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

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

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.

Study Overview

• Status: Completed
• Conditions: Sepsis
• Intervention / Treatment: Other: AI-powered doctor; Other: Human-controlled doctor avatar

• Study Type: Interventional
• Enrollment (Actual): 65
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Singapore
  • Singapore, Singapore, 117597
    • Alice Lee Centre for Nursing Studies

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. All Year 3 NUS nursing students in Academic Year 2022
2. Individuals 20 years old and above; and
3. Consent to be video and/or audio-recorded

Exclusion Criteria:

1. Year 1, 2 and 4 NUS nursing students;
2. Incapable of giving informed consent;
3. Unable to understand and/or speak in English language;
4. Have visual, speech, and/or hearing impairment; and
5. Do not agree to be video and/or audio-recorded.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: AI-powered group; 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; AI-powered virtual doctor
Active Comparator: Human-controlled group; 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; Virtual doctor avatar controlled by the medical student.

What is the study measuring?

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.

Collaborators and Investigators

• Sponsor: National University of Singapore
• Collaborators: Ministry of Education, Singapore
• Investigators: Principal Investigator: Sok Ying Liaw, National University of Singapore

Study record dates

Study Major Dates

• Study Start (Actual): August 8, 2022
• Primary Completion (Actual): October 26, 2022
• Study Completion (Actual): November 13, 2022

Study Registration Dates

• First Submitted: July 10, 2023
• First Submitted That Met QC Criteria: July 17, 2023
• First Posted (Actual): July 20, 2023

Study Record Updates

• Last Update Posted (Actual): July 20, 2023
• Last Update Submitted That Met QC Criteria: July 17, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Keywords: artificial intelligence; virtual reality simulation; team training; health care education
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Systemic Inflammatory Response Syndrome; Inflammation; Sepsis; Toxemia
• Other Study ID Numbers: NUS-IRB-2022-202

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The data sets collected or analyzed during the study are available from the corresponding author on reasonable request.

Drug and device information, study documents

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