Augmented reality enhances competency-based training in simulated vaginal birth: A multicenter randomized controlled trial.
Introduction: Simulation is essential for teaching procedural skills in obstetrics, yet access to high-fidelity simulators remains limited. Augmented reality (AR) offers an innovative and scalable way to enhance pre-simulation learning. This study evaluated whether AR-based training improves student...
| Publicado en: | Medical Teacher Vol. 48; no. 9; pp. 1524 - 1533 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196514165&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196514165 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0142159X MCH jtl: Medical Teacher issn: 0142159X maglogo: Y pubinfo: dt: Sep2026 vid: 48 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 196514165 191910170 196514165 196514165 10.1080/0142159X.2026.2630982 196514165 ppf: 1524 ppct: 9 formats: tig: atl: Augmented reality enhances competency-based training in simulated vaginal birth: A multicenter randomized controlled trial. aug: au: Valenzuela, María Teresa Poblete, José A. Zamboni, Milena Astudillo, Rocío Carvajal, Cristóbal A. Moreno, Nicolás Sarmiento, Luis A. Jaramillo, Sandra X. Franco, Luis C. Ayala, Fernando Carvajal, Jorge A. affil: Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de, Chile sug: subj: Augmented Reality Education Education, Competency-Based Vaginal Birth Education Clinical Competence Evaluation Simulations Videorecording Student Satisfaction Evaluation Students, Undergraduate Students, Midwifery Human Funding Source Male Female Multicenter Studies Prospective Studies Comparative Studies Randomized Controlled Trials Random Assignment Colleges and Universities Chile Colombia Checklists Task Performance and Analysis Confidence Intervals Male Female ab: Introduction: Simulation is essential for teaching procedural skills in obstetrics, yet access to high-fidelity simulators remains limited. Augmented reality (AR) offers an innovative and scalable way to enhance pre-simulation learning. This study evaluated whether AR-based training improves student performance in simulated vaginal births compared with traditional text- and video-based preparation. Methods: We conducted a multicenter, prospective, randomized controlled trial with blinded evaluators involving 401 undergraduate medical and midwifery students from two universities (Chile and Colombia). Participants were assigned to AR-based training (experimental group) or conventional preparation (control group). All students completed high-fidelity childbirth simulations assessed using a validated Direct Observation of Procedural Skills (DOPS) checklist. The primary outcome was achievement of the minimum competency threshold; secondary outcomes included mean DOPS scores, critical task performance, and student satisfaction. Results: Students trained with AR achieved significantly higher DOPS scores (11.9 ± 0.14 vs 10.6 ± 0.15; p <.001) and greater critical task completion (3.6 ± 0.07 vs 3.3 ± 0.07; p <.001) than controls. The proportion reaching the competency threshold doubled in the AR group (12.8% vs 6.2%; RR 2.23; 95% CI 1.07–4.01; p <.05). Both groups reported high satisfaction, though AR users noted opportunities to improve realism. Discussion: AR-based pre-simulation training enhances performance and competency attainment in simulated vaginal birth care. This scalable and cost-effective approach complements traditional simulation, supporting competency-based medical education while broadening access to high-quality procedural training in obstetrics. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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