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Peer-reviewedCC BY 4.0BMC Medical Education

Development and content validity of an AI-assisted simulation scenario for orthotic fabrication in occupational therapy education

  • Duygu Mine Alataş1
  • Çiğdem Öksüz2
  • Nilgün Bek3
  • Özlem Ülkü Bulut4
  • Kamile Akarsu5
  • Mevlüt Karadağ6
  • Aynur Ayşe Karaduman1
6 affiliations
  1. 1Department of Occupational Therapy, Faculty of Health Sciences, Lokman Hekim University, Söğütözü Mh. 2185 Cd. No: 20/J, Çankaya, Ankara, 06510 Türkiye
  2. 2Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Türkiye
  3. 3Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Lokman Hekim University, Ankara, Türkiye
  4. 4Department of Obstetric and Gynecology Nursing, Faculty of Health Sciences, Lokman Hekim University, Ankara, Türkiye
  5. 5Department of Surgical Nursing, Faculty of Health Sciences, Lokman Hekim University, Ankara, Türkiye
  6. 6Department of Health Services Management, Faculty of Health Sciences, Lokman Hekim University, Ankara, Türkiye
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Abstract

Background: Developing high-fidelity simulation scenarios is a time-consuming process, and validated resources for complex psychomotor skills such as orthotic fabrication are scarce. This study aimed to examine the content validity index (CVI) of a simulation scenario for anticlaw orthosis fabrication developed with the support of artificial intelligence (AI).

Methods: A mixed-methods methodological study was conducted in an academic education program in Türkiye. Six subject matter experts with professional experience in hand rehabilitation, orthotics, and simulation-based education participated. A simulation scenario package was structured by the researchers, while the specific scenario flow was generated using a seven-step process supported by the generative AI tool ChatGPT. Expert reviewers evaluated five components, specifically objectives, background, prebriefing, scenario flow, and debriefing, using a 4-point Likert scale and open-ended questions. The item-level content validity index (I-CVI) and scale level content validity index (S-CVI) were calculated.

Results: The simulation scenario package was evaluated across five core components. The scenario achieved an I-CVI and S-CVI of 1.00. This indicated that all expert reviewers rated the scenario components as content valid by assigning a score of 3 or 4. Qualitative feedback highlighted the need for refinements in clinical fidelity, specific material choices, and safety warnings regarding heat and sharp tools.

Conclusions: The study provided educators with a comprehensive, ready-to-implement simulation scenario package, including validated learning objectives, prebriefing instructions, the full scenario script developed via AI-assisted methodology, and debriefing guides, that could be adopted to enhance orthotic training in rehabilitation curricula.

Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12909-026-10043-x.

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Cite

BibTeXRIS
BibTeX
@article{alatas2026development,
  title = {{Development and content validity of an AI-assisted simulation scenario for orthotic fabrication in occupational therapy education}},
  author = {Duygu Mine Alataş and Çiğdem Öksüz and Nilgün Bek and Özlem Ülkü Bulut and Kamile Akarsu and Mevlüt Karadağ and Aynur Ayşe Karaduman},
  journal = {BMC Medical Education},
  year = {2026},
  month = jul,
  doi = {10.1186/s12909-026-10043-x},
  url = {https://doi.org/10.1186/s12909-026-10043-x},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Development and content validity of an AI-assisted simulation scenario for orthotic fabrication in occupational therapy education
AU  - Duygu Mine Alataş
AU  - Çiğdem Öksüz
AU  - Nilgün Bek
AU  - Özlem Ülkü Bulut
AU  - Kamile Akarsu
AU  - Mevlüt Karadağ
AU  - Aynur Ayşe Karaduman
PY  - 2026
DA  - 2026/07/29
JO  - BMC Medical Education
DO  - 10.1186/s12909-026-10043-x
UR  - https://doi.org/10.1186/s12909-026-10043-x
AB  - Background: Developing high-fidelity simulation scenarios is a time-consuming process, and validated resources for complex psychomotor skills such as orthotic fabrication are scarce. This study aimed to examine the content validity index (CVI) of a simulation scenario for anticlaw orthosis fabrication developed with the support of artificial intelligence (AI).  Methods: A mixed-methods methodological study was conducted in an academic education program in Türkiye. Six subject matter experts with professional experience in hand rehabilitation, orthotics, and simulation-based education participated. A simulation scenario package was structured by the researchers, while the specific scenario flow was generated using a seven-step process supported by the generative AI tool ChatGPT. Expert reviewers evaluated five components, specifically objectives, background, prebriefing, scenario flow, and debriefing, using a 4-point Likert scale and open-ended questions. The item-level content validity index (I-CVI) and scale level content validity index (S-CVI) were calculated.  Results: The simulation scenario package was evaluated across five core components. The scenario achieved an I-CVI and S-CVI of 1.00. This indicated that all expert reviewers rated the scenario components as content valid by assigning a score of 3 or 4. Qualitative feedback highlighted the need for refinements in clinical fidelity, specific material choices, and safety warnings regarding heat and sharp tools.  Conclusions: The study provided educators with a comprehensive, ready-to-implement simulation scenario package, including validated learning objectives, prebriefing instructions, the full scenario script developed via AI-assisted methodology, and debriefing guides, that could be adopted to enhance orthotic training in rehabilitation curricula.  Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12909-026-10043-x.
SN  - 1472-6920
ER  -