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May 15, 2026Journal of Nursing Research1 citationsOpen Access

Effectiveness of a Web-Based Communication Education Program in Improving Knowledge and Self-Efficacy in Family Caregivers of Nursing Home Residents: A Quasi-Experimental Study

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CHChing-Hui HSIAOYCYR ChenWSWann‐Yun Shieh

Key Points

  • To evaluate the effectiveness of a nurse-led web-based communication education program on family caregivers' knowledge and self-efficacy.
  • Quasi-experimental design with 68 family members enrolled in two groups (34 in each group)
  • Experimental group participated in a 4-week web-based communication education program
  • Data collected at baseline and at 1 and 2 months; analyzed using generalized estimating equations.
  • Significant improvement in communication skills knowledge and self-efficacy in the experimental group compared to control
  • The experimental group reported high levels of learning satisfaction
  • Lagged effects observed, indicating sustained improvements over time.

Abstract

Background: Effective communication between family members and nursing home residents is vital. However, limited research has been conducted, especially in Asia, regarding the effectiveness of web-based communication programs in improving the communication efficacy of family members of nursing home residents. Purpose: In this quasi-experimental study, the effectiveness of a 4-week, nurse-led web-based communication education program (WBCEP) was evaluated in terms of improving the communication skills-related knowledge and self-efficacy of the family members of nursing home residents. Methods: A total of 68 family members of older adult residents of medium-sized facilities (30 < n < 90) were enrolled as participants. The experimental group ( n = 34) participated i n the WBCEP, while the control group ( n = 34) did not. Data were collected at baseline and at 1 and 2 months after baseline. Generalized estimating equations were used to analyze the longitudinal effectiveness of the program. Results: The experimental group improved significantly more in both communication skills knowledge and self-efficacy scores, including lagged effects, than the control group. Moreover, the experimental group reported high levels of learning satisfaction. Conclusions/Implications for Practice: The innovative nurse-led WBCEP implemented in this study was shown to be effective in enhancing communication skills knowledge and self-efficacy in family members of nursing home residents, contributing to overall efforts to improve family-centered care.

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Cite This Study

HSIAO et al. (2026) studied this question.

synapsesocial.com/papers/6a06b83de7dec685947aab29https://doi.org/10.1097/jnr.0000000000000748
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