Immersive Virtual Reality Simulation-Effects of Self-Guided Versus Facilitator-Guided Debriefing

Официальное название

Self-Guided Versus Facilitator-Guided Debriefing in Immersive Virtual Reality Simulation: Protocol for a Randomized Controlled Non-Inferiority Trial As-sessing Teamwork Skills in Medical Students

Обзор

The goal of this clinical trial is to find out whether self-guided and facilitator-guided virtual reality (VR) simulations are equally effective in helping medical students learn how to manage and treat critically ill children. The study will also investigate how medical students feel about the two training methods and examine how many experience cybersickness. The main questions it aims to answer are: * Does self-guided VR simulation work as well as facilitator-guided VR simulation in teaching medical students how to manage critically ill children? * How do medical students experience the ease of use, workload, reflection on learning, and motivation in each training method? * How many students experience cybersickness? To answer these questions, researchers will compare the two training methods to evaluate if self-guided VR simulation is an effective way to teach medical students how to manage critically ill children. Participants will: * Work through three VR cases to practice managing critically ill children in a safe environment. * Be tested before and after the VR simulation to assess changes in their skills managing critically ill children. * Complete surveys about their experience of the VR simulation, the training sessions, and any cybersickness symptoms they might have.

Вмешательства

• Другое Ìmmersive virtual reality simulation with self-guided debriefing
  * Familiarization with immersive virtual reality simulation (1 hour) * Video tutorial introducing paediatric Airway, Breathing, Circulation, Disability, Exposure (ABCDE) assessment, emergency teamwork and communication, and core elements in debriefing (1 hour) * Three immersive virtual reality simulation-based pediatric emergency team training scenarios with self-guided debriefing (2 hours)
• Другое Ìmmersive virtual reality simulation with facilitator-guided debriefing
  * Familiarization with immersive virtual reality simulation (1 hour) * Video tutorial introducing paediatric ABCDE assessment, emergency teamwork and communication, and core elements in debriefing (1 hour) * Three immersive virtual reality simulation-based pediatric emergency team training scenarios with facilitator-guided debriefing (2 hours)

Первичные конечные точки

• Clinical Teamwork Scale [Срок оценки: The medical students will be videorecorded at Day 1 (intervention day) immediately before and after the intervention. Two raters will assess the videos once all data collection for the trial has been completed.]

Вторичные конечные точки (7)

• ABCDE checklist [Срок оценки: The medical students will be videorecorded at Day 1 (intervention day) immediately before and after the intervention. Two raters will assess the videos once all data collection for the trial has been completed.]
• Time to critical action [Срок оценки: The medical students will be videorecorded at Day 1 (intervention day) immediately before and after the intervention. Two raters will assess the videos once all data collection for the trial has been completed.]
• Debriefing Assessment for Simulation in Healthcare Student Version [Срок оценки: Medical students will complete the DASH-SV questionnaire at Day 1 (the intervention day) after each debriefing.]
• Intrinsic Motivation Inventory [Срок оценки: Medical students will complete the IMI questionnaire at Day 1 (intervention day) after completion of the intervention.]
• System Usability Scale [Срок оценки: Medical students will complete the SUS questionnaire at Day 1 (intervention day) after completion of the intervention.]
• NASA Task Load Index [Срок оценки: Medical students will complete the NASA-TLX at Day 1 (intervention day) after completion of the intervention.]
• Virtual Reality Sickness Questionnaire [Срок оценки: Medical students will complete the VRSQ questionnaire at Day 1 (intervention day) after completion of the intervention.]

Критерии участия

Критерии включения

• Eligible participants will be medical students enrolled at medical schools in Denmark who are within two years of graduation.

Критерии исключения

• Lack of informed consent

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Дания · 1 центр

• Copenhagen University Hospital, Rigshospitalet — Copenhagen

Публикации

• Brooke J. SUS: A 'Quick and Dirty' Usability Scale. In: Jordan PW, Thomas B, Weerdmeester BA, McClelland IL, editors. Usability Evaluation In Industry. London: Taylor & Francis; 1996. p. 189-94.
• https://doi.org/10.1016/j.apergo.2017.12.016
• Hart SG, Staveland LE. Development of NASA-TLX (Task Load Index): Results of Empirical and Theoretical Research. Advances in Psychology. 1988 Jan 1;52(C):139-83.
• Brett-Fleegler M, Rudolph J, Eppich W, Monuteaux M, Fleegler E, Cheng A, Simon R. Debriefing assessment for simulation in healthcare: development and psychometric properties. Simul Healthc. 2012 Oct;7(5):288-94. doi: 10.1097/SIH.0b013e3182620228. PMID 22902606
• https://doi.org/10.1016/j.resuscitation.2021.02.015
• Hultin M, Jonsson K, Hargestam M, Lindkvist M, Brulin C. Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students. BMJ Open. 2019 Sep 12;9(9):e029412. doi: 10.1136/bmjopen-2019-029412. PMID 31515425
• Guise JM, Deering SH, Kanki BG, Osterweil P, Li H, Mori M, Lowe NK. Validation of a tool to measure and promote clinical teamwork. Simul Healthc. 2008 Winter;3(4):217-23. doi: 10.1097/SIH.0b013e31816fdd0a. PMID 19088666
• Abulfaraj MM, Jeffers JM, Tackett S, Chang T. Virtual Reality vs. High-Fidelity Mannequin-Based Simulation: A Pilot Randomized Trial Evaluating Learner Performance. Cureus. 2021 Aug 11;13(8):e17091. doi: 10.7759/cureus.17091. eCollection 2021 Aug. PMID 34527478

Идентификаторы

NCT: NCT06956833 · P-2023-167

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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