{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T15:10:54Z","timestamp":1776179454074,"version":"3.50.1"},"reference-count":41,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T00:00:00Z","timestamp":1692576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MTI"],"abstract":"<jats:p>Integration of technology within problem-based learning curricula is expanding; however, information regarding student experiences and attitudes about the integration of such technologies is limited. This study aimed to evaluate pre-clinical medical student perceptions and use patterns of the \u201cRoad to Birth\u201d (RtB) software, a novel program designed to support human maternal anatomy and physiology education. Second-year medical students at a large midwestern American university participated in a prospective, mixed-methods study. The RtB software is available as a mobile smartphone\/tablet application and in immersive virtual reality. The program was integrated into problem-based learning activities across a three-week obstetrics teaching period. Student visuospatial ability, weekly program usage, weekly user satisfaction, and end-of-course focus group interview data were obtained. Survey data were analyzed and summarized using descriptive statistics. Focus group interview data were analyzed using inductive thematic analysis. Of the eligible students, 66% (19\/29) consented to participate in the study with 4 students contributing to the focus group interview. Students reported incremental knowledge increases on weekly surveys (69.2% week one, 71.4% week two, and 78.6% week three). Qualitative results indicated the RtB software was perceived as a useful educational resource; however, its interactive nature could have been further optimized. Students reported increased use of portable devices over time and preferred convenient options when using technology incorporated into the curriculum. This study identifies opportunities to better integrate technology into problem-based learning practices in medical education. Further empirical research is warranted with larger and more diverse student samples.<\/jats:p>","DOI":"10.3390\/mti7080084","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T09:07:16Z","timestamp":1692608836000},"page":"84","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of the Road to Birth Software to Support Obstetric Problem-Based Learning Education with a Cohort of Pre-Clinical Medical Students"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8611-6324","authenticated-orcid":false,"given":"Megan L.","family":"Hutchcraft","sequence":"first","affiliation":[{"name":"Division of Gynecologic Oncology, Carle Cancer Institute, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61801, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Wallon","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Translational Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61801, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanna M.","family":"Fealy","sequence":"additional","affiliation":[{"name":"Faculty of Science and Health, School of Nursing, Paramedicine, and Healthcare Sciences, Charles Sturt University, Port Macquarie, NSW 2444, Australia"},{"name":"School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, NSW 2308, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7750-5830","authenticated-orcid":false,"given":"Donovan","family":"Jones","sequence":"additional","affiliation":[{"name":"Faculty of Science and Health, School of Nursing, Paramedicine, and Healthcare Sciences, Charles Sturt University, Port Macquarie, NSW 2444, Australia"},{"name":"School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, NSW 2308, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Galvez","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Translational Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61801, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"403","DOI":"10.3109\/0142159X.2010.536276","article-title":"Why don\u2019t they know enough about anatomy? A narrative review","volume":"33","author":"Bergman","year":"2011","journal-title":"Med. Teach."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1080\/0142159X.2018.1485884","article-title":"Do we really need cadavers anymore to learn anatomy in undergraduate medicine?","volume":"40","author":"McMenamin","year":"2018","journal-title":"Med. Teach."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Chan, L.K., and Pawlina, W. (2020). Teaching Anatomy: A Practical Guide, Springer International Publishing.","DOI":"10.1007\/978-3-030-43283-6"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1002\/ca.23655","article-title":"A review of anatomy education during and after the COVID-19 pandemic: Revisiting traditional and modern methods to achieve future innovation","volume":"34","author":"Iwanaga","year":"2021","journal-title":"Clin. Anat."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1002\/ase.2095","article-title":"Immersive Anatomy Atlas: Learning factual medical knowledge in a virtual reality environment","volume":"15","author":"Gloy","year":"2021","journal-title":"Anat. Sci. Educ."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1002\/ase.2081","article-title":"Can immersive virtual reality function as a suitable alternative to conventional anatomy education methods?","volume":"14","author":"Chytas","year":"2021","journal-title":"Anat. Sci. Educ."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1002\/ase.1959","article-title":"An alternative method for anatomy training: Immersive virtual reality","volume":"13","author":"Kurul","year":"2020","journal-title":"Anat. Sci. Educ."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.nepr.2004.05.001","article-title":"Bringing problem based learning to life using virtual reality","volume":"5","author":"Nelson","year":"2005","journal-title":"Nurse Educ. Pract."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e12945","DOI":"10.2196\/12945","article-title":"Digital Problem-Based Learning in Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration","volume":"21","author":"Kyaw","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"45","DOI":"10.5116\/ijme.5a7e.d85c","article-title":"Problem-based learning implementation in a health sciences blended-learning program in Argentina","volume":"9","author":"Cavicchia","year":"2018","journal-title":"Int. J. Med. Educ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/SIH.0b013e31815f0d51","article-title":"Medical students learn over distance using virtual reality simulation","volume":"3","author":"Alverson","year":"2008","journal-title":"Simul. Healthc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1002\/ase.139","article-title":"The anatomy of anatomy: A review for its modernization","volume":"3","author":"Sugand","year":"2010","journal-title":"Anat. Sci. Educ."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1002\/ase.1836","article-title":"Building professionalism in human dissection room as a component of hidden curriculum delivery: A systematic review of good practices","volume":"12","author":"Kumar","year":"2019","journal-title":"Anat. Sci. Educ."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.nedt.2019.05.002","article-title":"The integration of immersive virtual reality in tertiary nursing and midwifery education: A scoping review","volume":"79","author":"Fealy","year":"2019","journal-title":"Nurse Educ. Today"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1002\/ase.1858","article-title":"Enhancement of Anatomical Education Using Augmented Reality: An Empirical Study of Body Painting","volume":"12","author":"Barmaki","year":"2019","journal-title":"Anat. Sci. Educ."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1002\/alr.21986","article-title":"Immersive virtual reality as a teaching tool for neuroanatomy","volume":"7","author":"Stepan","year":"2017","journal-title":"Int. Forum Allergy Rhinol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Jones, D., Siang See, Z., Billinghurst, M., Goodman, L., and Fealy, S. (2019, January 14). Extended reality for midwifery learning: Mixed reality and virtual reality demonstration. Proceedings of the VRCAI \u201819: The 17th International Conference on Virtual Reality Continuum and its Applications in Industry, New York, NY, USA.","DOI":"10.1145\/3359997.3365739"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1006\/brcg.1995.1032","article-title":"A redrawn Vandenberg and Kuse mental rotations test: Different versions and factors that affect performance","volume":"28","author":"Peters","year":"1995","journal-title":"Brain Cogn."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Lin, Y.S., and Suh, A. (2021, January 5). The role of spatial ability in learning with virtual reality: A literature review. Proceedings of the 54th Hawaii International Conference on System Sciences, Honolulu, HI, USA.","DOI":"10.24251\/HICSS.2021.011"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Uhl, J.F., Jorge, J., Lopes, D.S., and Campos, P.F. (2021). Digital Anatomy: Applications of Virtual, Mixed and Augmented Reality, Springer.","DOI":"10.1007\/978-3-030-61905-3"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"218","DOI":"10.3390\/virtualworlds2030013","article-title":"Enhancing nursing simulation education: A case for XR innovation","volume":"2","author":"Fealy","year":"2023","journal-title":"Virtual Worlds"},{"key":"ref_22","first-page":"67","article-title":"Playable experiences through technologies: Opportunities and challenges for teaching simulation learning and extended reality solution creation","volume":"22","author":"See","year":"2023","journal-title":"J. Inf. Technol. Educ. Innov. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"103778","DOI":"10.1016\/j.compedu.2019.103778","article-title":"A systematic review of immersive virtual reality applications for higher education: Design elements, lessons learned, and research agenda","volume":"147","author":"Radianti","year":"2020","journal-title":"Comput. Educ. J."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Neergaard, M.A., Olesen, F., Andersen, R.S., and Sondergaard, J. (2009). Qualitative description\u2014The poor cousin of health research?. BMC Med. Res. Methodol., 9.","DOI":"10.1186\/1471-2288-9-52"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G","article-title":"Whatever happened to qualitative description?","volume":"23","author":"Sandelowski","year":"2000","journal-title":"Res. Nurs. Health"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Roberts, K., Dowell, A., and Nie, J.-B. (2019). Attempting rigour and replicability in thematic analysis of qualitative research data; a case study of codebook development. BMC Med. Res. Methodol., 19.","DOI":"10.1186\/s12874-019-0707-y"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1007\/s00276-018-2148-4","article-title":"3D printing anatomical models of head bones","volume":"41","author":"Bartikian","year":"2019","journal-title":"Surg. Radiol. Anat."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1002\/ase.1268","article-title":"YouTube: An emerging tool in anatomy education","volume":"5","author":"Jaffar","year":"2012","journal-title":"Anat. Sci. Educ."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3389\/fsurg.2018.00073","article-title":"Immersive anatomy atlas-empirical study investigating the usability of a virtual reality environment as a learning tool for anatomy","volume":"5","author":"Weyhe","year":"2018","journal-title":"Front. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Kim, J.W., Myung, S.J., Yoon, H.B., Moon, S.H., Ryu, H., and Yim, J.J. (2020). How medical education survives and evolves during COVID-19: Our experience and future direction. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0243958"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Shahrvini, B., Baxter, S.L., Coffey, C.S., MacDonald, B.V., and Lander, L. (2021). Pre-clinical remote undergraduate medical education during the COVID-19 pandemic: A survey study. BMC Med. Educ., 21.","DOI":"10.1186\/s12909-020-02445-2"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1089\/tmj.2017.0292","article-title":"Assessing the digital divide among low-income perinatal women: Opportunities for provision of health information and counseling","volume":"25","author":"Acquavita","year":"2019","journal-title":"Telemed. J. E Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/jan.13971","article-title":"The Support for New Mums Project: A protocol for a pilot randomised controlled trial designed to test a postnatal psychoeducation smartphone application","volume":"75","author":"Fealy","year":"2019","journal-title":"J. Adv. Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e13947","DOI":"10.2196\/13947","article-title":"Information and communication systems to tackle barriers to breastfeeding: Systematic search and review","volume":"21","author":"Tang","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/978-3-030-24281-7_9","article-title":"Evaluation of child-friendly augmented reality tool for patient-centered education in radiology and bone reconstruction","volume":"1171","author":"Connaghan","year":"2019","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e12243","DOI":"10.2196\/12243","article-title":"Digital information technology use and patient preferences for Internet-based health education modalities: Cross-sectional survey study of middle-aged and older adults with chronic health conditions","volume":"2","author":"Gordon","year":"2019","journal-title":"JMIR Aging"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.ijcard.2019.05.070","article-title":"Best practices in digital health literacy","volume":"292","author":"Conard","year":"2019","journal-title":"Int. J. Cardiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.avsg.2019.01.015","article-title":"The application of virtual reality in patient education","volume":"59","author":"Pandrangi","year":"2019","journal-title":"Ann. Vasc. Surg."},{"key":"ref_39","first-page":"Cd011425","article-title":"Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease","volume":"5","author":"McCabe","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/1753-0407.12606","article-title":"Digital health technology and diabetes management","volume":"10","author":"Cahn","year":"2018","journal-title":"J. Diabetes"},{"key":"ref_41","first-page":"301","article-title":"Undergraduate medical education: Comparison of problem-based learning and conventional teaching","volume":"6","author":"Nandi","year":"2000","journal-title":"Hong Kong Med. J."}],"container-title":["Multimodal Technologies and Interaction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2414-4088\/7\/8\/84\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:38:22Z","timestamp":1760128702000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2414-4088\/7\/8\/84"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,21]]},"references-count":41,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["mti7080084"],"URL":"https:\/\/doi.org\/10.3390\/mti7080084","relation":{},"ISSN":["2414-4088"],"issn-type":[{"value":"2414-4088","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,21]]}}}