C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education

Anatomy education faces challenges in providing engaging, interactive, and collaborative learning experiences, particularly in understanding complex three-dimensional structures and maintaining long-term knowledge retention. Although virtual reality (VR) has shown promise in addressing spatial compr...

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Main Authors: Mohammed Kadri, Fatima-Ezzahra Boubakri, Gwo-Jen Hwang, Fatima Zahra Kaghat, Ahmed Azough, Khalid Alaoui Zidani
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10817604/
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author Mohammed Kadri
Fatima-Ezzahra Boubakri
Gwo-Jen Hwang
Fatima Zahra Kaghat
Ahmed Azough
Khalid Alaoui Zidani
author_facet Mohammed Kadri
Fatima-Ezzahra Boubakri
Gwo-Jen Hwang
Fatima Zahra Kaghat
Ahmed Azough
Khalid Alaoui Zidani
author_sort Mohammed Kadri
collection DOAJ
description Anatomy education faces challenges in providing engaging, interactive, and collaborative learning experiences, particularly in understanding complex three-dimensional structures and maintaining long-term knowledge retention. Although virtual reality (VR) has shown promise in addressing spatial comprehension challenges, questions remain regarding its effectiveness in supporting collaborative learning and sustained knowledge retention. This longitudinal study examined Collaborative Immersive Virtual Anatomy Laboratory (C-IVAL), an innovative VR platform designed to enhance traditional anatomy learning through integrated collaborative features, immersive technology, and serious game elements. We conducted an experimental study with 65 medical students to evaluate their knowledge acquisition and technology acceptance compared to its non-collaborative predecessor, the Immersive Virtual Anatomy Laboratory (IVAL). Our evaluation framework combined quantitative assessments (knowledge tests, comprising pre-test, immediate post-test, and delayed post-test) with Technology Acceptance Model (TAM) analysis. Knowledge assessment revealed significant cognitive improvements, with mean knowledge scores increasing from 2.48 to 3.94 in the immediate post-tests, while long-term retention of anatomy knowledge showed sustained engagement for over two months. Importantly, C-IVAL demonstrated significantly higher scores across all TAM dimensions than the non-collaborative IVAL system, particularly for perceived usefulness and intention to use. Post-session feedback analysis showed 73.8% positive responses, highlighting enhanced social presence, immersive engagement, and effective collaboration, with 26.2% of constructive feedback focusing on system refinement and feature enhancement. This study contributes to the understanding of the effectiveness of collaborative features in virtual reality education by offering insights into designing and implementing virtual learning environments that enhance both knowledge retention and user acceptance.
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institution Kabale University
issn 2169-3536
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publishDate 2025-01-01
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spelling doaj-art-3b9e77f56bd442a4ba3e920a0b7810602025-01-29T00:01:07ZengIEEEIEEE Access2169-35362025-01-0113160551607110.1109/ACCESS.2024.352386010817604C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical EducationMohammed Kadri0https://orcid.org/0000-0002-8954-5933Fatima-Ezzahra Boubakri1https://orcid.org/0009-0009-7305-0299Gwo-Jen Hwang2Fatima Zahra Kaghat3https://orcid.org/0009-0009-4832-6935Ahmed Azough4https://orcid.org/0009-0003-3811-7909Khalid Alaoui Zidani5Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, Fes, MoroccoFaculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, Fes, MoroccoGraduate Institute of Educational Information and Measurement, National Taichung University of Education, Taichung City, TaiwanResearch Center, Léonard de Vinci Pôle Universitaire, Paris, FranceResearch Center, Léonard de Vinci Pôle Universitaire, Paris, FranceFaculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, Fes, MoroccoAnatomy education faces challenges in providing engaging, interactive, and collaborative learning experiences, particularly in understanding complex three-dimensional structures and maintaining long-term knowledge retention. Although virtual reality (VR) has shown promise in addressing spatial comprehension challenges, questions remain regarding its effectiveness in supporting collaborative learning and sustained knowledge retention. This longitudinal study examined Collaborative Immersive Virtual Anatomy Laboratory (C-IVAL), an innovative VR platform designed to enhance traditional anatomy learning through integrated collaborative features, immersive technology, and serious game elements. We conducted an experimental study with 65 medical students to evaluate their knowledge acquisition and technology acceptance compared to its non-collaborative predecessor, the Immersive Virtual Anatomy Laboratory (IVAL). Our evaluation framework combined quantitative assessments (knowledge tests, comprising pre-test, immediate post-test, and delayed post-test) with Technology Acceptance Model (TAM) analysis. Knowledge assessment revealed significant cognitive improvements, with mean knowledge scores increasing from 2.48 to 3.94 in the immediate post-tests, while long-term retention of anatomy knowledge showed sustained engagement for over two months. Importantly, C-IVAL demonstrated significantly higher scores across all TAM dimensions than the non-collaborative IVAL system, particularly for perceived usefulness and intention to use. Post-session feedback analysis showed 73.8% positive responses, highlighting enhanced social presence, immersive engagement, and effective collaboration, with 26.2% of constructive feedback focusing on system refinement and feature enhancement. This study contributes to the understanding of the effectiveness of collaborative features in virtual reality education by offering insights into designing and implementing virtual learning environments that enhance both knowledge retention and user acceptance.https://ieeexplore.ieee.org/document/10817604/Virtual realityhuman-computer interactionuser experiencethree dimensional computer graphicstechnology acceptance modelinteractive learning environments
spellingShingle Mohammed Kadri
Fatima-Ezzahra Boubakri
Gwo-Jen Hwang
Fatima Zahra Kaghat
Ahmed Azough
Khalid Alaoui Zidani
C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
IEEE Access
Virtual reality
human-computer interaction
user experience
three dimensional computer graphics
technology acceptance model
interactive learning environments
title C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
title_full C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
title_fullStr C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
title_full_unstemmed C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
title_short C-IVAL: A Longitudinal Study of Knowledge Retention and Technology Acceptance in Collaborative Virtual Reality-Based Medical Education
title_sort c ival a longitudinal study of knowledge retention and technology acceptance in collaborative virtual reality based medical education
topic Virtual reality
human-computer interaction
user experience
three dimensional computer graphics
technology acceptance model
interactive learning environments
url https://ieeexplore.ieee.org/document/10817604/
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