Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training

Study Overview
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Brief Summary
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The purpose of the study is to compare the effectiveness of Artificial Intelligence virtual doctor with human-controlled virtual doctor avatars on nursing students' sepsis care and interprofessional communication.

Official Title
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Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Trial

Conditions
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Sepsis

Intervention / Treatment
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* Other: AI-powered doctor
* Other: Human-controlled doctor avatar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All Year 3 NUS nursing students in Academic Year 2022 Individuals 20 years old and above; and Consent to be video and/or audio-recorded Exclusion Criteria: Year 1, 2 and 4 NUS nursing students; Incapable of giving informed consent; Unable to understand and/or speak in English language; Have visual, speech, and/or hearing impairment; and Do not agree to be video and/or audio-recorded.

Ages Eligible for Study
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Minimum Age: 20 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
Interventional Model Description: Prospective 2-arm randomized controlled trial with a pretest-posttest study design
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: AI-powered group<br>Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with an AI virtual doctor. | Other: AI-powered doctor<br>* AI-powered virtual doctor<br>|
| Active Comparator: Human-controlled group<br>Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with a doctor avatar controlled by the medical student. | Other: Human-controlled doctor avatar<br>* Virtual doctor avatar controlled by the medical student.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in Sepsis Knowledge on the 18-item sepsis knowledge test immediately after interventions. | The 8-item communication knowledge and 18-item sepsis knowledge tests were developed and content validated by a multidisciplinary team comprising a medical doctor, an advanced practice nurse, and nursing academics. | Baseline and immediately after 2-hour VRS | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in Team Communication Knowledge on the 8-item communication knowledge test immediately after interventions. | The 8-item communication knowledge and 18-item sepsis knowledge tests were developed and content validated by a multidisciplinary team comprising a medical doctor, an advanced practice nurse, and nursing academics. | Baseline and immediately after 2-hour VRS | 
| Change from Baseline in Team Communication Self-Efficacy on the 6-item Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale immediately after interventions. | The Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale is a validated and self-reported instrument using a 0-100 Likert scale, which measures participants' perceptions of self-efficacy in team communication based on the ISBAR communication strategy. | Baseline and immediately after 2-hour VRS | 
| Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. | 2 independent raters used the validated RAPIDS (Rescuing A Patient In Deteriorating Situation) tool to measure nurses' simulation performance in assessing and managing a deteriorating patient. | Within 2 weeks of postintervention. | 
| Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. | 2 independent raters used a validated 9-item team communication scale to assess nurses' simulation performance in communicating with doctor using the TeamSTEPPS communication strategies. | Within 2 weeks of postintervention. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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artificial intelligence, team training, virtual reality simulation, health care education