High-fidelity simulation improves ECT procedural skills substantially but does not reliably improve theoretical knowledge or confidence¶
Claim · All claims
Evidence · 1 study (2 entries) · reviewr3·q3·i3large
Currency · newest study 2026 · checked against its sources 2026-10-31 (automated, 2 of 2 entries) · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i3 In Rabheru's RCT, the HFS group scored significantly higher on the ECT-OSATS global rating (all 10 passing vs 1 of 9 controls; p < 0.001, Cohen d = 2.8), with no significant differences in knowledge (p = 0.36) or confidence (p = 0.21). → Mokhtari Saba 2026
q3 i? In Raysin's block-RCT, the simulation group showed significantly greater improvements in ECT knowledge (51% to 69%, p = 0.02) and procedural skills (22% to 51%, p < 0.001) than didactic training. → Mokhtari Saba 2026 (2)
Evidence¶
Mokhtari Saba 2026¶
Mokhtari Saba, Mokhtari Asieh, Shariat Seyed Vahid, Nazeri Astaneh Ali, Shalbafan Mohammadreza. (2026). Innovative technologies in psychiatry education: a systematic review. BMC Medical Education. https://doi.org/10.1186/s12909-026-09573-1
q3 · i3 · review · r3
RCT with 19 psychiatry residents randomized to HFS (n = 10) or traditional training (n = 9) for ECT, with blinded observers using the ECT-OSATS checklist. The review reports "p < 0.001, Cohen d = 2.8" for procedural skill but no significant knowledge or confidence differences.
"The residents in the simulation group scored significantly higher on the ECT-OSATS global rating, with all 10 trainees passing the assessment. In contrast, only one out of nine in the control group passed (p < 0.001, Cohen d = 2.8). However, no significant differences were detected between the groups in knowledge scores (p = 0.36) or self-reported confidence (p = 0.21)."
Mokhtari Saba 2026 (2)¶
Mokhtari Saba, Mokhtari Asieh, Shariat Seyed Vahid, Nazeri Astaneh Ali, Shalbafan Mohammadreza. (2026). Innovative technologies in psychiatry education: a systematic review. BMC Medical Education. https://doi.org/10.1186/s12909-026-09573-1
q3 · i? · review · r3
Block-RCT with 35 psychiatry residents assigned to SIM-ECT (n = 18) or traditional didactic training (n = 17). The review reports knowledge rising from 51% to 69% (p = 0.02) and procedural skills from 22% to 51% (p < 0.001). Rated low risk of bias (RoB 2).
"Knowledge scores increased from 51% to 69% (p = 0.02), and procedural skills improved from 22% to 51% (p < 0.001). Confidence and comfort levels also increased in the simulation group, highlighting the benefits of using HFS in psychiatry education."
Discussion¶
Related Claims¶
- High-fidelity simulation training improves knowledge acquisition among practising registered nurses (moderate pooled effect) — related
- The effect of high-fidelity simulation on practising nurses' self-confidence is inconclusive, varying by study design — related
- Virtual reality was particularly effective for procedural skill development and knowledge retention in paediatric undergraduate training — related
- The review reports that high-fidelity simulation outperformed case-based discussion for clinical reasoning and leadership in paediatric emergencies — related
- The HFS evidence base for practising nurses comprises eight small studies with risk-of-bias concerns — related
- High-fidelity simulation training yields a large effect on learning satisfaction among practising registered nurses — related
- In an RCT of ICU nurses, simulation-based education produced within-group gains in knowledge, confidence and competence but no between-group differences at 6 weeks — related
- High-fidelity simulation training improves professional skills among practising registered nurses (moderate pooled effect) — related
- High-fidelity simulation improved pharmacology learning and retention compared to low-fidelity and sham groups — related
- Intermediate-fidelity mannequin simulation increased knowledge but not confidence compared with no additional instruction (Tiffen et al. study) — related
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review |
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by process:wiki-ingest on 2026-10-31 |
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