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Enhancing Cancer Truth-Telling Perspectives Using Virtual Reality in Communication Skills Training: An Experimental Study Among Medical Students Cover

Enhancing Cancer Truth-Telling Perspectives Using Virtual Reality in Communication Skills Training: An Experimental Study Among Medical Students

Open Access
|Sep 2025

Figures & Tables

Table 1

Demographic characteristics (N = 79).

VARIABLESiCST (n = 28)VR (n = 29)iCST+VR (n = 22)P
n (%)n (%)n (%)
Age, Mean (SD)23.71 (1.72)22.93 (1.00)23.45 (1.71)0.138
SexMale14(50.0)20(69.0)14(63.6)0.324
Female14(50.0)9(31.0)8(36.4)
Economic statusPoor2(7.1)2(6.9)3(13.5)0.102
Moderate18(64.3)14(48.3)17(77.3)
Sufficient7(25.0)13(44.8)1(4.5)
Level of internship stressLow2(7.1)9(31.0)1(4.5)0.006
Moderate14(50.0)17(58.6)18(81.8)
High12(42.8)3(10.3)3(13.6)
Has been taken courses related to truth-telling
Yes17(60.7)15(51.7)17(77.3)0.174
No11(39.3)14(48.3)5(22.7)
Support to hold CST courses related to truth-telling
Fair1(3.6)1(3.4)2(9.1)0.901
Support15(53.6)16(55.2)11(50.0)
Very support12(42.9)12(41.4)9(40.9)

[i] iCST, in-person communication skills training; CST, communication skills training; VR, virtual reality.

pme-14-1-1684-g1.png
Figure 1

Score Trend of TTQ-20 from T0 to T3 (N = 79).

TTQ-20, truth-telling questionnaire-20 items; iCST, in-person communication skills training; VR, virtual reality.

T0, before the intervention; T1, immediately after the intervention; T2, three months after the intervention; T3, six months after the intervention.

Table 2

Group and Time Differences in TTQ-20 (N = 79).

VARIABLESBSEWALD χ295% CIP
LOWER LIMITUPPER LIMIT
Time
T3–1.2502.7690.204–6.6774.177.652
T21.2891.8020.512–2.2424.820.474
T14.0362.1693.461–0.2168.287.063
T00
Group
iCST+VR0.3411.9710.030–3.5224.204.863
VR1.7841.7301.064–1.6075.176.302
iCST0
Group × Time
iCST+VR × T38.5173.2786.7522.09314.942.009
iCST+VR × T22.6512.81220.888–2.8618.162.346
iCST+VR × T14.3132.86762.262–1.3079.934.133
VR × T33.5534.25210.698–4.78111.887.403
VR × T2–0.4042.46210.027–5.2294.422.870
VR × T10.8612.41180.127–3.8665.588.721
iCST × T00

[i] TTQ-20, truth-telling questionnaire-20 items; iCST, in-person communication skills training; VR, virtual reality. T0, before the intervention; T1, immediately after the intervention; T2, three months after the intervention; T3, six months after the intervention.

Adjusted: level of internship stress. Reference group: iCST and T0 (baseline).

DOI: https://doi.org/10.5334/pme.1684 | Journal eISSN: 2212-277X
Language: English
Submitted on: Jan 6, 2025
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Accepted on: Jul 25, 2025
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Published on: Sep 10, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Shih-Ying Chen, Ji-Tseng Fang, Ming-Ju Hsieh, Che-Wei Lin, Heng-Hsin Tung, Maiko Fujimori, Woung-Ru Tang, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.