scholarly journals Construct Validity of a Serious Game for Laparoscopic Skills Training: Validation Study

10.2196/17222 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e17222
Author(s):  
Wouter IJgosse ◽  
Harry van Goor ◽  
Camiel Rosman ◽  
Jan-Maarten Luursema
Keyword(s):  
Construct Validity ◽  
Video Game ◽  
Prior Experience ◽  
Skills Training ◽  
Time Variable ◽  
Serious Game ◽  
Laparoscopic Skills ◽  
Serious Gaming ◽  
Laparoscopic Procedures ◽  
Laparoscopic Skills Training

Background Surgical residents underutilize opportunities for traditional laparoscopic simulation training. Serious gaming may increase residents’ motivation to practice laparoscopic skills. However, little is known about the effectiveness of serious gaming for laparoscopic skills training. Objective The aim of this study was to establish construct validity for the laparoscopic serious game Underground. Methods All study participants completed 2 levels of Underground. Performance for 2 novel variables (time and error) was compared between novices (n=65, prior experience <10 laparoscopic procedures), intermediates (n=26, prior experience 10-100 laparoscopic procedures), and experts (n=20, prior experience >100 laparoscopic procedures) using analysis of covariance. We corrected for gender and video game experience. Results Controlling for gender and video game experience, the effects of prior laparoscopic experience on the time variable differed significantly (F2,106=4.77, P=.01). Both experts and intermediates outperformed novices in terms of task completion speed; experts did not outperform intermediates. A similar trend was seen for the rate of gameplay errors. Both gender (F1,106=14.42, P<.001 in favor of men) and prior video game experience (F1,106=5.20, P=.03 in favor of experienced gamers) modulated the time variable. Conclusions We established construct validity for the laparoscopic serious game Underground. Serious gaming may aid laparoscopic skills development. Previous gaming experience and gender also influenced Underground performance. The in-game performance metrics were not suitable for statistical evaluation. To unlock the full potential of serious gaming for training, a more formal approach to performance metric development is needed.

scholarly journals Construct Validity of a Serious Game for Laparoscopic Skills Training: Validation Study (Preprint)

2019 ◽  
Author(s):  
Wouter IJgosse ◽  
Harry van Goor ◽  
Camiel Rosman ◽  
Jan-Maarten Luursema
Keyword(s):  
Construct Validity ◽  
Video Game ◽  
Prior Experience ◽  
Skills Training ◽  
Time Variable ◽  
Serious Game ◽  
Laparoscopic Skills ◽  
Serious Gaming ◽  
Laparoscopic Procedures ◽  
Laparoscopic Skills Training

BACKGROUND Surgical residents underutilize opportunities for traditional laparoscopic simulation training. Serious gaming may increase residents’ motivation to practice laparoscopic skills. However, little is known about the effectiveness of serious gaming for laparoscopic skills training. OBJECTIVE The aim of this study was to establish construct validity for the laparoscopic serious game <i>Underground</i>. METHODS All study participants completed 2 levels of <i>Underground</i>. Performance for 2 novel variables (time and error) was compared between novices (n=65, prior experience &lt;10 laparoscopic procedures), intermediates (n=26, prior experience 10-100 laparoscopic procedures), and experts (n=20, prior experience &gt;100 laparoscopic procedures) using analysis of covariance. We corrected for gender and video game experience. RESULTS Controlling for gender and video game experience, the effects of prior laparoscopic experience on the time variable differed significantly (<i>F</i><sub>2,106</sub>=4.77, <i>P</i>=.01). Both experts and intermediates outperformed novices in terms of task completion speed; experts did not outperform intermediates. A similar trend was seen for the rate of gameplay errors. Both gender (<i>F</i><sub>1,106</sub>=14.42, <i>P</i>&lt;.001 in favor of men) and prior video game experience (<i>F</i><sub>1,106</sub>=5.20, <i>P</i>=.03 in favor of experienced gamers) modulated the time variable. CONCLUSIONS We established construct validity for the laparoscopic serious game <i>Underground</i>. Serious gaming may aid laparoscopic skills development. Previous gaming experience and gender also influenced <i>Underground</i> performance. The in-game performance metrics were not suitable for statistical evaluation. To unlock the full potential of serious gaming for training, a more formal approach to performance metric development is needed.

scholarly journals The Fun Factor: Does Serious Gaming Affect the Volume of Voluntary Laparoscopic Skills Training?

2020 ◽  
Vol 45 (1) ◽  
pp. 66-71
Author(s):  
Wouter Martijn IJgosse ◽  
Harry van Goor ◽  
Camiel Rosman ◽  
Jan-Maarten Luursema
Keyword(s):  
High Volume ◽  
Skills Training ◽  
Laparoscopic Training ◽  
Simulator Training ◽  
Serious Gaming ◽  
Laparoscopic Procedures ◽  
Laparoscopic Skills Training ◽  
Resident Time ◽  
Training Courses ◽  
Training Modalities

Abstract Background The availability of validated laparoscopic simulators has not resulted in sustainable high-volume training. We investigated whether the validated laparoscopic serious game Underground would increase voluntary training by residents. We hypothesized that by removing intrinsic barriers and extrinsic barriers, residents would spend more time on voluntary training with Underground compared to voluntary training with traditional simulators. Methods After 1 year, we compared amount of voluntary time spent on playing Underground to time spent on all other laparoscopic training modalities and to time spent on performing laparoscopic procedures in the OR for all surgical residents. These data were compared to resident’ time spent on laparoscopic activities over the prior year before the introduction of Underground. Results From March 2016 until March 2017, 63 residents spent on average 20 min on voluntary serious gaming, 17 min on voluntary simulator training, 2 h and 44 min on mandatory laparoscopic training courses, and 14 h and 49 min on laparoscopic procedures in the OR. Voluntary activities represented 3% of laparoscopic training activities which was similar in the prior year wherein fifty residents spent on average 33 min on voluntary simulator training, 3 h and 28 min on mandatory laparoscopic training courses, and 11 h and 19 min on laparoscopic procedures. Conclusion Serious gaming has not increased total voluntary training volume. Underground did not mitigate intrinsic and extrinsic barriers to voluntary training. Mandatory, scheduled training courses remain needed. Serious gaming is flexible and affordable and could be an important part of such training courses.

Serious gaming and voluntary laparoscopic skills training: A multicenter study

2009 ◽  
Vol 18 (4) ◽  
pp. 232-238 ◽  
Author(s):  
EGG Verdaasdonk ◽  
J Dankelman ◽  
MP Schijven ◽  
JF Lange ◽  
M Wentink ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Skills Training ◽  
Laparoscopic Skills ◽  
Serious Gaming ◽  
Laparoscopic Skills Training
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