Virtual Reality Training for Trauma Resuscitation

Not Applicable

Completed

• Conditions: Virtual Reality
• Interventions: Other: Teaching of trauma resuscitation by using mannequin based simulation; Other: Teaching of trauma resuscitation by using virtual reality simulation

• Registration Number: NCT06442085
• Lead Sponsor: Riga Stradins University

Brief Summary

This study individual training with an immersive virtual reality Trauma Simulator was compared to live mannequin-based simulation training in a facilitated group. The results showed that virtual reality simulator led to non-inferior effects on trauma resuscitation skills to mannequin-based simulation. Trauma Simulator had good usability, was well received by the participants, and had minimal adverse effects.

Detailed Description

Background: Despite its high potential, the effect of immersive virtual reality simulation (VRS) in trauma resuscitation training has not been studied. The aim of this study was to test the hypothesis that VRS is non-inferior to mannequin-based simulation (MBS) in trauma resuscitation training.

Methods: In a single-center, randomized controlled non-inferiority trial, we compared individual training with an immersive virtual reality Trauma Simulator to live MBS training in a facilitated group. The primary outcome was the Trauma Score (ranging from 55 (worse) to 177 (best outcome)) during the MBS assessment. The secondary outcomes were the Trauma Score VRS assessment, System Usability Scale (ranging from 0 (worse) -100 (best outcome)), and Simulation Sickness Questionnaire (ranging from 0 (worse) to 235.62 (best outcome)).

Study Timeline

• Study Start: 2020-03-06
• Primary Completion: 2020-09-30
• Study Completion: 2020-12-14
• Status Verified: 2024-05
• Study First Submitted: 2024-05-20
• Study First Submitted QC: 2024-05-29
• Last Update Submitted: 2024-05-29
• Study First Posted: 2024-06-04
• Last Update Posted: 2024-06-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

fluency in English.

Exclusion Criteria

history of motion sickness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Medical students - volunteers receiving mannequin based simulation training	Teaching of trauma resuscitation by using mannequin based simulation	volunteers receiving mannequin based simulation training (control), then assessed for primary outcome, analyzed for primary outcome.
Medical students - volunteers receiving virtual reality simulation training	Teaching of trauma resuscitation by using virtual reality simulation	volunteers receiving virtual reality simulation training (intervention), then assessed for primary outcome, analyzed for primary outcome.

Primary Outcome Measures

Name	Time	Method
Trauma Score	Within a Day	The primary outcome of the study is Trauma Score (range 55 (worst) to 177(best outcome) during an individual assessment in a mannequin-based simulation environment. The assessment was based on the video recordings analyzing students during performing in the scenario. The Trauma Score is an assessment tool developed by military emergency medicine experts for the Trauma Simulator.

Secondary Outcome Measures

Name	Time	Method
Trauma Score in VRS	Within a VR session (less than 10minutes per person)	Trauma Score in the VRS environment served as a secondary outcome. System Usability Scale: a 10-item questionnaire (range 0-100, where 0 is the worst, 100 the best performance) was used to assess usability of Trauma Simulator.
Pre- and Post-Surveys	Within a Day	The students will receive pre and post surveys. The surveys are structured to evaluate students' experience before and after the training. As a reference, the evaluation tools are made, based on Bangor et al., 2009. A custom, six-question survey (5-point Likert scale) was used to assess the perception of Virtual Reality simulation before and after the study. Presence of cybersickness was evaluated by using Simulation Sickness Questionnaire (SSQ).15 SSQ assesses 16 symptoms of motion sickness in three domains: nausea (7 symptoms), disorientation (7 symptoms), and oculomotor effects (7 symptoms). Each symptom is self-reported as none (0), slight (1), moderate (2), and severe (3). Total Severity score is calculated as the sum of individual symptom scores in each domain multiplied by 3.74 in accordance with Kennedy et al. (1993), thus the final score ranges from 0 (worst) to 235.62 (best outcome).

Trial Locations

Locations (1)

Medical Education Technology Centre of Riga Stradins University; 🇱🇻 Riga, Latvia