Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training

NCT05953441 | Completed

• 1 other identifier: NUS-IRB-2022-202
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to compare the effectiveness of Artificial Intelligence virtual doctor with human-controlled virtual doctor avatars on nursing students' sepsis care and interprofessional communication.

Conditions

Sepsis

Keywords

artificial intelligence; team training; virtual reality simulation; health care education

Outcome Measures

Primary Outcomes (1)

• Change from Baseline in Sepsis Knowledge on the 18-item sepsis knowledge test immediately after interventions.

  The 8-item communication knowledge and 18-item sepsis knowledge tests were developed and content validated by a multidisciplinary team comprising a medical doctor, an advanced practice nurse, and nursing academics.

  Baseline and immediately after 2-hour VRS

Secondary Outcomes (4)

• Change from Baseline in Team Communication Knowledge on the 8-item communication knowledge test immediately after interventions.

  Baseline and immediately after 2-hour VRS

• Change from Baseline in Team Communication Self-Efficacy on the 6-item Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale immediately after interventions.

  Baseline and immediately after 2-hour VRS

• Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.

  Within 2 weeks of postintervention.

• Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.

  Within 2 weeks of postintervention.

Study Arms (2)

AI-powered group

EXPERIMENTAL

Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with an AI virtual doctor.

Other: AI-powered doctor

Human-controlled group

ACTIVE COMPARATOR

Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with a doctor avatar controlled by the medical student.

Other: Human-controlled doctor avatar

Interventions

AI-powered doctor OTHER

AI-powered virtual doctor

AI-powered group

Human-controlled doctor avatar OTHER

Virtual doctor avatar controlled by the medical student.

Human-controlled group

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All Year 3 NUS nursing students in Academic Year 2022
• Individuals 20 years old and above; and
• Consent to be video and/or audio-recorded

You may not qualify if:

• Year 1, 2 and 4 NUS nursing students;
• Incapable of giving informed consent;
• Unable to understand and/or speak in English language;
• Have visual, speech, and/or hearing impairment; and
• Do not agree to be video and/or audio-recorded.

Sponsors & Collaborators

• National University of Singapore: lead
• Ministry of Education, Singapore: collaborator

Study Sites (1)

Alice Lee Centre for Nursing Studies

Singapore, 117597, Singapore

Location

Related Publications (1)

• Liaw SY, Tan JZ, Bin Rusli KD, Ratan R, Zhou W, Lim S, Lau TC, Seah B, Chua WL. Artificial Intelligence Versus Human-Controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Study. J Med Internet Res. 2023 Jul 26;25:e47748. doi: 10.2196/47748.

  PMID: 37494112 DERIVED

MeSH Terms

Conditions

Sepsis

Condition Hierarchy (Ancestors)

Infections; Systemic Inflammatory Response Syndrome; Inflammation; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Sok Ying Liaw

  National University of Singapore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The simulation-based assessment videos were sent for rating by 2 assessors, who were blinded to the groupings.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc Professor

Model Details: Prospective 2-arm randomized controlled trial with a pretest-posttest study design

Study Record Dates

• First Submitted: July 10, 2023
• First Posted: July 20, 2023
• Study Start: August 8, 2022
• Primary Completion: October 26, 2022
• Study Completion: November 13, 2022
• Last Updated: July 20, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)