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

NCT ID: NCT06956833

Last Updated: 2025-05-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-06

Study Completion Date

2025-10-31

Brief Summary

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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.

Detailed Description

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Conditions

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Virtual Reality Simulation Simulation-based Medical Education Pediatric Emergency Medicine Immersive Virtual Reality Debriefing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Self-guided debriefing

Immersive virtual reality simulation-based pediatric emergency training with self-guided debriefing

Group Type EXPERIMENTAL

Ìmmersive virtual reality simulation with self-guided debriefing

Intervention Type OTHER

* 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)

Facilitator-guided debriefing

Immersive virtual reality simulation-based pediatric emergency training with facilitator-guided debriefing

Group Type ACTIVE_COMPARATOR

Ìmmersive virtual reality simulation with facilitator-guided debriefing

Intervention Type OTHER

* 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)

Interventions

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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)

Intervention Type OTHER

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)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Lack of informed consent
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Amalie Middelboe Andersen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Copenhagen University Hospital, Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Amalie M Andersen, MD, PhD student

Role: CONTACT

25344610 ext. +45

Facility Contacts

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Jette Led Sørensen, MD, MMEd, PhD, Professor

Role: primary

26711484 ext. +45

References

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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.

Reference Type BACKGROUND

https://doi.org/10.1016/j.apergo.2017.12.016

Reference Type BACKGROUND

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.

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 22902606 (View on PubMed)

https://doi.org/10.1016/j.resuscitation.2021.02.015

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 31515425 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 19088666 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 34527478 (View on PubMed)

Umoren R, Bucher S, Hippe DS, Ezenwa BN, Fajolu IB, Okwako FM, Feltner J, Nafula M, Musale A, Olawuyi OA, Adeboboye CO, Asangansi I, Paton C, Purkayastha S, Ezeaka CV, Esamai F. eHBB: a randomised controlled trial of virtual reality or video for neonatal resuscitation refresher training in healthcare workers in resource-scarce settings. BMJ Open. 2021 Aug 25;11(8):e048506. doi: 10.1136/bmjopen-2020-048506.

Reference Type BACKGROUND
PMID: 34433598 (View on PubMed)

Farra S, Hodgson E, Miller ET, Timm N, Brady W, Gneuhs M, Ying J, Hausfeld J, Cosgrove E, Simon A, Bottomley M. Effects of Virtual Reality Simulation on Worker Emergency Evacuation of Neonates. Disaster Med Public Health Prep. 2019 Apr;13(2):301-308. doi: 10.1017/dmp.2018.58. Epub 2018 Oct 8.

Reference Type BACKGROUND
PMID: 30293544 (View on PubMed)

Zackoff MW, Real FJ, Sahay RD, Fei L, Guiot A, Lehmann C, Tegtmeyer K, Klein M. Impact of an Immersive Virtual Reality Curriculum on Medical Students' Clinical Assessment of Infants With Respiratory Distress. Pediatr Crit Care Med. 2020 May;21(5):477-485. doi: 10.1097/PCC.0000000000002249.

Reference Type BACKGROUND
PMID: 32106189 (View on PubMed)

Foronda CL, Gonzalez L, Meese MM, Slamon N, Baluyot M, Lee J, Aebersold M. A Comparison of Virtual Reality to Traditional Simulation in Health Professions Education: A Systematic Review. Simul Healthc. 2024 Jan 1;19(1S):S90-S97. doi: 10.1097/SIH.0000000000000745. Epub 2023 Aug 31.

Reference Type BACKGROUND
PMID: 37651101 (View on PubMed)

Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hamstra SJ. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011 Sep 7;306(9):978-88. doi: 10.1001/jama.2011.1234.

Reference Type BACKGROUND
PMID: 21900138 (View on PubMed)

Thim S, Henriksen TB, Laursen H, Schram AL, Paltved C, Lindhard MS. Simulation-Based Emergency Team Training in Pediatrics: A Systematic Review. Pediatrics. 2022 Apr 1;149(4):e2021054305. doi: 10.1542/peds.2021-054305.

Reference Type BACKGROUND
PMID: 35237809 (View on PubMed)

Sohlin AM, Poulsen A, Hoffmann IM, Gjaerde LK, Lund S, Overbeck G, Paulsen L, Chang TP, Lee JY, Sorensen JL, Kjaergaard J. Self-guided versus facilitator-guided debriefing in immersive virtual reality simulation: Protocol for a randomized controlled non-inferiority trial assessing teamwork skills in medical students. PLoS One. 2025 Sep 12;20(9):e0332309. doi: 10.1371/journal.pone.0332309. eCollection 2025.

Reference Type DERIVED
PMID: 40938855 (View on PubMed)

Other Identifiers

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P-2023-167

Identifier Type: -

Identifier Source: org_study_id

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