An Investigation of Trainees' Performance in Augmented Reality Simulation for Invasive Procedure Training

NCT ID: NCT06055400

Last Updated: 2023-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-01

Study Completion Date

2022-12-31

Brief Summary

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The primary aim of this study is to measure the efficacy of augmented reality technology in ultrasound-guided medical intervention.

Detailed Description

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BACKGROUND: A significant challenge facing novice physicians is mastering ultrasound(US)-guided procedures, such as central venous catheter (CVC) placement. CVC placements are typically performed on critically ill patients and demand precision and speed. Physicians are often required to switch focus between the ultrasound screen and the patient, memorize multiple images, coordinate hand-eye movements, and interpret 2D images in a 3D context simultaneously. These complexities pose challenges in spatial orientation and impose a considerable cognitive load, affecting both learning and performance. Within the pedagogical landscape, medical educators are exploring the potential merits of Augmented Reality (AR) via head-mounted displays to enhance immersive learning experiences in clinical settings. This study aimed to determine whether AR could ease challenges related to spatial orientation and cognitive overload during this procedure and ultimately enhance skill acquisition for trainees.

Intervention:

Prior to the commencement of the trial, all participants verified their previous training in ultrasound-guided CVC placement. They also provided their written informed consent. The participants are set to be split into two groups as part of a crossover design: the first group will initially be subjected to the traditional ultrasound-guided CVC placement, whereas the second group will begin with the AR-assisted CVC placement

STUDY IMPLICATIONS:

Leveraging AR technology in skill acquisition may reduce trainees' cognitive burden and improve trainee efficiency during ultrasound-guided CVC placement procedures..

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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standard US

The participants underwent CVC placement using standard ultrasound guidance.

Group Type NO_INTERVENTION

No interventions assigned to this group

AR-US

The participants underwent CVC placement using AR-HMD ultrasound guidance.

Group Type EXPERIMENTAL

AR-US

Intervention Type DEVICE

The ultrasound imagery is projected onto the glasses, and participants use the AR-US throughout the entire CVC placement procedure

Interventions

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AR-US

The ultrasound imagery is projected onto the glasses, and participants use the AR-US throughout the entire CVC placement procedure

Intervention Type DEVICE

Other Intervention Names

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augmented reality smart glasses

Eligibility Criteria

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Inclusion Criteria

1. Age greater than or equal to 20 years
2. Final-year medical students (UGY)
3. Post-year graduate physicians (PGY)
4. Physicians who have previously received training in ultrasound-guided CVC placement or who have experience with such procedures.

Exclusion Criteria

Participants who experience discomfort during the process, are pregnant, have high blood pressure, have experienced recent dizziness, have inner ear diseases, suffer from claustrophobia, have undergone recent surgery, have visual impairment, have heart disease, have epilepsy, or refuse to participate.
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shu-Chen Liao

OTHER

Sponsor Role lead

Responsible Party

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Shu-Chen Liao

Director of simulation center, Principal Investigator, Clinical Associate Professor.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Shu-Chen Liao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.

Locations

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Keelung Chang Gung Memorial Hospita

Keelung, Guishan Dist., Taiwan

Site Status

Countries

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Taiwan

References

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Liao SC, Shao SC, Gao SY, Lai EC. Augmented reality visualization for ultrasound-guided interventions: a pilot randomized crossover trial to assess trainee performance and cognitive load. BMC Med Educ. 2024 Sep 27;24(1):1058. doi: 10.1186/s12909-024-05998-8.

Reference Type DERIVED
PMID: 39334275 (View on PubMed)

Other Identifiers

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CGMH AR

Identifier Type: -

Identifier Source: org_study_id

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