Virtual Humans Playing the Role of Patients in Self-medication Consultations: Perspectives of Undergraduate Pharmacy Students

This paper describes an interactive application conceived to improve non-prescription medicines consultation skills in undergraduate Pharmacy students and a user test carried out with two sets of participants. Resorting to virtual humans that play the role of patients and communicate with the students by speech and by facial and body language, the application stimulates students’ engagement in true to life situations in a controllable environment. Two usage modes are available: the training mode, used autonomously by the student, and the assessment mode which is used by the teacher to evaluate the student’s performance. A BackOffice Web application was also implemented to assist teachers’ work. It supports the collection of data about students’ performance, the creation of new self medication situations and their posterior insertion in the application. The overall opinion of the participants in the user-study was quite positive about the usefulness of the application as a tool to improve students’ non-prescription medicines consultation skills. Moreover, some valuable suggestions were gathered during this testing process.

[1]  P N Kizakevich,et al.  The virtual standardized patient. Simulated patient-practitioner dialog for patient interview training. , 2000, Studies in health technology and informatics.

[2]  A. Cavaco,et al.  European Pharmacy Students' Experience With Virtual Patient Technology , 2012, American Journal of Pharmaceutical Education.

[3]  Uno G. H. Fors,et al.  Interactive simulated patient - an advanced tool for student-activated learning in medicine and healthcare , 2003, Comput. Educ..

[4]  Yuyu Xu,et al.  A Practical and Configurable Lip Sync Method for Games , 2013, MIG.

[5]  K. Orr Integrating virtual patients into a self-care course. , 2007, American journal of pharmaceutical education.

[6]  Pereira D.V,et al.  Exploring computer simulation to assess counseling skills amongst pharmacy undergraduates , 2014 .

[7]  Verónica Orvalho,et al.  A Proposal for a Visual Speech Animation System for European Portuguese , 2012, IberSPEECH.

[8]  Maria Beatriz Carmo,et al.  Virtual humans for training and assessment of self-medication consultation skills in pharmacy students , 2015, 2015 10th International Conference on Computer Science & Education (ICCSE).

[9]  R. Cooper Over-the-counter medicine abuse – a review of the literature , 2011, Journal of substance use.

[10]  J. Hasford,et al.  Self-Medication with Over-the-Counter and Prescribed Drugs Causing Adverse-Drug-Reaction-Related Hospital Admissions: Results of a Prospective, Long-Term Multi-Centre Study , 2014, Drug Safety.

[11]  E. Hundert,et al.  Defining and assessing professional competence. , 2002, JAMA.

[12]  Maria Beatriz Carmo,et al.  Using Expressive and Talkative Virtual Characters in Social Anxiety Disorder Treatment , 2015, GRAPP.

[13]  Jeannot Schmidt,et al.  Frequency and Severity of Adverse Drug Reactions Due to Self-Medication: A Cross-Sectional Multicentre Survey in Emergency Departments , 2013, Drug Safety.

[14]  A. Donabedian,et al.  The quality of care. How can it be assessed? , 1988, JAMA.

[15]  D. Cook,et al.  Computerized Virtual Patients in Health Professions Education: A Systematic Review and Meta-Analysis , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[16]  J. B. Brooke,et al.  SUS: A 'Quick and Dirty' Usability Scale , 1996 .

[17]  Scott A. King,et al.  Creating speech-synchronized animation , 2005, IEEE Transactions on Visualization and Computer Graphics.

[18]  Kim Styles,et al.  A Virtual Practice Environment to Develop Communication Skills in Pharmacy Students , 2012, American Journal of Pharmaceutical Education.

[19]  A. Mesquita,et al.  Virtual Patients in Pharmacy Education , 2012, American Journal of Pharmaceutical Education.

[20]  Ross J. Scalese,et al.  Simulation Technology for Skills Training and Competency Assessment in Medical Education , 2007, Journal of General Internal Medicine.

[21]  A. da Costa Miranda,et al.  Self‐medication in a Portuguese urban population: a prevalence study , 2002, Pharmacoepidemiology and drug safety.

[22]  H M Hoffman,et al.  Teaching and learning with virtual reality. , 2000, Studies in health technology and informatics.