VR Baby, a virtual reality learning environment - does it help medical students to learn about complex topics in obstetrics and gynaecology?

ISRCTN ISRCTN19845486
DOI https://doi.org/10.1186/ISRCTN19845486
Submission date
30/11/2020
Registration date
02/12/2020
Last edited
01/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study is investigating the use of virtual reality and how these techniques may help to enhance learning in medical education. Virtual reality (VR) can be defined as “real-time interactive graphics with 3D models”. Research has shown that virtual reality can help with the learning process. Virtual reality enables the students to discover and explore their own knowledge, learn by doing, develop creativity, aid visual learners, and increase understanding of invisible concepts. This is unique to topics found within the obstetrics and gynaecology curriculum. The main aim of this study is to investigate the effectiveness of a virtual reality learning environment (VRLE) compared with a traditional tutorial learning environment amongst medical students.

Who can participate?
Students studying medicine, undergraduate or graduate entry level medicine programmes at University College Dublin (UCD)

What does the study involve?
Participants are randomly allocated to the intervention or control group. The intervention group will undertake a 15-minute lesson in a virtual reality learning environment (VRLE) that was created on the topic of stages of development in pregnancy. The VRLE is carried out under the government-directed protocol and guidance in relation to COVID-19. Participants are given a short introduction on the use of the VR headset and controls. The participants then use the headset for 15 minutes. The control group will undertake a traditional tutorial, which will take place online due to COVID-19 restrictions. The tutorial will involve a face-to-face teaching session using a PowerPoint presentation in small group settings. The evaluation will consist of a test before and after the intervention, along with a questionnaire on the learning experience and design of the virtual reality learning environment, as the researchers would like to hear about the opinions and attitudes on the use of this technology for learning purposes.

What are the possible benefits and risks of participating?
The benefit of the study is that there is a learning opportunity for the participant to see the stages of development in pregnancy in 3D, complementing the teaching given in modules at UCD. Participants' views and experiences are important to help the researchers develop new and innovative ways to provide medical education. There will be no impact on academic standing whether students choose to participate in the study or not. In terms of risks, there are no known potential risks or harm involved with the study, but a potential risk to participants is cybersickness which can be defined as a range of clinical symptoms related to exposure to virtual reality. This risk is minimised for the students by setting a time limit of a maximum of 15 minutes when they are using the virtual or augmented reality technology. If students have any medical problems such as epilepsy, pre-existing binocular vision disturbances or psychiatric disorders or suffer from a heart condition or other serious medical conditions, they will not be permitted to participate in the study as this is a safety precaution advised by the manufacturers. Before taking part in the study participants will be screened for any medical conditions mentioned above, and if participants have any of the conditions mentioned above they will not be permitted to participate in the study.

Where is the study run from?
UCD Perinatal Research Centre at the National Maternity Hospital (Ireland)

When is the study starting and how long is it expected to run from?
January 2020 to March 2021

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Prof. Fionnuala McAuliffe
fionnuala.mcauliffe@ucd.ie

Contact information

Prof Fionnuala McAuliffe
Scientific

UCD Perinatal Research Centre
Obstetrics and Gynaecology
School of Medicine
University College Dublin
65/66 Lower Mount Street (3rd Floor)
Dublin
D2
Ireland

ORCiD logoORCID ID 0000-0002-3477-6494
Phone +353 (0)1 637 3126
Email fionnuala.mcauliffe@ucd.ie

Study information

Study designSingle-centre randomized control trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific title"VR Baby", a virtual reality learning environment for medical students - does it enhance the understanding and learning of invisible concepts? A randomized control trial
Study objectivesThe educational landscape is becoming an increasingly dynamic environment in the 21st Century. Immersive technology enables the students to discover and explore their own knowledge, learn by doing, develop creativity, aid visual learners, and increase understanding of invisible concepts. It is hypothesized that immersive technology can enrich and enhance the learning experience, especially in relation to invisible concepts, which are unique to the curriculum in obstetrics and gynaecology. With this in mind, the aim is to investigate the use of virtual reality as an educational tool in obstetrics and gynaecology to teach medical students compared with a traditional face-to-face tutorial.
Ethics approval(s)Approved 26/5/2020, Human Research Ethics Committee at University College Dublin (Office of Research Ethics, Roebuck Castle, Belfield, Dublin 4, Ireland; +353 (0)1 716 8767; hrec@ucd.ie), ref: LS-20-09-McAuliffe
Health condition(s) or problem(s) studiedEffect of virtual reality in medical education (obstetrics and gynaecology)
InterventionRecruitment is to take place on Brightspace, an eLearning University platform and through class announcements. Students are invited to take part and asked to provide written informed consent. Participants are then randomly assigned to the intervention or control group. The intervention group will undertake a 15-minute lesson in a virtual reality learning environment (VRLE) that was created on the topic of stages of development in pregnancy. The VRLE is carried out under the government-directed protocol and guidance in relation to COVID-19. Participants are given a short introduction on the use of the VR headset and controls. The participants then use the headset for 15 minutes. The control group will undertake a traditional tutorial, which will take place online due to COVID-19 restrictions. The tutorial will involve a face-to-face teaching session using a PowerPoint presentation in small group settings. Participants knowledge is assessed with a pre-test (MCQ1), and 2 post-test (MCQ2&3) 10-question MCQ. MCQ 1 will be taken immediately prior to the learning experience (control vs intervention), MCQ 2 will be taken immediately after the intervention and MCQ 3 will be taken 1 week later, after the intervention. This is followed by a questionnaire (Likert-style scale) on the learning experience, which will assess attitudes and opinions on the VRLE and a questionnaire (Likert-style scale) on the design of the virtual reality learning environment.
Intervention typeOther
Primary outcome measureKnowledge measured by differences in MCQ scores pre and post test
Secondary outcome measures1. Attitudes and opinions on the learning experience measured by a validated scale, the student satisfaction in learning and self-confidence scale, a 5-point Likert scale completed immediately after the learning experience
2. Attitudes and opinions on the design of the virtual reality learning environment measured by a validated scale, the simulation design scale adapted for the VRLE, a 5-point Likert scale completed immediately after the learning experience
3. Side effect profile to help assess the usability, measured using a questionnaire immediately after the learning experience
Overall study start date27/01/2020
Completion date31/03/2021

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants40
Total final enrolment56
Key inclusion criteriaAll students studying medicine, undergraduate or graduate entry level programmes at University College Dublin
Key exclusion criteria1. Non-English speaker
2. Aged under 18 years
3. Medical conditions: epilepsy, pre-existing binocular vision disturbances, psychiatric disorders, heart conditions, or other serious medical conditions
Date of first enrolment01/07/2020
Date of final enrolment31/10/2020

Locations

Countries of recruitment

  • Ireland

Study participating centre

UCD Perinatal Research Centre
Obstetrics and Gynaecology
School of Medicine
University College Dublin
65/66 Lower Mount Street (3rd Floor)
Dublin
D2
Ireland

Sponsor information

Funders

Funder type

Not defined

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/07/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination plan1. There is no study protocol available
2. Planned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof. Fionnuala McAuliffe (fionnuala.mcauliffe@ucd.ie).

Editorial Notes

01/12/2020: Trial's existence confirmed by Human Research Ethics Committee at University College Dublin.