Stress Evaluation and Management Using High Fidelity Simulation in Medical Education
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Electrocardiogram, Pupillometry, Electroencephalogram.
- Кому может быть актуально
- Состояния в реестре: Stress, Pupillometry, High Fidelity Simulation Training, Resident Education. Базовые параметры: 25 лет — 40 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Список центров уточняется — проверьте первичный протокол.
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
The Role of High-fidelity Medical Simulation in Managing Emotional Components and Stress During Emergency and Urgent Care
Обзор
The goal of this interventional study is to collect clinical and neurophysiological information to determine whether high-fidelity simulation can serve as a stress-inducing stimulus in a population of healthy residents (Emergency medicine, Anesthesia and Intensive care medicine, Paediatrics), both male and female, aged between 25 and 40 years. The main questions it aims to answer are: 1. Define in which phase of the simulation the highest level of stress is observed. 2. Determine the level of stress reached after performing a second high-fidelity simulation after a period of time. 3. Identify whether specific brain areas are activated during high-fidelity simulation. Participants will form teams, consisting of three medical trainees from the same specialty training program, that will undergo two high-fidelity simulations based on a clinical scenario relevant to their residency. * During the simulation, automatic pupillometry will be performed on all team members at the four time points. * Additionally, a two-lead ECG will be recorded for all team members at baseline and end of the debriefing * One team member will undergo EEG monitoring throughout the entire simulation. The EEG recordings will be sampled at baseline, during the simulation and end of the debriefing.
Вмешательства
- Диагностический тест Electrocardiogram
two leads ECG - Диагностический тест Pupillometry
During the simulation, automatic pupillometry will be performed on all team members at the following time points: Baseline (T0) During the simulation (T1) End of the simulation (T2) End of the debriefing (T3) - Диагностический тест Electroencephalogram
EEG monitoring throughout the entire simulation. The EEG recordings will be sampled at: Baseline (T0) During the simulation (T1) End of the debriefing (T2)
Первичные конечные точки
- Heart Rate Variability (HRV) Analysis in the time domain [Срок оценки: From the enrolment to two weeks after]
- Heart rate variability (HRV) analysis in the frequency domain [Срок оценки: from the enrolment to two weeks after]
Вторичные конечные точки (3)
- Changes in autonomic parameters in response to stress induced by high-fidelity simulation: automatic pupillometry. [Срок оценки: From the enrolment to two weeks after]
- Identify brain areas involved during simulation using EEG [Срок оценки: From the enrolment to two weeks after]
- Variation of stress level over time using Perceived Stress Scale 10 [Срок оценки: From the enrolment to two weeks after]
Критерии участия
Критерии включения
- Medical trainees from the specialties of Emergency Medicine, Anesthesia and Intensive Care, Clinical Toxicology, Pediatrics, and Neonatology.
- Normal hearing and vision, or corrected to normal.
Критерии исключения
- Known history of psychiatric disorders, cognitive impairment, or cardiac arrhythmias.
- Current treatment with psychoactive, cardio-stimulant, or cardio-inhibitory medications.
- Significant stressful life events in the past six months (e.g., family bereavement).
- Previous systematic experience in meditation.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Другое
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Публикации
- Champeroux P, Fesler P, Jude S, Richard S, Le Guennec JY, Thireau J. High-frequency autonomic modulation: a new model for analysis of autonomic cardiac control. Br J Pharmacol. 2018 Aug;175(15):3131-3143. doi: 10.1111/bph.14354. Epub 2018 Jun 15. PMID 29723392
- Niskanen JP, Tarvainen MP, Ranta-Aho PO, Karjalainen PA. Software for advanced HRV analysis. Comput Methods Programs Biomed. 2004 Oct;76(1):73-81. doi: 10.1016/j.cmpb.2004.03.004. PMID 15313543
Идентификаторы
NCT: NCT06916949 · ID7328