Development and Assessment of Learners’ Experiences with a Virtual Reality Learning Platform: Constructivist and Experiential Learning Pedagogies in Master of Physical Therapy Curriculum
DOI:
https://doi.org/10.29173/isotl682Keywords:
transverse ligament, constructivist learning perspectives, experiential learning, virtual reality (VR), psychomotor skills, physical therapy, cervical spineAbstract
Teaching competencies for psychomotor skill development for manual handling techniques in the cervical regions is necessary for safe practice in physiotherapy. However, grasping anatomy and palpation can be challenging for students, and practice in the lab can lead to discomfort for students. To facilitate teaching and learning of this complex skill, we worked in partnership with a virtual reality (VR) industry partner who developed a customized VR application focusing on transverse ligament stress testing for manual therapy skills for Master of Physical Therapy (MPT) students. In this scholarship of teaching and learning (SoTL) project, eight MPT students participated in the evaluation of an innovative VR learning experience for manual therapy in the cervical spine. Students’ learning experiences with the custom virtual reality learning application were assessed using an observational study design with semi-structured interviews. Interview questions aligned with constructs that are recommended to assess learners’ attitudes toward VR environments. Student participants appreciated the usefulness of the application for studying and practicing the transverse ligament stress test and provided recommendations for enhancing the learning experience.
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3D Organon [Computer software]. (n.d.). https://store.3dorganon.com/en/?controllerUri=index&gclid=CjwKCAiA85efBhBbEiwAD7oLQBE7yAeqPlDWRuZP5bLTrL-zt7qEbiUcSD9w5gGNsVDrvtjcqO9dlxoCleAQAvD_BwE
Andresen, L., Boud, D., & Cohen, R. (2020). Experience-based learning. In G. Foley (Ed.), Understanding adult education and training (2nd ed., pp. 225–239). Routledge. https://doi.org/10.4324/9781003118299-22
Banaszek, D., You, D., Chang, J., Pickell, M., Hesse, D., Hopman, W. M., Borschneck, D., & Bardana, D. (2017). Virtual reality compared with bench-top simulation in the acquisition of arthroscopic skill: A randomized controlled trial. Journal of Bone and Joint Surgery, 99(7), e34. https://doi.org/10.2106/JBJS.16.00324
Banow, R., & Maw, S. (2020). Pilot study results from using TrussVR© to learn about basic trusses. 2020 ASEE Virtual Annual Conference Content Access Proceedings, 35055. https://doi.org/10.18260/1-2--35055
Blumstein, G., Zukotynski, B., Cevallos, N., Ishmael, C., Zoller, S., Burke, Z., Clarkson, S., Park, H., Bernthal, N., & SooHoo, N. F. (2020). Randomized trial of a virtual reality tool to teach surgical technique for tibial shaft fracture intramedullary nailing. Journal of Surgical Education, 77(4), 969–977. https://doi.org/10.1016/j.jsurg.2020.01.002
Braun, V., & Clarke, V. (2021). Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern‐based qualitative analytic approaches. Counselling and Psychotherapy Research, 21(1), 37–47. https://doi.org/10.1002/capr.12360
Brinkmann, C., Fritz, M., Pankratius, U., Bahde, R., Neumann, P., Schlueter, S., Senninger, N., & Rijcken, E. (2017). Box- or virtual-reality trainer: Which tool results in better transfer of laparoscopic basic skills?—A prospective randomized trial. Journal of Surgical Education, 74(4), 724–735. https://doi.org/10.1016/j.jsurg.2016.12.009
Butler, R. (1987). Task-involving and ego-involving properties of evaluation: Effects of different feedback conditions on motivational perceptions, interest and performance. Journal of Educational Psychology, 79(4), 474–482.
Clark, D. (1999). Bloom’s Taxonomy: The psychomotor domain. http://www.nwlink.com/~donclark/hrd/bloom.html
Codd, A. M., & Choudhury, B. (2011). Virtual reality anatomy: Is it comparable with traditional methods in the teaching of human forearm musculoskeletal anatomy? Anatomical Sciences Education, 4(3), 119–125. https://doi.org/10.1002/ase.214
Davis, A. J., Davidson, B., Hirschfield, M., Lauri, S., Lin, J. Y., Norberg, A., Phillips, L., Pitman, E., Shen, C. H., Vander Laan, R., Zhang, H. L., & Ziv, L. (1993). An international perspective of active euthanasia: Attitudes of nurses in seven countries. International Journal of Nursing Studies, 30(4), 301–310. https://doi.org/10.1016/0020-7489%2893%2990102-Z
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. https://doi.org/10.2307/249008
Dewey, J. (1916). Democracy and education: An introduction to the philosophy of education. MacMillan.
Di Vece, C., Luciano, C., & De Momi, E. (2021). Psychomotor skills development for Veress needle placement using a virtual reality and haptics-based simulator. International Journal of Computer Assisted Radiology and Surgery, 16(4), 639–647. https://doi.org/10.1007/s11548-021-02341-0
Divan, A., Ludwig, L., Matthews, K., Motley, P., & Tomljenovic-Berube, A. (2017). Survey of research approaches utilized in the Scholarship of Teaching and Learning publications: A systematic literature review. Teaching & Learning Inquiry, 5(2), 1–16. https://doi.org/10.20343/teachlearninqu.5.2.3
Estai, M., & Bunt, S. (2016). Best teaching practices in anatomy education: A critical review. Annals of Anatomy—Anatomischer Anzeiger, 208, 151–157. https://doi.org/10.1016/j.aanat.2016.02.010
Felten, P. (2013). Principles of good practice in SoTL. Teaching & Learning Inquiry, 1(1), 121–125. https://doi.org/10.20343/teachlearninqu.1.1.121
Hansen, K., & Shelton, B. (2008). Design and development of virtual reality: Analysis of challenges faced by educators. Educational Technology and Society, 11(1), 118–131.
Hartstein, A., Verkuyl, M., Zimney, K., Yockey, J., & Berg-Poppe, P. (2022). Virtual reality instructional design in orthopedic physical therapy education: A mixed-methods usability test. Simulation and Gaming, 53(2), 111–134. https://doi.org/10.1177/10468781211073646
Huang, H.-M., & Liaw, S.-S. (2018). An analysis of learners’ intentions toward virtual reality learning based on constructivist and technology acceptance approaches. The International Review of Research in Open and Distributed Learning, 19(1), 1–25. https://doi.org/10.19173/irrodl.v19i1.2503
Huang, H.-M., Rauch, U., & Liaw, S.-S. (2010). Investigating learners’ attitudes toward virtual reality learning environments: Based on a constructivist approach. Computers & Education, 55(3), 1171–1182. https://doi.org/10.1016/j.compedu.2010.05.014
Izard, S. G., Juanes, J. A., García Peñalvo, F. J., Estella, J. M. G., Ledesma, M. J. S., & Ruisoto, P. (2018). Virtual reality as an educational and training tool for medicine. Journal of Medical Systems, 42(3), 1–5. https://doi.org/10.1007/s10916-018-0900-2
Jensen, M. P. (2006). Review of measures of neuropathic pain. Current Pain and Headache Reports, 10(3), 159–166. https://doi.org/10.1007/s11916-006-0041-z
Jiang, H., Vimalesvaran, S., Wang, J. K., Lim, K. B., Mogali, S. R., & Car, L. T. (2022). Virtual Reality in medical students’ education: Scoping review. JMIR Medical Education, 8(1), e34860. https://doi.org/10.2196/34860
Judd, D. L., Kelly, B., & Corral, J. (2021). Using Virtual Reality for movement system examination in a Doctor of Physical Therapy curriculum. Journal of Physical Therapy Education, 35(4), 324–329. https://doi.org/10.1097/JTE.0000000000000204
Kolb, D. (1984). Experiential learning: Experience as the source of learning and development. Prentice Hall.
Kyaw, B. M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C. K., George, P. P., Divakar, U., Masiello, I., Kononowicz, A. A., Zary, N., & Tudor Car, L. (2019). Virtual Reality for health professions education: Systematic review and meta-analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research, 21(1), e12959. https://doi.org/10.2196/12959
Luxsonic Technologies Inc. [Computer software]. (n.d.). https://luxsonic.ca/
Mao, R. Q., Lan, L., Kay, J., Lohre, R., Ayeni, O. R., Goel, D. P., & de SA, D. (2021). Immersive virtual reality for surgical training: A systematic review. Journal of Surgical Research, 268, 40–58. https://doi.org/10.1016/j.jss.2021.06.045
Mathers, K. S., Schneider, M., & Timko, M. (2011). Occult hypermobility of the craniocervical junction: A case report and review. Journal of Orthopaedic & Sports Physical Therapy, 41(6), 444–457. https://doi.org/10.2519/jospt.2011.3305
McCarthy, M. (2010). Experiential learning theory: From theory to practice. Journal of Business, 8(5), 131–140.
Miller, R. (2000). Approaches to learning spatial relationships in gross anatomy: Perspective from wider principles of learning. Clinical Anatomy, 13(6), 439–443. https://doi.org/10.1002/1098-2353(2000)13:6<439::AID-CA8>3.0.CO;2-X
Moro, C., Štromberga, Z., Raikos, A., & Stirling, A. (2017). The effectiveness of virtual and augmented reality in health sciences and medical anatomy: VR and AR in health sciences and medical anatomy. Anatomical Sciences Education, 10(6), 549–559. https://doi.org/10.1002/ase.1696
Narciss, S., & Huth, K. (2004). How to design informative tutoring feedback for multimedia learning. In H. M. Niegemann, D. Leutner, & R. Brünken (Eds.), Instructional design for multimedia learning (pp. 181–195). Waxmann.
National Physiotherapy Advisory Group. (2017). NPAG competency profile for physiotherapists in Canada. https://peac-aepc.ca/pdfs/Resources/Competency%20Profiles/Competency%20Profile%20for%20PTs%202017%20EN.pdf
Nicholson, L. L., Reed, D., & Chan, C. (2016). An interactive, multi-modal anatomy workshop improves academic performance in the health sciences: A cohort study. BMC Medical Education, 16(1), 1–9. https://doi.org/10.1186/s12909-016-0541-4
Phillips, D. C. (1995). The good, the bad, and the ugly: The many faces of constructivism. Educational Researcher, 24(7), 5–12. https://doi.org/10.3102/0013189X024007005
Qasem, M. (2015). Constructivist Learning Theory in physiotherapy education: A critical evaluation of research. Journal of Novel Physiotherapies, 5(2), 1–3. https://doi.org/10.4172/2165-7025.1000253
Rahm, S., Wieser, K., Bauer, D. E., Waibel, F. W., Meyer, D. C., Gerber, C., & Fucentese, S. F. (2018). Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills. BMC Musculoskeletal Disorders, 19(1), 1–7. https://doi.org/10.1186/s12891-018-2072-0
Rizzo, A., Cohen, I., Weiss, P., Kim, J., Yeh, S., Zali, B., & Hwang, J. (2004). Design and development of virtual reality based perceptual-motor rehabilitation scenarios. Proceedings of the 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (pp. 4852–4855). https://doi.org/10.1109/IEMBS.2004.1404342
Roediger, H. L. (2013). Applying cognitive psychology to education: Translational educational science. Psychological Science in the Public Interest, 14(1), 1–3. https://doi.org/10.1177/1529100612454415
Rourke, S. (2020). How does virtual reality simulation compare to simulated practice in the acquisition of clinical psychomotor skills for pre-registration student nurses? A systematic review. International Journal of Nursing Studies, 102, 1–7. https://doi.org/10.1016/j.ijnurstu.2019.103466
Sharecare Virtual Reality (VR)—Making Health Visual. [Computer software]. (n.d.). https://www.sharecare.com/pages/vr
Shute, V. J. (2008). Focus on formative feedback. Review of Educational Research, 78(1), 153–189. https://doi.org/10.3102/0034654307313795
Simpson, E. (1966). The classifications of educational objectives, psychomotor domain. University of Illinois. https://files.eric.ed.gov/fulltext/ED010368.pdf
Smith, S. N., & Crocker, A. F. (2017). Experiential learning in physical therapy education. Advances in Medical Education and Practice, 8, 427–433. https://doi.org/10.2147/AMEP.S140373
Sultan, L., Abuznadah, W., Al-Jifree, H., Khan, M. A., Alsaywid, B., & Ashour, F. (2019). An experimental study on usefulness of Virtual Reality 360° in undergraduate medical education. Advances in Medical Education and Practice, 10, 907–916. https://doi.org/10.2147/AMEP.S219344
Thorndike, E. (1932). The fundamentals of learning. Teachers College Press.
Turney, B. (2007). Anatomy in a modern medical curriculum. Annals of the Royal College of Surgeons of England, 89(2), 104–107. https://doi.org/10.1308/003588407X168244
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048
Zhang, L., Sankaranarayanan, G., Arikatla, V. S., Ahn, W., Grosdemouge, C., Rideout, J. M., Epstein, S. K., De, S., Schwaitzberg, S. D., Jones, D. B., & Cao, C. G. L. (2013). Characterizing the learning curve of the VBLaST-PT© (Virtual Basic Laparoscopic Skill Trainer). Surgical Endoscopy, 27(10), 3603–3615. https://doi.org/10.1007/s00464-013-2932-5
Zhao, J., Xu, X., Jiang, H., & Ding, Y. (2020). The effectiveness of virtual reality-based technology on anatomy teaching: A meta-analysis of randomized controlled studies. BMC Medical Education, 20(1), 1–10. https://doi.org/10.1186/s12909-020-1994-z
Zitzmann, N. U., Matthisson, L., Ohla, H., & Joda, T. (2020). Digital undergraduate education in dentistry: A systematic review. International Journal of Environmental Research and Public Health, 17(9), 1–23. https://doi.org/10.3390/ijerph17093269
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