TY  - JOUR
PY  - 2024//
TI  - A randomized trial of a virtual reality training to improve firearm safety counseling skills
JO  - Academic pediatrics
A1  - March, Michelle
A1  - Zackoff, Matthew
A1  - Fleck, Jacob
A1  - Meisman, Andrea
A1  - Humphrey, Kristen
A1  - MacDougall, Melinda C.
A1  - Ehrlich, Shelley
A1  - Griggs, Cornelia
A1  - Sacks, Chana
A1  - Masiakos, Peter
A1  - Klein, Melissa
A1  - Real, Francis
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To evaluate the efficacy of Resident Education And Counseling on Household (REACH) Firearm Safety, a novel virtual reality (VR) intervention. <br><br>METHODS: We conducted a single-center, randomized controlled trial among pediatric residents in a Midwestern academic primary care center comparing REACH Firearm Safety with didactic training (intervention) to didactic training alone (control). In the intervention arm, participants practiced firearm safety counseling with virtual characters and received immediate feedback. All residents completed audio-recorded standardized patient (SP) encounters before and after the training as well as a retrospective pre-post survey. Two reviewers, blinded to allocation arm, used a standardized assessment tool to generate performance scores. Outcomes of interest included the difference between groups in SP performance scores and self-reported confidence. <br><br>RESULTS: From March to July 2023, 62% of eligible pediatric residents (n=47/76) completed the allocated study tasks (Intervention 19, Control 28). In both groups, SP performance scores and self-reported confidence improved. Compared to the control group, the intervention group demonstrated improvement in sharing information on secure storage devices (p=0.009) and increased confidence on providing information on secure storage (p=0.002). <br><br>CONCLUSION: Compared with didactic training alone, a VR intervention using deliberate practice improved residents' skills and confidence related to firearm safety counseling.<p />  <p>Language: en</p>
LA  - en
SN  - 1876-2859
UR  - http://dx.doi.org/10.1016/j.acap.2024.08.005
ID  - ref1
ER  -