{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:22:55Z","timestamp":1787761375427,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To test the utility and acceptability of a novel VR training tool for community health practitioners in assessing diabetes\u2010related foot disease in Aboriginal and Torres Strait Islander people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The VR program featured five virtual patient models and a range of interactive assessments covering essential clinical and triage skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pragmatic quasi\u2010experimental case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The VR training program was completed in collaboration with three Aboriginal Community\u2010Controlled Health Organisations in regional South Australia, with recruitment directed internally at each organisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Forty\u2010one primary healthcare staff participated, of which 34 were matched on pre\u2010 and post\u2010VR surveys and 20 completed at least three training scenarios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Evaluation consisted of pre\u2010test self\u2010efficacy scores immediately prior to participants undergoing training, submission of post\u2010test self\u2010efficacy scores, the System Usability Scale, and Training Evaluation Inventory scores after completing all training modules.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following completion of VR training, participants reported increased self\u2010efficacy scores (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) for performing key assessment and triage skills. User feedback (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200939) demonstrated that participants generally agreed that the training user experience was engaging, acceptable, and of value for clinical education.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Community health practitioners generally found the VR training tool acceptable, useful, and increased their self\u2010confidence in assessing and managing diabetes\u2010related foot disease for Aboriginal and Torres Strait Islander people, highlighting the potential of VR to upskill community practitioners.<\/jats:p>\n                  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