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Acceptability and Utility of a Virtual Reality Diabetes-Related Foot Disease Training Program for First Nations
Neil McMillan1,2,3, Ancret Szpak1, Zygmunt Szpak4
1Adelaide University, Adelaide, South Australia, Australia.
The Australian Journal of Rural Health
|July 16, 2026
Summary
This study found that a virtual reality (VR) training tool effectively improved community health practitioners' confidence in assessing diabetes-related foot disease in Aboriginal and Torres Strait Islander people. The VR tool was also deemed acceptable and valuable for clinical education.
Area of Science:
- Health professions education
- Digital health technologies
- Indigenous health
Background:
- Diabetes-related foot disease (DRFD) is a significant complication, particularly among Aboriginal and Torres Strait Islander populations.
- Effective assessment and triage skills are crucial for managing DRFD in primary healthcare settings.
- Existing training methods may not adequately address the specific needs of community health practitioners in this area.
Purpose of the Study:
- To evaluate the utility and acceptability of a novel virtual reality (VR) training tool.
- To assess the tool's effectiveness in enhancing skills for DRFD assessment and triage.
- To determine the tool's suitability for training community health practitioners serving Aboriginal and Torres Strait Islander people.
Main Methods:
- A pragmatic quasi-experimental case series design was employed.
- The VR training involved interactive assessments with virtual patient models.
- Participants included primary healthcare staff from Aboriginal Community-Controlled Health Organisations in South Australia.
Main Results:
- Participants reported increased self-efficacy in performing DRFD assessment and triage skills post-training.
- User feedback indicated the VR training was engaging, acceptable, and valuable for clinical education.
- The training demonstrated positive user experience and perceived educational benefit.
Conclusions:
- The VR training tool is an acceptable and useful method for enhancing community health practitioners' skills in DRFD management.
- The VR tool shows potential for upskilling healthcare professionals to better serve Aboriginal and Torres Strait Islander individuals with DRFD.
- Virtual reality offers a promising avenue for improving healthcare education and outcomes in remote and underserved populations.

