
1
Location
2
Arms
36
Actual Duration (Months)
4.2
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This is a three-year research project. The goal is to develop and test "The SPOC-based blended teaching and learning platform (Nightingale in Gen-sEx)" that integrates effective educational strategies and e-learning methods to meet the Taiwanese nurse's learning needs. This project is aimed at resolving sexual education learning problems in nursing continuing education due to the time constraints at clinical sites and the shortage of teaching staff. Nurse-patient communication attitudes and skills about sex will be enhanced.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Received the Nightingale in Gen-sEx course
 N/A

Detailed Description

The research team constructed a course for hospital nurses that followed the commonly used ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. The first year research purpose is to: (1) explore the characteristics of nursing-patient communication about sex and the core educational needs content for nurses using triangulation methods. (2) Construct gender-sensitivity structures characteristics of nursing-patient communication about sex and course framework according to the modified Delphi method results and course needs assessment. The second year develops the SPOC-based blended teaching and learning platform (E-generation Angel of Happiness") and conducts a pilot study to test and correct the course content and method. In the third year a pretest-posttest randomized control group design will be implemented to investigate the effectiveness of the course "E-generation Angel of Happiness" in improving competencies of nurse-patient communication about sex, including attitudes, and practices, among nurses.

Study Design

Study Type:
Interventional
Actual Enrollment :
150 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
The course includes five online teaching and learning modules and two hours of offline teaching and learning, using MOOCs/SPOCs online teaching system and constructs on the Chinese Open Education platform. For this prospective, randomized controlled trial, 150 nurses working in a medical center in northern Taiwan were recruited and randomized into 2 groups. The experimental group (n=75) received the Nightingale in Gen-sEx course. The control group (n=75) received without course. Data were collected at baseline, 1month, and 3 months after the course.The course includes five online teaching and learning modules and two hours of offline teaching and learning, using MOOCs/SPOCs online teaching system and constructs on the Chinese Open Education platform. For this prospective, randomized controlled trial, 150 nurses working in a medical center in northern Taiwan were recruited and randomized into 2 groups. The experimental group (n=75) received the Nightingale in Gen-sEx course. The control group (n=75) received without course. Data were collected at baseline, 1month, and 3 months after the course.
Masking:
Double (Participant, Investigator)
Primary Purpose:
Other
Official Title:
Developing and Testing a Small Private Online Course (SPOC) for Nurse-patient Communication About Sex.
Actual Study Start Date :
Oct 31, 2017
Actual Primary Completion Date :
Aug 16, 2020
Actual Study Completion Date :
Oct 31, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: The experimental group

The experimental group will participate in the SPOC- based education program, consisting of five online teaching and learning modules over the span of 3 months and two hours of offline classroom.

Behavioral: Received the Nightingale in Gen-sEx course
The experimental group (n=75) will participate in the SPOC- based education program, consisting of five online teaching and learning modules over the span of 3 months and two hours of offline classroom.
No Intervention: The control group

The control group will not receive any education. Data will be collected at baseline, 1 month and 3 months after intervention.

Outcome Measures

Primary Outcome Measures

  1. Sexual Communication between Nurses and Patients [Data were collected at baseline.]

    The research project assessed changes in sexual communication between Nurses and Patients by Sexual Communication Scale between Nurses and Patients(SCS-NS) from baseline to 3 months after the course. Sexual Communication Scale between Nurses and Patients (SCS-NS) is developed with reference to "Questionnaires of barriers to discussing sexuality with patients" by Hordern et al. (2009). It has 14 items and consists of two parts: 1. Frequency of sexual communication with patients (4 items ) and 2. Sexual Communication Barrier Scale (10 questions). The Sexual Communication Obstacle Scale adopts a Likert 5-point scale for scoring, and the higher the score, the higher the sexual barrier to talking with the patient and the lower the level of nurse-patient communication. The questionnaire will undergo expert validity testing again, and the internal consistency of the scale reliability will be evaluated by the Cronbach Alpha coefficient.

  2. Sexual Communication between Nurses and Patients [Data were collected at 1 month after the course.]

    The research project assessed changes in sexual communication between Nurses and Patients by Sexual Communication Scale between Nurses and Patients(SCS-NS) from baseline to 3 months after the course. Sexual Communication Scale between Nurses and Patients (SCS-NS) is developed with reference to "Questionnaires of barriers to discussing sexuality with patients" by Hordern et al. (2009). It has 14 items and consists of two parts: 1. Frequency of sexual communication with patients (4 items ) and 2. Sexual Communication Barrier Scale (10 questions). The Sexual Communication Obstacle Scale adopts a Likert 5-point scale for scoring, and the higher the score, the higher the sexual barrier to talking with the patient and the lower the level of nurse-patient communication. The questionnaire will undergo expert validity testing again, and the internal consistency of the scale reliability will be evaluated by the Cronbach Alpha coefficient.

  3. Sexual Communication between Nurses and Patients [Data were collected at 3 month after the course.]

    The research project assessed changes in sexual communication between Nurses and Patients by Sexual Communication Scale between Nurses and Patients(SCS-NS) from baseline to 3 months after the course. Sexual Communication Scale between Nurses and Patients (SCS-NS) is developed with reference to "Questionnaires of barriers to discussing sexuality with patients" by Hordern et al. (2009). It has 14 items and consists of two parts: 1. Frequency of sexual communication with patients (4 items ) and 2. Sexual Communication Barrier Scale (10 questions). The Sexual Communication Obstacle Scale adopts a Likert 5-point scale for scoring, and the higher the score, the higher the sexual barrier to talking with the patient and the lower the level of nurse-patient communication. The questionnaire will undergo expert validity testing again, and the internal consistency of the scale reliability will be evaluated by the Cronbach Alpha coefficient.

  4. Gender sensitivity [Data were collected at baseline.]

    The research project assessed changes in gender sensitivity by Gender-Sensitivity Scale for Nurses from baseline to 3 months after the course. The scale" Gender-Sensitivity Scale for Nurses" is a self-development scale, referring to the gender-blind connotation of sexual health guidance for medical staff proposed by Lee et al. (2017) and the Gender Awareness Scale developed by Verdonk et al. (Njmegen Medical Gender Awareness Scale). (2007), to be developed. The scale consists of 14 items, with a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Questions 10, 12, 13, and 14 are reverse-scoring, and the scoring range is 10-50 points. The higher the score, the lower the gender sensitivity and gender blindness. The questionnaire will undergo the expert validity test, and Cronbach's α coefficient will evaluate the internal consistency of the scale reliability. In this study, Cronbach's alpha for the quantitative learning needs assessment was 0.79.

  5. Gender sensitivity [Data were collected at 1 month after the course.]

    The research project assessed changes in gender sensitivity by Gender-Sensitivity Scale for Nurses from baseline to 3 months after the course. The scale" Gender-Sensitivity Scale for Nurses" is a self-development scale, referring to the gender-blind connotation of sexual health guidance for medical staff proposed by Lee et al. (2017) and the Gender Awareness Scale developed by Verdonk et al. (Njmegen Medical Gender Awareness Scale). (2007), to be developed. The scale consists of 14 items, with a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Questions 10, 12, 13, and 14 are reverse-scoring, and the scoring range is 10-50 points. The higher the score, the lower the gender sensitivity and gender blindness. The questionnaire will undergo the expert validity test, and Cronbach's α coefficient will evaluate the internal consistency of the scale reliability. In this study, Cronbach's alpha for the quantitative learning needs assessment was 0.79.

  6. Gender sensitivity [Data were collected at 3 month after the course.]

    The research project assessed changes in gender sensitivity by Gender-Sensitivity Scale for Nurses from baseline to 3 months after the course. The scale" Gender-Sensitivity Scale for Nurses" is a self-development scale, referring to the gender-blind connotation of sexual health guidance for medical staff proposed by Lee et al. (2017) and the Gender Awareness Scale developed by Verdonk et al. (Njmegen Medical Gender Awareness Scale). (2007), to be developed. The scale consists of 14 items, with a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Questions 10, 12, 13, and 14 are reverse-scoring, and the scoring range is 10-50 points. The higher the score, the lower the gender sensitivity and gender blindness. The questionnaire will undergo the expert validity test, and Cronbach's α coefficient will evaluate the internal consistency of the scale reliability. In this study, Cronbach's alpha for the quantitative learning needs assessment was 0.79.

Secondary Outcome Measures

  1. Sexual health care attitudes [Data were collected at baseline, 1 month, and 3 months after the course.]

    The research project assessed changes in sexual health care attitude by the Sexual Health Care Scale-Attitude (SHCS-A) from baseline to 3 months after the course. The Sexual Health Care Scale-Attitude (SHCS-A) was used to measure attitudes toward Sexual Health Care for oncology patients. This scale was developed for oncology nurses, and has been proven valid and reliable (Kim & Kim, 2011). The scale consists of 17 items, with each item rated on a three-point scale ranging from 1 (agree) to 3 (disagree). The total scores range from 17 to 51. The SHCS-A consists of four factors: discomfort in providing SHC, feeling uncertain about patient's acceptance, fear of colleagues' negative response, and lack of environmental support. Higher scores indicate a more positive attitude toward SHC for oncology patients. Cronbach's α for this scale was .93 (Kim & Kim, 2011).

  2. Readiness of talking about sex [Data were collected at baseline, 1 month, and 3 months after the course.]

    The research project assessed changes in readiness of talking about sex by Lee's (2019) "Readiness to Talk About Sex Stage Scale" from baseline to 3 months after the course. Lee's (2019) "Readiness to Talk About Sex Stage Scale" assesses nurses' readiness to talk about sex with patients: "I do not think it is necessary to talk to patients about sex or provide sexual health information"; "I do not want to talk about sex with patients, nor have I talking to patients about sex"; "I think I should give sexual health advice to patients or talk to patients about sex, but I do not want to do so yet"; "I want to talk to patients about sex or provide sexual health counseling, however, I still not started"; "I have started talking to patients about sex or giving sexual health counseling"; "I have started talking to patients' about sex or giving sexual health counseling and have done so routinely for more than three months'"; and according to These five options are scored on a scale of 1 to 5.

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:

  1. 20 to 50 years old.

  2. Below N3 rank.

  3. Full-time nurse in clinical care.

  4. Have smartphones or computers, and be able to use and be online.

  5. Nurses who are willing to participate in this study and sign the consent form

Exclusion Criteria:

  1. Will leave within 3 months.

  2. unable to learn online.

  3. The working units are surgery room, recovery room, hospice ward, supply center.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Cheng Gung Memorial Hospital Taoyuan Guishan Dist. Taiwan 333

Sponsors and Collaborators

  • Chang Gung Memorial Hospital

Investigators

  • Principal Investigator: Jian Tao LEE, Professor, Chang Gung University

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Jian Tao Lee, Professor, Chang Gung Memorial Hospital
ClinicalTrials.gov Identifier:
NCT05729672
Other Study ID Numbers:
  • 106-2629-S-182-002
First Posted:
Feb 15, 2023
Last Update Posted:
Feb 15, 2023
Last Verified:
Feb 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Jian Tao Lee, Professor, Chang Gung Memorial Hospital
sex education
gender-sensitivity
nurse-patient communication
continuing education
SPOC

Study Results

No Results Posted as of Feb 15, 2023