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Trial registered on ANZCTR
Registration number
ACTRN12624000297527
Ethics application status
Approved
Date submitted
30/09/2023
Date registered
21/03/2024
Date last updated
21/03/2024
Date data sharing statement initially provided
21/03/2024
Date results provided
21/03/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Preliminary research of empathy education in medical students through virtual scenario experience
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Scientific title
A randomized case-control study of empathy education in fifth-year and sixth-year medical students through different versions of virtual scenario experiences
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Secondary ID [1]
311228
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stress
331644
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empathy
331645
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Condition category
Condition code
Public Health
328365
328365
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The virtual reality (VR) in the interventional group depicts a character as a depressed medical student and comprises three scenes. In the school setting, she wakes up from a nap, struggles to concentrate and take notes in her pharmacology course, and learns about her unsatisfactory test score during a post-class discussion. Feeling uneasy about the conversation, she avoids it, leading to inquiries from concerned classmates. This discomfort prompts her to ruminate on negative memories. The hospital scene portrays her helplessness as a doctor hurriedly asks questions. At home, she isolates herself, loses interest in playing the guitar, resorts to her cellphone for solace, and encounters distressing social news. Amid parental criticism, she hesitates to join friends for a reunion, ultimately contemplating a tragic decision and swallowing all her drugs. The VR utilizes an HTC VIVE Cosmos, developed with Unity 2019 software and connected to the VIVE device via Steam VR 2.6.1. The video's duration is 16:20 minutes, administered in a single session at the Chang Gung Memorial Hospital seminar room, supervised by investigators. A comparison with the control treatment reveals distinct elements in the intervention group, such as blurred faces, dim lighting, repeated internal monologue, and unattainable tasks designed to simulate characteristics of depression like inattention, a monotonous and boring life feeling, ruminating thoughts, and fatigue.
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Intervention code [1]
327112
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Behaviour
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Comparator / control treatment
The virtual reality (VR) experience in the control group depicts a character in the role of a general medical student, unfolding across three distinct scenes. In the school environment, she attends a pharmacology course, participates in post-class discussions about test scores with classmates, and undergoes an introduction to examinations in medical college. The hospital scene introduces the concept of an internship. At home, her activities include playing the guitar, perusing social media on her cellphone, engaging in conversations with friends, and collaborating with classmates through a study group. The modality use and the location were as same as the intervention group. The video has a duration of 15:18 minutes, administered in a single session. A comparison between this group and the interventional treatment has previously been detailed in the description of intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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empathy
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Assessment method [1]
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Chinese version of the Jefferson Scale of Empathy for Health Professional Students (JSE-HPS)
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Timepoint [1]
336209
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pre test: online questionnaire one week before the day of the experiment.
post test: the same day after VR experience, 1 hour after video was shown
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Primary outcome [2]
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attitude toward depression
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Assessment method [2]
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Implicit Association Test (IAT)
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Timepoint [2]
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pre test: the same day after VR experience, 1 hour before video was shown
post test: the same day after VR experience, 1 hour after video was shown
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Secondary outcome [1]
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emotional response towards VR experience
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Assessment method [1]
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Self-Assessment Manikin (SAM)
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Timepoint [1]
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the same day after VR experience, 1 hour after video was shown
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Secondary outcome [2]
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sense of embodiment in VR experience
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Assessment method [2]
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Body ownership and agency (BOA), inclusion of others in the self (IOS), both measures will be assessed as a composite secondary outcome, the outcome will be presented together as the sense of embodiment.
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Timepoint [2]
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the same day after VR experience, 1 hour after video was shown
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Secondary outcome [3]
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the sense of immersion in VR
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Assessment method [3]
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The presence questionnaire 3.0
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Timepoint [3]
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the same day after VR experience, 1 hour after video was shown
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Secondary outcome [4]
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physical discomfort during the VR experience
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Assessment method [4]
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virtual reality sickness questionnaire (VRSQ)
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Timepoint [4]
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the same day after VR experience, 1 hour after video was shown
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Eligibility
Key inclusion criteria
fifth-year and sixth-year medical students of any gender from Chang Gung University
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
medical students who had previously trained in the psychiatry department.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
26/01/2021
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Date of last participant enrolment
Anticipated
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Actual
25/06/2021
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Date of last data collection
Anticipated
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Actual
15/04/2022
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Sample size
Target
80
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Accrual to date
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Final
59
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Recruitment outside Australia
Country [1]
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Taiwan, Province Of China
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State/province [1]
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Taoyuan
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Chang Gung Memorial Hospital Research Grants
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Address [1]
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Linkou Chang Gung Memorial Hospital, No. 5, Fuxing St, Guishan District, Taoyuan City, Taiwan 333
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Country [1]
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Taiwan, Province Of China
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Primary sponsor type
Hospital
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Name
Chang Gung Memorial Hospital
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Address
Linkou Chang Gung Memorial Hospital, No. 5, Fuxing St, Guishan District, Taoyuan City, Taiwan 333
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
316933
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Country [1]
316933
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Review Board of Chang Gung Memorial Hospital (202001315B0D001)
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Ethics committee address [1]
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Research Building, No. 15, Wenhua 1st Rd., Guishan Dist., Taoyuan City 333011, Taiwan
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Ethics committee country [1]
313919
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
313919
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Approval date [1]
313919
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01/01/2021
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Ethics approval number [1]
313919
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202001315B0D001
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Summary
Brief summary
This study integrated medical education experience and VR technology to simulate a day in the life of a depressed medical student in order to explore the efficacy of an immersive VR experience in enhancing the empathy of medical students and then evaluate the user experience of this VR system in different aspects. We hypothesized that VR would increase the attitude and empathy among the two controlled groups.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Huang-Li Lin
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Address
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Department of psychiatry, Rehabilitation building of Linkou Chang Gung Memorial Hospital, 3F, No. 5, Fuxing St, Guishan District, Taoyuan City, Taiwan 333
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Country
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Taiwan, Province Of China
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Phone
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+886 002 0975366304
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Fax
129790
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Email
129790
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[email protected]
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Contact person for public queries
Name
129791
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Huang-Li Lin
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Address
129791
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Department of psychiatry, Rehabilitation building of Linkou Chang Gung Memorial Hospital, 3F, No. 5, Fuxing St, Guishan District, Taoyuan City, Taiwan 333
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Country
129791
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Taiwan, Province Of China
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Phone
129791
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+886 002 0975366304
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Fax
129791
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Email
129791
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[email protected]
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Contact person for scientific queries
Name
129792
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Huang-Li Lin
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Address
129792
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Department of psychiatry, Rehabilitation building of Linkou Chang Gung Memorial Hospital, 3F, No. 5, Fuxing St, Guishan District, Taoyuan City, Taiwan 333
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Country
129792
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Taiwan, Province Of China
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Phone
129792
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+886 002 0975366304
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Fax
129792
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Email
129792
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
20545
Study protocol
[email protected]
20546
Statistical analysis plan
[email protected]
20547
Data dictionary
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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