Promoting Empathy in Audiology Education Through Virtual Reality and Tactile Technologies: A Pilot Study for Patient-Centered Care in Individuals with Hearing Loss and Manual Dexterity Limitations
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Updated: Jan 14, 2026

Development of an Audio-based Virtual Gaming Environment to Assist with Navigation Skills in the Blind
Published on: March 27, 2013
Razan Alfakir1, Gracyn Holt1, Lily Mason1
1Department of Speech-Language & Hearing Sciences, Auburn University, Auburn, AL 36849 USA.
Objective:
This study evaluates the effectiveness of a virtual reality (VR)-based empathy training program, augmented with a haptic glove, in fostering cognitive, affective, and compassionate empathy among audiology students for patients with hearing loss (HL) and manual dexterity limitations.
Methods:
Using a mixed-methods design, two immersive VR simulation scenarios were developed to replicate challenges faced by patients with HL and impaired manual dexterity. Students participated in these scenarios while wearing Cambridge simulation gloves to restrict hand movement, simulating physical limitations. Pre- and post-intervention surveys assessed empathy using the Jefferson Scale of Empathy, alongside measures of immersion, usefulness, educational value, and adverse effects. Qualitative feedback provided insights into participants' reflections.
Results:
Empathy scores significantly improved from pre- to post-intervention (Hedges' g = 0.50, 95% CI 0.061-0.915; P < .05). High levels of immersion (74-86%), perceived usefulness (87%), and perceived educational value (91-100%) were reported. Qualitative feedback highlighted the training's ability to engage students in the three key empathy dimensions.
Conclusion:
The VR-based training, integrated with haptic Cambridge simulation gloves, effectively enhanced students' understanding of patient challenges related to HL and impaired manual dexterity. This innovative approach demonstrates the potential for fostering empathy in audiology education.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s40670-025-02403-x.
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