Back to resultsArtificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training
Primary Purpose
Sepsis
Status
Completed
Phase
Not Applicable
Locations
Singapore
Study Type
Interventional
Intervention
AI-powered doctor
Human-controlled doctor avatar
Sponsored by
About this trial
This is an interventional other trial for Sepsis focused on measuring artificial intelligence, team training, virtual reality simulation, health care education
Eligibility Criteria
Inclusion Criteria: 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 Exclusion Criteria: 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.
Sites / Locations
- Alice Lee Centre for Nursing Studies
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
AI-powered group
Human-controlled group
Arm Description
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.
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.
Outcomes
Primary Outcome Measures
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.
Secondary Outcome Measures
Change from Baseline in Team Communication Knowledge on the 8-item communication 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.
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.
The Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale is a validated and self-reported instrument using a 0-100 Likert scale, which measures participants' perceptions of self-efficacy in team communication based on the ISBAR communication strategy.
Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.
2 independent raters used the validated RAPIDS (Rescuing A Patient In Deteriorating Situation) tool to measure nurses' simulation performance in assessing and managing a deteriorating patient.
Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.
2 independent raters used a validated 9-item team communication scale to assess nurses' simulation performance in communicating with doctor using the TeamSTEPPS communication strategies.
Full Information
NCT ID
NCT05953441
First Posted
July 10, 2023
Last Updated
July 17, 2023
Sponsor
National University of Singapore
Collaborators
Ministry of Education, Singapore
1. Study Identification
Unique Protocol Identification Number
NCT05953441
Brief Title
Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training
Official Title
Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
August 8, 2022 (Actual)
Primary Completion Date
October 26, 2022 (Actual)
Study Completion Date
November 13, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National University of Singapore
Collaborators
Ministry of Education, Singapore
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sepsis
Keywords
artificial intelligence, team training, virtual reality simulation, health care education
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Prospective 2-arm randomized controlled trial with a pretest-posttest study design
Masking
Outcomes Assessor
Masking Description
The simulation-based assessment videos were sent for rating by 2 assessors, who were blinded to the groupings.
Allocation
Randomized
Enrollment
65 (Actual)
8. Arms, Groups, and Interventions
Arm Title
AI-powered group
Arm Type
Experimental
Arm Description
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.
Arm Title
Human-controlled group
Arm Type
Active Comparator
Arm Description
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.
Intervention Type
Other
Intervention Name(s)
AI-powered doctor
Intervention Description
AI-powered virtual doctor
Intervention Type
Other
Intervention Name(s)
Human-controlled doctor avatar
Intervention Description
Virtual doctor avatar controlled by the medical student.
Primary Outcome Measure Information:
Title
Change from Baseline in Sepsis Knowledge on the 18-item sepsis knowledge test immediately after interventions.
Description
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.
Time Frame
Baseline and immediately after 2-hour VRS
Secondary Outcome Measure Information:
Title
Change from Baseline in Team Communication Knowledge on the 8-item communication knowledge test immediately after interventions.
Description
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.
Time Frame
Baseline and immediately after 2-hour VRS
Title
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.
Description
The Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale is a validated and self-reported instrument using a 0-100 Likert scale, which measures participants' perceptions of self-efficacy in team communication based on the ISBAR communication strategy.
Time Frame
Baseline and immediately after 2-hour VRS
Title
Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.
Description
2 independent raters used the validated RAPIDS (Rescuing A Patient In Deteriorating Situation) tool to measure nurses' simulation performance in assessing and managing a deteriorating patient.
Time Frame
Within 2 weeks of postintervention.
Title
Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention.
Description
2 independent raters used a validated 9-item team communication scale to assess nurses' simulation performance in communicating with doctor using the TeamSTEPPS communication strategies.
Time Frame
Within 2 weeks of postintervention.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
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
Exclusion Criteria:
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sok Ying Liaw
Organizational Affiliation
National University of Singapore
Official's Role
Principal Investigator
Facility Information:
Facility Name
Alice Lee Centre for Nursing Studies
City
Singapore
ZIP/Postal Code
117597
Country
Singapore
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
The data sets collected or analyzed during the study are available from the corresponding author on reasonable request.
Learn more about this trial
Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training
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