Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Games Health J. 2021 Aug;10(4):220-227. doi: 10.1089/g4h.2020.0220. Epub 2021 Jul 14.
Postpartum hemorrhage (PPH) is a leading cause of maternal mortality. Surgical interventions, such as uterine artery ligation and utero-ovarian arteries ligation (UAL and UOAL), are considered as effective methods to control PPH. Owing to PPH's severe outcomes, various educational tools have been developed to train surgical residents. A potential educational medium for this purpose could be serious digital games. In this pilot study, we assessed the usability and effectiveness of a serious game to promote the surgical skills of UAL/UOAL among obstetrics and gynecology (OB/GYN) residents. We designed and developed the Play and Learn for Surgeons (PLS) game to train OB/GYN residents. We assessed and compared the usability challenges of PLS before and after revising the game. To assess the effectiveness of PLS, residents were allocated randomly in control and intervention groups. Surgical skills of the residents were assessed pre- and post-test using the Objective Structured Assessment of Technical Skills checklist. This pilot study took place at the OB/GYN wards of Omolbanin Hospital (Mashhad University of Medical Sciences) and Imam Ali Hospital (Zahedan University of Medical Sciences) in Iran. Thirteen subject matter experts (nine OB/GYN experts and four senior clinical assistants) participated in the user interface design and usability assessment of PLS. Total of 46 OB/GYN residents participated in the educational effectiveness analysis of PLS. All participants were female with mean ages of 40.6, 29.9 and 28.0 years for OB/GYN experts, assistants, and residents, accordingly. All participants completed the study. PLS significantly improved the skills of residents for UAL (-value = 0.018) and UOAL (-value <0.001) procedures. Serious games can be an effective and affordable approach in training OB/GYN residents for UAL and UOAL procedures. Approval number: (# IR.MUMS.fm.REC.1396.345) Trial registration number: (# IRCT2017092436366N1).
产后出血（PPH）是导致产妇死亡的主要原因。外科干预，如子宫动脉结扎术和子宫卵巢动脉结扎术（UAL 和 UOAL），被认为是控制 PPH 的有效方法。由于 PPH 的严重后果，已经开发了各种教育工具来培训外科住院医师。对于这种情况，一种潜在的教育媒介可能是严肃的数字游戏。在这项初步研究中，我们评估了一款严肃游戏在促进妇产科住院医师 UAL/UOAL 手术技能方面的可用性和有效性。我们设计并开发了 Play and Learn for Surgeons (PLS) 游戏来培训妇产科住院医师。我们评估并比较了在修订游戏前后 PLS 的可用性挑战。为了评估 PLS 的有效性，将住院医师随机分配到对照组和干预组。使用客观结构化手术技能评估检查表对居民进行术前和术后手术技能评估。这项初步研究在伊朗马什哈德医科大学奥莫班宁医院（Omolbanin Hospital）和扎黑丹医科大学伊玛目阿里医院（Imam Ali Hospital）的妇产科病房进行。13 名主题专家（9 名妇产科专家和 4 名高级临床助理）参与了 PLS 的用户界面设计和可用性评估。共有 46 名妇产科住院医师参加了 PLS 教育效果分析。所有参与者均为女性，妇产科专家、助理和住院医师的平均年龄分别为 40.6、29.9 和 28.0 岁。所有参与者均完成了研究。PLS 显著提高了居民进行 UAL（-值=0.018）和 UOAL（-值<0.001）手术的技能。严肃游戏是培训妇产科住院医师进行 UAL 和 UOAL 手术的有效且经济实惠的方法。批准文号：（#IR.MUMS.fm.REC.1396.345）试验注册号：（#IRCT2017092436366N1）。
