Group

Training environment

Training contents

Total score

Control group (n = 43)

22.37 ± 1.96

12.28 ± 2.15

35.19 ± 2.16

Study group (n = 43)

23.63 ± 2.04

15.17 ± 1.39

40.58 ± 2.25

t value

−2.921

−7.402

−11.332

P value

0.005

<0.001

<0.001