Translational Medicine Research Center, Medical Innovation Research Division, Fourth Medical Center of the Chinese PLA General Hospital, Beijing, China.
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
BMC Med Educ. 2023 Aug 7;23(1):554. doi: 10.1186/s12909-023-04532-6.
The application of virtual reality (VR) in gastroscopic operation teaching can be safe and effective, but the advantages can be realized only when students accept and use it. This study aims to identify the factors influencing Chinese clinical medical postgraduates on their intention to use the 3D gastroscopic model constructed based on VR technology using Unified Theory of Acceptance and Use of Technology (UTAUT) model. Students' demographic factors are also taken into consideration.
All methods were carried out in accordance with relevant guidelines. Data were collected from clinical medical postgraduates students in China using stratified sampling. A total of 292 questionnaires including valid responses were used in this study. Data were processed using Amos 24.0 and SPSS 26.0 software and the statistical analysis technique was based on structural equation modeling (SEM).
The results showed that different from the mediator of home location and year of clinical learning, mediator of gender, university kind and graduate degree did not affect the behavioral intention. In addition, performance expectancy, facilitating condition, and social influence directly and indirectly have effect on behavioral intention. Also, the significance between social influence and performance expectancy, social influence and effort expectancy were verified.
This study manifested that the proposed framework based on the UTAUT had explanatory power to identify the factors influencing the students' behavioral intention to use the 3D gastroscopic model constructed based on VR technology. Whereas, an important variable of effort expectancy in the frame of the SEM were not certified, thereby indicating that particular attention should be paid to this variable by universities and teachers before applying 3D gastroscopic model constructed based on VR technology in teaching. Added preparatory work is required such as explaining the basic knowledge of the operating steps of VR model and make students adequately understand its accessibility, which can probably improve the intentions of them to use it. The positive effects of social influence on performance expectancy and effort expectancy we proposed was also verified in this study, which provided a direction for future research.
虚拟现实(VR)在胃镜操作教学中的应用可以是安全有效的,但只有当学生接受并使用它时,才能实现其优势。本研究旨在利用统一技术接受和使用理论(UTAUT)模型,确定影响中国临床医学研究生使用基于 VR 技术构建的 3D 胃镜模型的意图的因素。同时也考虑了学生的人口统计学因素。
所有方法均按照相关指南进行。使用分层抽样从中国临床医学研究生中收集数据。本研究共使用了 292 份包括有效回复的问卷。使用 Amos 24.0 和 SPSS 26.0 软件处理数据,统计分析技术基于结构方程模型(SEM)。
结果表明,与家庭所在地和临床学习年限的中介作用不同,性别、大学类型和研究生学位的中介作用不影响行为意向。此外,绩效期望、促进条件和社会影响直接和间接影响行为意向。同时,验证了社会影响与绩效期望、社会影响与努力期望之间的显著性。
本研究表明,基于 UTAUT 的提出框架具有解释力,可以确定影响学生使用基于 VR 技术构建的 3D 胃镜模型的行为意图的因素。然而,在 SEM 框架中,努力期望的一个重要变量没有得到证实,因此,在将基于 VR 技术的 3D 胃镜模型应用于教学之前,大学和教师应特别关注这一变量。需要进行一些预备性工作,例如解释 VR 模型操作步骤的基础知识,使学生充分了解其可访问性,这可能会提高他们使用它的意愿。本研究还验证了我们提出的社会影响对绩效期望和努力期望的积极影响,为未来的研究提供了方向。