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This study aimed to determine the feasibility and effectiveness of an augmented reality (AR)-based self-learning platform for novices to set up a ventilator without on-site assistance. This was a prospective randomized controlled pilot study conducted at Samsung Medical Center, Korea from January to February 2022. Nurses with no prior experience of MV or AR were enrolled. We randomized the participants into two groups: manual and AR groups. Participants in the manual group used a printed manual and made a phone call for assistance, whereas participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device (HMD). We compared the overall score of the procedure, required level of assistance, and user's experience between the groups.
Background: Recently, the demand for mechanical ventilation (MV) has increased with the COVID-19 pandemic; however, the conventional approaches to MV training are resource-intensive and require on-site training. Consequently, the need for independent learning platforms with remote assistance in institutions without resources has surged.
Objective:
This study aimed to determine the feasibility and effectiveness of an augmented reality (AR)-based self-learning platform for novices to set up a ventilator without on-site assistance.
Method:
This was a prospective randomized controlled pilot study conducted at Samsung Medical Center, Korea from January to February 2022. Nurses with no prior experience of MV or AR were enrolled. We randomized the participants into two groups: manual and AR groups. Participants in the manual group used a printed manual and made a phone call for assistance, whereas participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device (HMD). We compared the overall score of the procedure, required level of assistance, and user's experience between the groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AR group | Experimental | participants in the AR group were guided by AR-based instructions and requested assistance with the head-mounted device. |
|
| manual group | No Intervention | Participants in the manual group used a printed manual and made a phone call for assistance. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AR guidance with Hololens 2 | Device | The AR instructions were developed as a step-by-step guide with the same text and images as in the printed manual, utilizing the dynamic 365 Guide (Software, Microsoft Corporation, Redmond, WA, USA). The AR instructions were delivered using the Microsoft HoloLens 2. |
| Measure | Description | Time Frame |
|---|---|---|
| the overall score of the procedure | a 100-point scale converted from the original score. The participants scored 1 point for each step if they successfully finished the step within five minutes and obtained a maximum score of 35. | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| the required level of assistance | The number of steps needed assistance to complete the procedure | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Usability | System usability scale | 30 minutes |
Inclusion Criteria:
We enrolled nurses who had no prior experience with ventilator setup or AR systems, regardless of their work department or age.
Exclusion Criteria:
We excluded nurses who had already experienced setting up a ventilator or who had trouble wearing or using a head-mounted device (HMD).
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| Name | Affiliation | Role |
|---|---|---|
| Meong Hi Son, MD | Department of Pediatrics Samsung Medical Center and Sungkyunkwan University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung Medical Centre | Seoul | 06351 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35867382 | Derived | Heo S, Moon S, Kim M, Park M, Cha WC, Son MH. An Augmented Reality-Based Guide for Mechanical Ventilator Setup: Prospective Randomized Pilot Trial. JMIR Serious Games. 2022 Jul 22;10(3):e38433. doi: 10.2196/38433. |
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