A Virtual Reality Curriculum to Enhance Residents’ Behavioral Health Anticipatory Guidance Skills: A Pilot Trial

Real, Francis J.; Whitehead, Monica; Ollberding, Nicholas J.; Rosen, Brittany L.; Meisman, Andrea; Crosby, Lori E.; Klein, Melissa; Herbst, Rachel Becker

doi:10.1016/j.acap.2022.07.011

Cited by 10 publications

(8 citation statements)

References 30 publications

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“…Four studies recognized the utility of VR or AR devices as supplementary tools. However, five studies either did not report the effectiveness of the interventions or did not observe any significant differences between the experimental groups [ 29 , 62 , 67 , 69 , 80 ].…”

Section: Resultsmentioning

confidence: 99%

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Yoo¹,

Son²

2024

Clin Exp Pediatr

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Background: COVID-19 pandemic has significantly impacted the field of medical training, necessitating innovative approaches to education and practice. During this period, the use of novel technologies like virtual reality (VR), augmented reality (AR), and mixed reality (MR) has become increasingly vital. These technologies oﬀer the advantage of transcending the limitations of time and space, thus enabling medical professionals to access various personalized programs for both education and service delivery. This shift is particularly relevant in the realm of pediatric medicine, where traditional training and clinical methods face unique challenges.Purpose: The primary aim of this study is to explore the application of VR, AR, and MR technologies in pediatric medical settings, with a focus on both clinical applications and the training of pediatric medical professionals. We aim to comprehensively search and review studies that have utilized these technologies in the treatment of pediatric patients and the education of healthcare providers in this field.Methods: Peer-reviewed articles published in PubMed, the Cochrane Library, ScienceDirect, Google Scholar, and Scopus from January 1, 2018, to March 1, 2023, were comprehensively searched. The review was conducted according to the PRISMA (Preferred Reporting Items for Systematic review and Meta-Analyses) guidelines. Among the 89 studies, 63 investigated the clinical applications of VR (n=60) or AR (n=3) in pediatric patients, and 25 investigated the applications of VR (n=19), AR (n=5), or MR (n=1) for training medical professionals.Results: A total of 36 randomized controlled trials (RCTs) for clinical application (n=31) and medical training (n=5) were retrieved. Among the RCTs, 21 reported significant improvements in clinical applications (n=17) and medical training (n=4).Conclusion: Despite a few limitations in conducting research on innovative technology, such research has rapidly expanded, indicating that an increasing number of researchers are involved in pediatric research using these technologies.

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Section: Resultsmentioning

confidence: 99%

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Yoo¹,

Son²

2024

Clin Exp Pediatr

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“…This study utilised data from a prior educational trial of a VR-based behavioural health curriculum for paediatric residents delivered at a large, urban primary care centre. 12 The curriculum, Promoting Resil- Residents' skills were assessed using an instrument adapted from the MI treatment integrity (MITI) instrument that has previously been used to facilitate learning and ensure fidelity in research studies. 13 Our adapted instrument demonstrated high reliability when used by paediatric psychologists to assess residents' competencies during VR simulations.…”

Section: Approachmentioning

confidence: 99%

“…This study utilised data from a prior educational trial of a VR‐based behavioural health curriculum for paediatric residents delivered at a large, urban primary care centre 12 . The curriculum, Promoting Resilience and Emotional health through Virtual Education iN Training (PREVENT), was designed to increase both BHAG and MI skills required to engage caregivers in discussions around behavioural management strategies.…”

Section: Approachmentioning

confidence: 99%

“…Our adapted instrument demonstrated high reliability when used by paediatric psychologists to assess residents' competencies during VR simulations 9 . Using this ‘expert’ instrument, a prior trial demonstrated enhanced BHAG and MI skills among residents that completed PREVENT training when compared to an untrained group 12 . Though the expert instrument provided extensive assessment data that was advantageous for research, its broad use by clinicians was limited due to its complexity.…”

Section: Approachmentioning

confidence: 99%

“…9 Using this 'expert' instrument, a prior trial demonstrated enhanced BHAG and MI skills among residents that completed PRE-VENT training when compared to an untrained group. 12 Though the expert instrument provided extensive assessment data that was advantageous for research, its broad use by clinicians was limited due to its complexity. Thus, we sought to modify the expert instrument through the use of the previously recorded VR simulations obtained during the PREVENT trial to increase its practicality for WBAs.…”

Section: Approachmentioning

confidence: 99%

See 2 more Smart Citations

Virtual reality informs clinical observation tool

Real

Ollberding

Sikora

et al. 2023

The Clinical Teacher

Self Cite

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Background Assessing trainees' skills via workplace‐based assessments is challenging given the lack of psychometrically valid instruments. Our team previously developed an observation instrument to assess residents' competencies in behavioral health anticipatory guidance (BHAG) and motivational interviewing (MI) though its reliable usage required expert raters (e.g., paediatric psychologists). Our purpose was to establish validity evidence for a modified tool for clinicians. Approach This study utilised data from a prior educational trial of a virtual reality (VR)‐based behavioural health curriculum for paediatric residents. First, group interviews were conducted with clinicians to modify the expert instrument. Next, recorded VR simulations (n = 10) were scored to assess interrater reliability between clinicians. Finally, a physician used the tool to assess its ability to discriminate between residents' skill levels (n = 55). Evaluation Modifications during group interviews included a change from frequency counts for items related to MI to the binary outcome of present/absent and the addition of an entrustment item. On interrater‐reliability testing, the clinician tool demonstrated mostly substantial or near perfect agreement for items related to BHAG. MI items demonstrated a range of agreement. Using 55 recorded VR simulations, the clinician tool discriminated between trained versus untrained residents in BHAG skills (p = 0.002) and level of entrustment (p = 0.001). Differences between groups in MI adherence was not statistically significant (p = 0.095) as it was on the expert instrument. Implications VR demonstrated potential as a novel approach for obtaining validity evidence for tool development to support workplace‐based assessments. Further work assessing usage of the clinician tool in real‐world settings is warranted.

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