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. 2022 Aug 1;8(3):e36447. doi: 10.2196/36447

Table 1.

Psychologic responses to simulation.

Measurement and simulation Measurement time

Day 1 Day 2

Before simulation After simulation Before simulation After simulation
Negative affect, mean (SD)




Manikin 14.6 (3.38) 20.5 (5.83) 15.0 (4.35) 18.8 (5.91)

ARa 13.5 (2.51) 20.7 (6.44) 14.8 (5.20) 18.4 (6.11)
Self-reported stress, mean (SD)




Manikin 44.2 (23.24) 57.8 (23.57) 45.1 (19.82) 56.3 (20.14)

AR 38.2 (17.87) 54.3 (19.11) 47.5 (27.12) 58.0 (24.72)
Simulation stress, mean (SD)




Manikin N/Ab 62.6 (21.23) N/A 53.1 (23.00)

AR N/A 56.3 (22.28) N/A 55.1 (22.34)
Maximum stress, mean (SD)




Manikin N/A 72.4 (19.19) N/A 60.0 (24.16)

AR N/A 64.3 (22.22) N/A 63.0 (23.29)
Negative emotion words (%), mean (SD)




Manikin N/A 6.2 (3.17) N/A 7.3 (4.10)

AR N/A 6.4 (2.98) N/A 6.6 (2.67)
Positive emotion words (%), mean (SD)




Manikin N/A 3.0 (1.81) N/A 2.5 (1.59)

AR N/A 2.7 (1.84) N/A 2.1 (2.06)
Galvanic skin response (√μS), mean (SD)




Manikin 12.9 (8.27) 15.3 (7.67) 11.2 (9.50) 13.6 (7.63)

AR 8.8 (6.19) 10.6 (6.11) 12.1 (5.68) 14.1 (4.99)
Cortisol (ug/dl), mean (SD)




Manikin 0.2 (0.11) 0.1 (0.09) 0.1 (0.09) 0.1 (0.06)

AR 0.1 (0.10) 0.1 (0.13) 0.2 (0.10) 0.2 (0.11)
Simulation sickness symptoms score, mean (SD)




Manikin N/A 23.0 (20.59) N/A 30.2 (25.78)

AR N/A 27.4 (20.58) N/A 28.1 (24.68)

aAR: augmented reality.

bN/A: not applicable.