Augmented Reality in Learning Anatomy: The TEACHANATOMY Randomized Cross-over Trial

NCT06552195 | Not Yet Recruiting

• 1 other identifier: TEACHANATOMY 2.0
• Study Type: interventional
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cadaver use in anatomy education is undergoing several limitations in many universities, due to high costs, time constraints and supply difficulties. As alternatives to cadaver dissections, new teaching methods based on visual technologies, such as augmented reality (AR), are being implemented worldwide. Augmented reality (AR), based on virtual interactive 3-dimensional elements (holograms) overlaid in the real-world, represents a promising alternative to explore the human body. In this study, we will test the efficacy of AR as an alternative teaching method in anatomy education by comparing traditional learning methods based on 2-dimensional (2D) images, videos, and online learning programs with the novel AR learning module The primary endpoint will consist of the score in the final theoretical and practical knowledge tests, assessed at two timepoints: immediately after the study session and after 3 months. Secondary endpoints will include adverse health symptoms and user experience, assessed immediately after the study session.

Conditions

Augmented Reality; Anatomy Education

Keywords

Anatomy teaching; Augmented reality; Magic leap

Outcome Measures

Primary Outcomes (1)

• knowledge test

  The primary outcome will consist of the score in the final theoretical and practical tests. The theoretical test consists of single and multiple-choice questions in which participants will be required to recognize and name the different anatomical structures of the hips or shoulder and their function. In the practical part, participants will be required to mark specific anatomical structures in a 3D-printed anatomical skull model. The duration of the test will be of approximately 30 minutes.

  immediately after the study session, day 1, and after three months

Secondary Outcomes (2)

• adverse health symptoms

  Immediately after the knowledge test, Day 1

• User experience

  Immediately after the Adverse health symptoms, Day 1

Study Arms (2)

Shoulder anatomy with augmented reality (AR) , hips anatomy with traditional learning (TL)

EXPERIMENTAL

Participants first learn the shoulder anatomy with AR. After a washout period of three weeks, they will learn the hips anatomy with traditional Learning (TL) methods

Other: learning with augmented reality; Other: learning with traditional methods

Traditional learning (TL) group.

ACTIVE COMPARATOR

Participants first learn the shoulder anatomy with Traditional learning methods. After a washout period of three weeks, they will learn the hips anatomy with augmented reality (AR)

Other: learning with augmented reality; Other: learning with traditional methods

Interventions

learning with augmented reality OTHER

Study presentation: participants will be given a 10-minute general introduction on the study followed by a 20 minutes tutorial to introduce the HoloLens 2 and the TEACHANATOMY learning platform. * Study session: The study session consists of three learning blocks of approximately 20 minutes each, plus a repetition block to assess the acquired knowledge. During the study session participants will be given no time constraints and free breaks. * Assessment test: Participants will be assessed with a 30 minutes knowledge assessment test at the end of the study and after three months. * Final questionnaire: At the end of the study session participants will be given a questionnaire to assess adverse health symptoms and user experience.

Shoulder anatomy with augmented reality (AR) , hips anatomy with traditional learning (TL); Traditional learning (TL) group.

learning with traditional methods OTHER

* Study presentation: participants will be given a 10-minute general introduction on the study followed by a presentation to introduce the study session. * Study session: The study session consists of the learning resources most used by students: specific sections from four different neuroanatomy books, access to two websites, two 3D videos, and two online learning programs. During the study session participants will be given no time constraints and free breaks. * Assessment test: Participants will be assessed with a 30 minutes knowledge assessment test at the end of the study and after three months. * Final questionnaire: At the end of the study session participants will be given a questionnaire to assess adverse health symptoms and user experience

Shoulder anatomy with augmented reality (AR) , hips anatomy with traditional learning (TL); Traditional learning (TL) group.

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Medical students attending the 1st or 2nd year of undergraduate medical education
• Must not have prior anatomical education

You may not qualify if:

• Epilepsy
• Binocular vision disorder such as strabismus
• Current head and/or neck injuries
• Inflammation of the scalp and/or eye
• Amputations or partial amputations of the hands

Sponsors & Collaborators

• Balgrist University Hospital: lead
• ETH Zurich: collaborator

Related Publications (11)

• Stromberga Z, Phelps C, Smith J, Moro C. Teaching with Disruptive Technology: The Use of Augmented, Virtual, and Mixed Reality (HoloLens) for Disease Education. Adv Exp Med Biol. 2021;1317:147-162. doi: 10.1007/978-3-030-61125-5_8.

  PMID: 33945136 BACKGROUND

• Bolek KA, De Jong G, Henssen D. The effectiveness of the use of augmented reality in anatomy education: a systematic review and meta-analysis. Sci Rep. 2021 Jul 27;11(1):15292. doi: 10.1038/s41598-021-94721-4.

  PMID: 34315955 BACKGROUND

• Chytas D, Johnson EO, Piagkou M, Mazarakis A, Babis GC, Chronopoulos E, Nikolaou VS, Lazaridis N, Natsis K. The role of augmented reality in Anatomical education: An overview. Ann Anat. 2020 May;229:151463. doi: 10.1016/j.aanat.2020.151463. Epub 2020 Jan 21.

  PMID: 31978568 BACKGROUND

• Curran VR, Xu X, Aydin MY, Meruvia-Pastor O. Use of Extended Reality in Medical Education: An Integrative Review. Med Sci Educ. 2022 Dec 19;33(1):275-286. doi: 10.1007/s40670-022-01698-4. eCollection 2023 Feb.

  PMID: 36569366 BACKGROUND

• Gsaxner C, Li J, Pepe A, Jin Y, Kleesiek J, Schmalstieg D, Egger J. The HoloLens in medicine: A systematic review and taxonomy. Med Image Anal. 2023 Apr;85:102757. doi: 10.1016/j.media.2023.102757. Epub 2023 Jan 21.

  PMID: 36706637 BACKGROUND

• McBain KA, Habib R, Laggis G, Quaiattini A, M Ventura N, Noel GPJC. Scoping review: The use of augmented reality in clinical anatomical education and its assessment tools. Anat Sci Educ. 2022 Jul;15(4):765-796. doi: 10.1002/ase.2155. Epub 2022 Jan 19.

  PMID: 34800073 BACKGROUND

• Moro C, Birt J, Stromberga Z, Phelps C, Clark J, Glasziou P, Scott AM. Virtual and Augmented Reality Enhancements to Medical and Science Student Physiology and Anatomy Test Performance: A Systematic Review and Meta-Analysis. Anat Sci Educ. 2021 May;14(3):368-376. doi: 10.1002/ase.2049. Epub 2021 Feb 26.

  PMID: 33378557 BACKGROUND

• Navab N, Martin-Gomez A, Seibold M, Sommersperger M, Song T, Winkler A, Yu K, Eck U. Medical Augmented Reality: Definition, Principle Components, Domain Modeling, and Design-Development-Validation Process. J Imaging. 2022 Dec 23;9(1):4. doi: 10.3390/jimaging9010004.

  PMID: 36662102 BACKGROUND

• Stojanovska M, Tingle G, Tan L, Ulrey L, Simonson-Shick S, Mlakar J, Eastman H, Gotschall R, Boscia A, Enterline R, Henninger E, Herrmann KA, Simpson SW, Griswold MA, Wish-Baratz S. Mixed Reality Anatomy Using Microsoft HoloLens and Cadaveric Dissection: A Comparative Effectiveness Study. Med Sci Educ. 2019 Nov 15;30(1):173-178. doi: 10.1007/s40670-019-00834-x. eCollection 2020 Mar.

  PMID: 34457656 BACKGROUND

• Uruthiralingam U, Rea PM. Augmented and Virtual Reality in Anatomical Education - A Systematic Review. Adv Exp Med Biol. 2020;1235:89-101. doi: 10.1007/978-3-030-37639-0_5.

  PMID: 32488637 BACKGROUND

• Moro C, Stromberga Z, Raikos A, Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anat Sci Educ. 2017 Nov;10(6):549-559. doi: 10.1002/ase.1696. Epub 2017 Apr 17.

  PMID: 28419750 RESULT

Related Links

• Magic Leap headsets devise

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Lukas Zingg, MD

  Balgrust University Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Lukas Zingg, MD

CONTACT

0796644805; Lukas.zingg@balgrist.ch

Philipp Fürnstahl, Prof.

CONTACT

044 510 73 60; philipp.fuernstahl@balgrist.ch

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: outcomes (knowledge test, adverse health symptoms and user experience) will be assessed blindly
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 9, 2024
• First Posted: August 13, 2024
• Study Start: October 1, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2025
• Last Updated: August 13, 2024

Record last verified: 2024-08