Serious Game-based Development of Obesity Intervention Skills

PROJECT DESCRIPTION Serious Game based Development of Obesity Intervention Skills Intended Impact Medical students are not adequately prepared with the clinical skills they need to intervene with overweight or obese patients in order to help curtail the epidemic of obesity in the United States The ObesityTxChallenge project addresses this practice and training gap via novel tablet and web based training of medical students The project strives to improve the assessment and intervention skills of medical students by modifying our unique Clinical Encounters D Patient Training Environment developed for our Pain Tx Challenge product with to deliver an enhanced serious game based simulation The curriculum will be based on a modification of our hour obesity training for practicing doctors located at ImpactObesity com To reach our goal of improving outcomes of patients with overweight or obesity via Obesity Tx Challenge students will conduct interviews and examine virtual e g computer generated patients and receive differing simulated patient responses e g acceptance confusion refusal suspicious behavior Via the productandapos s unique branched path learning and time pressure students will make choices and see the results later in the experience Multiple paths and outcomes enhance realism enthusiasm changes in attitude and educational effect Virtual preceptors identify studentsandapos incorrect or less than optimal clinical choices and decisions and weak patient provider interaction skills and provide feedback The complex biological basis of obesity medicine is taught via a Unity D based andquot breakoutandquot learning experience to provide a basic science foundation for the clinical knowledge Learners select physical exam components to fully investigate weight status as well as select and interpret diagnostic tests Player students categorize overweight and obesity via standard measures weight BMI abdominal circumference to establish a diagnosis of obesity or assess overweight They develop an evidence based comprehensive treatment plan that includes lifestyle modification inter professional collaboration such as with dietitians counselors or weight loss programs appropriate use of medications and weight loss surgery motivational interventions follow up recommendations and referral as necessary Game points and visual rewards reinforce best practice choices and enhance student engagement The gameandapos s deliberate practice efficiently provides a wide variety of clinical experiences over time and an opportunity to develop useful skills as students work with the rds of adult patients who are overweight or obese The training offers an opportunity to establish lifelong practice patterns that will assist in stemming the obesity epidemic Phase I will specifically demonstrate product feasibility and acceptability by completing needs analyses and preference testing with target audience students and faculty a training framework and game design document a semi functional interactive prototype of the planned training with realistic computer generated patients and explanatory biological animations using Unity D which can be delivered in D standard monitors and D contexts such as Oculus VR assessments to be used in the Phase II evaluative study of the product and alpha usability testing of the prototype with medical students and assessment of preference acceptability and effectiveness of the animation presentations Phase II will complete the ObesityTxChallenge product produce the ObesityTxChallenge Implementation Guide for faculty preceptors and training directors to implement the game and evaluate the gameandapos s effectiveness with a population of medical students A robust evaluation of the game will assess learner response to this novel approach in terms of acceptance enthusiasm and impact on skills confidence and attitude via a randomized cross over wait list control pre test post test design It will compare change in target clinical skills and core competencies related to overweight and obesity assessment and intervention The robust assessment of ObesityTxChallenge informs our own environment and provides guidance to other researchers and educators regarding the ability of game based training to instill clinical skills and behaviors in students PUBLIC HEALTH RELEVANCE STATEMENT Overall Impact The personal financial and other costs of obesity to society are well known yet tomorrowandapos s medical students are still unprepared to time efficiently assess and intervene with patients who are overweight or obese The ObesityTxChallenge project builds upon our existing Clinical Encounters D Patient Training Environment and our ImpactObesity com training for practicing doctors to create a challenging D game and learning experience to be mastered Medical students experience the real world challenges of patient care including time pressure the need to make assessment and intervention decisions and exposure to the effect of those decisions on their patients By engaging and challenging medical students to improve their overweight and obesity assessment and intervention skills they can effectively and actively intervene with the rds of adult patients who struggle with overweight or obesity and improve the health outcomes of those patients