AzTrials
AzTrials

Predictive Validity of VLaHHS(VLaHHS)NCT06974383

Development and Validation of Virtual Laparoscopic Hiatal Hernia Simulator

A study testing Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS) in people with Predictive Validity of VLaHHS, run by University of Texas Southwestern Medical Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Part 3 Phase III of this protocol is the interventional portion and is the reason why only this Part is registered and reported within this record. The goal of this phase of the study is to establish the learning curve and predictive validity of the VLaHHS. The study population includes GS residents. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Predictive Validity of VLaHHS
What is being tested?
Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
1 siteUnited States
Study dates
23 Apr 2025to 1 Dec 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • General Surgery (GS) residents

Who cannot join

  • Residents other than GS
  • Participants who are not residents.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

Other trials in United States

About this study

Official title: Development and Validation of Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS)

Part 3 Phase III of this protocol is the interventional portion and is the reason why only this Part is registered and reported within this record. The goal of this phase of the study is to establish the learning curve and predictive validity of the VLaHHS. The study population includes GS residents.

The hypothesis is that the subject trained in VLaHHS will improve their skills compared to control with no training and show better transfer of skills on to an actual procedure.

Read the detailed description

The learning curve of VLaHHS will be established by training subjects in the task over extended period until they reach a plateau. The predictive validity will be established by comparing the training group with a control group with no training by testing their skills on a simulated surgical task using a crural repair silicone model and porcine fundoplication model.

The experimental design is a between-subjects design with two groups to which participants will be randomly assigned: (1) Group 1 (Simulation Group): training with VLaHHS, (2) Group 2 (Control Group): no training. The Crural closure tasks of VLaHHS will be tested (10 subjects per task). Before the testing session begins, all participants will receive a guided, hands-on orientation to the task that is being tested. They will then take a pre-test in which they will be asked to perform the task once to mark their baseline performance (i.e. initialize their learner profile). For the training phase, participants in Group 1 will perform the tasks on VLaHHS for an hour a day for a maximum of no more than three weeks (3 weeks' x 5 days = 15 sessions). In each session of no more than an hour, subjects will repeat the task five times.

Participants in Group 2 will continue with their normal residency training but will not participate in VLaHHS training at all.

Two aspects of learning will then be assessed post-training: skill learning and transfer-of-training. For the Simulation Group, skill learning will be measured immediately following training (post-test) and again after two weeks to measure retention. For the Control Group, skill learning will be measured four weeks after orientation and again two weeks later to measure retention. Finally, immediately after post-test, transfer-of-training will be assessed using simulated crural repair or fundoplication model. The transfer study will be conducted either at the UT Southwestern (UTSW) Simulation Center or at the Artificial Intelligence and Medical Simulation (AIMS) Lab in south campus.

Dependent measures for learning curve and retention will be the score computed from completion time and errors on the VLaHHS and the workload assessment measured using the NASA-TLX (Task Load Index) questionnaire after each session. For the transfer task, Subjects performance on the crural repair task will be video recorded and evaluated by a minimum of three experts using Global Assessment Tools for Intraoperative Laparoscopic Skills (GOALS) subjective evaluation method.

The videotaping will focus only on subjects hand and any Identifying information such as subjects face will not be captured.

Being tested
Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS)
Keywords
Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS), GS Residents

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS)Other

    For the training phase, participants in Group 1 will perform the tasks on VLaHHS for an hour a day for a maximum of 15 sessions over 3 weeks.

Study groups in NCT06974383
Study groupRoleWhat they receive
Group 1 (Simulation Group)ExperimentalTraining with VLaHHS. Before the testing session begins, all participants will receive a guided, hands-on orientation to the task that is being tested. They will then take a pre-test in which they will be asked to perform the task once to mark their baseline performance (i.e. initialize their learner profile).
Receives: Other: Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS)
Group 2 (Control Group)No interventionNo training with VLaHHS. Before the testing session begins, all participants will receive a guided, hands-on orientation to the task that is being tested. They will then take a pre-test in which they will be asked to perform the task once to mark their baseline performance (i.e. initialize their learner profile). They will continue with their normal residency training but will not participate in VLaHHS training at all.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Skill Level in Participants as Assessed by Completion Time

    Dependent measures for learning curve will be assessed by completion time.

    Measured: Baseline (at pre-test)

  2. Skill Level in Participants Assessed by Numerical Performance Score on the VLaHHS

    Dependent measures for learning curve will be assessed by numerical score computed based on performance on the VLaHHS. The performance was assessed based on the following metrics with possible scores in parenthesis:

    • Created Equidistant Sutures (0,3,5)
    • Smooth Tool Handling (0,3,5)
    • Respect for Tissue (0, 3, 5)
    • Created All Full Thickness Bites (0, 3, 5)
    • Performed Correct In-Out Sequence of suturing (0, 3, 5)
    • Did Not Collided with Esophagus (0, 3, 5)
    • Created Correct Amount of Knots (0, 3, 5)
    • Tightened All Knots (0,3,5)
    • Correctly Performed Slipknots (0, 3, 5).

    The final numerical score is the sum of all individual performance measures which can range from a minimum of 0 to a maximum of 45. Higher score denotes better performance.

    Measured: Baseline (at pre-test)

  3. Skill Level in Participants Assessed by NASA-TLX Questionnaire

    Dependent measures for learning curve will be measured using the NASA-TLX questionnaire. The NASA Task Load Index (NASA-TLX) is a tool to subjectively assess cognitive and emotional load during a simulation. Students rate six dimensions: mental and physical demands, time pressure, performance, effort, and frustration. Each dimension is assessed on a scale of 0-10, with a possible total score range of 0 to 60. A higher value indicates a higher burden.

    Measured: Baseline (at pre-test)

  4. Skill Level in Participants as Assessed by Completion Time

    Dependent measures for learning curve will be assessed by completion time of the participants on the VLAHHS Crural Repair task.

    Measured: Immediately post test (three weeks after pre-test)

  5. Skill Level in Participants Assessed by Numerical Performance Score on the VLaHHS

    Dependent measures for learning curve will be assessed by numerical score computed based on performance on the VLaHHS. The performance was assessed based on the following metrics with possible scores in parenthesis,

    • Created Equidistant Sutures (0,3,5)
    • Smooth Tool Handling (0,3,5)
    • Respect for Tissue (0, 3, 5)
    • Created All Full Thickness Bites (0, 3, 5)
    • Performed Correct In-Out Sequence of suturing (0, 3, 5)
    • Did Not Collided with Esophagus (0, 3, 5)
    • Created Correct Amount of Knots (0, 3, 5)
    • Tightened All Knots (0,3,5)
    • Correctly Performed Slipknots (0, 3, 5).

    The final numerical score is the sum of all individual performance measures which can range from a minimum of 0 to a maximum of 45. Higher score denotes better performance.

    Measured: Immediately post test (three weeks after pre-test)

  6. Skill Level in Participants Assessed by NASA-TLX Questionnaire

    Dependent measures for learning curve will be measured using the NASA-TLX questionnaire. The NASA Task Load Index (NASA-TLX) is a tool to subjectively assess cognitive and emotional load during a simulation. Students rate six dimensions: mental and physical demands, time pressure, performance, effort, and frustration. Each dimension is assessed on a scale of 0-10, with a possible total score range of 0 to 60. A higher value indicates a higher burden.

    Measured: Immediately post test (three weeks after pre-test)

  7. Skill Retention in Participants as Assessed by Completion Time

    Dependent measures will be assessed by completion time of participants on the VLAHHS Crural repair task.

    Measured: 2 weeks after post test

  8. Skill Level in Participants Assessed by Numerical Performance Scale on the VLaHHS

    Dependent measures for learning curve will be assessed by numerical score computed based on performance on the VLaHHS. The performance was assessed based on the following metrics with possible scores in parenthesis,

    • Created Equidistant Sutures (0,3,5)
    • Smooth Tool Handling (0,3,5)
    • Respect for Tissue (0, 3, 5)
    • Created All Full Thickness Bites (0, 3, 5)
    • Performed Correct In-Out Sequence of suturing (0, 3, 5)
    • Did Not Collided with Esophagus (0, 3, 5)
    • Created Correct Amount of Knots (0, 3, 5)
    • Tightened All Knots (0,3,5)
    • Correctly Performed Slipknots (0, 3, 5).

    The final numerical score is the sum of all individual performance measures which can range from a minimum of 0 to a maximum of 45. Higher score denotes better performance.

    Measured: 2 weeks after post test

  9. Skill Retention in Participants as Assessed by NASA-TLX Questionnaire

    Dependent measures for learning curve will be measured using the NASA-TLX questionnaire. The NASA Task Load Index (NASA-TLX) is a tool to subjectively assess cognitive and emotional load during a simulation. Students rate six dimensions: mental and physical demands, time pressure, performance, effort, and frustration. Each dimension is assessed on a scale of 0-10, with a possible total score range of 0 to 60. A higher value indicates a higher burden.

    Measured: 2 weeks after post test

  10. Transfer of Skill in Participants as Assessed by Performance Score

    This measure will be assessed using a performance score assessed using a modified tool that consists of Global Assessment Tools for Intraoperative Laparoscopic Skills (GOALS) domains and task-specific metrics. The individual assessment items and their possible scores are:

    1. Depth perception (0,3,5)
    2. Bimanual dexterity (0,3,5)
    3. Efficiency (0,3,5)
    4. Tissue handling (0,3,5)
    5. Knowledge of procedure (0,3,5)
    6. Flow of operation (0,3,5)
    7. Instrument handling (0,3,5)
    8. Bite size (0,3,5)
    9. Knot tying (0,3,5)
    10. Needle handling (0,3,5)
    11. Crural repair closure (0,3,5)
    12. Tissue bites (0,3,5)

    The total range for the transfer of skills score will be 0-60 with higher score indicating better performance.

    Measured: Immediately post test (three weeks after pre-test)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2025
  2. Study start23 Apr 2025
  3. Primary completion30 Jun 2025
  4. Study completion1 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to 2 groups - simulation group \& Control group
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06974383
Sponsor's protocol ID
STU-2021-0151
Other IDs
1R01EB025247-01A1
Acronym
(VLaHHS)
Status last verified
Apr 2026
First submitted
7 May 2025
Last updated
19 May 2026
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Training with Virtual Laparoscopic Hiatal Hernia Simulator (VLaHHS) in people with Predictive Validity of VLaHHS, run by University of Texas Southwestern Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Skill Level in Participants as Assessed by Completion Time (time frame: Baseline (at pre-test)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 May 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in