{"id":"https://openalex.org/W4409244176","doi":"https://doi.org/10.1007/s40593-025-00475-9","title":"In Sync or Out of Sync? Understanding Stress and Learning Performance in Collaborative Healthcare Simulations through Physiological Synchrony and Arousal","display_name":"In Sync or Out of Sync? Understanding Stress and Learning Performance in Collaborative Healthcare Simulations through Physiological Synchrony and Arousal","publication_year":2025,"publication_date":"2025-04-07","ids":{"openalex":"https://openalex.org/W4409244176","doi":"https://doi.org/10.1007/s40593-025-00475-9"},"language":"en","primary_location":{"id":"doi:10.1007/s40593-025-00475-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s40593-025-00475-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s40593-025-00475-9.pdf","source":{"id":"https://openalex.org/S171267539","display_name":"International Journal of Artificial Intelligence in Education","issn_l":"1560-4292","issn":["1560-4292","1560-4306"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Artificial Intelligence in Education","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s40593-025-00475-9.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041301106","display_name":"Lixiang Yan","orcid":"https://orcid.org/0000-0003-3818-045X"},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Lixiang Yan","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109780471","display_name":"Dragan Ga\u0161evi\u0107","orcid":null},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Dragan Ga\u0161evi\u0107","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067966650","display_name":"Vanessa Echeverr\u00eda","orcid":"https://orcid.org/0000-0002-2022-9588"},"institutions":[{"id":"https://openalex.org/I2135383","display_name":"Escuela Superior Politecnica del Litoral","ror":"https://ror.org/04qenc566","country_code":"EC","type":"education","lineage":["https://openalex.org/I2135383"]},{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU","EC"],"is_corresponding":false,"raw_author_name":"Vanessa Echeverria","raw_affiliation_strings":["Escuela Superior Polit\u00e9cnica del Litoral, ESPOL, Guayas, Ecuador","Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Escuela Superior Polit\u00e9cnica del Litoral, ESPOL, Guayas, Ecuador","institution_ids":["https://openalex.org/I2135383"]},{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025145937","display_name":"Linxuan Zhao","orcid":"https://orcid.org/0000-0001-5564-0185"},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Linxuan Zhao","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079899006","display_name":"Yueqiao Jin","orcid":"https://orcid.org/0009-0003-7309-4984"},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Yueqiao Jin","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100406123","display_name":"Xinyu Li","orcid":"https://orcid.org/0000-0003-2681-4451"},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Xinyu Li","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052017575","display_name":"Roberto Mart\u00ednez\u2010Maldonado","orcid":"https://orcid.org/0000-0002-8375-1816"},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Roberto Martinez-Maldonado","raw_affiliation_strings":["Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia"],"affiliations":[{"raw_affiliation_string":"Faculty of Information Technology, Monash University, 25 Exhibition Walk, Clayton, 3168, Victoria, Australia","institution_ids":["https://openalex.org/I56590836"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5041301106"],"corresponding_institution_ids":["https://openalex.org/I56590836"],"apc_list":{"value":2190,"currency":"EUR","value_usd":2790},"apc_paid":{"value":2190,"currency":"EUR","value_usd":2790},"fwci":5.281,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.9403491,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"35","issue":"4","first_page":"2421","last_page":"2452"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11431","display_name":"Action Observation and Synchronization","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11431","display_name":"Action Observation and Synchronization","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9794999957084656,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9729999899864197,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sync","display_name":"sync","score":0.948470950126648},{"id":"https://openalex.org/keywords/arousal","display_name":"Arousal","score":0.6947821378707886},{"id":"https://openalex.org/keywords/synchronization","display_name":"Synchronization (alternating current)","score":0.48715922236442566},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.47774046659469604},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4648429751396179},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.4409363269805908},{"id":"https://openalex.org/keywords/stress","display_name":"Stress (linguistics)","score":0.4346386790275574},{"id":"https://openalex.org/keywords/cognitive-psychology","display_name":"Cognitive psychology","score":0.3587033450603485},{"id":"https://openalex.org/keywords/multimedia","display_name":"Multimedia","score":0.3500988781452179},{"id":"https://openalex.org/keywords/human\u2013computer-interaction","display_name":"Human\u2013computer interaction","score":0.34315556287765503},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.17490848898887634},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.10402980446815491}],"concepts":[{"id":"https://openalex.org/C3913047","wikidata":"https://www.wikidata.org/wiki/Q1956265","display_name":"sync","level":3,"score":0.948470950126648},{"id":"https://openalex.org/C36951298","wikidata":"https://www.wikidata.org/wiki/Q379784","display_name":"Arousal","level":2,"score":0.6947821378707886},{"id":"https://openalex.org/C2778562939","wikidata":"https://www.wikidata.org/wiki/Q1298791","display_name":"Synchronization (alternating current)","level":3,"score":0.48715922236442566},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.47774046659469604},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4648429751396179},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4409363269805908},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.4346386790275574},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.3587033450603485},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.3500988781452179},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.34315556287765503},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.17490848898887634},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.10402980446815491},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C127162648","wikidata":"https://www.wikidata.org/wiki/Q16858953","display_name":"Channel (broadcasting)","level":2,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/s40593-025-00475-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s40593-025-00475-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s40593-025-00475-9.pdf","source":{"id":"https://openalex.org/S171267539","display_name":"International Journal of Artificial Intelligence in Education","issn_l":"1560-4292","issn":["1560-4292","1560-4306"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Artificial Intelligence in Education","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1007/s40593-025-00475-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s40593-025-00475-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s40593-025-00475-9.pdf","source":{"id":"https://openalex.org/S171267539","display_name":"International Journal of Artificial Intelligence in Education","issn_l":"1560-4292","issn":["1560-4292","1560-4306"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Artificial Intelligence in Education","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G1082305147","display_name":null,"funder_award_id":"HR0011-22-2-0047","funder_id":"https://openalex.org/F4320332180","funder_display_name":"Defense Advanced Research Projects Agency"},{"id":"https://openalex.org/G5027655325","display_name":null,"funder_award_id":"Jacobs","funder_id":"https://openalex.org/F4320322261","funder_display_name":"Jacobs Foundation"},{"id":"https://openalex.org/G5994523140","display_name":null,"funder_award_id":"DP210100060","funder_id":"https://openalex.org/F4320334704","funder_display_name":"Australian Research Council"}],"funders":[{"id":"https://openalex.org/F4320315885","display_name":"Australian Government","ror":"https://ror.org/0314h5y94"},{"id":"https://openalex.org/F4320322261","display_name":"Jacobs Foundation","ror":"https://ror.org/03tj32a09"},{"id":"https://openalex.org/F4320332180","display_name":"Defense Advanced Research Projects Agency","ror":"https://ror.org/02caytj08"},{"id":"https://openalex.org/F4320332815","display_name":"Advanced Research Projects Agency","ror":"https://ror.org/02caytj08"},{"id":"https://openalex.org/F4320334704","display_name":"Australian Research Council","ror":"https://ror.org/05mmh0f86"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409244176.pdf","grobid_xml":"https://content.openalex.org/works/W4409244176.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W1899937316","https://openalex.org/W1951724000","https://openalex.org/W1972000103","https://openalex.org/W1999118748","https://openalex.org/W2023015865","https://openalex.org/W2026699230","https://openalex.org/W2035125704","https://openalex.org/W2053432932","https://openalex.org/W2098646662","https://openalex.org/W2135191607","https://openalex.org/W2238759989","https://openalex.org/W2338918660","https://openalex.org/W2497843261","https://openalex.org/W2516612681","https://openalex.org/W2551658346","https://openalex.org/W2556115049","https://openalex.org/W2789396875","https://openalex.org/W2793350103","https://openalex.org/W2806847583","https://openalex.org/W2809338301","https://openalex.org/W2890544186","https://openalex.org/W2906163309","https://openalex.org/W2920265129","https://openalex.org/W2965758769","https://openalex.org/W2991073063","https://openalex.org/W3001106379","https://openalex.org/W3009918327","https://openalex.org/W3013278785","https://openalex.org/W3029417713","https://openalex.org/W3035663944","https://openalex.org/W3039587732","https://openalex.org/W3039984860","https://openalex.org/W3046090708","https://openalex.org/W3058974884","https://openalex.org/W3126451221","https://openalex.org/W3136874763","https://openalex.org/W3155048738","https://openalex.org/W3157644580","https://openalex.org/W3159372689","https://openalex.org/W3168256231","https://openalex.org/W3192425686","https://openalex.org/W3210986362","https://openalex.org/W4212811929","https://openalex.org/W4212844288","https://openalex.org/W4214842915","https://openalex.org/W4242706298","https://openalex.org/W4255827324","https://openalex.org/W4280499285","https://openalex.org/W4282981767","https://openalex.org/W4283366464","https://openalex.org/W4289518666","https://openalex.org/W4297294448","https://openalex.org/W4304184560","https://openalex.org/W4312514739","https://openalex.org/W4312890399","https://openalex.org/W4381956476","https://openalex.org/W6682058393"],"related_works":["https://openalex.org/W4392306433","https://openalex.org/W2524993630","https://openalex.org/W2063547430","https://openalex.org/W2607244263","https://openalex.org/W2234430299","https://openalex.org/W1831690014","https://openalex.org/W1561022130","https://openalex.org/W1878822803","https://openalex.org/W1995263003","https://openalex.org/W2096325454"],"abstract_inverted_index":{"Abstract":[0],"Physiological":[1],"synchrony":[2,87,158],"and":[3,12,24,42,57,70,76,88,94,113,149,167,187,206,229,248],"arousal":[4,89,173],"are":[5],"increasingly":[6],"utilised":[7],"to":[8,66,130,132,225,238,250],"understand":[9],"students\u2019":[10,40,146,164,203],"affective":[11,69],"cognitive":[13],"states,":[14],"such":[15,74],"as":[16,90],"stress,":[17],"which":[18],"can":[19,37],"influence":[20],"their":[21,136,150,197,207],"learning":[22,43,49,59,95,151],"performance":[23,44,96,152,169,180,208],"satisfaction":[25,45,97],"in":[26,53,73,98,120,221],"collaborative":[27,48,121,252],"settings.":[28,79],"However,":[29],"it":[30,62],"remains":[31],"uncertain":[32],"whether":[33],"these":[34,193,223],"physiological":[35,71,86,147,157,172,204],"indicators":[36,91],"meaningfully":[38],"reflect":[39],"stress":[41,93,166],"during":[46],"embodied":[47],"(ECL).":[50],"With":[51],"advancements":[52],"sensing":[54],"technologies,":[55],"AI,":[56],"multimodal":[58],"analytics":[60],"(MMLA),":[61],"is":[63,159,174],"now":[64],"possible":[65],"model":[67],"learners\u2019":[68],"states":[72],"dynamic":[75],"physically":[77],"active":[78],"This":[80],"study":[81],"investigates":[82],"the":[83,139,143,200,211,215,240],"role":[84],"of":[85,92,138,163,178,214,242],"ECL":[99],"using":[100,110,222,246],"a":[101,160,175],"mixed-method":[102],"approach.":[103],"We":[104],"first":[105],"developed":[106],"linear":[107],"mixed":[108],"models":[109],"heart":[111],"rate":[112],"survey":[114],"data":[115],"from":[116],"172":[117],"students":[118],"participating":[119],"high-fidelity":[122],"nursing":[123],"simulations.":[124],"The":[125],"findings":[126,141,194,234],"were":[127],"then":[128],"presented":[129],"educators":[131],"gain":[133],"insights":[134,224],"into":[135],"interpretation":[137],"current":[140],"on":[142],"relationship":[144],"between":[145,202],"responses":[148,205],"satisfaction.":[153],"Results":[154],"indicate":[155],"that":[156,192],"significant":[161,176],"indicator":[162,177],"perceived":[165],"collaboration":[168],"satisfaction,":[170,181,209],"while":[171],"task":[179],"even":[182],"after":[183],"accounting":[184],"for":[185],"individual":[186],"group":[188],"differences.":[189],"Educators":[190],"confirmed":[191],"align":[195],"with":[196],"assumptions":[198],"about":[199],"relationships":[201],"validating":[210],"ecological":[212],"validity":[213],"results.":[216],"They":[217],"also":[218],"expressed":[219],"interest":[220],"refine":[226],"simulation":[227],"activities":[228],"enhance":[230,251],"reflective":[231],"practices.":[232],"These":[233],"provide":[235],"empirical":[236],"evidence":[237],"support":[239],"development":[241],"context-aware":[243],"analytic":[244],"tools":[245],"AI":[247],"MMLA":[249],"learning.":[253]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1}],"updated_date":"2026-03-16T09:10:04.655348","created_date":"2025-10-10T00:00:00"}
