Benda Natalie C, Kellogg Kathryn M, Hoffman Daniel J, Fairbanks Rollin J, Auguste Tamika
National Center for Human Factors in Healthcare, MedStar Institute for Innovation, MedStar Health, Washington, DC, United States.
Division of Health Informatics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States.
JMIR Serious Games. 2020 Sep 28;8(3):e21123. doi: 10.2196/21123.
The use of new technology like virtual reality, e-learning, and serious gaming can offer novel, more accessible options that have been demonstrated to improve learning outcomes.
The aim of this study was to compare the educational effectiveness of serious game-based simulation training to traditional mannequin-based simulation training and to determine the perceptions of physicians and nurses. We used an obstetric use case, namely electronic fetal monitoring interpretation and decision making, for our assessment.
This study utilized a mixed methods approach to evaluate the effectiveness of the new, serious game-based training method and assess participants' perceptions of the training. Participants were randomized to traditional simulation training in a center with mannequins or serious game training. They then participated in an obstetrical in-situ simulation scenario to assess their learning. Participants also completed a posttraining perceptions questionnaire.
The primary outcome measure for this study was the participants' performance in an in-situ mannequin-based simulation scenario, which occurred posttraining following a washout period. No significant statistical differences were detected between the mannequin-based and serious game-based groups in overall performance, although the study was not sufficiently powered to conclude noninferiority. The survey questions were tested for significant differences in participant perceptions of the educational method, but none were found. Qualitative participant feedback revealed important areas for improvement, with a focus on game realism.
The serious game training tool developed has potential utility in providing education to those without access to large simulation centers; however, further validation is needed to demonstrate if this tool is as effective as mannequin-based simulation.
虚拟现实、电子学习和严肃游戏等新技术的应用可以提供新颖且更易获取的选择，已证明这些选择能改善学习效果。
本研究的目的是比较基于严肃游戏的模拟训练与传统基于人体模型的模拟训练的教育效果，并确定医生和护士的看法。我们使用一个产科用例，即电子胎儿监护解读与决策，来进行评估。
本研究采用混合方法来评估新的基于严肃游戏的训练方法的有效性，并评估参与者对该训练的看法。参与者被随机分配到有人体模型的中心进行传统模拟训练或严肃游戏训练。然后他们参与一个产科现场模拟场景以评估其学习情况。参与者还完成了一份训练后看法调查问卷。
本研究的主要结局指标是参与者在训练后经过洗脱期后的现场基于人体模型的模拟场景中的表现。基于人体模型的组和基于严肃游戏的组在总体表现上未检测到显著统计学差异，尽管该研究的效能不足以得出非劣效性结论。对调查问卷问题进行了测试，以检验参与者对教育方法的看法是否存在显著差异，但未发现差异。定性的参与者反馈揭示了重要的改进领域，重点是游戏的真实感。
所开发的严肃游戏训练工具在为无法使用大型模拟中心的人员提供教育方面具有潜在效用；然而，需要进一步验证以证明该工具是否与基于人体模型的模拟一样有效。
