Virtual Reality Intervention Procedure Simulator

Study Overview
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Brief Summary
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The purpose of this study is to prove the effectiveness of the virtual reality program in educating lumbar transforaminal epidural blocks to novice doctors.

Official Title
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A Prospective Randomized Controlled Study for the Efficacy of Virtual Reality Intervention Procedure Simulator on the Training of Pain Procedures

Conditions
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Novice Doctor

Intervention / Treatment
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* Device: Arm I (Virtual reality group)
* Device: Arm II (Self study group)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Residents in department of anesthesiology and pain medicine unfamiliar with fluoroscopy guided epidural block Exclusion Criteria: Residents in department of anesthesiology and pain medicine familiar with fluoroscopy guided epidural block

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Virtual reality group<br>To become proficient in lumbar transforaminal epidural blocks, participants receive additional training using virtual reality programs after audiovisual education. | Device: Arm I (Virtual reality group)<br>* In the preparatory session, the participant is given a survey. It is about demographic information such as gender, age, and age, as well as prior experience with the procedure. The primary test is performed with a fluoroscopy guided lumbar transforaminal epidural block with a human-shaped phantom. After that, the test group and the control group receive the same audiovisual education for about 5 minutes. The test group receives about 60 minutes of training using a virtual reality program.<br>|
| Active Comparator: Self study group<br>In order to become proficient in lumbar transforaminal epidural block, participants have self-study time using books and videos after audiovisual education. | Device: Arm II (Self study group)<br>* In the preparatory session, the participant is given a survey. It is about demographic information such as gender, age, and age, as well as prior experience with the procedure. The primary test is performed with a fluoroscopy guided lumbar transforaminal epidural block with a human-shaped phantom. After that, the test group and the control group receive the same audiovisual education for about 5 minutes. The control group have provided with video materials and books provided during audiovisual education and have given time for self-study for 60 minutes. Subsequently, a second test is performed with a fluroscopy-guided lumbar transforaminal epidural block with a human-shaped phantom.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Checklist score | When all training courses are completed and a post-test is performed on the phantom, it is determined how much the checklist score has changed compared to the screening time. Range from 0 to 7. Minimum score means worst and maximum score means good performance. | 60 min of education programs | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Global rating score | When all training courses are completed and a post-test is performed on the phantom, it is determined how much the global rating score has changed compared to the screening time. Range from 7 to 35. Minimum score means worst and maximum score means good performance. | 60 min of education programs | 
| Time taken to perform lumbar transforaminal epidural injection | During the pre-test and post-test, how long it takes to perform the procedure is compared. | Procedure duration | 
| Number of fluroscopy shots when performing lumbar transforaminal epidural injection under a fluoroscopy guide | It is determined by comparing the number of fluroscopy pictures | Procedure duration | 
| Participants' satisfaction with the curriculum | After the completion of all training and testing sessions, have participants rate their satisfaction with the training on a 100-point scale. Range from 0 to 100. Minimum score means less satisfaction and maximum score means better satisfaction. | 60 min of education programs |