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Is a haptic simulation interface more effective than computer mouse-based interface for neonatal intubation skills

Anup Agarwal1, Julie Leviter2, Candace Mannarino2

  • 1Department of Internal Medicine, New York Medical College, Valhalla, New York, USA.

BMJ Simulation & Technology Enhanced Learning
|May 6, 2022
PubMed
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A three-dimensional (3D) haptic interface showed no advantage over a two-dimensional (2D) mouse for neonatal intubation (NI) training. However, screen-based simulation (SBS) training significantly improved intubation skills on a simulator.

Area of Science:

  • Medical Simulation
  • Medical Education Technology
  • Neonatal Resuscitation

Background:

  • Neonatal intubation (NI) is a critical skill requiring proficient training.
  • Screen-based simulation (SBS) offers a platform for practicing NI.
  • Evaluating different interface types, such as 3D haptic and 2D mouse, is crucial for optimizing SBS training.

Purpose of the Study:

  • To compare the efficacy of a 3D haptic interface versus a 2D mouse interface for SBS training in neonatal intubation.
  • To determine if SBS training, irrespective of interface, improves NI performance.

Main Methods:

  • 45 participants were randomized to either a haptic or mouse interface for SBS training.
  • Pre- and post-training assessments included surveys and performance on a neonatal manikin simulator.
Keywords:
computer simulationinfant, newbornintubationuser-computer interface

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  • Skills were measured by intubation attempts, time to success, and airway visualization.

    • Main Results:

    • No significant difference was found in skill improvement, knowledge, attitudes, or satisfaction between the haptic and mouse interface groups.
    • Overall, participants showed a significant decrease in intubation attempts and an improvement in the percentage of successful intubations within 30 seconds post-training.
    • Demographics, training, and experience were similar between the groups.

    Conclusions:

    • A 3D haptic interface does not offer an advantage over a 2D mouse interface for improving NI skills via SBS.
    • SBS training intervention for neonatal intubation effectively improves skills when assessed on a simulator.