{"id":25559,"date":"2024-04-13T04:34:00","date_gmt":"2024-04-12T20:34:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=25559"},"modified":"2024-04-13T06:04:27","modified_gmt":"2024-04-12T22:04:27","slug":"jama-netw-open%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e4%b8%aa%e4%ba%ba%e9%98%b2%e6%8a%a4%e8%ae%be%e5%a4%87%e6%8a%80%e5%b7%a7%e6%95%99%e5%ad%a6%e7%9a%84%e8%99%9a%e6%8b%9f%e7%8e%b0%e5%ae%9e","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=25559","title":{"rendered":"[JAMA Netw Open\u53d1\u8868\u8bba\u6587]\uff1a\u4e2a\u4eba\u9632\u62a4\u8bbe\u5907\u6280\u5de7\u6559\u5b66\u7684\u865a\u62df\u73b0\u5b9e\u57f9\u8bad\u6548\u679c"},"content":{"rendered":"\n<p>Original Investigation&nbsp;<\/p>\n\n\n\n<p>Medical Education<\/p>\n\n\n\n<p>February&nbsp;14,&nbsp;2024<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Effectiveness of Virtual Reality Training in Teaching Personal Protective Equipment Skills: A Randomized Clinical Trial<\/h1>\n\n\n\n<h3 class=\"wp-block-heading\">Keisuke\u00a0Tsukada,\u00a0Youichi\u00a0Yasui,\u00a0Satoshi\u00a0Miyata,\u00a0et al<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><em>JAMA Netw Open.\u00a0<\/em>2024;7(2):e2355358. doi:10.1001\/jamanetworkopen.2023.55358<\/h3>\n\n\n\n<p>Key Points<\/p>\n\n\n\n<p><strong>Question<\/strong>&nbsp;&nbsp;Is virtual reality (VR) training effective in teaching donning and doffing of personal protective equipment (PPE) to prospective health care practitioners?<\/p>\n\n\n\n<p><strong>Findings<\/strong>&nbsp;&nbsp;In this randomized noninferiority clinical trial of 91 students, VR and face-to-face training significantly outperformed and were superior to video training. Participants in the video group demonstrated significantly less accuracy in glove removal, hand hygiene, gown removal, and gown roll up.<\/p>\n\n\n\n<p><strong>Meaning<\/strong>&nbsp;&nbsp;Findings of this study suggest that VR is a viable resource-conserving alternative approach to conventional training for PPE donning and doffing techniques.<a><\/a><\/p>\n\n\n\n<p>Abstract<\/p>\n\n\n\n<p><strong>Importance<\/strong>&nbsp;&nbsp;Training on the proper use of personal protective equipment (PPE) is critical for infection prevention among health care workers. Traditional methods, such as face-to-face and video-based training, can strain resources and present challenges.<\/p>\n\n\n\n<p><strong>Objective<\/strong>&nbsp;&nbsp;To determine the effectiveness of 360\u00b0 virtual reality (VR) training for PPE donning and doffing compared with face-to-face and video training in enhancing the PPE use skills of prospective health care practitioners.<\/p>\n\n\n\n<p><strong>Design, Setting, and Participants<\/strong>&nbsp;&nbsp;A blinded, prospective, and randomized noninferiority clinical trial was conducted from August to December 2021 at Teikyo University School of Medicine in Tokyo, Japan, with a mixed population of medical students. Participants were second- to fourth-year medicine, medical technology, or pharmacy students aged 20 years or older with no prior PPE training. Participants were randomized into 1 of 3 training groups (VR, face-to-face, or video) based on their enrollment order. An intention-to-treat analysis was conducted.<\/p>\n\n\n\n<p><strong>Intervention<\/strong>&nbsp;&nbsp;A 30-minute lecture on PPE procedures was delivered to all participants before the training. After the lecture, the VR group trained with an immersive 360\u00b0 VR tool, the face-to-face group trained with actual PPE, and the video group trained by watching video footage on a computer and a projector. After 3 days, a standardized practical skills test was administered.<\/p>\n\n\n\n<p><strong>Main Outcomes and Measures<\/strong>&nbsp;&nbsp;The primary outcome was the mean score on a 20-point practical skills test, and the secondary outcome was the percentage of correct execution.<\/p>\n\n\n\n<p><strong>Results<\/strong>\u00a0\u00a0A total of 91 participants were recruited and randomized into 3 groups: VR (n\u2009=\u200930), face-to-face (n\u2009=\u200930), and video (n\u2009=\u200931) training. After excluding 1 participant due to illness, 90 participants (mean [SD] age, 24.2 [3.15] years; 54 males [60.0%]) completed the assessment. The mean (SD) scores were 17.70 (2.10) points for the VR group, 17.57 (2.45) points for the face-to-face group, and 15.87 (2.90) points for the video group. The VR group demonstrated no significant difference in performance from the face-to-face group. However, the VR group had significantly higher effectiveness than the video group (17.70 vs 15.87 points;\u00a0<em>P<\/em>\u2009=\u2009.02).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625va_1707335339.80897.png?Expires=1711144212&amp;Signature=v8jx2RdOtSEhZ7h-QH2GH9EJX2Sj92qPdvmJWANnBVlRj-DqzqEqUEoSNjVS~dwXrgt9jo9ts9xEpsWx49i-UwC-Yd9W8v9hfV23Jacgb6iYIbhma1Rcg3lphHYbO8mlIldHg5qF-68zX5MtZkyRIFsBvCRCnYJcnAKo6-B8CJYsfwSk~mmYa5dKt0EdgHXpCG30Wq-YfxbnNBEAWOPPxubKUvKeigr-n5W8eQRFOSEdnEiai2rd5XW5S9rcHTVVNyYkD~jfqJatzBKkvybE7dxITzRR~38Cjhmh3yh0fV9zW6yTOD3ZSozDFS6her2Lw0VPIn7o6iDMmpYC5NRChw__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625f1_1707335339.86021.png?Expires=1711144212&amp;Signature=w6cvtoxqIVkEvZeoe4Z8LpJzRUl7X7KxB2XzD0iTpGQVH6geipOmj6ZVroUvDwVa94zVTSvsuoS4-fiZ2KmZZZFF8dG1VVthnFc6~YwBWyUj~GfzJQPb6kKGwF~r-giS97eMFZ9WCEAhxmEDvp1YMGMI6enmwHMFf4GorF23a9MUDhP7YGcgXIBxcRNMDqKJ6PiZs6rI4njwHtJcmL~seKF8tyEe3XCoCBLTSBR1AXuXiIPubXDLTeWWlla-HvdydpyN8bdZR2zmifDUZ4exNX2Avtce1Ovv9tTdqU~ToN02bE3SbXB75WoNEd7POew2HX3Qw74fGnfA8VLopmm8FA__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625f2_1707335339.96521.png?Expires=1711144212&amp;Signature=0P5AqgvVXT~UY8il~oP9qY9wgbFtm2CN3AIyxPbASTkQRlJjQXdc~IftpXT~8FqJb5zBOETkZwoXg3FLnIkG1fOaOFqOCq3XQBfyHWkKqShYaapGgMuuo5EZqap~jLDEYHQRtlehEciFdQ4mVlNwW9~ud64gKWMK1GEWgIr-WH4UzlGfZPNlshgeplu0PSZn9vWS~lwrZs5YYh6~m927OltHIybnXyYoIeZGsMuXO0smdZgGNn5lBXiaYpOL92TISnF5NTu4l9bJefEIJtmjEj9RSUoviUUFaV8OY4gbaJpL3NQnYOB-IxBoJgvUAQNI3PjCVOCWe6~8g6bTCxgXJg__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625t1_1707335339.90521.png?Expires=1711144212&amp;Signature=2rWlAhoBxdrG82XhzikuhuMBrVHsVIhjH9j8xtAjFs-IBJ~yf8ggdAlOw15w-e10EQuRx7pwmY24GY2K-47GCUjBO~AtTmBUpn971i~Dj3-XybHkoi6mywGI3uBMR6J8G8ZHhKorzkb6avhIrOQLZsY49xcNJd3Dx6dUqiFyJYCHd--J57~uBRRH-IaGaON3SJZaIckOXFNK8FOrRKnV5gI0cPbr5yNLiQ7gsj~OnI-cHaQ-idVh4h8HB8LXKTrOF--qzRKjnMRviqDAoVx8zjFy4wEPvVcDOPuhoPRPdC35M-MgUYs8gSktTEWJ0EIaRbzaO6tQuy1Au~F8spMCCw__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625t2_1707335339.94521.png?Expires=1711144212&amp;Signature=zhVtVNDv4ilB3XDvfNdoJTtvQUSf6htAQKjcmgJcYC5CyFLU1H6Owob2sOfsTCKbA-7rg0Hz8b5Ct5fDZxNzWHgIMaVk8r5A-kooQpZNkGycD~LiyyH4hSf7JVPRoFvhe~quSrE0PxLGxuewlkVr5Aa9HF4VlTQjOBfO1gBxVjTwkj3eNhqX~OHLSqimGNdAMN2ZJ4KduEpQwrXnwHU5pu6YY2MQVg1m3FEOqcfqRDHDq4ZN5fpySkXqgZSuyn8NN0snngXKOMAJsT9UerKCXQ303ccnhBaMNnYGMkiyllW4W16pJr1ik3FMFw~a9UHAZbk-0kL8DlIjMJb3DOsSMw__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jamanetworkopen\/939309\/zoi231625t3_1707335339.98627.png?Expires=1711144212&amp;Signature=IauS3p8RUPGnOssdirQ0Iqulj1zz4QqtqkPfbckCsJMPMJ3HCFo2P~Z5JjP4YGmlaRJkRx6f484z~V988iAaHFduXqz4sivaSGBCx8WCD0D~blxjwUS8xrY7KNLP3Yxm2ydkTvEb1OgvJdCIV4xAoKXk1GCMJVm8Ewu9YYh7qzL0FHo3yXizpx~47sZtZ1ynYBQUM7LTcFf2sfLHhPqYh~DJa8iqbgMzCG-I4QXAakVzJHbIolulo52r1pd6wzejgAcwhfbGtS9Ml5JE4X0GTx13Aye63W~3RVR58N8Vcvf6pQcoVNsjDiNl0mQbq9zqBuBhZ92iFZtpjJYVNJN9RA__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<p><strong>Conclusions and Relevance<\/strong>&nbsp;&nbsp;Results of this trial indicate that VR training was as effective as face-to-face training in enhancing PPE donning and doffing skills and was superior to video training. The findings suggest that VR training is a viable resource-conserving training option.<\/p>\n\n\n\n<p><strong>Trial Registration<\/strong>&nbsp;&nbsp;Japan Registry of Clinical Trials Identifier:&nbsp;<a href=\"https:\/\/rctportal.niph.go.jp\/en\/detail?trial_id=jRCT1030210298\">jRCT103021029<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Original Investigation&nbsp; Medical Education February [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25559"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25559"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25559\/revisions"}],"predecessor-version":[{"id":25560,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25559\/revisions\/25560"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}