Prehospital Provider Training With Augmented Reality (AR)

Study Overview
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Brief Summary
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The goal is to evaluate the acceptance of Augmented Reality (AR) simulation as a learning modality for prehospital providers. The simulation itself is grounded in traditional best practices for simulation delivery and design as well as prior literature on simulation training for prehospital providers; the focus of this study is the participants' experiential interaction with AR and the simulation resources.

Official Title
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Prehospital Provider Training Using Augmented Reality Simulation: A Mixed-Methods Study

Conditions
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Hypoglycemia, Pediatric ALL

Intervention / Treatment
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* Behavioral: Augmented Reality Headset


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Trainees/ faculty working and/or volunteering at LPCH/SHC facilities as well as community based prehospital providers 18 years and older Exclusion Criteria: Participants who do not consent Have a history of severe motion sickness Currently have nausea History of seizures Are clinically unstable Currently using corrective glasses (not compatible with AR headset) Currently pregnant

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Augmented Reality Enhanced Simulation (Treatment group)<br>Each simulation will have between two and five participants. After consent, demographic data will be collected. Then, a study RA will fit a Magic Leap One (ML1) headsets (Magic Leap Inc., Plantation, FL) to participants. Following a scripted briefing, the instructor will also orient the participants to the ML1 headset for those in that group. After orienting the participant to the use of the headsets, the instructor will remain in a room separate from the participants, who will conduct the scenario outside. This will enable assessment of the feasibility of providing simulation instruction remotely. Prior to starting the scenario, the simulation instructor will conduct an orientation to review the core tenets of effective communication skills during prehospital care. | Behavioral: Augmented Reality Headset<br>* The simulation scenario will be a pediatric hypoglycemia-induced seizure case, which will be done through an AR simulation. AR (Augmented Reality) headset, which is a device that the participants will wear over their head and eyes and will add holographic elements to a live view of workplace training scenario.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thematic Analysis of Post-Simulation Discussions | The primary aim is to study the acceptance of AR simulation amongst prehospital providers via thematic analysis of semi-structured discussions using qualitative research methods. | Duration of post-simulation debrief (15-20 minutes) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| System Usability Scale (SUS) | The first secondary aim is to evaluate AR simulation usability amongst prehospital providers via the System Usability Scale (SUS). | Duration of Intervention (less than one hour) | 
| Headset Ergonomics | The final secondary aim will evaluate the ergonomics of the headset via the ISO 9241-400 assessment of human-ergonomic factors. | Duration of Intervention (less than one hour) |