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. 2026 Mar 19;12:e71455. doi: 10.2196/71455

Table 1. Differences in self-confidence between training methods.

Confidence domain Pretraining (N=164), mean (SD) Posttraining (N=164), mean (SD) Sources P value
HFSa (n=85) VRb (n=79) HFS (n=85) VR (n=79)
Seizure 3.67 (2.38) 3.38 (1.89) 4.49 (2.02) 4.32 (2.07) Group .54
Time <.001
Group*Time .53
Desaturationcd 3.82 (2.31) 3.72 (1.91) 6.54 (1.91) 5.82 (2.08) Group .19
Time <.001
Group*Time .07
Anaphylaxis 4.85 (2.58) 4.67 (2.26) 5.32 (2.08) 5.05 (2.10) Group .62
Time .004
Group*Time .75
General care 4.24 (2.29) 4.18 (1.92) 5.33 (1.88) 5 (1.96) Group .59
Time <.001
Group*Time .41
General skills 4.47 (2.23) 4.14 (1.81) 5.28 (1.87) 4.96 (1.88) Group .31
Time <.001
Group*Time .85
a

HFS: high-fidelity simulation.

b

VR: virtual reality.

c

Rated on a 10-point Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree).

d

Result of the simulation training offered.