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The DREAM-VR Study: Does a Virtual Reality Tool Help Dental Students Master Acute Medical Emergencies Better? (DREAM-VR)

2026年9月3日 更新者:Denise van Diermen

The DREAM-VR Study: Dental Students' Readiness for Emergency Assessment and Management Through Virtual Reality

The goal of this prospective educational cross-over study is to compare the competency and self-reported confidence in managing acute medical emergencies in fourth year dental students at the Academic Centre for Dentistry (ACTA) after training with a Virtual Reality (VR) training tool. The main questions it aims to answer are:

  • Do students who were trained with the VR tool perform better or equally good as students who were trained with a traditional training, in managing acute medical emergencies?
  • Do students who were trained with the VR tool score higher in self-reported confidence scores? Researchers will compare the group who trained with the VR tool with a group who received a traditional training with a mannikin to see if students from one of these methods performs better at a clinical exam in managing an acute emergency that is played by a trained actor. They will also be compared with themselves, since after 4 weeks the groups will be crossed-over and will receive the other training with different clinical scenarios.

Half of the participants will

  • In week 1-4:
  • Play a VR scenario and watch peer students play other VR scenario's
  • Fill out a written peer-feedback form and discuss this with peers
  • Fill out 3 short online questionnairs, before the training, just before the formative clinical exam and just after the formative clinical exam
  • Participate in a formative clinical exam with a trained actor
  • In week 5-8:
  • Play a scenario with a mannikin and watch peer students play other scenario's*
  • Fill out a written peer-feedback form and discuss this with peers
  • Fill out 2 short online questionnairs, just before the summative clinical exam and just after the summative clinical exam
  • Participate in a summative clinical exam with a trained actor* The other half of the participants will participate in the same protocol, but in the reverse order. They start with the traditional training with a mannikin in week 1-4 and cross-over to VR in week 5-8.

    • The training program with a mannikin and the summative clinical exam is part of the regular curriculum.

調査の概要

研究の種類

介入

入学 (推定)

140

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

  • 名前:Denise E van Diermen, MD, PhD
  • 電話番号:+31 20 5980654
  • メール:d.v.diermen@acta.nl

研究連絡先のバックアップ

  • 名前:Marije Petersen, MD, Dentist, PhD
  • 電話番号:+31 20 5980654
  • メール:j.f.petersen@acta.nl

研究場所

    • North Holland
      • Amsterdam、North Holland、オランダ、1081 LA
        • Academic Center for Dentistry Amsterdam

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 子
  • 大人
  • 高齢者

健康ボランティアの受け入れ

はい

説明

Inclusion Criteria:

  • 4th year dental students at ACTA who participate in the course Medical Dental Interaction in september-october 2026

Exclusion Criteria:

  • students who experience severe side-effects of the VR tool, such as severe dizziness, nausea or headche
  • students who do not provide informed consent

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:他の
  • 割り当て:非ランダム化
  • 介入モデル:クロスオーバー割り当て
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:VR group
Dental students that practice with a VR tool for managing acute medical emergencies
Students are immersed in a virtual dental clinic. They see a virtual patient in the dental chair (avatar). The avatar can be controlled by the teacher to show signs of acute medical emergencies. The student can talk to the avatar, the avatar can talk back. The student can use virtual tools, such as blood pressure device, oximeter, etc. to diagnose the emergency and can apply virtual medication such as epinephrine injection, oxigen, etc. They can play 7 different scenario's: fainting, asthma attack, anaphylaxis, stroke, heart attack, epilepsy, hypoglycemia. They can call 911/112 to ask for an ambulance and can do a medical handover to the ambulance personell.
アクティブコンパレータ:Mannikin group
Dental students that practice with a resuscitation mannikin for managing acute medical emergencies.
Students are told by the teacher that the mannikin is a dental patient that experiences an acute medical emergency, and what the patients' complaints are. The students can use diagnostic devices, such as blood pressure tool and oximeter, to practice. The teacher tells what the outcome of measurement is and the student proposes a diagnosis and treatment plan. They can give the mannikin test medication such as epinehrin or oxigen.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Competence in diagnosing and treating acute medical emergencies in the dental practice
時間枠:From enrollment assessment takes place in Week 4 and week 8

In week 4 the students will do a formative clinical test with a trained actor, who plays an acute medical emergency scenario. The topic of the scenario will be randomly assigned by drawing a lot. The students will be scored using a validated scoring table, that measures all the necessary steps in the DRS ABCDE protocol. They can obtain a maximum score of 80 when they do all the necessary steps to manage the acute emergency.

Again in week 8 the students will do a summative clinical test with a trained actor. The topic of the scenario be randomly assigned. The students will be scored using the same validated scoring table. They will pass the test if they used the adequate diagnostic tools, made the correct diagnosis and communicated effectively with the ambulance personnel. The point score on the scoring table will only be used for research purposes.

From enrollment assessment takes place in Week 4 and week 8
Self-reported competence in managing acute medical emergencies
時間枠:From enrollment until week 4 and 8

Students will be asked to fill out 5 online surveys to report on their experienced sense of competence. The questions will be on a 5 point likert scale.

T=0: before enrolling in the training T=1: just before the formative clinical test in week 4 T=2: just after the formative clinical test in week 4 T=3: just before the summative clinical test in week 8 T=4: just after the summative clinical test in week 8

From enrollment until week 4 and 8
Self-reported confidence in managing acute medical emergencies
時間枠:From enrollment in week 4 and 8

Students will be asked to fill out 5 online surveys to report on their experienced sense of confidence. The questions will be on a 5 point likert scale.

T=0: before enrolling in the training T=1: just before the formative clinical test in week 4 T=2: just after the formative clinical test in week 4 T=3: just before the summative clinical test in week 8 T=4: just after the summative clinical test in week 8

From enrollment in week 4 and 8

二次結果の測定

結果測定
メジャーの説明
時間枠
Effects of order and carry-over effects in the cross-over design
時間枠:From enrollment until week 8
To assess whether the order in which participants receive the virtual reality training and the comparator training affects outcome scores, and whether exposure to the first intervention has a residual effect on outcomes measured after the second intervention. Intervention sequence (VR-first versus comparator-first), study period, and prior intervention exposure will be evaluated in a mixed-effects model, accounting for repeated measurements within participants.
From enrollment until week 8

その他の成果指標

結果測定
メジャーの説明
時間枠
Students' subjective experiences with the use of the VR tool
時間枠:From enrollment until week 8
A short online questionnaire with closed questions with a 5 point Liket scale and open questions will evaluate the subjective experiences and feedback of the students who participated in the study
From enrollment until week 8

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Denise E van Diermen, MD, PhD、Academic Centrer for Dentistry Amsterdam

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (推定)

2026年8月31日

一次修了 (推定)

2026年10月31日

研究の完了 (推定)

2026年10月31日

試験登録日

最初に提出

2026年8月30日

QC基準を満たした最初の提出物

2026年9月3日

最初の投稿 (実際)

2026年9月10日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月10日

QC基準を満たした最後の更新が送信されました

2026年9月3日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

未定

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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