Mixed Reality Training for Teaching Cervical Effacement and Dilation
The Effect of Mixed Reality Application in Teaching Cervical Effacement and Dilatation on Cognitive Load, Sense of Presence, and Midwifery Professional Perception
Mardin Artuklu University
90 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this educational research is to determine whether a mixed reality-based training program is effective in teaching midwifery students how to assess cervical effacement and dilation. The study also examines the impact of mixed reality on students' cognitive load, sense of presence, and midwifery professional perception. The main questions the study seeks to answer are: Does mixed reality training reduce students' cognitive load? Does mixed reality increase the students' sense of presence? How does mixed reality-based training influence students' professional perception of midwifery? Do students who receive mixed reality training perform better in assessing cervical effacement and dilation on real pregnant women compared with the control group?
Eligibility
Inclusion Criteria6
- Enrolled in the Midwifery Department at Mardin Artuklu University,
- Taking the course "Normal Birth and Postpartum Care,"
- Who have not previously received any structured training (practical training, simulation, etc.) related to vaginal examination or cervical dilation/effacement procedures,
- Who do not feel confident in assessing cervical effacement and dilation,
- Who volunteer to participate in the study will be included,
- Pregnant women who are in the first stage of labor and have no obstetric complications.
Exclusion Criteria3
- Individuals who are graduates of health vocational high schools,
- Have disabilities in their eyes, hands, arms, or fingers,
- Those who do not complete the training will not be included.
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Interventions
Students will participate in a mixed reality (MR)-based training program. The program is designed to teach cervical effacement and dilation assessment. During the training, students will interact with three-dimensional virtual cervical models. They will be able to practice repeatedly in a safe, error-free environment to enhance their clinical skills. After completing MR training, students will perform vaginal examinations on 10 virtual patient scenarios. The accuracy of each assessment will be automatically evaluated by the system. Following MR training, students will conduct vaginal examinations on five pregnant women under researcher supervision in a real clinical setting. The following scales will be administered to participants: Cognitive Load Scale Sense of Presence Scale Midwifery Professional Perception Scale These measures will be used to determine the cognitive and professional effects of MR-based learning.
Students in the control group will receive traditional theoretical instruction. The training content will cover the principles of cervical effacement and dilation assessment. After completing the theoretical training, students will complete the Cognitive Load Scale and the Midwifery Professional Perception Scale. Under researcher supervision, students will perform vaginal examinations on five pregnant women to assess cervical effacement and dilation. These evaluations will be used to examine the effects of traditional training on students' cognitive load, professional perception, and practical assessment skills.
Locations(1)
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NCT07238205