Effective training is a cornerstone of disaster preparedness efforts worldwide. The quality, consistency and frequency of disaster training are acknowledged to notably impact self-perceived disaster readiness of potential responders.1 Yet, while the importance of such training is widely recognized, barriers such as time, cost and safety limit the extent to which large groups of responders can be brought up to established standards, particularly related to integrated disaster team response experience and skills. This is especially evident during events involving large-scale mobilization of public health resources and delivery of population-based healthcare where skills learned through training may directly impact actual response.
Although large-scale events like the September 11th terrorist attacks in New York City and Hurricane Katrina in Louisiana (United States) have prompted additional emphasis on disaster response training and exercises, preparedness efforts continue to primarily rely on three conventional training methods: 1) classroom-based instructive teaching; 2) web-based training that consists primarily of pre-recorded, user-paced presentation material; and 3) real-life drills and tabletop exercises of varying scales. While all are long-established and instructionally valid approaches, classroom-based instructive teaching and web-based presentation material lack the realism offered by drills and exercises. At the same time, real-life drills and tabletop exercise programs are often inconsistent because of varying levels of participation or the extent of time and resources required for design, execution and review. The advent of technologically-based approaches to disaster preparedness through virtual reality (VR) environments appears promising in its ability to bridge the gaps of other commonly-held established training formats. Some government agencies have adopted VR-based applications to host meetings and a number of academic institutions and organizations have piloted VR-based training to assess program utility and effectiveness. However, applications of such systems for disaster training remain in their early stages of implementation.
Over the past decade, VR-based training in disaster preparedness has been increasingly recognized as an important and novel alternative to traditional modalities of real-life drills and table-top exercises. Several studies have described various applications of virtual reality in disaster training. In 2001, Freeman et al. published the use of a virtual reality patient simulation system for teaching emergency response skills to U.S. Navy medical providers.2 In 2007, a virtual simulation-enhanced triage training for Iraqi medical personnel was described.3 The following year, immersive simulation for training first responders for mass casualty incidents,4 mass casualty triage skills using immersive three-dimensional virtual reality5 equivalency of VR simulators with use of live actor-patients in prompting critical actions during mass casualty drills,6 and simulation for team training and assessment using virtual worlds7 were demonstrated. In 2009, game-based mass casualty burn training was proposed.8 In 2011, Cone et al. published a comparison of the SALT and SMART triage systems using a virtual reality simulator with paramedic students.9 Most recently, virtual simulation as an instructional method for nursing students was demonstrated to reinforce learning and improve learning retention over time.10
VR-based systems encompass a wide array of technical capabilities ranging from personal computer-based software to fully immersive and high-fidelity platforms where participants don 3-D goggles in controlled environments.234 For the purposes of this paper, the scope of VR-based disaster training applications is limited to those using a personal computer and software with broadband internet connection. The ubiquity and simplicity of this interface may facilitate greater interaction among participants as compared to highly intricate VR systems that require more advanced technical capabilities and cost to operate.
RATIONALE FOR VR-BASED TRAINING
During a disaster or public health emergency, the ability for responders to react appropriately is driven not only by pre-existing knowledge and skills, but also to a considerable degree, their psychological state of mind and familiarity with similar scenarios. Particularly during high impact, low probability events, appropriate personnel response relies upon the ability to perform their designated roles. Unforeseen psychological effects of stress brought about by unfamiliar environments or situations can impair decision-making and directly affect performance, leading to degradation of even routinely practiced skills. Disaster or public health emergency training scenarios incorporating real event elements (e.g., large crowds, damage to infrastructure, background noise, visual and auditory cues) can better approximate real life conditions while retaining the advantages of a controlled environment. This increased practice realism enables responders to gauge their individual and/or team’s ability to execute tasks and decision-making under more closely representative conditions. With continuing advancements in information technology, VR-based training that incorporates life-like realism meets these criteria and is becoming a viable alternative to conventional training. In essence, the immersive environment incorporated in VR-based training and exercise applications not only offers the realism that classroom-based instructive teaching and web-based educational material lack, but also may reduce the time and cost burden that real-life drills and tabletop exercises can place on participating individuals and sponsoring organizations.
ADVANTAGES OF VR-BASED TRAINING
Interactive VR-based disaster training can be tailored to specific users as well as organizations, based on their resources and hazard vulnerability analysis. For example, VR-based scenarios can be developed for instructional task-focused training in which the program responds to user inputs and provides instant feedback, such as performance of mass casualty triage skills. In addition, a VR-based exercise can also allow an organization to test its emergency response plans in order to assess its effectiveness, and in turn, identify gaps and areas for improvement. Furthermore, VR-based applications can also facilitate consistent and repeated training over geographical and organizational divides. For example, VR-based applications can provide consistent synchronous multi-region and multi-organization trainings for natural occurrences such as hurricane or earthquake response. Traditional instructional elements, such as slide presentations and graphics, may readily be embedded within the VR environment but made accessible in novel ways for trainees. Another significant advantage of VR-based systems is the ability to incorporate additional realistic audio-visual stimuli, such as video clips depicting a mock event in progress or news reports that convey further information from the disaster.
Comparatively, VR-based training holds major advantages over conventional training. From an environment perspective, VR-based applications using programs such as Second Life® or Open Simulator® not only have the ability to incorporate life-like scenarios with avatars, but also allow reaction to user input and provide instant feedback. An “avatar” is the digital (graphical) representation of the user within the virtual reality world. For example, a skills-based Simple Triage and Rapid Treatment (START) training scenario can instantly determine if a patient was correctly assessed and provide feedback to the trainee. Virtual human characters can be programmed to act and respond to conditions set forth by the situational controls. Modules of behavioral patterns can be preselected or unfold based upon decisions made by users.
Individual VR-based applications also allow trainees to work at their own pace, thus providing the opportunity to fully grasp disaster-related concepts through asynchronous learning. Participants may interact with virtual environment components such as medical interventions, equipment, data panels, transportation options and other disaster response features. In addition, VR-based applications also provide a platform for participants to interact through text or voice communication inside the task-focused scenario, including dialogue with virtual patients and providers representing various cultural and socioeconomic demographics. Virtual environments can also be applied to groups. Through use of a control panel, actions can be set into motion providing a setting for group discussion and analysis. The scene action can be paused and variables then applied to study the effects of unexpected occurrences. This can be especially useful for exercises conducted at multiple locations simultaneously using the same scenario (e.g. a unified command disaster response exercise that involves multiple responding organizations across multiple jurisdictions). Environmental features constructed to replicate real world settings may incorporate buildings, vegetation, human effects and sound. Further, VR-based training and exercise scenarios can simulate environments located in various residential and urban settings that would be very challenging for real-life exercises. For instance, there are considerable logistical considerations to completely shut down several city blocks for the purposes of an exercise involving a terrorist incident. In contrast, VR-based programs can readily and realistically simulate these complex environments without real-life disruption.
From a cost perspective, VR-based disaster training has significant advantages. From relatively simple table-top exercises where participants convene in a conference setting for discussion, to more complex full scale exercises where personnel and equipment are mobilized, real-life drills and exercises are expensive in both time and resources required. In an era of ever-tighter fiscal constraints, the available resources and funding to support disaster training has become increasingly restricted, highlighting the need for effective, cost-conscious solutions. At the federal level, planning in recent years for extensive multi-agency exercises held concurrently in different cities have been scaled back while many state and local agencies are experiencing similar mandated reductions. VR-based disaster training offers a practical alternative that incorporates realism at a fraction of the cost of real-life exercises when considering the number of potential learners, range of applications and repeat scenario use.11 Accordingly, fundamental training scenarios can be practiced more frequently under different varying conditions to either challenge responders or to establish better understanding of factors that may lead to alternate outcomes.
Lastly, since VR-based scenarios and exercise play can be digitally stored, evaluators may more effectively review training and exercise conduct. VR-based platforms support data and video capture of time and critical action elements, which can be invaluable for the analysis of disaster response. This can be used to more accurately gather lessons learned and develop corrective actions necessary for the after-action review process. It should be pointed out that VR-based scenarios do not have to be used strictly independently, but rather could be combined or adapted with other traditional instructional formats to capture the distinctive advantages of each.
Although VR-based training and exercise applications provide a practical alternative to conventional real-life disaster training, adoption of such applications are not without inherent challenges. First and foremost, the lack of familiarity with VR applications among disaster planning leadership may be a significant barrier to adopt such technology. The intuitive nature of VR-based training and its resemblance to commercial gaming platforms may lead some to perceive VR platforms as lacking credible and validated training benefit. As VR-based training gains popularity, research aimed at comparative training effectiveness may address such issues directly. Furthermore, the initial development costs associated with a VR-based training and exercise applications may be also seen as a downside since efforts required to create a realistic and interactive scenario require significant time and resources. To an extent, the cost of development scales with enhancement of immersive realism. Despite such considerations, early development costs remain a modest fraction of full-scale live exercises and may be recouped in short order.
Given the novelty of VR-based training and exercise applications, preliminary training is also required so users can effectively use new systems, since lack of familiarity with VR-based applications can initially challenge users. As previously noted, virtual reality platforms could provide participants with a higher level of realism and immersion,12 when compared to classroom instructions and web-based educational material. However, compared to real-life exercises, simulated scenarios still lack the direct hands-on experience and face-to-face interactions that real-life exercises provide. Existing technology may affect accessibility, stability, resolution or number of simultaneous participants. However, continued advancement in technology are expected to overcome these current limitations.
EXAMPLES OF VR-BASED SIMULATION DISASTER TRAINING IN THE UNITED STATES
In the United States, there are several VR-based simulation disaster training projects, on the governmental, academic, and private levels. Below are few prominent examples.
Currently, numerous government departments and agencies including the U.S. Department of Homeland Security (DHS), the Centers for Disease Control and Prevention, the National Institute of Health and the National Science Foundation have begun using VR-based programs and services to host conferences. Several are beginning to realize the distinct advantages of VR-based training. The following are three prominent examples of VR-based applications in the public sector.
Similarly, academic institutions are exploring the unique advantages of VR-based training for disaster preparedness and response. The following are prominent examples of VR-based training applications and systems developed by academic institutions for emergency response training.
The emergence of virtual reality platform-based technologies applied to disaster preparedness and response training offers significant potential advantages over other traditional forms of training, and is gaining increasing acceptance. The immersive and participatory nature of VR training offers a unique realistic quality to training that is not generally present in classroom-based or web-based modalities, yet retains considerable cost advantages over large-scale real-life exercises. Growing implementation of VR-based training for disaster preparedness and response, conducted either independently or combined with other training formats, to realize these distinct benefits is a keenly anticipated development. Comparative research between VR-based and traditional modalities of disaster training is needed to explore the various aspects of realism, cost, and ultimately disaster readiness.
The authors have declared that no competing interests exist.
- Stevens G, Jones A, Smith G, Nelson J, Agho K, Taylor M, Raphael B. Determinants of paramedic response readiness for CBRNE threats. Biosecur Bioterror. 2010;8(2):193–202.
- Freeman KM, Thompson SF, Allely EB, Sobel AL, Stansfield SA, Pugh WM. A virtual reality patient simulation system for teaching emergency response skills to U.S. Navy medical providers. Prehosp Disaster Med. 2001; 16:3–8.
- Kizakevich PN, Culwell A, Furberg R, et al. Virtual simulation-enhanced triage training for Iraqi medical personnel. Stud Health Technol Inform. 2007; 125:223–228.
- Wilkerson W, Avstreih D, Gruppen L, Beier KP, Wooliscroft J. Using immersive simulation for training first responders for mass casualty incidents. Acad Emerg Med. 2008; 15:1152–1159.
- Vincent DS, Sherstyuk A, Burgess L, Connolly KK. Teaching mass casualty triage skills using immersive three-dimensional virtual reality. Acad Emerg Med. 2008; 15:1160–1165.
- Gillett B, Peckler B, Sinert R, et al. Simulation in a disaster drill: comparison of high-fidelity simulators versus trained actors. Acad Emerg Med. 2008; 15:1144–1151.
- Becerra-Fernandez I, Madey G, Prietula M, Rodriguez D, Valerdi R, Wright T, "Design and Development of a Virtual Emergency Operations Center for Disaster Management Research, Training, and Discovery," Proceedings of the 41st Annual Hawaii International Conference on System Sciences (HICSS 2008), 2008:1-8.
- Kurenov SN, CanceWW, Noel B, Mozingo DW. Game-based mass casualty burn training. Stud Health Tech Inform 2009; 142:142–144.
- Cone DC, Serra J, Kurland L. Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. Eur J Emerg Med. 2011 May 10.
- Farra S, Miller E, Timms N, Schafer J. Improved training for disasters using 3-D virtual reality simulation. West J Nurs Res. 2013 Jan 3. [Epub ahead of print]
- Andreatta PB, Maslowski E, Petty S, Shim W, Marsh M, Hall T, Stern S, Frankel J. Virtual reality triage training provides a viable solution for disaster-preparedness. Acad Emerg Med. 2010 Aug;17(8):870-876.
- LeRoy Heinrichs W, Youngblood P, Harter PM, Dev P. Simulation for team training and assessment: case studies of online training with virtual worlds. World J Surg 2008 Feb;32(2):161-170.
- Disaster Management Simulator. Available at https://www.trainingfordisastermanagement.com. Accessed on January 7, 2013.
- Hydra System Simulation Training. Available at: https://www.govtech.com/public-safety/Los-Angeles-Police-Hydra-Simulation-Training.html. Accessed on January 7, 2013.
- Center for Advancement of Distance Education (CADE), University of Illinois at Chicago. Available at: https://www.uic.edu/sph/cade/. Accessed on January 7, 2013.
- University of Minnesota. School of Public Health. Available at: https://www.sph.umn.edu/research/u-seee. Accessed on January 7, 2013.
- Sportevac: Choreographing a Stadium Stampede. Available at: https://www.dhs.gov/sportevac-choreographing-stadium-stampede. Accessed on January 7, 2013.
- Virtual Terrorism Response Academy. Ops-Plus for WMD Hazmat. https://iml.dartmouth.edu/education/pcpt/vtra/ops-plus/2.0/. Accessed on January 7, 2013.
- Burn Center. Available at: https://www.burncentertraining.com/about/ Accessed on January 7, 2013.
How virtual reality can be used in managing disasters? ›
VR allows rapid prototyping at a low cost and early human-in-the-loop design (Anderson et al., 2021). This allows the integration of physical systems in the simulation cutting down costs in the modeling and testing of the models. These features make these tools extremely useful for Disaster Management Applications.What is the comparative cost of virtual reality training and live exercises for training hospital workers for evacuation? ›
Initially, virtual reality is more expensive, with a cost of $229.79 per participant (to- tal cost $18 617.54 per exercise) for the live drill versus $327.78 (total cost $106 951.14) for virtual reality.Why is VR cost effective? ›
Virtual reality training programs are often more cost effective because they allow organisations to train employees without having the need for them to travel or take substantial time out of their day.What are the 4 elements of virtual reality? ›
Furthermore, Sherman and Craig introduced four key elements of a virtual reality experience, namely: virtual world or medium, immersion, sensory feedback, and interactivity (Sherman and Craig, 2003).What are 3 disadvantages to VR training? ›
- The disadvantages of virtual reality for training. ...
- Virtual reality training development is too expensive. ...
- Virtual reality training hardware is too expensive. ...
- Virtual reality training is not effective. ...
- Virtual reality is not a scalable solution.
Virtual reality engages the senses and immerses learners in a simulation of the actual work environment, which can lead to better training outcomes. A study from Stanford University and Technical University in Denmark saw VR training drive a 76% increase in learning effectiveness over traditional instructional methods.Why VR training is better than traditional training? ›
Due to its immersive 3D simulation, learners demonstrate higher levels of focus, engagement and commitment to learning. It's the reason why so many VR learners absorb four times more information in the same amount of time as traditional learners who suffer the distractions of a traditional training environment.Can VR improve mental health? ›
Studies show that virtual reality may be an effective tool in the treatment of mental illness. VR helps to rewire your brain and grow healthier pathways that promote resilience, relaxation, recovery, and results.
|Pros and Cons of VR|
|Gives detail views||Users addict to the virtual world|
|Connects with people||Technology is still experimental|
|Effective communication||Training in VR environment is not real|
- Increase knowledge area.
- Active experience rather than just passive information.
- Helps to understand complex concepts, subjects, or theories.
- No distractions while the study.
- Boosts students creativity.
- Expands learners efficiency to gain knowledge.
What devices are used for virtual reality? ›
- PC-Based VR Headsets: PC headsets tend to be the highest-priced devices because they offer the most immersive experiences. ...
- Standalone VR Headsets: All-in-one or standalone VR headsets are wireless, integrated pieces of hardware, such as tablets or phones.
Virtual Reality (VR) is a computer-generated environment with scenes and objects that appear to be real, making the user feel they are immersed in their surroundings. This environment is perceived through a device known as a Virtual Reality headset or helmet.Which 2 features are most important for virtual reality? ›
Paramount for the sensation of immersion into virtual reality are a high frame rate and low latency.What are the two main types of virtual reality? ›
There are 3 primary categories of virtual reality simulations used today: non-immersive, semi-immersive, and fully-immersive simulations.What is the most important benefit of using virtual reality? ›
VR training benefits companies by allowing their employees to practice critical job skills in a realistic environment. The experiential learning medium helps develop situational and spatial awareness that leads to safer workplace behaviors, fewer incidents, and reduced costs for Strivr customers.What are two advantages of virtual reality? ›
Virtual reality gives people the chance to travel around the world, and even outer space, without having to leave the comfort of their homes. This capability is already taken advantage of by schools worldwide to enrich lesson plans. It also allows people to experience the world in ways they never could before.What are the pros and cons of virtual training? ›
Cons of Virtual Instructor-Led Training (VILT):
- Learners May Get Distracted.
- Facilitators Can't Access Nonverbal Cues.
- Fewer Opportunities For Real-Time Application.
Some people can experience physical side effects when using VR. Common symptoms include headaches, nausea, and eyestrain. It's important that you take steps to ensure your VR training is safe through content design and preparing alternative formats. The solution to motion sickness is in the way content is designed.What are the risks of using virtual reality? ›
Exposure to virtual reality can disrupt the sensory system and lead to symptoms such as nausea, dizziness, sweating, pallor, loss of balance, etc., which are grouped together under the term "virtual reality sickness". In sensitive individuals, these symptoms may appear within the first few minutes of use.What are the benefits of virtual training? ›
- Access to coursework from anywhere at any time. ...
- Combination of structure and freedom. ...
- Effective time management. ...
- Expanded world view. ...
- Asynchronous discussions with classmates. ...
- Immediate feedback on tests. ...
- Sharpened digital skills.
Why is virtual reality good for training? ›
Benefits of VR Training
Increases in learning retention of up to 80% 40-60% reductions in time needed to train compared to traditional training methods. Elimination of the cost and risk of unnecessary travel. Enhanced team decision-making, workplace safety, and collaboration.
VR makes it possible to see not just what a building or space will look like but how it will feel. For example, if someone was looking to add an extension to their property, they can experience the space and what it will look like before it's physically built and then make real-time changes.Is virtual training effective? ›
If most employees live in different geographical locations, virtual learning can be an effective way to connect the whole organization. Even if employees live in the same area, or an organization sometimes operates in person, virtual training opportunities can supplement employee learning.How efficient is VR training? ›
VR is 400% faster than classroom based learning
When compared with traditional classroom based learning, a study from PwC demonstrates a 400% reduction in time required for training.
Retention of skills learned in VR is high, meaning it is more likely to be applied in the workplace and ultimately lead to increased productivity. A recent report by PWC found that learners were four times faster to train on VR and 3.75 times more emotionally connected to content than in the classroom.Is VR good for your brain? ›
Just like with any other technology, overexposure to VR can lead to increased alterations in the brain, resulting in headaches and nausea.What are the disadvantages of virtual reality therapy? ›
Disadvantages of virtual reality exposure therapy
Some programs use expensive equipment, which can be a barrier to its use; however, the savings for therapy sessions can easily offset that cost. Some people may feel uncomfortable using virtual technology instead of a person to guide them throughout exposure therapy.
Virtual reality's positive influence on your brain
In a virtual reality (VR) experience, for instance, you put on the goggles, and you can see an environment. “It makes your brain believe that you're actually there by stimulating your visual senses,” adds Chris.
Users may distort their perceptions of reality, be obsessed with virtual social life and escape from the real world, which is highly likely to result in autistic disorders. This may especially affect low-income sections of the population and vulnerable groups who prefer virtual experiences to those of the real world.How does virtual reality affect society? ›
Right now, VR is being used to detect glaucoma, schizophrenia, and Alzheimer's disease. It has also begun to establish itself as a useful tool for treating PTSD and anxiety disorders, dementia, and autism. VR can even help people complete their physical rehabilitation after an illness or injury!
How does virtualisation help with disaster? ›
Virtualization improves data protection by providing a critical data backup during system failure or disaster. Additionally, it offers businesses an opportunity to recover data faster without the need to rebuild their entire system.How does virtualization help with disaster? ›
Improved Data Center Efficiency: Virtualization will decrease the need for physical servers and other data center operation hardware. Moreover, using more virtual machines means you don't have to deal with the cost of your data center's high-power consumption and cooling systems.How can technology be used in disaster management? ›
The Role of Technology in the Disaster Management Cycle
Preparedness: Technology can be used to help create and implement emergency plans. It can also be used to monitor potential threats, such as weather patterns that could lead to a natural disaster.
Virtualization provides flexibility in disaster recovery. When servers are virtualized, they are containerized into VMs, independent from the underlying hardware. An organization does not need the same physical servers at the primary site as at its secondary disaster recovery site.What are the three biggest benefits to using virtualization on servers? ›
- Improved server reliability and availability,
- Lower total operational cost.
- More efficient utilization of physical servers.
- More efficient utilization of power.
- Pros of Virtualization. Uses Hardware Efficiently. Available at all Times. Recovery is Easy. Quick and Easy Setup. ...
- Cons of Virtualization. High Initial Investment. Data Can be at Risk. Quick Scalability is a Challenge.
- Increase Server Efficiency. ...
- Improve Disaster Recovery Efforts. ...
- Increase Business Continuity. ...
- Aid Software Development. ...
- Test Security Updates and Patches. ...
- Move to Desktop Virtualization.
With the use of virtual machine solutions, accessibility, sharing, backup, and recovery of data becomes easy, hence offering flexibility and mobility in business operations. This not only adds to the collaboration advantage and increased productivity but also helps in maintaining business continuity.What is the biggest advantage of virtualization? ›
Virtualization allows you to take one piece of machinery and make it act like multiple pieces, saving you the cost of more hardware and equipment. You can create software-based (virtual) applications, servers, storage, networks, desktops and more through virtualization.Why is virtualization important today? ›
Virtualization provides on-demand access to an infinite number of perfectly replicated virtual machines for developers to play with. Developers take advantage of virtualization to help them expedite updates, improve software security, and maintain an efficient pipeline between development, testing, and deployment.
How can technology help reduce the impact of natural disasters? ›
Technology Assistance at Disaster Sites
For instance, drones and robots have been used to locate survivors and transmit information to emergency teams. They have also been used to drop humanitarian aid.
They can provide assistance during a chemical, biological, radiological, nuclear or explosive (CBRNE) event, and help with search and rescue operations, risk assessment and insurance claims response. This technology can even be used to help detect and extinguish wildfires and high-rise building fire response.What is the role of technology in causing environmental disaster? ›
These technologies have damaged our world in two main ways; pollution and the depletion of natural resources. Air pollution occurs when harmful or excessive quantities of gases such as carbon dioxide, carbon monoxide, sulfur dioxide, nitric oxide and methane are introduced into the earth's atmosphere.What are the five 5 factors to remember when selecting a virtualization solution? ›
- Hypervisor type. ...
- Operating System rebooting. ...
- Virtualization Method. ...
- Deployment work. ...
In order to do that, three basic virtualization techniques for embedded systems are considered: full virtualization, paravirtualization (as instances of hardware-level virtualization), and containers (as an instance of operating-system-level virtualization).How does virtualization reduce the cost of disaster recovery? ›
Reduced Costs: Virtualization can help to reduce the costs associated with data protection and disaster recovery processes by eliminating the need for physical infrastructure and hardware.