Simulating Geriatric Home Safety Assessments in a Three-Dimensional Virtual World

Virtual worlds could offer inexpensive and safe three-dimensionalenvironments in which medical trainees can learn to identify home safety hazards. Our aim was to evaluate the feasibility, usability, and acceptability of virtual worlds for geriatric home safety assessments and to correlate performance efficiency in hazard identification with spatial ability, self-efficacy, cognitive load, and presence. In this study, 30 medical trainees found the home safety simulation easy to use, and their self-efficacy was improved. Men performed better than women in hazard identification. Presence and spatial ability were correlated significantly with performance. Educators should consider spatial ability and gender differences when implementing virtual world training for geriatric home safety assessments.

[1]  Chris Dede,et al.  The Evolution of Constructivist Learning Environments : Immersion in Distributed , Virtual Worlds , 1995 .

[2]  David Burden,et al.  Web GIS in practice V: 3-D interactive and real-time mapping in Second Life , 2007, International journal of health geographics.

[3]  Inocencio Maramba,et al.  Pitfalls in 3-D Virtual Worlds Health Project Evaluations: The Trap of Drug-trial-style Media Comparative Studies , 2009 .

[4]  E. Coluccia,et al.  Gender differences in spatial orientation: A review , 2004 .

[5]  R Darin Ellis,et al.  NASA TLX: Software for assessing subjective mental workload , 2009, Behavior research methods.

[6]  J. Sweller COGNITIVE LOAD THEORY, LEARNING DIFFICULTY, AND INSTRUCTIONAL DESIGN , 1994 .

[7]  Sandra G. Hart,et al.  Nasa-Task Load Index (NASA-TLX); 20 Years Later , 2006 .

[8]  Sven C. Mueller,et al.  Gender differences in spatial navigation in virtual space: implications when using virtual environments in instruction and assessment , 2006, Virtual Reality.

[9]  N. Newcombe,et al.  How Important Is the Digital Divide? The Relation of Computer and Videogame Usage to Gender Differences in Mental Rotation Ability , 2005 .

[10]  T. Masud,et al.  Epidemiology of falls. , 2001, Age and ageing.

[11]  R. Mayer,et al.  Learning Science in Virtual Reality Multimedia Environments: Role of Methods and Media , 2002 .

[12]  Phillip M. Harter,et al.  Simulation for Team Training and Assessment: Case Studies of Online Training with Virtual Worlds , 2008, World Journal of Surgery.

[13]  Florence Myrick,et al.  A critical examination of high-fidelity human patient simulation within the context of nursing pedagogy. , 2009, Nurse education today.

[14]  A. Bandura,et al.  Impact of conceptions of ability on self-regulatory mechanisms and complex decision making. , 1989, Journal of personality and social psychology.

[15]  John Sweller,et al.  Cognitive Load Theory , 2020, Encyclopedia of Education and Information Technologies.

[16]  P. Chandler,et al.  Cognitive Load Theory and the Format of Instruction , 1991 .

[17]  Edwin A. Locke,et al.  Effect of self-efficacy, goals, and task strategies on task performance. , 1984 .

[18]  Phillip L. Ackerman,et al.  Cognitive and Noncognitive Determinants and Consequences of Complex Skill Acquisition , 2004 .

[19]  Sabri Serkan Gulluoglu,et al.  The future Of technology based education on different branches of science: A conceptual basis for educational applications of virtual reality , 2010 .

[20]  Gianluca Castelnuovo,et al.  The Sense of Presence in Virtual Training: Enhancing Skills Acquisition and Transfer of Knowledge through Learning Experience in Virtual Environments , 2003 .

[21]  Rod McCall,et al.  Measuring presence in virtual environments , 2004, CHI EA '04.

[22]  Melissa Markaridian Selverian,et al.  In Search of Presence: A Systematic Evaluation of Evolving VLEs , 2003, Presence: Teleoperators & Virtual Environments.

[23]  Rosemary Oliver,et al.  Development of the Safety Assessment of Function and the Environment for Rehabilitation (SAFER) Tool , 1993, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[24]  Lydia Tapia,et al.  Design and Implementation of a Virtual Reality System and Its Application to Training Medical First Responders , 2000, Presence: Teleoperators & Virtual Environments.

[25]  Susana Rubio,et al.  Evaluation of Subjective Mental Workload: A Comparison of SWAT, NASA‐TLX, and Workload Profile Methods , 2004 .

[26]  E. C. Ritchie,et al.  Gender Differences , 1981, Language in Society.

[27]  G Salvendy,et al.  Information visualization; assisting low spatial individuals with information access tasks through the use of visual mediators. , 1995, Ergonomics.

[28]  Michael Tlauka,et al.  Gender differences in spatial knowledge acquired through simulated exploration of a virtual shopping centre , 2005 .

[29]  Aymeric Guillot,et al.  Relationship Between Spatial Abilities, Mental Rotation and Functional Anatomy Learning , 2007, Advances in health sciences education : theory and practice.

[30]  Stephanie Stewart,et al.  Implementing the Virtual Reality Learning Environment: Second Life , 2009, Nurse educator.

[31]  Woodrow Barfield,et al.  Presence and performance within virtual environments , 1995 .

[32]  D. Feltz,et al.  Current directions in self-efficacy research in sport , 2011 .

[33]  W. L. Heinrichs,et al.  Design, Development, and Evaluation of an Online Virtual Emergency Department for Training Trauma Teams , 2008, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[34]  Mark W. Bell Toward a Definition of “Virtual Worlds” , 1970 .

[35]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[36]  Maiko Sakamoto,et al.  Sex Differences in Spatial Object-Location Memory in a Virtual Grocery Store , 2008, Cyberpsychology Behav. Soc. Netw..

[37]  E. A. Attree,et al.  Training in virtual environments: transfer to real world tasks and equivalence to real task training , 2000, Ergonomics.

[38]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[39]  Ian Spence,et al.  Women match men when learning a spatial skill. , 2009, Journal of experimental psychology. Learning, memory, and cognition.

[40]  Michael J. Singer,et al.  Measuring Presence in Virtual Environments: A Presence Questionnaire , 1998, Presence.

[41]  K. Ball How old are you? , 1997, Today's surgical nurse.

[42]  John E. Mathieu,et al.  Role of causal attributions in dynamic self-regulation and goal processes. , 1994 .

[43]  Kevin W Eva,et al.  Self-Assessment in the Health Professions: A Reformulation and Research Agenda , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[44]  D Waller,et al.  Individual differences in spatial learning from computer-simulated environments. , 2000, Journal of experimental psychology. Applied.

[45]  S. Haugland,et al.  Falls in the elderly , 1992, The Lancet.

[46]  Promoting safer home environments for persons with Alzheimer's disease. The Home Safety/Injury Model. , 2004, Journal of gerontological nursing.

[47]  J G Buckwalter,et al.  Preliminary findings on a virtual environment targeting human mental rotation / spatial abilities , 2002 .

[48]  R. Shepard,et al.  Mental Rotation of Three-Dimensional Objects , 1971, Science.

[49]  Alexander D. Stajkovic,et al.  Self-efficacy and work-related performance: A meta-analysis. , 1998 .

[50]  H. Menz,et al.  Home environment risk factors for falls in older people and the efficacy of home modifications. , 2006, Age and ageing.

[51]  Johan Creutzfeldt,et al.  Effects of Repeated CPR Training in Virtual Worlds on Medical Students' Performance , 2008, MMVR.

[52]  G. Riva,et al.  Being There: Concepts, Effects and Measurements of User Presence in Synthetic Environments , 2003 .

[53]  Mark D. Wiederhold Being There: Concepts, Effects and Measurements of User Presence in Synthetic Environments, edited by Giuseppe Riva, Fabrizio Davide, and Wijnand Ijsselsteijn , 2003, Cyberpsychology Behav. Soc. Netw..

[54]  Cagatay Basdogan,et al.  An experimental study on the role of touch in shared virtual environments , 2000, TCHI.

[55]  N. Peel,et al.  Home safety assessment in the prevention of falls among older people , 2000, Australian and New Zealand journal of public health.

[56]  Valerie K. Sims,et al.  Augmenting virtual environments: the influence of spatial ability on learning from integrated displays , 2003 .

[57]  Mel Slater,et al.  Place illusion and plausibility can lead to realistic behaviour in immersive virtual environments , 2009, Philosophical Transactions of the Royal Society B: Biological Sciences.

[58]  Susan Toth-Cohen,et al.  Development and Evaluation of Health and Wellness Exhibits at the Jefferson Occupational Therapy Education Center in Second Life , 2009 .

[59]  William Winn,et al.  Learning in Artificial Environments: Embodiment, Embeddedness and Dynamic Adaptation , 2003 .

[60]  Tassos A. Mikropoulos,et al.  Presence: a unique characteristic in educational virtual environments , 2006, Virtual Reality.

[61]  J. Alpert,et al.  Virtual Reality, Telemedicine, Web and Data Processing Innovations in Medical and Psychiatric Education and Clinical Care , 2006, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[62]  R. Leipzig,et al.  Keeping granny safe on July 1: a consensus on minimum geriatrics competencies for graduating medical students. , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[63]  M. Peters,et al.  A Redrawn Vandenberg and Kuse Mental Rotations Test - Different Versions and Factors That Affect Performance , 1995, Brain and Cognition.

[64]  J. Galen Buckwalter,et al.  Sex differences in mental rotation and spatial rotation in a virtual environment , 2004, Neuropsychologia.

[65]  N. Dahlbäck,et al.  Exploring Navigation: Towards a Framework for Design and Evaluation of Navigation in Electronic Spaces , 1998 .

[66]  Eric D. Heggestad,et al.  The predictive validity of self-efficacy in training performance: little more than past performance. , 2005, Journal of experimental psychology. Applied.

[67]  Chwen Jen Chen,et al.  Are Spatial Visualization Abilities Relevant to Virtual Reality , 2006 .

[68]  Earl Hunt,et al.  The Transfer of Spatial Knowledge in Virtual Environment Training , 1998, Presence.

[69]  G. Riva,et al.  Sense of Presence in Virtual Training : Enhancing Skills Acquisition and Transfer of Knowledge through Learning Experience in Virtual Environments , 2002 .

[70]  Giuseppe Riva,et al.  Being there : the experience of presence in mediated environments , 2003 .

[71]  Brent A. Scott,et al.  Self-efficacy and work-related performance: the integral role of individual differences. , 2007, The Journal of applied psychology.