“…Practicing protective voice adaptations in noise, including during teaching simulations in the virtual classroom, may have improved the participants' belief in their ability to apply these behaviors in real teaching situations. These results are consistent with previous studies in which VR simulations improved self-efficacy, as illustrated by Zheng et al (2021) in their scoping literature review, and by experimental studies on the training of allied health students (e.g., Atuel & Kintzle, 2021) and professionals (Chiang et al, 2022).…”