Enhancing Psychiatric Nursing Skills in Auditory Hallucination Assessment Via AR/VR and Virtual OSCE

Enhancing Auditory Hallucination Assessment and Intervention Skills of Psychiatric Nursing Student Through AR/VR Technology and OSCE in Virtual Clinical Environments

The purpose of this study is to develop and evaluate AI-based virtual reality teaching resources aimed at enhancing nursing students' competencies in assessing, communicating with, and managing patients experiencing auditory hallucinations. Specifically, this study seeks to improve the ability of nursing students to effectively assess auditory hallucinations, facilitate better communication with patients experiencing such disturbances, and strengthen their skills in managing these symptoms through the implementation of virtual reality-based educational scenarios.

Study Overview

• Status: Not yet recruiting
• Conditions: Randomized Controlled Trial
• Intervention / Treatment: Behavioral: AR/VR technology-based training; Behavioral: traditional vedio and discussion group

Detailed Description

This study employs a quasi-experimental design and uses a convenience sampling method to select senior students from a university nursing program as participants. The study aims to recruit 150 nursing students. The research involves two institutions, with participants being divided into groups within each institution. The students will be randomly assigned by computer into two groups: an experimental group and a control group. The experimental group will receive AR/VR technology-based group training within a virtual clinical environment during their practicum, while the control group will watch educational videos and participate in a general discussion group focused on auditory hallucinations.

Data will be collected using Google Forms at two time points: baseline and post-intervention. The research instruments include:

1. A self-assessment questionnaire on confidence in auditory hallucination assessment and intervention;
2. A scale measuring nursing students' knowledge, attitudes, and perceived empathy toward auditory hallucinations;
3. The Auditory Hallucination Situational Involvement and Empathy Scale;
4. An OSCE (Objective Structured Clinical Examination) evaluation form that assesses auditory hallucination assessment skills, empathy toward auditory hallucinations, communication skills, and the ability to manage auditory hallucinations." Data will be analyzed using IBM SPSS 24.0 for descriptive statistics and for comparing outcomes between the experimental group and the control group.

• Study Type: Interventional
• Enrollment (Estimated): 150
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Chiu Yueh Yang, PhD; Phone Number: +8862-2826-7388; Email: cyyang3@ym.edu.tw
• Study Contact Backup: Name: Mu Hsi Young, MS; Phone Number: +886972-102-204; Email: deborahyounglulu33@gmail.com

Study Locations

• Taiwan
  • Taipei City
    • Taipei, Taipei City, Taiwan, 112304
      • National Yang Ming Chiao Tung University
      • Contact: Chiu Yueh Yang, PhD; Phone Number: +8862-2826-7388; Email: cyyang3@ym.edu.tw
      • Contact: Mu Hsi Young, MS; Phone Number: +886972-102-204; Email: deborahyounglulu33@gmail.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Nursing students who are about to undertake their psychiatry practicum.
• Those who are willing to join the study and sign the consent form.
• Those who are willing to bring a smartphone to connect with VR360 and watch the video.
• Those who are willing to use their smartphone for research purposes (a smartphone will be provided by the research team if needed).

Exclusion Criteria:

• Individuals with hearing or vision impairments

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; The experimental group will receive AR/VR technology-based group training within a virtual clinical environment during their practicum	Behavioral: AR/VR technology-based training; Students will receive AR/VR Technology and OSCE in a Virtual Clinical Environment to learn how to assess and manage patients with auditory hallucination. The course was designed as a diverse and interactive learning experience, integrating a virtual clinical environment for auditory hallucinations with the application of Objective Structured Clinical Examination (OSCE). The practicum lasts approximately 15 days, with 8 hours per day. The teaching activities of the course will be held 5 times on days 4, 6, 8, 10, and 12 of the practicum. Additionally, students will have access to the AR/VR materials for self-practice during the practicum.
Active Comparator: Control group; The control group will watch educational videos and participate in a general discussion group focused on auditory hallucinations.	Behavioral: traditional vedio and discussion group; Students will receive a traditional course on auditory hallucination assessment, which includes watching educational videos and participating in a general discussion group on auditory hallucinations. The practicum lasts approximately 15 days, with 8 hours per day. The teaching activities of the traditional course will be held 5 times on days 4, 6, 8, 10, and 12 of the practicum.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Auditory Hallucination Situational Involvement and Empathy	To assess the impact of the intervention on empathy, Schutte and Stilinović's (2017) method was used, employing the Situational Scale of Empathetic Responses (SSER) with 15 items. These are divided into two categories: ① Empathic Perspective Taking (7 items) and ② Empathic Concern (8 items). Participants imagined interacting with a person hearing voices and rated the items on a 5-point Likert scale, from 'strongly disagree' (1) to 'strongly agree' (5). Higher scores indicate greater empathy in auditory hallucination scenarios.	at baseline on day 2 or 3 of the 15-day practicum (T0) and on day 15 of the practicum, three days after the intervention has finished (T1)
OSCE Evaluation Form for Auditory Hallucination Assessment and Intervention	This form is part of the "Application of AR/VR Technology and OSCE in a Virtual Clinical Environment" teaching practice project. Both the experimental and control groups will watch videos; however, the control group will watch standard videos, while the experimental group will use AR/VR technology within a virtual clinical environment. Both groups will be assessed using OSCE combined with the virtual clinical environment. The evaluation form, developed by the researcher, will undergo content validity review by experts once the videos are completed. Different versions of the virtual clinical environment and OSCE assessment will be used before and after the intervention. The study plans to develop four different versions, all of which will be reviewed by experts and piloted.	at baseline on day 2 or 3 of the 15-day practicum (T0) and on day 15 of the practicum, three days after the intervention has finished (T1)
Self-Assessment Questionnaire on Confidence in Auditory Hallucination Assessment and Intervention	This section consists of a self-designed questionnaire by the researcher, primarily aimed at measuring students' confidence levels before and after the implementation of the teaching intervention. It includes 7 items and serves as a simple assessment tool.	at baseline on day 2 or 3 of the 15-day practicum (T0) and on day 15 of the practicum, three days after the intervention has finished (T1)
Nursing Students' Knowledge, Attitudes, and Perceived Empathy Toward Auditory Hallucinations	This assessment tool, developed by Mawson (2014), consists of 11 items related to statements about knowledge, attitudes, and empathy toward auditory hallucinations. Nursing students are asked to respond to these statements using a 5-point Likert scale, with responses ranging from "strongly agree" (5) to "strongly disagree" (1). These statements remain unchanged in the questionnaire.	at baseline on day 2 or 3 of the 15-day practicum (T0) and on day 15 of the practicum, three days after the intervention has finished (T1)

Collaborators and Investigators

• Sponsor: National Yang Ming Chiao Tung University
• Investigators: Study Chair: Chiu Yueh Yang, PhD, National Yang Ming Chiao Tung University

Study record dates

Study Major Dates

• Study Start (Estimated): September 10, 2024
• Primary Completion (Estimated): July 1, 2025
• Study Completion (Estimated): July 1, 2025

Study Registration Dates

• First Submitted: August 19, 2024
• First Submitted That Met QC Criteria: September 18, 2024
• First Posted (Actual): September 20, 2024

Study Record Updates

• Last Update Posted (Actual): September 20, 2024
• Last Update Submitted That Met QC Criteria: September 18, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: nurse student; duditory hallucination assessment; AR/VR
• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Neurobehavioral Manifestations; Perceptual Disorders; Hallucinations
• Other Study ID Numbers: NYCU113035AEF

Drug and device information, study documents

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