JMIR Publications

ABSTRACT

Background:

The use of new technology like virtual reality, e-learning, and serious gaming can offer novel, more accessible options that have been demonstrated to have improved learning outcomes.

Objective:

The aim of this study was to compare the educational effectiveness of a serious game-based simulation training to traditional mannequin-based simulation training, and to determine the perception of physicians and nurses. We used an obstetric use case, electronic fetal monitoring (EFM) interpretation and decision-making, for our assessment.

Methods:

This study utilized a mixed methods approach to evaluate the effectiveness of the new, serious game-based training method and assess participants’ perceptions of the training. Participants were randomized to traditional simulation training in a center with mannequins or serious game training. They then participated in an obstetrical in-situ simulation scenario to assess their learning. Participants also completed a post-training perceptions questionnaire.

Results:

The primary outcome measure for this study was the participants’ performance in and in-situ simulation scenario. No significant statistical differences were detected between the mannequin-based and the serious game based-groups in overall performance, although the study was not sufficiently powered to conclude non-inferiority. The survey questions were tested for significant differences in participant perceptions of the educational method but none were found. Qualitative participant feedback reveals important areas for improvement with a focus on game realism.

Conclusions:

The serious game training tool developed has potential utility in providing education to those without access to large simulation centers, however further validation is needed to demonstrate if this tool is as effective as mannequin-based simulation.