Effectiveness of AR in Ventilator Setting Education. (AR)

Setting-up Of A Mechanical Ventilator With An Augmented Reality Guide: A Prospective, Randomized Pilot Trial

This study aimed to determine the feasibility and effectiveness of an augmented reality (AR)-based self-learning platform for novices to set up a ventilator without on-site assistance. This was a prospective randomized controlled pilot study conducted at Samsung Medical Center, Korea from January to February 2022. Nurses with no prior experience of MV or AR were enrolled. We randomized the participants into two groups: manual and AR groups. Participants in the manual group used a printed manual and made a phone call for assistance, whereas participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device (HMD). We compared the overall score of the procedure, required level of assistance, and user's experience between the groups.

Study Overview

• Status: Completed
• Conditions: Nursing Education
• Intervention / Treatment: Device: AR guidance with Hololens 2

Detailed Description

Background: Recently, the demand for mechanical ventilation (MV) has increased with the COVID-19 pandemic; however, the conventional approaches to MV training are resource-intensive and require on-site training. Consequently, the need for independent learning platforms with remote assistance in institutions without resources has surged.

Objective:

This study aimed to determine the feasibility and effectiveness of an augmented reality (AR)-based self-learning platform for novices to set up a ventilator without on-site assistance.

Method:

This was a prospective randomized controlled pilot study conducted at Samsung Medical Center, Korea from January to February 2022. Nurses with no prior experience of MV or AR were enrolled. We randomized the participants into two groups: manual and AR groups. Participants in the manual group used a printed manual and made a phone call for assistance, whereas participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device (HMD). We compared the overall score of the procedure, required level of assistance, and user's experience between the groups.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Seoul, Korea, Republic of, 06351
    • Samsung Medical Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

We enrolled nurses who had no prior experience with ventilator setup or AR systems, regardless of their work department or age.

Exclusion Criteria:

We excluded nurses who had already experienced setting up a ventilator or who had trouble wearing or using a head-mounted device (HMD).

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: AR group; participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device.	Device: AR guidance with Hololens 2; The AR instructions were developed as a step-by-step guide with the same text and images as in the printed manual, utilizing the dynamic 365 Guide (Software, Microsoft Corporation, Redmond, WA, USA). The AR instructions were delivered using the Microsoft HoloLens 2.
No Intervention: manual group; Participants in the manual group used a printed manual and made a phone call for assistance.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
the overall score of the procedure	a 100-point scale converted from the original score. The participants scored 1 point for each step if they successfully finished the step within five minutes and obtained a maximum score of 35.	30 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
the required level of assistance	The number of steps needed assistance to complete the procedure	30 minutes

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Usability	System usability scale	30 minutes

Collaborators and Investigators

• Sponsor: Samsung Medical Center
• Investigators: Principal Investigator: Meong Hi Son, MD, Department of Pediatrics Samsung Medical Center and Sungkyunkwan University School of Medicine

Publications and helpful links

General Publications

• Heo S, Moon S, Kim M, Park M, Cha WC, Son MH. An Augmented Reality-Based Guide for Mechanical Ventilator Setup: Prospective Randomized Pilot Trial. JMIR Serious Games. 2022 Jul 22;10(3):e38433. doi: 10.2196/38433.

Study record dates

Study Major Dates

• Study Start (Actual): January 24, 2022
• Primary Completion (Actual): January 28, 2022
• Study Completion (Actual): January 28, 2022

Study Registration Dates

• First Submitted: June 25, 2022
• First Submitted That Met QC Criteria: June 30, 2022
• First Posted (Actual): July 7, 2022

Study Record Updates

• Last Update Posted (Actual): July 7, 2022
• Last Update Submitted That Met QC Criteria: June 30, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: Ventilator, Nursing, Education, Augmented reality
• Other Study ID Numbers: 2021-12-112-001

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No