About this trial
This medical education study investigates stress levels among undergraduate medical students during basic life support (BLS) training. It compares traditional face-to-face teaching session with virtual reality (VR) training simulating a resuscitation scenario in a public place. We will measure heart rate, heart rate variability, and self-reported stress to assess acute stress responses. The study also examines physical sensations related to VR, the realism of the virtual environment, and the suitability of VR for BLS training.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Volunteers (18-30 years old) will be recruited from first- and second-year medical students
Participants must be healthy young individuals with no known heart disease, normal physical performance capacity, and no current physical limitations that would affect the ability to perform chest compressions.
Disqualifiers
Pregnant individuals will not be included
Individuals with previous healthcare experience will not be included.
Participants must not have received basic life support training within the past six months.
Trial design
Parallel
Treatments tested in this trial
Medical education, basic life support training
Other interventionOne basic life support training session / participant. Duration of educational session aprox. 30min.
Treatment groups
Trial outcomes
Primary outcomes
Stress and Workload Compared Between Two Basic Life Support Training Environments
To determine whether basic life support training in a virtual environment causes more stress and workload than conventional training. Stress will be measured using heart rate variability (HRV), and perceived mental workload will be assessed with validated questionnaires (STAI, NASA-TLX).
Stress (State-Trait Anxiety Inventory, STAI) questionary
Description: Stress levels assessed using the State-Trait Anxiety Inventory (STAI). Range: 20-80. Interpretation: Higher scores indicate greater situational anxiety/stress.
Physiological Stress (Heart Rate Variability, HRV)
Physiological Stress (Heart Rate Variability, HRV). Continuous three-lead ECG recording using skin-surface electrodes with the Bittium Faros 180 device. Parameters: Standard HRV indices (time-domain: SDNN, RMSSD; frequency domain: LF, HF, LF/HF ratio). Interpretation: Lower HRV (e.g. higher LF/HF ratio) indicates greater physiological stress.
Perceived Workload (NASA Task Load Index)
Questionnaire assessing workload across six dimensions (mental, physical, temporal demand, performance, effort, frustration). Range: 0-100. Interpretation: Higher scores indicate greater perceived workload.
Secondary outcomes
Evaluation of physical symptoms caused by virtual environment - Simulation Sickness (Simulation Sickness Questionnaire, SSQ)
The SSQ is a validated tool to assess simulator-related adverse effects (e.g., nausea, oculomotor strain, disorientation). Scoring: Items rated and combined into subscales (Nausea, Oculomotor, Disorientation) and a total score. Range: Scores scaled; higher scores indicate greater severity of simulation sickness. Interpretation: Higher total and subscale scores indicate stronger symptoms of simulator sickness.
Suitability of virtual environment for Basic life support training - System Usability (System Usability Scale, SUS)
To explore the suitability of a virtual learning environment for resuscitation training. 10-item questionnaire on usability, scored on a 5-point Likert scale and converted to a 0-100 scale. Range: 0-100. Interpretation: Higher scores indicate better usability
Simulation Design Quality (Simulation Design Scale, SDS)
20-item questionnaire evaluating simulation design (objectives, support, problem-solving, feedback, fidelity), rated 1-5. Range: 20-100 total. Interpretation: Higher scores indicate stronger agreement that the simulation was well designed.
Sense of Presence (Slater-Usoh-Steed Questionnaire)
Questionnaire measuring the feeling of "being there" in a virtual reality environment. Range: 1-7 per item; mean score calculated. Interpretation: Higher scores indicate a stronger sense of presence in VR.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.