November 21, 2019Open Access

Failure affects subjective estimates of cognitive load through a negative carry-over effect in virtual reality simulation of hip fracture surgery

JRJan Duedal RölfingAarhus University Hospital JNJeppe Kempf NørskovCentral Denmark Region CPCharlotte PaltvedAarhus University

Structured PICO

Does failure in virtual reality simulation affect subjective estimates of cognitive load?

Population

Participants in virtual reality simulation of hip fracture surgery

Intervention

Virtual reality simulation of hip fracture surgery involving failure

Outcome

Subjective estimates of cognitive load (CL) measured via questionnairespatient reported

Subjective questionnaires for estimating cognitive load in simulation training may be biased by participant frustration after failure.

Abstract

Questionnaires for estimation of CL seem to be affected by participant frustration after failure-a meta-cognitive "carry-over" effect. This could be a general limitation of the subjective questionnaire approach to estimate CL. Reducing CL through instructional design and handling of participant frustration might improve the learning outcome of simulation training programs.

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