Endoscopy Competence
Conditions
Keywords
Endoscopy competence, Video games, Warm-up, crossover trial
Brief summary
This study aims to assess the potential benefits of a brief video game intervention prior to a simulated endoscopy assessment on a phantom model by gastroenterology and general surgical clinicians.
Interventions
BEHAVIORALVideo game warm-up.
Participants will either rest or perform a 5-minute video game session of StarFox Zero (Nintendo) using the Wii-U (Nintendo) immediately prior to a simulated endoscopy assessment. The optimal pre-procedure warm-up duration is not known. Short interventions appear to be effective in athletic performance, and have been used in other procedural studies evaluating warm-up benefit. The intervention and assessment are expected to take ≤20 minutes per time point.
Sponsors
William Shanahan
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This will be a randomised 2 x 2 crossover trial. Participants will be allocated to either warm-up or no warm-up preceding an assessment of endoscopic performance for time point 1 and will perform the opposite at time point 2. Randomisation will be performed by blocks of 4 or 6, and allocated using random selection of uniform, opaque, sealed envelopes.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Gastroenterology or general surgical clinician at University Hospital Galway. * Minimum of 50 gastroscopies performed in career to date.
Exclusion criteria
* Performed endoscopy on the day of study prior to assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tool handling | This will be measured at index assessment and at follow up assessment 1 week later. | Time to retrieve suture in gastric body |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tool handling | This will be measured at index assessment and at follow up assessment 1 week later. | Time to retrieve bead in gastric body |
| Time to D2 | This will be measured at index assessment and at follow up assessment 1 week later. | Time to progress scope to second part of duodenum |
| Tip control | This will be measured at index assessment and at follow up assessment 1 week later. | Image capture performance. The centrality of ampulla on image captured by endoscopist with endoscope will be assessed using ImageJ. The greater the central tendency the better the performance. |
| Task difficulty | This will be measured at index assessment and at follow up assessment 1 week later. | Complete Endoscopy Task Load Index. The is a refinement of the National Aeronautics and Space Administration Task Load Index (NASA-TLX) but comprises only three questions as opposed to eight. (https://onlinelibrary.wiley.com/doi/10.1155/2014/892476) |
Outcome results
None listed