Virtual Reality Training Research Articles

Sound of the Police—Virtual Reality Training for Police Communication for High-Stress Operations

Police communication is a field with unique challenges and specific requirements. Police officers depend on effective communication, particularly in high-stress operations, but current training methods are not focused on communication and provide only limited evaluation methods. This work explores the potential of virtual reality (VR) for enhancing police communication training. The rise of VR training, especially in specific application areas like policing, provides benefits. We conducted a field study during police training to assess VR approaches for training communication. The results show that VR is suitable for communication training if factors such as realism, reflection and repetition are given in the VR system. Trainer feedback shows that assistive systems for evaluation and visualization of communication are highly needed. We present ideas and approaches for evaluation in communication training and concepts for visualization and exploration of the data. This research contributes to improving VR police training and has implications for communication training in VR in challenging contexts.

Improving the quality of communicating with dementia patients: A virtual reality‐based simulated communication approach

AbstractDementia patients may have language barriers and decreased comprehension ability. Their family caregivers can feel frustrated when communicating with them. Poor communication hinders family caregivers from obtaining accurate health information about patients, and may also increase their emotional burden, affecting patient care quality. The present study developed a virtual reality‐based simulated communication training (VRSCT) system and applied it to a training course for family caregivers of dementia patients. It allowed family caregivers to simulate real‐world situations in a VR environment, experience the daily communication barriers and stress with dementia patients, and apply their acquired knowledge and skills to solve related problems. This study used a randomised control experimental design with mixed analysis methods. A total of 63 family caregivers were recruited and randomly divided into the experimental group (N = 32) learning with the VRSCT system to interact with virtual dementia patients and practice communication skills, and the control group (N = 31) using the traditional role‐playing method for practice. Quantitative data were analysed to determine participants' knowledge of dementia care, attitudes, communication confidence and skills. In addition, the qualitative method was used to analyse the participants' discussion records. The results showed that by using the VRSCT approach, participants significantly improved their knowledge of dementia care, attitudes, communication confidence and communication skills compared to the control group. In addition, participants reported that through the real‐time feedback of the VRSCT system, they could recognise their previous incorrect communication approach. As a result, they adjusted their communication strategies and increased their self‐confidence. Practitioner notesWhat is already known about this topic Situational simulation helps learners improve their communication skills in a safe environment. Virtual reality (VR) creates a realistic, highly interactive learning environment, allowing users to be deeply immersed in the learning experience. What this paper adds This study proposed a VR‐based simulated communication training (VRSCT) approach; moreover, seven dementia cases of different degrees of severity were designed in the VR system to enable family members to experience possible challenges of taking care of dementia patients they might encounter in their daily lives. Each case in the VRSCT system has its unique symptoms and communication barriers. The learner in the story plays a caregiver, experiencing and solving the problems and challenges posed by the system. The experimental results show that the proposed method improves learners' knowledge, attitudes, communication confidence, and communication skills related to dementia care. Implications for practice and/or policy Utilising VR training can amplify awareness and secure enhanced social support for dementia‐related challenges. Using VRSCT, as governments and institutions recognise the effectiveness of VR training, they will provide more resources and promote its widespread application.

VR in Soccer Training

Nowadays virtual reality (VR) technology has been applied to many aspects of soccer training, and corresponding studies have been conducted in technical skills, cognitive psychology, tactical ability, and, sports rehabilitation. This paper explores the impact of VR on soccer training by reviewing a large amount of literature and integrating, summarizing, and concluding it. It has been found that VR has a significant effect on improving the technical skills, cognitive psychology, tactical ability, and sports rehabilitation of soccer players. For enhancing sports performance in the real world, VR technology has great potential for development in the future. However, it remains to be seen whether VR will be widely used by athletes, coaches, and sports organizations. With the current state of development, the functionality of VR systems will become more and more powerful in the future, as well as less costly, providing a more convenient channel for its application and popularization in soccer. Although the scientific evidence to prove its effectiveness is still weak, the practice of VR and soccer training innovations will occur more frequently and be more closely integrated with other advanced technologies, so that future research on this topic will be richer, deeper, and more comprehensive.

Technology-Based Training: The Future of Using Virtual Reality Training in the Egyptian Hotel Sector

Technology-Based Training: The Future of Using Virtual Reality Training in the Egyptian Hotel Sector

The influence of virtual reality simulation on surgical residents’ heart rate during an assessment of arthroscopic technical skills: A prospective, paired observational study

HypothesisTo demonstrate that a virtual reality (VR) simulation training program reduces heart rate variability during an assessment of surgical trainees’ technical skills in arthroscopy. Study designProspective observational matched study. Materials & methodsThirty-six orthopaedic surgery residents, new to arthroscopy, received standard training in arthroscopic knee surgery, supplemented by additional monthly training for 6months on a VR simulator for 16 of them. At inclusion, the 2 groups (VR and NON-VR) answered a questionnaire and performed a meniscectomy on a VR simulator. After 6months of training, two independent trainers blinded to the inclusion arms evaluated the technical skills of the two groups during meniscectomies on a model and on an anatomical subject. Heart rate variability (HRV) was measured using a wireless heart rate monitor during baseline, VR training, and assessment. ResultsAfter removing incomplete data, the analysis focused on 10 VR residents matched at inclusion with 10 NON-VR residents. The VR group had a significantly lower heart rate at the final assessment (p=0.02) and lower overall HRV (p=0.05). The low/high frequency ratio (LF/HF) was not significantly different between the groups (1.84 vs 2.05, p=0.66) but the before-after training comparison showed a greater decrease in this ratio in the VR group compared to the NON-VR group −0.76 (−41%) vs −0.08 (−4%). ConclusionThis study demonstrates a significant difference in heart rate variability between trained residents versus untrained residents during the final assessment of their technical skills at 6months. It appears that improving stress management should be an integral part of training programs in arthroscopic surgery. Clinical InterestVR simulators in arthroscopy could improve non-technical skills such as heart rate variability, from the perspective of accountability. Level of evidenceIII.

Gamified Exercise with Kinect: Can Kinect-Based Virtual Reality Training Improve Physical Performance and Quality of Life in Postmenopausal Women with Osteopenia? A Randomized Controlled Trial.

Osteopenia, caused by estrogen deficiency in postmenopausal women (PMW), lowers Bone Mineral Density (BMD) and increases bone fragility. It affects about half of older women's social and physical health. PMW experience pain and disability, impacting their health-related Quality of Life (QoL) and function. This study aimed to determine the effects of Kinect-based Virtual Reality Training (VRT) on physical performance and QoL in PMW with osteopenia. The study was a prospective, two-arm, parallel-design, randomized controlled trial. Fifty-two participants were recruited in the trial, with 26 randomly assigned to each group. The experimental group received Kinect-based VRT thrice a week for 24 weeks, each lasting 45 min. Both groups were directed to participate in a 30-min walk outside every day. Physical performance was measured by the Time Up and Go Test (TUG), Functional Reach Test (FRT), Five Times Sit to Stand Test (FTSST), Modified Sit and Reach Test (MSRT), Dynamic Hand Grip Strength (DHGS), Non-Dynamic Hand Grip Strength (NDHGS), BORG Score and Dyspnea Index. Escala de Calidad de vida Osteoporosis (ECOS-16) questionnaire measured QoL. Both physical performance and QoL measures were assessed at baseline, after 12 weeks, and after 24 weeks. Data were analyzed on SPSS 25. The mean age of the PMW participants was 58.00 ± 5.52 years. In within-group comparison, all outcome variables (TUG, FRT, FTSST, MSRT, DHGS, NDHGS, BORG Score, Dyspnea, and ECOS-16) showed significant improvements (p < 0.001) from baseline at both the 12th and 24th weeks and between baseline and the 24th week in the experimental group. In the control group, all outcome variables except FRT (12th week to 24th week) showed statistically significant improvements (p < 0.001) from baseline at both the 12th and 24th weeks and between baseline and the 24th week. In between-group comparison, the experimental group demonstrated more significant improvements in most outcome variables at all points than the control group (p < 0.001), indicating the positive additional effects of Kinect-based VRT. The study concludes that physical performance and QoL measures were improved in both the experimental and control groups. However, in the group comparison, these variables showed better results in the experimental group. Thus, Kinect-based VRT is an alternative and feasible intervention to improve physical performance and QoL in PMW with osteopenia. This novel approach may be widely applicable in upcoming studies, considering the increasing interest in virtual reality-based therapy for rehabilitation.

A Systematic Review of Virtual Reality vs. Standard Social Skills Training for Improving Social Interaction Skills and Reducing Social Anxiety in Children With Autism Spectrum Disorder (ASD)

A Systematic Review of Virtual Reality vs. Standard Social Skills Training for Improving Social Interaction Skills and Reducing Social Anxiety in Children With Autism Spectrum Disorder (ASD)

Does Virtual Reality Training Increase Mindfulness in Aboriginal Out-of-Home Care Children?

ObjectivesThis study aimed to address the negative impacts of adverse childhood experiences (ACEs) on Aboriginal children and young people in out-of-home care (OOHC) using mindfulness-based interventions (MBIs) delivered via virtual reality (VR). MBIs can improve emotion regulation and executive functioning, but engagement can be challenging, especially for children with other health conditions and trauma.MethodVirtual reality goggles with a head-mounted display, head tracking, and handheld controls were used. Measures included heart rate variability (HRV), the State Mindfulness Scale, the Mindful Attention Awareness Scale, and the Behaviour Rating Inventory of Executive Function 2. The procedure involved a baseline assessment of state mindfulness, a 5-min sitting baseline HRV measurement, VR orientation, exploration of the VR landscape, a mindfulness body scan, a second HRV measurement during the body scan, and completing a post-VR questionnaire.ResultsNo significant improvement in state mindfulness was found as measured by the State Mindfulness Scale. However, a significant improvement with moderate effect size was seen pre-to-post-intervention on the Mindful Attention Awareness Scale (p = 0.007, d = − 0.69). We also explored the impact of age, sex, and diagnosis on the intervention and found significant improvements in state mindfulness across subgroups. HRV did not show a significant change pre-to-post-intervention.ConclusionsOur study highlights the potential for MBI-VR to improve mindfulness in Aboriginal children and young people in OOHC who have experienced abuse and trauma. Brief mindfulness sessions were effective at enhancing state mindfulness as measured by the MAAS; the older participants and those with mental health concerns benefitted the most. Further research with more diverse samples is needed to validate the findings and examine potential interactions between demographic and clinical factors.PreregistrationThis study is not preregistered.

Effects of Robot-Assisted, Gait-Training-Combined Virtual Reality Training on the Balance and Gait Ability of Chronic Stroke Patients

Effects of Robot-Assisted, Gait-Training-Combined Virtual Reality Training on the Balance and Gait Ability of Chronic Stroke Patients

ІНТЕЛЕКТУАЛЬНА СИСТЕМА КЕРУВАННЯ РОБОТОМ-САПЕРОМ У ВІРТУАЛЬНОМУ СЕРЕДОВИЩІ

Intelligent industry is mostly composed of cyber-physical systems, however humans are still essential. Under these circumstances, virtual reality technologies are quickly incorporated into intelligent systems. These techniques will surely have a bigger impact on the simplicity of use and flexibility of cyber-physical systems. The ongoing need to modify production systems to meet client requirements necessitates the introduction of new methods for process organisation or production management. When making decisions on the automation and computerization of the data flow, it is very important to have experience and training in novel scenarios. Virtual reality technology undoubtedly aids in achieving these goals without obstructing actual operations or imposing undue financial burdens. Experience training sessions may be used more frequently and in a wider variety of ways thanks to the cost and risk reductions associated with the use of virtual reality in training. By specifying the sub-components, models, tools, and settings of the virtual reality training course as well as the tasks that participants must complete, this method enables the entire programme to be organised in an immersive context. Coordinated and recorded actions are taken. The following benefits are justifying the use of virtual reality: Saving time: people learn faster thanks to exciting trainings. Cost savings: unlike real-time training, which is difficult to scale and replicate, training can be easily distributed across different convenient Improves engagement: soft communication skills and procedural learning require a realistic environment. Improves memory: students retain more information for longer when they are fully engaged physically and emotionally. Increases safety: on-site training is challenging and access to areas may be dangerous or difficult. Also, repeating the operation as many times as necessary to learn from mistakes is not a risk. Improves analysis: the digital aspect of virtual reality learning allows for real-time data collection. It can provide immediate feedback to listeners and quickly demonstrate results to the board through large-scale impact analysis.

Virtual reality and simulation-based training in Pakistan for uniformity in neurosurgery training programs.

Virtual reality and simulation-based training in Pakistan for uniformity in neurosurgery training programs.

Rollout of a statewide Australian telestroke network including virtual reality training is associated with improved hyperacute stroke workflow metrics and thrombolysis rate

BackgroundTelestroke networks aim to address variability in both quality and access to stroke care in rural areas, by providing remote access to expert stroke neurologists. Implementation of telestroke requires adaptation of workflow processes and education. We previously developed virtual reality (VR) workflow training and documented acceptability, utility and feasibility. The effects on acute stroke treatment metrics have not been previously described.AimsThe overall aim was to improve hyperacute stroke metrics and shorten the time-to-reperfusion therapy administration in rural settings.MethodsThis study applies a natural experiment approach, collecting stroke metric data during transition from a pre-existing pilot to a statewide telestroke service at five rural hospitals. Pre- and post-intervention data included baseline patient demographics and assessment, diagnosis, and treatment delivery metrics. The primary study outcome was door-to-decision time (thrombolysis and endovascular thrombectomy). Secondary outcomes included door-to-computerized tomography time, door-to-thrombolysis time and proportion of patients receiving thrombolysis or thrombectomy treatment. Usage data relating to the VR stroke workflow training of interprofessional healthcare professionals was automatically captured via Wi-Fi. Statistical comparisons of clinical metrics between the pre- and post-intervention time periods, defined as the timeframes before and after VR deployment, were performed.ResultsA total of 2,683 patients were included (April 2013–December 2022); 1910 pre- and 773 post-intervention. All acute stroke time metrics significantly improved post-intervention. The primary outcome, door-to-decision time, decreased from 80 min [56–118] to 54 min [40–76; P &amp;lt; 0.001]. Secondary outcomes also improved, including door-to-thrombolysis time (90 min [68–114] vs. 68.5 min [54–90]; P &amp;lt; 0.001) and proportion of patients thrombolysed (11 vs. 16%; P &amp;lt; 0.001). The proportion of patients transferred for thrombectomy was unchanged (6 vs. 7%; P = 0.69). Seventy VR sessions totaling 15 h 39 min of training time were logged. VR training usage varied across sites (3–31 sessions per site).ConclusionsDelivery of a multi-factorial intervention including infrastructure, funding, education and training (with VR workflow training) as part of a state-wide telestroke rollout was associated with improved acute stroke treatment metrics. Additional work is required to identify the contribution of each intervention component on clinical outcomes and to increase training uptake and sustainment.

Overcoming Fear and Improving Public Speaking Skills through Adaptive VR Training

This paper examines the effectiveness of virtual reality (VR) in training public speaking skills. The fear of public speaking (FPS) is a common problem that can have a significant impact on an individual’s professional and personal life. Traditional therapies for public speaking anxiety have been shown to be effective, but there is growing interest in the use of VR as an alternative or supplement to these therapies. This study aims to investigate the VR medium in improving public speaking skills and to explore the potential mechanisms underlying this effect. A framework was developed with the aim to investigate the possibility of improving public speaking skills through VR. Key features of this framework include the ability to adjust the audience size and alter the dimensions of the room. Additionally, it allows for the modification of initial audience behaviors. One of the innovative aspects is the inclusion of an evolving attention span in the virtual audience, adding a dynamic element to the VR experience. The framework excels in tracking various metrics in real time and has the audience react dynamically based on them. These metrics include movement and voice parameters. The system is designed to present this data as immediate feedback to the user, but also as a summary after a presentation has concluded. After an extensive two-phased testing, the results are discussed. These findings suggest that VR can be an effective means for improving public speaking skills and potentially helping in alleviating fear of public speaking.

Towards believable and educational conversations with virtual patients

Virtual Reality (VR) technology allows the design and application of realistic but adaptive learning environments in medical education. In particular, virtual patient systems have logistical and methodological advantages compared to non-computerized interventions. However, evidence for their effectiveness is fragmented as any educational domain introduces its requirements regarding learning goals, measurements of learning outcomes, and application design. In this context, we present preliminary results of evaluating a VR training application for conducting a clinical interview to diagnose mental disorders in children and adolescents using virtual patients. The evaluation focuses on design elements related to the virtual patient’s appearance and natural language capabilities. Our results indicate that our virtual patient design is highly believable and that our dialog system is satisfying. However, conversational flow requires optimization. We discuss design directions and potential enhancements for learner-virtual patient interactions in VR and address future operations to evaluate the effectiveness of our approach.

The Impact of Virtual Reality Training Combined with Traditional Chinese Medicine Health Preservation Therapy on Cognitive Function, Neurological Function, and Physical Function of Stroke Patients.

The aim of this study was to investigate the effects of virtual reality training combined with traditional Chinese medicine health preservation therapy on cognitive function, neurological function, and physical function of stroke patients. The patients were randomly divided into an experimental group (receiving virtual reality training combined with traditional Chinese medicine health preservation therapy) and a control group (receiving conventional rehabilitation treatment combined with traditional Chinese medicine health preservation therapy). A series of cognitive, neurological, and physical function assessments were conducted to collect and analyze data from both groups before treatment, after treatment, and during follow-up. The application of traditional Chinese medicine health preservation concepts was also explored. After treatment, the experimental group had significantly higher scores in the Mini-Mental State Examination (MMSE) compared to the control group. The overall effective rate of neurological function in the experimental group was higher than that in the control group. The Fugl-Meyer Assessment (FMA) scores for upper limb function in the experimental group were significantly higher than those in the control group. The degree of improvement in the Modified Barthel Index scores after treatment was significantly better in the experimental group compared to the control group (all P < 0.05). The results of this study demonstrate that virtual reality training combined with traditional Chinese medicine health preservation therapy significantly improves cognitive function, neurological function, and physical function in stroke patients. This approach provides new insights and methods for stroke rehabilitation therapy and is worthy of promotion.

Avoiding "metal astray": experience evaluation of virtual reality training for melting furnace operators.

The work of melting furnace operators is potentially hazardous and serious accidents do occur. Training on the monitoring and safe operation of furnaces is key to the safety of the operators and their surroundings. Virtual Reality (VR) environments can simulate safety critical work environments and provide realistic, safe and engaging ways to train on situations otherwise unavailable. To address the potential of using VR in safety training, the VR environment called VR Safe was developed. This paper presents a study of the user experience of training safety critical procedures in VR. VR Safe simulates malfunction in one of the most important systems regarding safe operation of furnaces: furnace cooling system monitoring and how to respond to cooling system failure. The evaluation included professional furnace operators, and was focused on usability of the system, user engagement and the training value as it relates to the operators' work.

Virtual reality training for intraoperative imaging in orthopaedic surgery: an overview of current progress and future direction

Trauma and orthopedic surgery commonly rely on intraoperative radiography or fluoroscopy, which are essential for visualizing patient anatomy and safely completing surgical procedures. However, these imaging methods generate ionizing radiation, which in high doses carries a potential health risk to patients and operating personnel. There is an established need for formal training in obtaining precise intraoperative imaging while minimizing radiation exposure. Virtual reality (VR) simulation serves as a promising tool for orthopaedic trainees to develop skills in safe intraoperative imaging, without posing harm to patients, operating room staff, or themselves. This paper aims to provide a brief overview of literature surrounding VR training for intraoperative imaging in orthopaedic surgery. In addition, we discuss areas for improvement and future directions for development in the field.

The effects of virtual reality training on postural sway and physical function performance on older women with chronic low back pain: A double-blind randomized clinical trial.

Chronic low back pain (CLBP) is known as an important debilitating health condition among older women. This study aimed to evaluate the effects of eight-week virtual reality training (VRT) exercises on postural sway and physical function performance (PFP) among older women suffering from CLBP. Twenty-seven older women presenting with CLBP were randomized into experimental and control groups. The experimental group was instructed to perform 30-minute VRT exercises three times a week for eight weeks. Plantar pressure variables [sway velocity (SV) and anterior-posterior (AP) and medial-lateral (ML) fluctuations of the center of pressure (CoP)], 30-second chair stand test (30CST), and timed up and go (TUG) test were recorded. The VRT group exhibited significant decreases in SV (p= 0.002), AP (p= 0.008), and ML (p= 0.02) fluctuations. Also, the performance of the VRT group in the 30CST and TUG tests significantly improved after the exercises (P< 0.001). According to the results, VRT and the program used in this study should be used to enhance balance and PFP in older women with CLBP who mostly prefer activities that are accessible and feasible in low-risk environments.

Improved shape-from-template method with perspective space constraints for disappearing features

Inferring the 3D surface shape of a known template from 2D images captured by a monocular camera is a challenging problem. Due to the severely underconstrained nature of the problem, inferring shape accurately becomes particularly challenging when the template exhibits high curvature, resulting in the disappearance of feature points and significant differences between the inferred and actual deformations. To address this problem, this paper proposes a concise and innovative approach that utilizes a physical simulator incorporating the object’s material properties and deformation law. We utilize a view frustum space constructed from the contours of a monocular camera image to effectively restrict the physically-based free motion of the template. Additionally, we employ mesh denoising techniques to ensure the smoothness of the surface following deformation. To evaluate our shape inference results, we utilize a ground truth 3D point cloud generated from multiple viewpoint images. The results demonstrate the superior performance of our approach compared to other methods in accurately inferring deformations, particularly in scenarios where feature points are unobservable. This method carries significant practical implications across diverse domains, including virtual reality, digital modeling, and medical surgery training.

Effectiveness of a virtual reality trainer for retention of tourniquet application skills for hemorrhage control among emergency medicine residents.

With a rise in mass casualty incidents, training in hemorrhage control using tourniquets has been championed as a basic-and lifesaving-procedure for bystanders and medical professionals alike. The current standard for training is in-person (IP) courses, which can be limited based on instructor availability. Virtual reality (VR) has demonstrated the potential to improve the accuracy of certain medical tasks but has not yet been developed for hemorrhage control. The objective of this study was to evaluate the efficacy of a VR hemorrhage trainer in learner retention of tourniquet application when compared to traditional IP instructor teaching among a cohort of emergency medicine residents practicing in a Level I trauma center. This was a prospective, observational study of 53 emergency medicine residents at an inner-city program. Participants were randomly assigned to either the control or the VR group. On Day 0, all residents underwent a training session (IP vs. VR) for the proper, stepwise application of a tourniquet, as defined by the American College of Trauma Surgeons. Each participant was then assessed on the application of a tourniquet by a blinded instructor using the National Registry Hemorrhage Control Skills Lab rubric. After 3 months, each resident was reevaluated on the same rubric, with subsequent data analysis on successful tourniquet placement (measured as under 90 s) and time to completion. Of the 53 participants, the IP training group had an initial pass rate of 97% (28/29) compared to 92% (22/24) in the VR group (p = 0.58). On retention testing, the IP training group had a pass rate of 95% (20/21) compared to 90% (18/20) in the VR group (p = 0.62). Stratifying the success of tourniquet placement by level of resident training did not demonstrate any statistically significant differences. In this pilot study of emergency medicine residents, we found no significant differences in successful hemorrhage control by tourniquet placement between those trained with VR compared to a traditional IP course among emergency medicine residents. While more studies with greater power are needed, the results suggest that VR may be a useful adjunct to traditional IP medical training.