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

• Sponsor: National University of Singapore (Other)
• Overall Status: Completed
• CT.gov ID: NCT05953441
• Collaborator: Ministry of Education, Singapore (Other)
• Enrollment: 65
• Location: 1
• Arms: 2
• Actual Duration (Months): 3.2
• Patients Per Site Per Month: 20.4

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Sepsis	Other: AI-powered doctor; Other: Human-controlled doctor avatar	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 65 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: Prospective 2-arm randomized controlled trial with a pretest-posttest study designProspective 2-arm randomized controlled trial with a pretest-posttest study design
• Masking: Single (Outcomes Assessor)
• Masking Description: The simulation-based assessment videos were sent for rating by 2 assessors, who were blinded to the groupings.
• Primary Purpose: Other
• Official Title: Artificial Intelligence Versus Human-controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Trial
• Actual Study Start Date: Aug 8, 2022
• Actual Primary Completion Date: Oct 26, 2022
• Actual Study Completion Date: Nov 13, 2022

Arms and Interventions

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.

Outcome Measures

Primary Outcome Measures

1. Change from Baseline in Sepsis Knowledge on the 18-item sepsis knowledge test immediately after interventions. [Baseline and immediately after 2-hour VRS]

   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.

Secondary Outcome Measures

1. Change from Baseline in Team Communication Knowledge on the 8-item communication knowledge test immediately after interventions. [Baseline and immediately after 2-hour VRS]

   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.

2. 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. [Baseline and immediately after 2-hour VRS]

   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.

3. Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. [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.

4. Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. [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.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 20 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

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.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Alice Lee Centre for Nursing Studies	Singapore		Singapore	117597

Sponsors and Collaborators

• National University of Singapore
• Ministry of Education, Singapore

Investigators

• Principal Investigator: Sok Ying Liaw, National University of Singapore

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Liaw Sok Ying, Assoc Professor, National University of Singapore
• ClinicalTrials.gov Identifier: NCT05953441
• Other Study ID Numbers: NUS-IRB-2022-202
• First Posted: Jul 20, 2023
• Last Update Posted: Jul 20, 2023
• Last Verified: Jul 1, 2023

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Liaw Sok Ying, Assoc Professor, National University of Singapore: artificial intelligence; team training; virtual reality simulation; health care education
• Additional relevant MeSH terms: Sepsis; Toxemia

Study Results

No Results Posted as of Jul 20, 2023