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Table 2 Comparisons of leaning outcomes, cognitive load estimates, satisfaction, and learning acceptance between the IBVR and TBVR modules

From: Image-based and textbook-based virtual reality training on operational skills among junior residents: a proof of concept study

Variables

IBVR module

TBVR module

P-value1

Participants

n = 10

n = 10

 

Learning outcomes

   

Milestone (overall levels)

8 (6–9)

6 (6–7)

0.04

Small quiz (number of correct answers)

   

 Pretest

3 (3–3)

3 (3–3)

0.56

 Posttest

3 (3–3)

3 (3–3)

0.41

Percentage small quiz change (%)

0 (0–38)

0 (− 27–38)

0.49

DOPS (overall scores)

140 (134–147)

129 (124–134)

< 0.01

CLS

6 (5–7)

5 (5–6)

0.91

TLX

53 (41–65)

48 (40–61)

0.39

 Mental demand

13 (10–15)

12 (7–14)

0.26

 Physical demand

6 (4–12)

6 (4–13)

0.78

 Temporal demand

8 (5–13)

8 (4–10)

0.59

 Performance

10 (5–15)

12 (4–15)

0.77

 Effort

11 (8–12)

9 (7–13)

> 0.99

 Frustration

5 (3–7)

3 (2–5)

0.38

CLC

19 (17–21)

19 (18–21)

0.86

 Intrinsic cognitive load

4 (2–5)

4 (3–4)

0.48

 Extraneous cognitive load

8 (7–9)

8 (7–8)

0.26

 Germane cognitive load

8 (6–9)

8 (7–9)

0.08

GSS

8 (7–9)

8 (8–10)

0.03

AttrakDiff2

   

 Pragmatic quality

1.7 (1.1–2.5)

2.1 (1.3–2.6)

0.09

 Hedonic stimulation

1.5 (0.9–1.8)

1.9 (1.5–2.4)

0.01

 Hedonic identification

1.6 (1.2–1.8)

2.1 (1.7–2.7)

0.03

 Attractiveness

1.6 (1.3–1.9)

2.0 (1.4–2.6)

0.11

  1. Continuous variables are summarized as median (interquartile range). Abbreviations: CI: confidence interval; CLC: Cognitive Load Component; CLS: Cognitive Load Scale; DOPS: Direct Observation of Procedural Skills; GSS: global satisfaction scale; IBVR: image-based virtual reality; MCQ: multiple-choice question; TBVR: textbook-based virtual reality; TLX: NASA Task Load Index. 1Within-group differences were analyzed using the Wilcoxson signed rank test