Claims

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) · review r3 · q3 · i3 large
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

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