Author/Editor		Klemenc-Ketiš, Zalika; Poplas-Susič, Tonka; Ružić Gorenjec, Nina; Miroševič, Špela; Zafošnik, Uroš; Selič, Polona; Tevžič, Špela
Title		Effectiveness of the use of augmented reality in teaching the management of anaphylactic shock at the primary care level
Type		članek
Vol. and No.		Letnik 10, št. 1
Publication year		2021
Volume		str. 1-9
ISSN		1929-0748 - JMIR research protocols
Language		eng
Abstract		Background: Augmented reality (AR) has benefits and feasibility in emergency medicine, especially in the clinical care ofpatients, in operating rooms and inpatient facilities, and in the education and training of emergency care providers, but currentresearch on this topic is sparse.Objective: The primary objective is to evaluate the short-term and long-term effectiveness of the use of AR in the treatment ofpatients with anaphylactic shock. The secondary objectives are to evaluate the safety in the treatment of patients with anaphylacticshock, evaluate the short-term and long-term effectiveness of stress management in this process, and determine the experiencesand attitudes towards the use of AR in education.Methods: The study will be conducted in 3 phases. In the first phase, we will develop and test the scenario for simulation ofanaphylactic shock and the evaluation scale for assessing the effect of the intervention. In the second phase, a single-blinded,randomized controlled trial will be conducted. In the third phase, the use of AR in teaching the management of anaphylacticshock using focus groups will be evaluated qualitatively. All participants will participate in a 1-day training program consistingof a lecture on emergency care and anaphylactic shock as well as exercises in manual dexterity (aspiration, airway management,alternative airway management, artificial respiration, chest compressions, safe defibrillation, oxygen application, use of medicationduring emergency care). The test group will also focus on education about anaphylactic shock in AR (the intervention). The mainoutcome will be the evaluation of the participants' performance in coping with a simulated scenario of anaphylactic shock usinga high-fidelity simulator (simulator with high levels of realism) and a standardized patient in an educational and clinical environment.The study will be conducted with primary care physicians.Results: A scenario for the simulation with a high-fidelity simulator and standardized patient has already been developed. Forthe time being, we are developing an evaluation scale and starting to recruit participants. We plan to complete the recruitment ofparticipants by the end of December 2020, start the randomized controlled trial in January 2021, and finish 1 year later. The firstresults are expected to be submitted for publication in 2021.Conclusions: This will be the first study to evaluate the effectiveness of the use of AR in medical teaching. Specifically, it willbe based on a clinical case of anaphylactic shock at the primary care level. With our study, we also want to evaluate the translationof these educational results into clinical practice and assess their long-term impact.Background: Augmented reality (AR) has benefits and feasibility in emergency medicine, especially in the clinical care ofpatients, in operating rooms and inpatient facilities, and in the education and training of emergency care providers, but currentresearch on this topic is sparse.Objective: The primary objective is to evaluate the short-term and long-term effectiveness of the use of AR in the treatment ofpatients with anaphylactic shock. The secondary objectives are to evaluate the safety in the treatment of patients with anaphylacticshock, evaluate the short-term and long-term effectiveness of stress management in this process, and determine the experiencesand attitudes towards the use of AR in education.Methods: The study will be conducted in 3 phases. In the first phase, we will develop and test the scenario for simulation ofanaphylactic shock and the evaluation scale for assessing the effect of the intervention. In the second phase, a single-blinded,randomized controlled trial will be conducted. In the third phase, the use of AR in teaching the management of anaphylacticshock using focus groups will be evaluated qualitatively. All participants will participate in a 1-day training program consistingof a lecture on emergency care and anaphylactic shock as well as exercises in manual dexterity (aspiration, airway management,alternative airway management, artificial respiration, chest compressions, safe defibrillation, oxygen application, use of medicationduring emergency care). The test group will also focus on education about anaphylactic shock in AR (the intervention). The mainoutcome will be the evaluation of the participants' performance in coping with a simulated scenario of anaphylactic shock usinga high-fidelity simulator (simulator with high levels of realism) and a standardized patient in an educational and clinical environment.The study will be conducted with primary care physicians.Results: A scenario for the simulation with a high-fidelity simulator and standardized patient has already been developed. Forthe time being, we are developing an evaluation scale and starting to recruit participants. We plan to complete the recruitment ofparticipants by the end of December 2020, start the randomized controlled trial in January 2021, and finish 1 year later. The firstresults are expected to be submitted for publication in 2021.Conclusions: This will be the first study to evaluate the effectiveness of the use of AR in medical teaching. Specifically, it willbe based on a clinical case of anaphylactic shock at the primary care level. With our study, we also want to evaluate the translationof these educational results into clinical practice and assess their long-term impact.
Keywords		urgentna medicina primarno zdravstveno varstvo izobraževanje emergency medicine primary health care education