Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework

Delays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow process...

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Autores principales:	Rebecca J. Hood, Steven Maltby, Angela Keynes, Murielle G. Kluge, Eugene Nalivaiko, Annika Ryan, Martine Cox, Mark W. Parsons, Christine L. Paul, Carlos Garcia-Esperon, Neil J. Spratt, Christopher R. Levi, Frederick R. Walker
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	virtual reality technology medical education medical training stroke workflow hyper-acute stroke management Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d9c10efa48a04682af7090c971472a67
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spelling	oai:doaj.org-article:d9c10efa48a04682af7090c971472a672021-11-11T04:49:33ZDevelopment and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework1664-229510.3389/fneur.2021.665808https://doaj.org/article/d9c10efa48a04682af7090c971472a672021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.665808/fullhttps://doaj.org/toc/1664-2295Delays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTICS trial, which is assessing a “package intervention” to support advanced CT imaging and streamlined stroke workflow training. As part of the educational component of the intervention we developed TACTICS VR, a novel VR-based training application to upskill healthcare professionals in optimal stroke workflow processes. In the current manuscript, we describe development of the TACTICS VR platform which includes the VR-based training application, a user-facing website and an automated back-end data analytics portal. TACTICS VR was developed via an extensive and structured scoping and consultation process, to ensure content was evidence-based, represented best-practice and is tailored for the target audience. Further, we report on pilot implementation in 7 Australian hospitals to assess the feasibility of workplace-based VR training. A total of 104 healthcare professionals completed TACTICS VR training. Users indicated a high level of usability, acceptability and utility of TACTICS VR, including aspects of hardware, software design, educational content, training feedback and implementation strategy. Further, users self-reported increased confidence in their ability to make improvements in stroke management after TACTICS VR training (post-training mean ± SD = 4.1 ± 0.6; pre-training = 3.6 ± 0.9; 1 = strongly disagree, 5 = strongly agree). Very few technical issues were identified, supporting the feasibility of this training approach. Thus, we propose that TACTICS VR is a fit-for-purpose, evidence-based training application for stroke workflow optimisation that can be readily deployed on-site in a clinical setting.Rebecca J. HoodRebecca J. HoodRebecca J. HoodSteven MaltbySteven MaltbySteven MaltbyAngela KeynesAngela KeynesMurielle G. KlugeMurielle G. KlugeEugene NalivaikoEugene NalivaikoAnnika RyanAnnika RyanMartine CoxMartine CoxMark W. ParsonsChristine L. PaulChristine L. PaulCarlos Garcia-EsperonCarlos Garcia-EsperonNeil J. SprattNeil J. SprattNeil J. SprattChristopher R. LeviChristopher R. LeviChristopher R. LeviFrederick R. WalkerFrederick R. WalkerFrederick R. WalkerFrontiers Media S.A.articlevirtual realitytechnologymedical educationmedical trainingstroke workflowhyper-acute stroke managementNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	virtual reality technology medical education medical training stroke workflow hyper-acute stroke management Neurology. Diseases of the nervous system RC346-429
spellingShingle	virtual reality technology medical education medical training stroke workflow hyper-acute stroke management Neurology. Diseases of the nervous system RC346-429 Rebecca J. Hood Rebecca J. Hood Rebecca J. Hood Steven Maltby Steven Maltby Steven Maltby Angela Keynes Angela Keynes Murielle G. Kluge Murielle G. Kluge Eugene Nalivaiko Eugene Nalivaiko Annika Ryan Annika Ryan Martine Cox Martine Cox Mark W. Parsons Christine L. Paul Christine L. Paul Carlos Garcia-Esperon Carlos Garcia-Esperon Neil J. Spratt Neil J. Spratt Neil J. Spratt Christopher R. Levi Christopher R. Levi Christopher R. Levi Frederick R. Walker Frederick R. Walker Frederick R. Walker Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
description	Delays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTICS trial, which is assessing a “package intervention” to support advanced CT imaging and streamlined stroke workflow training. As part of the educational component of the intervention we developed TACTICS VR, a novel VR-based training application to upskill healthcare professionals in optimal stroke workflow processes. In the current manuscript, we describe development of the TACTICS VR platform which includes the VR-based training application, a user-facing website and an automated back-end data analytics portal. TACTICS VR was developed via an extensive and structured scoping and consultation process, to ensure content was evidence-based, represented best-practice and is tailored for the target audience. Further, we report on pilot implementation in 7 Australian hospitals to assess the feasibility of workplace-based VR training. A total of 104 healthcare professionals completed TACTICS VR training. Users indicated a high level of usability, acceptability and utility of TACTICS VR, including aspects of hardware, software design, educational content, training feedback and implementation strategy. Further, users self-reported increased confidence in their ability to make improvements in stroke management after TACTICS VR training (post-training mean ± SD = 4.1 ± 0.6; pre-training = 3.6 ± 0.9; 1 = strongly disagree, 5 = strongly agree). Very few technical issues were identified, supporting the feasibility of this training approach. Thus, we propose that TACTICS VR is a fit-for-purpose, evidence-based training application for stroke workflow optimisation that can be readily deployed on-site in a clinical setting.
format	article
author	Rebecca J. Hood Rebecca J. Hood Rebecca J. Hood Steven Maltby Steven Maltby Steven Maltby Angela Keynes Angela Keynes Murielle G. Kluge Murielle G. Kluge Eugene Nalivaiko Eugene Nalivaiko Annika Ryan Annika Ryan Martine Cox Martine Cox Mark W. Parsons Christine L. Paul Christine L. Paul Carlos Garcia-Esperon Carlos Garcia-Esperon Neil J. Spratt Neil J. Spratt Neil J. Spratt Christopher R. Levi Christopher R. Levi Christopher R. Levi Frederick R. Walker Frederick R. Walker Frederick R. Walker
author_facet	Rebecca J. Hood Rebecca J. Hood Rebecca J. Hood Steven Maltby Steven Maltby Steven Maltby Angela Keynes Angela Keynes Murielle G. Kluge Murielle G. Kluge Eugene Nalivaiko Eugene Nalivaiko Annika Ryan Annika Ryan Martine Cox Martine Cox Mark W. Parsons Christine L. Paul Christine L. Paul Carlos Garcia-Esperon Carlos Garcia-Esperon Neil J. Spratt Neil J. Spratt Neil J. Spratt Christopher R. Levi Christopher R. Levi Christopher R. Levi Frederick R. Walker Frederick R. Walker Frederick R. Walker
author_sort	Rebecca J. Hood
title	Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
title_short	Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
title_full	Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
title_fullStr	Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
title_full_unstemmed	Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
title_sort	development and pilot implementation of tactics vr: a virtual reality-based stroke management workflow training application and training framework
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d9c10efa48a04682af7090c971472a67
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Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework

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