Exploring mobile mixed reality in healthcare higher education: A systematic review

Keywords: mobileLearning, medical, enhancingClinicalSkills, ScholarshipOfTechnologyEnhancedLearning, pedagogy


Background: The evolution of technology and simulation has had a significant impact on clinical education. However, it remains grounded in traditional teaching paradigms, limiting potential for enhanced learning. Furthermore, the impact of mixed reality enabled mobile devices remains underexplored.

Purpose: The aim of this article was to investigate mobile learning and mixed reality in healthcare higher education.

Method: A search of six databases from the earliest available date to 30 February 2018 and a hand search of journals and included studies was performed. Inclusion criteria focused on ‘healthcare’, ‘higher education’, ‘mobile learning’ and ‘mixed reality’. All study designs were included, though they were limited to the English language. The checklist of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis was used as a framework for the review, with included studies critiqued using the mixed methods appraisal tool.

Results: The search generated 1484 studies, with 18 meeting inclusion criteria. The majority of studies utilised mobile mixed reality (mMR) for teaching procedural skills with established mobile platforms; anatomy; and clinical assessment. mMR demonstrated benefits in skill competency and knowledge scores when compared to control. Users were favourable towards future use of mMR.

Conclusion: While mMR successfully delivered some clinical skills; the pedagogical impact of engagement with higher order clinical reasoning remains a challenge for future studies.

Published: 27 November 2018

This paper is part of the special collection Mobile Mixed Reality Enhanced Learning, edited by Thom Cochrane, Fiona Smart, Helen Farley and Vickel Narayan. More papers from this collection can be found here.

Citation: Research in Learning Technology 2018, 26: 2131 - http://dx.doi.org/10.25304/rlt.v26.2131



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Author Biography

Todd Stretton, Auckland University of Technology
Todd Stretton is a physiotherapy lecturer at AUT University, Auckland, New Zealand. Todd completed his Master of Philosophy (MPhil) in 2010, investigating eye and body movement strategies during turning tasks in older adults at risk of falls and was involved in other studies investigating anticipatory postural adjustments. 

He has an interest in the integration of technology to assist neurological conditions and as an adjunct to improving physical activity. Todd was involved in data collection, analysis and reporting for the national gait analysis lab for three years, and recently stepped down as Chair of the Neurology Special Interest Group of Physiotherapy New Zealand which he held for four years. He is currently the Physiotherapy Programme Leader- Curriculum, and is a reviewer of international curriculum for the Physiotherapy Board of New Zealand. He is about to commence his PhD centred on integration of mobile mixed reality in healthcare higher education.

How to Cite
Stretton T., Cochrane T., & Narayan V. (2018). Exploring mobile mixed reality in healthcare higher education: A systematic review. Research in Learning Technology, 26. https://doi.org/10.25304/rlt.v26.2131
Mobile Mixed Reality - Themed Collection