Validation of the updated ArthroS simulator: face and construct validity of a passive haptic virtual reality simulator with novel performance metrics.
Identifieur interne : 004178 ( Ncbi/Merge ); précédent : 004177; suivant : 004179Validation of the updated ArthroS simulator: face and construct validity of a passive haptic virtual reality simulator with novel performance metrics.
Auteurs : Patrick Garfjeld Roberts [Royaume-Uni] ; Paul Guyver [Royaume-Uni] ; Mathew Baldwin [Royaume-Uni] ; Kash Akhtar [Royaume-Uni] ; Abtin Alvand [Royaume-Uni] ; Andrew J. Price [Royaume-Uni] ; Jonathan L. Rees [Royaume-Uni]Source :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [ 1433-7347 ] ; 2016.
Abstract
To assess the construct and face validity of ArthroS, a passive haptic VR simulator. A secondary aim was to evaluate the novel performance metrics produced by this simulator.
DOI: 10.1007/s00167-016-4114-1
PubMed: 27085361
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Price</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Rees, Jonathan L" sort="Rees, Jonathan L" uniqKey="Rees J" first="Jonathan L" last="Rees">Jonathan L. Rees</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author></analytic><series><title level="j">Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><idno type="eISSN">1433-7347</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess the construct and face validity of ArthroS, a passive haptic VR simulator. A secondary aim was to evaluate the novel performance metrics produced by this simulator.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27085361</PMID><DateCreated><Year>2016</Year><Month>4</Month><Day>17</Day></DateCreated><DateRevised><Year>2016</Year><Month>4</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-7347</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2016</Year><Month>Apr</Month><Day>16</Day></PubDate></JournalIssue><Title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</Title><ISOAbbreviation>Knee Surg Sports Traumatol Arthrosc</ISOAbbreviation></Journal><ArticleTitle>Validation of the updated ArthroS simulator: face and construct validity of a passive haptic virtual reality simulator with novel performance metrics.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess the construct and face validity of ArthroS, a passive haptic VR simulator. A secondary aim was to evaluate the novel performance metrics produced by this simulator.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Two groups of 30 participants, each divided into novice, intermediate or expert based on arthroscopic experience, completed three separate tasks on either the knee or shoulder module of the simulator. Performance was recorded using 12 automatically generated performance metrics and video footage of the arthroscopic procedures. The videos were blindly assessed using a validated global rating scale (GRS). Participants completed a survey about the simulator's realism and training utility.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">This new simulator demonstrated construct validity of its tasks when evaluated against a GRS (p ≤ 0.003 in all cases). Regarding it's automatically generated performance metrics, established outputs such as time taken (p ≤ 0.001) and instrument path length (p ≤ 0.007) also demonstrated good construct validity. However, two-thirds of the proposed 'novel metrics' the simulator reports could not distinguish participants based on arthroscopic experience. Face validity assessment rated the simulator as a realistic and useful tool for trainees, but the passive haptic feedback (a key feature of this simulator) is rated as less realistic.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The ArthroS simulator has good task construct validity based on established objective outputs, but some of the novel performance metrics could not distinguish between surgical experience. The passive haptic feedback of the simulator also needs improvement. If simulators could offer automated and validated performance feedback, this would facilitate improvements in the delivery of training by allowing trainees to practise and self-assess.</AbstractText></Abstract><AuthorList><Author><LastName>Garfjeld Roberts</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-2316-5089</Identifier><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. patrick.garfjeldroberts@ndorms.ox.ac.uk.</Affiliation></AffiliationInfo></Author><Author><LastName>Guyver</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>MDHU Derriford, Plymouth Hospitals NHS Trust, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author><LastName>Baldwin</LastName><ForeName>Mathew</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Health Education Thames Valley, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author><LastName>Akhtar</LastName><ForeName>Kash</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>The Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.</Affiliation></AffiliationInfo></Author><Author><LastName>Alvand</LastName><ForeName>Abtin</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author><LastName>Price</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author><LastName>Rees</LastName><ForeName>Jonathan L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>4</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>Knee Surg Sports Traumatol Arthrosc</MedlineTA><NlmUniqueID>9314730</NlmUniqueID><ISSNLinking>0942-2056</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Arthroscopy</Keyword><Keyword MajorTopicYN="N">Simulation</Keyword><Keyword MajorTopicYN="N">Training</Keyword><Keyword MajorTopicYN="N">Virtual reality</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>8</Month><Day>6</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>2</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2016</Year><Month>4</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>4</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>4</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s00167-016-4114-1</ArticleId><ArticleId IdType="pii">10.1007/s00167-016-4114-1</ArticleId><ArticleId IdType="pubmed">27085361</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Oxfordshire</li></region><settlement><li>Londres</li><li>Oxford</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Garfjeld Roberts, Patrick" sort="Garfjeld Roberts, Patrick" uniqKey="Garfjeld Roberts P" first="Patrick" last="Garfjeld Roberts">Patrick Garfjeld Roberts</name></region><name sortKey="Akhtar, Kash" sort="Akhtar, Kash" uniqKey="Akhtar K" first="Kash" last="Akhtar">Kash Akhtar</name><name sortKey="Alvand, Abtin" sort="Alvand, Abtin" uniqKey="Alvand A" first="Abtin" last="Alvand">Abtin Alvand</name><name sortKey="Baldwin, Mathew" sort="Baldwin, Mathew" uniqKey="Baldwin M" first="Mathew" last="Baldwin">Mathew Baldwin</name><name sortKey="Guyver, Paul" sort="Guyver, Paul" uniqKey="Guyver P" first="Paul" last="Guyver">Paul Guyver</name><name sortKey="Price, Andrew J" sort="Price, Andrew J" uniqKey="Price A" first="Andrew J" last="Price">Andrew J. 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