Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 13, 2020
Date Accepted: Nov 10, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Effectiveness of the Use of Augmented Reality in Teaching the Management of Anaphylactic Shock at the Primary Care Level: a Protocol for a Randomized Controlled Trial
ABSTRACT
Background:
Augmented Reality (AR) has benefits and feasibility in emergency medicine, especially in the clinical care of patients, in operating rooms and inpatient facilities, and in the education and training of emergency care providers, but current research on this topic is sparse.
Objective:
The primary objective is to evaluate the short and long-term effectiveness of the use of AR in the treatment of patients with anaphylactic shock. The secondary objectives are to evaluate the safety in the treatment of patients with anaphylactic shock, and the short and long-term effectiveness of stress management in this process, and to determine the experiences and attitudes towards the use of AR in education.
Methods:
The study will be conducted in three phases. In the first phase, we will develop and test the scenario for simulation of anaphylactic shock and the evaluation scale for assessing the effect of the intervention. In the second phase, a single blinded, randomized, controlled trial (RCT) will be conducted. In the third phase, the use of AR in teaching the management of anaphylactic shock using focus groups will be evaluated qualitatively. All participants will receive a one-day training program consisting of a lecture on emergency care and anaphylactic shock as well as exercises in manual dexterity (aspiration, airway management, alternative airway management, artificial respiration, chest compressions, safe defibrillation, oxygen application, use of medication during emergency care). The test group will also focus on education about anaphylactic shock in AR (the intervention). The main outcome will be the evaluation of the participants' performance in coping with a simulated scenario of anaphylactic shock using a high-fidelity simulator and a standardized patient in an educational and clinical environment. The study will be conducted with primary care physicians.
Results:
A scenario for the simulation with a high-fidelity simulator and a standardized patient has already been developed. At the time being, we are developing an evaluation scale and starting to recruit the participants. We plan to complete the recruitment of participants by the end of August 2020 and to start RCT in September 2020 and finish one year later. The first results are expected to be submitted for publication in 2021.
Conclusions:
This will be the first study to evaluate the effectiveness of the use of AR in medical teaching. Specifically, it will be based on a clinical case of anaphylactic shock at the primary care level. With our study, we also want to evaluate the translation of these educational results into clinical practice and assess their long-term impact. Clinical Trial: ISRCTN Registry, No. ISRCTN58047410, http://www.isrctn.com/ISRCTN58047410
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