Int J Med Inform - Evaluation of a 3D serious game for advanced life support retraining.

Tópicos

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Resumo

JECTIVE: Advanced life support (ALS) knowledge and skills decrease in as little as three months, but only a few ALS providers actually attend retraining courses. We assess the effectiveness of a 3D serious game as a new tool for frequent ALS retraining.METHODS: We developed a 3D serious game for scenario-based ALS retraining. The serious game, called EMSAVE, was designed to promote self-correction while playing. We organized a retraining course in which 40 ALS providers played two cardiac arrest scenarios with EMSAVE and took a test with 38 multiple-choice questions before and after playing. We administered the same test again 3 months later to evaluate retention. Participants also rated EMSAVE and the overall retraining experience.RESULTS: After using EMSAVE, the number of correct answers per participant increased by 4.8 (95%CI +3.4, +6.2, p<0.001) and all but one participant improved. After 3 months, despite an expected decrease in ALS knowledge and skills (-1.9 correct answers, 95%CI -0.6, -3.3, p<0.01), there was a significant retention benefit (+2.9 correct answers per participant, 95%CI +1.5, +4.2, p<0.001). Moreover, all but one participant regarded EMSAVE as a valuable tool to refresh ALS knowledge and skills, and 85% of participants were also willing to devote 1h/month to retrain with the serious game.CONCLUSIONS: A 3D serious game for scenario-based retraining proved effective to retrain in ALS and supported retention of acquired knowledge and skills at 3 months. EMSAVE also positively engaged and motivated participants.

Resumo Limpo

jectiv advanc life support al knowledg skill decreas littl three month al provid actual attend retrain cours assess effect d serious game new tool frequent al retrainingmethod develop d serious game scenariobas al retrain serious game call emsav design promot selfcorrect play organ retrain cours al provid play two cardiac arrest scenario emsav took test multiplechoic question play administ test month later evalu retent particip also rate emsav overal retrain experienceresult use emsav number correct answer per particip increas ci p one particip improv month despit expect decreas al knowledg skill correct answer ci p signific retent benefit correct answer per particip ci p moreov one particip regard emsav valuabl tool refresh al knowledg skill particip also will devot hmonth retrain serious gameconclus d serious game scenariobas retrain prove effect retrain al support retent acquir knowledg skill month emsav also posit engag motiv particip

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