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. 2024 Feb 15;10:e48566. doi: 10.2196/48566

Table 1.

Changes in the Kiersma-Chen Empathy Scale (KCES) score before and after immersive virtual reality experiential learning (n=344)

Question Before, mean score (SD) After, mean score (SD) t statistic



Mean difference (SD) t test (df) P value
1. It is necessary for a health care practitioner to be able to comprehend someone else’s experiences. 5.80 (0.89) 5.83 (0.91) 0.03 (1.11) 0.46 (304) .64
2. I am able to express my understanding of someone’s feelings. 5.38 (0.92) 5.61 (0.91) 0.23 (1.04) 3.91 (304) <.001
3. I am able to comprehend someone else’s experiences. 5.33 (0.85) 5.65 (0.88) 0.32 (1.06) 5.32 (304) <.001
4. I will not allow myself to be influenced by someone’s feelings when determining the best treatmenta. 4.62 (1.27) 4.65 (1.43) 0.62 (2.28) 4.88 (304) <.001
5. It is necessary for a health care practitioner to be able to express an understanding of someone’s feelings. 5.77 (0.85) 5.85 (0.74) 0.79 (0.93) 1.48 (304) .14
6. It is necessary for a health care practitioner to be able to value someone else’s point of view. 5.80 (0.88) 5.93 (0.82) 0.13 (1.04) 2.10 (304) .04
7. I believe that caring is essential to building a strong relationship with patients. 6.06 (0.79) 6.03 (0.82) 0.03 (0.89) 0.58 (304) .56
8. I am able to view the world from another person’s perspective. 5.34 (0.94) 5.69 (0.85) 0.35 (1.15) 5.26 (304) <.001
9. Considering someone’s feelings is not necessary to provide patient-centered carea. 3.15 (1.79) 3.78 (2.11) 0.64 (2.28) 4.88 (304) <.001
10. I am able to value someone else’s point of view. 5.43 (0.87) 5.70 (0.84) 0.27 (1.05) 4.52 (304) <.001
11. I have difficulty identifying with some else’s feelingsa. 3.51 (1.43) 3.98 (1.66) 0.47 (1.88) 4.38 (304) <.001
12. To build a strong relationship with patients, it is essential for a health care practitioner to be caring. 5.81 (0.88) 5.93 (0.82) 0.12 (1.02) 2.03 (304) .04
13. It is necessary for a health care practitioner to identify with someone else’s feelings. 5.73 (0.87) 5.94 (0.79) 0.20 (0.94) 3.77 (304) <.001
14. It is necessary for a health care practitioner to be able to view the world from another person’s perspective. 5.69 (0.87) 5.90 (0.84) 0.21 (0.92) 4.03 (304) <.001
15. A health care practitioner should not be influenced by someone’s feelings when determining the best treatmenta. 4.81 (1.36) 4.70 (1.60) 0.11 (1.59) 1.15 (304) .25
Total KCES 78.06 (7.72) 81.17 (8.93) 3.11 (0.523) 3.95 (304) <.001

aItems with negative wordings are scored in reverse.