Quantifying effects of exposure to the third and first-person perspectives in virtual-reality-based training

In the recent years, usage of the third-person perspective (3PP) in virtual training methods has become increasingly viable and despite the growing interest in virtual reality and graphics underlying third-person perspective usage, not many studies have systematically looked at the dynamics and differences between the third and first-person perspectives (1PPs). The current study was designed to quantify the differences between the effects induced by training participants to the third-person and first-person perspectives in a ball catching task. Our results show that for a certain trajectory of the stimulus, the performance of the participants post3PP training is similar to their performance postnormal perspective training. Performance post1PP training varies significantly from both 3PP and the normal perspectiv

Training Counselors Using Virtual Reality

Virtual reality (VR) has the potential to expand experiential learning opportunities in counselor education. This article discusses how semi- and immersive VR can provide students a diverse range of experiences to increase both counseling skill and empathy development for clients with a myriad of identities, diagnoses, and presenting counseling issues. Suggestions and implications for counselor education are discussed

Rapid, continuous movement between nodes as an accessible virtual reality locomotion technique

The confounding effect of player locomotion on the vestibulo-ocular reflex is one of the principal causes of motion sickness in immersive virtual reality. Continuous motion is particularly problematic for stationary user configurations, and teleportation has become the prevailing approach for providing accessible locomotion. Unfortunately, teleportation can also increase disorientation and reduce a player’s sense of presence within a VR environment. This paper presents an alternative locomotion technique designed to preserve accessibility while maintaining feelings of presence. This is a node-based navigation system which allows the player to move between predefined node positions using a rapid, continuous, linear motion. An evaluation was undertaken to compare this locomotion technique with commonly used, teleportation-based and continuous walking approaches. Thirty-six participants took part in a study which examined motion sickness and presence for each technique, while navigating around a virtual house using PlayStation VR. Contrary to intuition, we show that rapid movement speeds reduce players’ feelings of motion sickness as compared to continuous movement at normal walking speeds

Commercial video games as therapy: a new research agenda to unlock the potential of a global pastime

Emerging research suggests that commercial, off-the-shelf video games have potential applications in preventive and therapeutic medicine. Despite these promising findings, systematic efforts to characterize and better understand this potential have not been undertaken. Serious academic study of the therapeutic potential of commercial video games faces several challenges, including a lack of standard terminology, rapidly changing technology, societal attitudes toward video games, and understanding and accounting for complex interactions between individual, social, and cultural health determinants. As a vehicle to launch a new interdisciplinary research agenda, the present paper provides background information on the use of commercial video games for the prevention, treatment, and rehabilitation of mental and other health conditions, and discusses ongoing grassroots efforts by online communities to use video games for healing and recovery

The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

The COVID-19 pandemic and infection control measures had an unavoidable impact on surgical services. During the first wave of the pandemic, elective surgery, endoscopy, and ‘face-to-face’ clinics were discontinued after recommendations from professional bodies. In addition, training courses, examinations, conferences, and training rotations were postponed or cancelled. Inadvertently, infection control and prevention measures, both within and outside hospitals, have caused a significant negative impact on training. At the same time, they have given space to new technologies, like telemedicine and platforms for webinars, to blossom. While the recovery phase is well underway in some parts of the world, most surgical services are not operating at full capacity. Unfortunately, some countries are still battling a second or third wave of the pandemic with severely negative consequences on surgical services. Several studies have looked into the impact of COVID-19 on surgical training. Here, an objective overview of studies from different parts of the world is presented. Also, evidence-based solutions are suggested for future surgical training interventions

Virtual Reality Methods

ePDF and ePUB available Open Access under CC-BY-NC-ND licence. Since the mid-2010s, virtual reality (VR) technology has advanced rapidly. This book explores the many opportunities that VR can offer for humanities and social sciences researchers. The book provides a user-friendly, non-technical methods guide to using ready-made VR content and 360° video as well as creating custom materials. It examines the advantages and disadvantages of different approaches to using VR, providing helpful, real-world examples of how researchers have used the technology

가상현실에서 몸의 자세와 공간인지, 공간이동방법, 존재감, 사이버멀미의 상호작용에 대한 연구

학위논문 (박사) -- 서울대학교 대학원 : 인문대학 협동과정 인지과학전공, 2021. 2. 이경민.가상현실은 몸과 마음이 공간에 함께 존재한다는 일상적 경험에 대해 새로운 관점을 제시한다. 컴퓨터로 매개된 커뮤니케이션에서 많은 경우 사용자들은 몸은 배제되며 마음의 존재가 중요하다고 느끼게 된다. 이와 관련하여 가상현실은 사용자들에게 커뮤니케이션에 있어 물리적 몸의 역할과 비체화된 상호작용의 중요성에 대해 연구할 수 있는 기회를 제공한다. 기존 연구에 의하면 실행, 주의집중, 기억, 지각과 같은 인지기능들이 몸의 자세에 따라 다르게 작용한다고 한다. 하지만 이와 같은 인지기능들과 몸 자세의 상호연관성은 여전히 명확히 밝혀지고 있지 않다. 특히 가상현실에서 몸의 자세가 지각반응에 대한 인지과정에 어떤 작용을 하는지에 대한 이해는 매우 부족한 상황이다. 가상현실 연구자들은 존재감을 가상현실의 핵심 개념으로 정의하였으며 효율적인 가상현실 시스템 구성과 밀접한 관계가 있다고 한다. 존재감은 가상공간에 있다고 느끼는 의식상태를 말한다. 구체적으로 가상현실 속 경험을 실재 존재한다고 느끼는 의식상태를 말한다. 이런 존재감이 높을 수록 현실처럼 인지하기에 존재감은 가상현실 경험을 측정하는 중요한 지표이다. 따라서 가상공간에 존재하고 있다는 의식적 경험 ((거기에 있다(being there)), 즉 존재감은 매개된 가상경험들의 인지 연구에 중요한 개념이다. 가상현실은 사이버멀미를 유발하는 것으로 알려져 있다. 이 증상은 가상현실의 사용성을 제약하는 주요 요인으로 효과적인 가상현실 경험을 위해 사이버멀미에 대한 다양한 연구가 필요하다. 사이버멀미는 가상현실 시스템을 사용할때 나타나며 어지러움, 방향상실, 두통, 땀흘림, 눈피로도등의 증상을 포함한다. 이런 사이버멀미에는 개인차, 사용된 기술, 공간디자인, 수행된 업무등 매우 다양 요인들이 관여하고 있어 명확한 원인을 규정할 수 없다. 이런 배경으로 인해 사이버멀미 저감과 관련한 다양한 연구들이 필요하며 이는 가상현실 발전에 중요한 의미를 갖는다. 공간인지는 3차원 공간에서 신체 움직임과 대상과의 상호작용에 중요한 역할을 하는 인지시스템이다. 가상공간에서 신체 움직임은 네비게이션, 사물조작, 다른 에이전트들과 상호작용에 관여한다. 특히 가상공간에서 네비게이션은 자주 사용되는 중요한 상호작용 방식이다. 이에 가상공간을 네비게이션 할때 존재감에 영향을 주지 않고 멀미증상을 유발하지 않는 효과적인 공간이동 방법에 대한 다양한 연구들이 이루어지고 있다. 이전 연구들에 의하면 시점이 존재감과 체화감에 영향을 준다고 한다. 이는 시점에 따라 사용자의 행동과 대상들과의 상호작용 방식에 달라지기 때문이다. 따라서 가상공간에서 경험 또한 시점에 따라 달라진다. 이런 배경으로 몸의 자세, 공간인지, 이동방법, 존재감, 사이버멀미의 상호 연관성에 대한 연구를 시점에 따라 분류해서 연구할 필요가 있다. 이를 통해 가상현실 속 공간 네비게이션에 대한 인지과정을 보다 다각적으로 이해 할 수 있을 것이다. 그동안 존재감과 사이버 멀미에 내재된 매커니즘을 이해하기 위해 다양한 연구들이 진행되어 왔다. 하지만 몸의 자세에 따른 인지작용이 존재감과 사이버멀미에 어떤 영향을 주는지에 대한 연구는 거의 이루어지지 않았다. 이에 본 학위논문에서는 1인칭과 3인칭 시점으로 분류된 별도의 실험과 연구를 진행하여 가상현실에서 몸의 자세와 공간인지, 공간이동방법, 존재감, 사이버멀미의 상호연관성을 보다 심층적으로 이해하고자 한다. 제3장에서는 3인칭시점의 실험과 결과에 대한 내용을 기술했다. 3인칭시점 실험에서는 가상공간에서 몸의 자세와 존재감의 상호연관성 연구를 위해 세가지 몸의 자세 (서있는 자세, 앉은 자세, 다리를 펴고 앉은 자세)와 2가지 타입의 공간이동 자유도 (무한, 유한)를 상호 비교했다. 실험결과에 의하면 공간이동 자유도가 무한한 경우 서있는 자세에서 존재감이 높게 나타났다. 추가적으로 가상공간에서 몸의 자세와 존재감은 공간이동자유도와 관련이 있는 것으로 나타났으며 여러 인지기능 중 주의집중이 몸의 자세, 존재감, 공간인지의 통합적 상호작용을 이끌어 낸 것으로 파악되었다. 3인칭시점의 결과들을 종합해 보면 몸 자세의 인지적 영향은 공간이동자유도와 상관관계가 있는 것으로 추측할 수 있다. 제4장에서는 1인칭시점의 실험과 결과에 대한 내용을 기술했다. 1인칭시점 실험에서는 가상공간에서 몸의 자세, 공간이동방법, 존재감, 사이버멀미의 상호연관성 연구를 위해 두 조건의 몸의 자세 (서있는 자세, 앉아 있는 자세)와 네가지 타입의 이동방법 (스티어링 + 몸을 활용한 회전, 스티어링 + 도구를 활용한 회전, 텔레포테이션 + 몸을 이용한 회전, 텔레포테이션 + 도구를 활용한 회전)의 상호 비교가 이루어 졌다. 실험결과에 의하면 위치이동방식과 회전방식에 따른 공간이동자유도는 성공적인 네비게이션과 관련이 있으며 존재감에 영향을 주는 것으로 나타났다. 추가적으로 연속적으로 시각정보가 입력되는 스티어링 방법은 자가운동을 높여 비연속적 방법인 텔레포테이션보다 사이버멀미를 더 유발하는 것으로 나타났다. 1인칭시점의 결과들을 종합해 보면 가상공간에서 네비게이션을 할때 존재감과 사이버멀미는 공간이동방법과 관련이 있는 것으로 가정할 수 있다. 제3장의 3인칭 시점 실험결과에 의하면 몸의 자세와 존재감은 상관관계가 있는 것으로 제시되었다. 반면 제4장의 실험결과에 의하면 1인칭시점으로 가상공간을 네비게이션 할 때는 공간이동방법이 존재감과 사이버멀미에 영향을 주는 것으로 나타났다. 이 두 실험에 대한 연구 결과를 통해 가상현실에서 몸의 자세와 공간인지 (네비게이션)의 상호연관성에 대한 이해를 확대하고 존재감 및 사이버멀미와 공간이동방법의 관련성을 밝힐 수 있을 것으로 기대한다.Immersive virtual environments (VEs) can disrupt the everyday connection between where our senses tell us we are and where we are actually located. In computer-mediated communication, the user often comes to feel that their body has become irrelevant and that it is only the presence of their mind that matters. However, virtual worlds offer users an opportunity to become aware of and explore both the role of the physical body in communication, and the implications of disembodied interactions. Previous research has suggested that cognitive functions such as execution, attention, memory, and perception differ when body position changes. However, the influence of body position on these cognitive functions is still not fully understood. In particular, little is known about how physical self-positioning may affect the cognitive process of perceptual responses in a VE. Some researchers have identified presence as a guide to what constitutes an effective virtual reality (VR) system and as the defining feature of VR. Presence is a state of consciousness related to the sense of being within a VE; in particular, it is a ‘psychological state in which the virtuality of the experience is unnoticed’. Higher levels of presence are considered to be an indicator of a more successful media experience, thus the psychological experience of ‘being there’ is an important construct to consider when investigating the association between mediated experiences on cognition. VR is known to induce cybersickness, which limits its application and highlights the need for scientific strategies to optimize virtual experiences. Cybersickness refers to the sickness associated with the use of VR systems, which has a range of symptoms including nausea, disorientation, headaches, sweating and eye strain. This is a complicated problem because the experience of cybersickness varies greatly between individuals, the technology being used, the design of the environment, and the task being performed. Thus, avoiding cybersickness represents a major challenge for VR development. Spatial cognition is an invariable precursor to action because it allows the formation of the necessary mental representations that code the positions of and relationships among objects. Thus, a number of bodily actions are represented mentally within a depicted VR space, including those functionally related to navigation, the manipulation of objects, and/or interaction with other agents. Of these actions, navigation is one of the most important and frequently used interaction tasks in VR environments. Therefore, identifying an efficient locomotion technique that does not alter presence nor cause motion sickness has become the focus of numerous studies. Though the details of the results have varied, past research has revealed that viewpoint can affect the sense of presence and the sense of embodiment. VR experience differs depending on the viewpoint of a user because this vantage point affects the actions of the user and their engagement with objects. Therefore, it is necessary to investigate the association between body position, spatial cognition, locomotion method, presence, and cybersickness based on viewpoint, which may clarify the understanding of cognitive processes in VE navigation. To date, numerous detailed studies have been conducted to explore the mechanisms underlying presence and cybersickness in VR. However, few have investigated the cognitive effects of body position on presence and cybersickness. With this in mind, two separate experiments were conducted in the present study on viewpoint within VR (i.e., third-person and first-person perspectives) to further the understanding of the effects of body position in relation to spatial cognition, locomotion method, presence, and cybersickness in VEs. In Chapter 3 (Experiment 1: third-person perspective), three body positions (standing, sitting, and half-sitting) were compared in two types of VR game with a different degree of freedom in navigation (DFN; finite and infinite) to explore the association between body position and the sense of presence in VEs. The results of the analysis revealed that standing has the most significant effect on presence for the three body positions that were investigated. In addition, the outcomes of this study indicated that the cognitive effect of body position on presence is associated with the DFN in a VE. Specifically, cognitive activity related to attention orchestrates the cognitive processes associated with body position, presence, and spatial cognition, consequently leading to an integrated sense of presence in VR. It can thus be speculated that the cognitive effects of body position on presence are correlated with the DFN in a VE. In Chapter 4 (Experiment 2: first-person perspective), two body positions (standing and sitting) and four types of locomotion method (steering + embodied control [EC], steering + instrumental control [IC], teleportation + EC, and teleportation + IC) were compared to examine the relationship between body position, locomotion method, presence, and cybersickness when navigating a VE. The results of Experiment 2 suggested that the DFN for translation and rotation is related to successful navigation and affects the sense of presence when navigating a VE. In addition, steering locomotion (continuous motion) increases self-motion when navigating a VE, which results in stronger cybersickness than teleportation (non-continuous motion). Overall, it can be postulated that presence and cybersickness are associated with the method of locomotion when navigating a VE. In this dissertation, the overall results of Experiment 1 suggest that the cognitive influence of presence is body-dependent in the sense that mental and brain processes rely on or are affected by the physical body. On the other hand, the outcomes of Experiment 2 illustrate the significant effects of locomotion method on the sense of presence and cybersickness during VE navigation. Taken together, the results of this study provide new insights into the cognitive effects of body position on spatial cognition (i.e., navigation) in VR and highlight the important implications of locomotion method on presence and cybersickness in VE navigation.Chapter 1. Introduction 1 1.1. An Introductory Overview of the Conducted Research 1 1.1.1. Presence and Body Position 1 1.1.2. Navigation, Cybersickness, and Locomotion Method 3 1.2. Research Objectives 6 1.3. Research Experimental Approach 7 Chapter 2. Theoretical Background 9 2.1. Presence 9 2.1.1. Presence and Virtual Reality 9 2.1.2. Presence and Spatiality 10 2.1.3. Presence and Action 12 2.1.4. Presence and Attention 14 2.2. Body Position 16 2.2.1. Body Position and Cognitive Effects 16 2.2.2. Body Position and Postural Control 18 2.2.3. Body Position and Postural Stability 19 2.3. Spatial Cognition: Degree of Freedom in Navigation 20 2.3.1. Degree of Freedom in Navigation and Decision-Making 20 2.4. Cybersickness 22 2.4.1. Cybersickness and Virtual Reality 22 2.4.2. Sensory Conflict Theory 22 2.4.3. Postural Instability Theory 23 2.5. Self-Motion 25 2.5.1. Vection and Virtual Reality 25 2.5.2. Self-Motion and Navigation in a VE 27 2.6. Navigation in Virtual Environments 29 2.6.1. Translation and Rotation in Navigation 29 2.6.2. Spatial Orientation and Embodiment 32 2.6.3. Locomotion Methods 37 2.6.4. Steering and Teleportation 38 Chapter 3. Experiment 1: Third-Person Perspective 40 3.1. Quantification of the Degree of Freedom in Navigation 40 3.2. Experiment 3.2.1. Experimental Design and Participants 41 3.2.2. Stimulus Materials 42 3.2.2.1. First- and Third-person Perspectives in Gameplay 43 3.2.3. Experimental Setup and Process 44 3.2.4. Measurements 45 3.3. Results 45 3.3.1. Presence: two-way ANOVA 45 3.3.2. Presence: one-way ANOVA 46 3.3.2.1. Finite Navigation Freedom 46 3.3.2.2. Infinite Navigation Freedom 47 3.3.3. Summary of the Results 48 3.4. Discussion 49 3.4.1. Presence and Body Position 49 3.4.2. Degree of Freedom in Navigation and Decision-Making 50 3.4.3. Gender Difference and Gameplay 51 3.5. Limitations 52 Chapter 4. Experiment 2: First-Person Perspective 53 4.1. Experiment 53 4.1.1. Experimental Design and Participants 53 4.1.2. Stimulus Materials 54 4.1.3. Experimental Setup and Process 55 4.1.4. Measurements 56 4.2. Results 57 4.2.1. Presence: two-way ANOVA 58 4.2.2. Cybersickness: two-way ANOVA 58 4.2.3. Presence: one-way ANOVA 60 4.2.3.1. Standing Position 60 4.2.3.2. Sitting Position 60 4.2.4. Cybersickness: one-way ANOVA 62 4.2.4.1. Standing Position 62 4.2.4.2. Sitting Position 62 4.2.5. Summary of the Results 63 4.3. Discussion 65 4.3.1. Presence 4.3.1.1. Presence and Locomotion Method 66 4.3.1.2. Presence and Body Position 68 4.3.2. Cybersickness 4.3.2.1. Cybersickness and Locomotion Method 69 4.3.2.2. Cybersickness and Body Position 70 4.4. Limitations 71 Chapter 5. Conclusion 72 5.1. Summary of Findings 72 5.2. Future Research Direction 73 References 75 Appendix A 107 Appendix B 110 국문초록 111Docto

The role of simulation-based learning environments in preparing undergraduate health students for clinical practice

Experiential learning (EL), whereby students are able to integrate theory with practice, is an essential component of learning for health professionals. Traditionally, EL in the health education context has been achieved through clinical placements (CPs) that see students ‘apprentice’ in real clinical settings. The literature suggests there are a number of factors that diminish a student’s ability to learn in such environments, including limited opportunities to practice, being confined primarily to observation roles as opposed to participate in tasks, being exposed to skills/procedures outside their level of learning/understanding, and institutional learning objectives being secondary to workplace goals. Simulation-based learning environments (SLEs) have been espoused as an effective alternative to traditional CPs, as they provide EL opportunities void of patient risk, and can be targeted to suit the needs of both teacher and learner. While many advocate that SLEs are the logical teaching modality for preparing students to practice in real clinical environments, the fast adoption of SLEs in health education has far exceeded evidence of its effectiveness in comparison to learning occurring via CPs. Research investigating SLEs to date has, for the most part, relied upon subjective measures of student satisfaction, confidence and competence and has utilised single-group analyses providing no yardstick for comparison. The present research sought to explore the value of SLEs for undergraduate health students in comparison to CPs, as well as investigate methods of improving the educational benefit of SLEs. This thesis is presented as a series of papers (i.e. PhD by publication) addressing the role of SLEs in health education. Study One investigates how social evaluation anxiety (SEA) impacts on performance amongst a sample of final-year nursing students. It was found that through increasing the number of professional actors in a simulation-based clinical scenario, social evaluation anxiety increased to an extent sufficient to detrimentally affect student performance. Thus, the study concluded that students would likely benefit from additional authentic exposures to EL opportunities earlier throughout their curriculum, so as to acclimatise them to real patient and person interaction. Studies Two and Three explore the differences and relationship between SLEs and CPs amongst first-year paramedicine students. The extent to which SLEs provide additional learning benefit in subsequent CPs was first established, followed by evidence suggesting this is most likely attributable to the increased opportunity for repetitive and targeted practice meant and why I did it. To my father, Rick Mills, unexpectedly losing you in December last year was unquestionably the most tragic time of my life, but the life lessons you embedded so strongly within me saw this thesis through to completion. I cannot thank you enough, and dedicate this accomplishment to you