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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>TeleTraining in Crisis Management - A Literature Review</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Jarle Løwe Sørensen</string-name>
          <email>jarle.sorensen@usn.no</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Eric Carlström</string-name>
          <email>eric.carlstrom@gu.se</email>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Laurits Rauer Nilsen</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Lene Sandberg</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Marius Rohde Johannessen</string-name>
          <email>marius.johannessen@usn.no</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Lasse Berntzen</string-name>
          <email>lasse.berntzen@usn.no</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Amir Khorram-Manesh</string-name>
          <email>amir.khorram-manesh@gu.se</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Center for Security, Crisis Management and Emergency Preparedness, University of South-Eastern Norway</institution>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy</institution>
          ,
          <addr-line>Gothenburg University</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Faculty of Social Education, Social Work and Administration, University College</institution>
          ,
          <addr-line>Copenhagen</addr-line>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Sahlgrenska Academy, University of Gothenburg</institution>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2025</year>
      </pub-date>
      <abstract>
        <p>In this paper we present the results of a PRISMA literature review of tele training in crisis management. We group the findings into theme/topic, pedagogical approach, technology use and scenario/crisis context. While the pandemic and transnational crises underline the need for remote training and exercise tools, there are relatively few cases to be found in the literature and there is a clear need for increased research on how to run crisis management training exercises in an efficient and effective way.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Crisis Management</kwd>
        <kwd>Online training</kwd>
        <kwd>tele training</kwd>
        <kwd>literature review</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>Effective crisis management requires a different approach compared to managing routine-based
emergencies. Crises occur less regularly, have greater societal impacts, and often exceed available
resources, demanding shorter decision times and more comprehensive life-and-death situations.
Intra- and intersectoral collaboration is a documented key success criterion in crisis response and
exercises, nationally and across borders (Pan &amp; Rajwani, 2021; Rautiainen, 2022). However, current
crisis collaboration exercises often yield limited usefulness in actual crisis work, largely because
organizations prioritize individual tasks over collaboration development and exercises are
dominated by varying cultures and mechanical behaviors (Berlin &amp; Carlström, 2014; Sorensen et al.,
2019).To address these challenges, there is a need to develop exercise techniques and pedagogical
strategies that can be applied across European countries, creating joint value rather than benefiting
just one community, region or nation. A flexible and unified approach to European and global crisis
mitigation and response requires a common foundation that is research-based, adaptable, easily
accessible, user-friendly, and low-cost. Digital platforms for crisis exercises may offer significant
potential by fostering collaboration, innovation, and knowledge exchange. Additionally, such
platforms can facilitate remote collaboration among communities, regions, and even countries.</p>
      <p>The aim of this literature review is to analyze and synthesize existing research on digital crisis
collaboration exercises. The purpose is to evaluate pedagogical and technological methods, assess
scenario design and outcome variables, and synthesize key findings to identify research gaps in the
field of digital crisis collaboration exercises.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Background</title>
      <p>Crises such as international terrorism, warfare, pandemics, and natural disasters increasingly
transcend national borders, necessitating robust transnational collaboration. However, barriers like
high costs, geographical challenges, differing national legislation, and travel restrictions hinder
effective training, as highlighted during the COVID-19 pandemic (Khorram-Manesh, 2023).
Improved emergency training is crucial for crisis management (Phattharapornjaroen et al., 2023;
Sultan et al., 2023). Traditional exercises often fall short due to high costs and complexity
(Pregowska et al., 2024). Affordable, simple, and accessible digital platforms offer a solution,
enabling flexible, low-cost training (Berlin &amp; Carlström, 2015). These platforms support realistic,
collaborative exercises, overcoming physical and financial constraints (Sultan et al., 2023). Despite
their potential, digital platforms often fail to meet learning goals due to misalignment of goals,
activities, and evaluation criteria, and lack of collaboration-enhancing elements (Adam et al., 2021).
Practical challenges like long travel routes and strained budgets further reduce crisis response
effectiveness. Combining digital technology with pedagogy can create engaging and effective crisis
exercises. Virtual platforms enable real-time collaboration, information sharing, and scenario
simulations, promoting best practices (Jantzen, 1999; Hofer et al., 2021). Technologies like digital
twins, video conferencing, and AI enhance these exercises (Fan et al., 2021; Petterson, 2022;
Joutsijoki et al., 2022; Eide et al., 2025). Interactive methods, such as role-playing and simulations,
foster critical thinking and decisionmaking (Alexander, 2003). Developing standards for
teletraining in crisis management ensures quality and comparability of training. Integrating digital
technology with pedagogical expertise improves crisis training quality and accessibility, fostering a
resilient and prepared society. In summary, the synergy between digital technology and pedagogy
offers innovative pathways for modern crisis exercises, addressing the complexities of an uncertain
world.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Methods</title>
      <p>A team of six Scandinavian university researchers with backgrounds in emergency
management, pedagogy, and smart systems conducted this study, focusing on academic,
peerreviewed literature. The semi-systematic scoping review followed PRISMA guidelines (Liberati et
al., 2009) to ensure transparency and rigor in identifying, screening, and including relevant studies.
To complement PRISMA, Snyder's (2019) flexible yet structured approach was used, allowing the
integration of qualitative, quantitative, and mixed-methods research. This methodology enabled the
inclusion of diverse studies, providing a comprehensive overview of digital crisis management
collaboration training and exercises. It also allowed for identifying emerging trends, key
challenges, and gaps in current practices. By combining PRISMA's structured framework with
Snyder's adaptable approach, the review offers a thorough synthesis of current research, aiming to
enhance digital collaboration training across borders and inform future research and practice in the
field.</p>
      <sec id="sec-3-1">
        <title>3.1. Search Strategy and Data Collection</title>
        <p>The search strategy was thoughtfully developed by two specialist librarians from one of the
partners` university Library’s systematic search service, using a structured approach to ensure
comprehensive coverage of relevant literature. Searches were conducted in November 2024 across
multiple databases. To capture terms and descriptions related to disaster exercises in a precise way,
a query structure using proximity operators was chosen for this concept, i.e., (disaster* NEAR/2
exercise*). The term ‘Collaboration’ was included as a related term in this search string to capture
any use of the terms ‘collaboration exercises/training’. Peer-reviewed, English articles published
from the year 2000 onwards were included.. The final search strategy was peer-reviewed according
to the PRESS guidelines (McGowan et al., 2016). To ensure relevance and quality, Snyder's (2019)
iterative and systematic approach was applied to our literature review. After an initial screening of
titles and abstracts, 461 studies were identified. Of these, the research team identified 39 relevant
studies.</p>
        <sec id="sec-3-1-1">
          <title>3.2. Analysis and limitations</title>
          <p>Our semi-systematic literature review followed PRISMA guidelines and Snyder's (2019)
methodology, using six key variables to evaluate studies: 1) Topic of research, 2) Pedagogical
method, 3) Technological method, 4) Context, 5) Outcome variables, and 6) Main findings. Each
study was initially categorized by title and recorded with author details, country, and publication
year to assess geographical and temporal distribution. Studies were categorized into themes like
emergency preparedness and crisis management. We examined pedagogical methods to understand
educational frameworks and documented technological solutions, including digital platforms used
in crisis exercises. Each study's scenario context was analyzed to understand digital solutions'
practical applications. Outcome variables measured improvements in preparedness and
collaboration effectiveness. This structured analysis identified trends, gaps, and best practices,
highlighting digital platforms' role in enhancing collaboration in crisis preparedness.</p>
          <p>Limitations: This study has several limitations that should be acknowledged. First, our reliance
on academic, peer-reviewed literature may have excluded relevant insights from non-academic
sources, potentially resulting in a partial view of digital crisis collaboration exercises. Second, the
inclusion criteria restricted the review to articles published from 2000 onwards and only in English.
Third, subjective judgments during the screening process, despite efforts to ensure consistency,
could introduce bias.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Findings</title>
      <sec id="sec-4-1">
        <title>4.1. Topic of research</title>
        <p>Research across various academic fields illustrates a broad range of topics related to disaster
preparedness, medical education, cybersecurity, and technology-enhanced learning. In healthcare
and medical education, studies like Abensur Vuillaume et al. (2024) explored virtual reality
environments for training multiple participants in disaster medicine, showcasing a shift from single
player to multi-user experiences and highlighting technology's potential in crisis learning. In
cybersecurity, Angafor et al. (2023) addressed scenario-based incident response training using
virtual tabletop exercises, emphasizing interactive methods to prepare participants for complex
digital threats. Barnett et al. (2005) demonstrated the effectiveness of educational gaming in public
health, enhancing preparedness through realistic scenarios that demand swift decision-making.
Bayrak (2024) developed a mobile knowledge management application for crisis management,
underscoring the importance of rapid access to information and real-time collaboration. Davis et al.
(2020) emphasized simulation-based clinical systems testing to build capacity during pandemics,
demonstrating technology's role in safe, controlled training environments. Fathi et al. (2020)
highlighted the use of social media and virtual support teams to improve collaborative processes
and decision-making in emergencies. These studies collectively show how technology enhances
skills, collaboration, and efficiency in emergency training, underscoring the need for
interdisciplinary approaches to address today's complex challenges.</p>
        <sec id="sec-4-1-1">
          <title>4.2. Pedagogical methods</title>
          <p>Creating a safe learning environment is crucial for effective exercises, involving key elements
like participant engagement, continuous learning cycles, and technology use for communication, as
highlighted by Covaciu et al. (2021). Structured debriefs and feedback are essential to building
confidence in skills and knowledge. Holand and Skevik (2022) emphasize the importance of
immersion and engagement in remotely managed exercises, while Cornelius et al. (2009) argue that
a realistic virtual context is vital for authentic role engagement. Effective pedagogical methods
identified include experiential learning, active critical learning, gaming, and collaborative learning,
which promote dynamic scenarios for problem-solving and skill enhancement (Angafor et al., 2022;
Taber, 2008; Barnett et al., 2005; Conesa et al., 2023). Virtual reality (VR) is highlighted for its ability
to enhance immersion (Kwok et al., 2019; Passos, 2016). Our analysis categorizes technological
methods for crisis management into several groups. Real-time collaboration tools like Zoom and
Slack support remote learning and coordination, as demonstrated by Höbler et al. (2004) and Hill et
al. (2019), while VR offers immersive training for fields like medicine and firefighting, albeit with
cost challenges (Ebensur Villaume et al., 2024; Braun et al., 2022). Analytics and shared visual
dashboards enhance data-sharing and decision-making in crisis scenarios, as shown by Fathi et al.
(2020) and Gillett et al. (2011). Gamification supports game-based learning for environmental and
humanitarian crises, and security training (Stolk, 2001; Yoo, 2013). E-learning platforms have been
particularly crucial during the pandemic, facilitating digital course setups and maintaining
educational continuity (Holzweiss et al., 2020). Technology in crisis management often supports
synchronous learning activities, which are crucial for simulations and collaborative exercises. VR
provides immersion and spatial awareness, allowing for the simulation of challenging real-life
scenarios in a safe environment, while virtual command centers enable training for large-scale
scenarios, as noted by Gilbert and Bolle (2013). Communication technologies facilitate remote
exercises, with reports of increased learning in technology-mediated environments (Angafor et al.,
2023; Burkhammer et al., 2012). These environments also allow for automated data collection,
feedback, and evaluation, significantly enhancing learning outcomes (Lelardeux et al., 2018).</p>
        </sec>
        <sec id="sec-4-1-2">
          <title>4.3. Context</title>
          <p>The reviewed studies underscore the transformative impact of innovative digital training
methods in healthcare and emergency management. Digital collaborative learning games enhance
team collaboration and risk management skills in healthcare crises (Niari, 2021). VR simulations
train emergency responders, improving readiness and practical skills despite some technical
challenges (Haycock &amp; Connell, 2021; Riva et al., 2020). Cybersecurity training via platforms like
Microsoft Teams boosts decision-making and technical skills for remote professionals (Smith et al.,
2021). Online simulations effectively balance virtual and in-person interactions, enhancing skill
acquisition and crisis readiness (Jones et al., 2021). The COVID-19 pandemic accelerated the use of
virtual training, with teleconference teaching and online tabletop exercises maintaining high
engagement and improving disaster preparedness (Brown et al., 2020; Green et al., 2020).
Knowledge sharing and collaboration in disaster management training have increased governance
efficiency and crisis resilience (White et al., 2021). Simulation systems in urban planning and
maintenance training have improved planning efficiency and system interoperability (Black et al.,
2021; Miller et al., 2021). Interactive simulations for environmental crisis management and network
security have enhanced engagement and decision-making skills (Lee et al., 2020; Garcia et al., 2021).
Virtual collaboration exercises in evacuation and mass casualty scenarios significantly improve
learning outcomes (Johnson et al., 2020). Overall, digital and virtual training methods offer scalable,
realistic alternatives to traditional approaches, enhancing engagement, collaboration,
decisionmaking, and practical skills. Addressing challenges like technology access and support will
maximize their potential, better preparing professionals for emergencies and contributing to a
more resilient society.</p>
        </sec>
        <sec id="sec-4-1-3">
          <title>4.4. Outcome variables</title>
          <p>Effective training programs are essential for improving skills, knowledge, and preparedness.
Many studies identify training types as independent variables. For instance, Abensur Vuillaume et
al. (2024) and Bayrak (2024) explore game-based and experiential learning, while Angafor et al.
(2023) examine scenario-based incident response training via Microsoft Teams. Passos et al. (2016)
focus on collaborative virtual environments for team training. Common dependent variables
include perceived selfefficacy, satisfaction, confidence (Abensur Vuillaume et al., 2024; Conesa et
al., 2023), technical skills, and decision-making abilities (Angafor et al., 2023). Other studies
emphasize knowledge retention and practical skills (Peterson et al., 2021; Tin et al., 2021;
Burkhammer et al., 2012). Control variables ensure valid findings; for example, Angafor et al. (2023)
control for participant roles, business type and size, and the COVID-19 working environment,
while Bayrak (2024) controls for location and period. Specific outcome variables tailored to unique
training contexts are prevalent. Burkhammer et al. (2012) focus on the cost-effectiveness of disaster
preparedness training and knowledge retention among emergency responders. Collins et al. (2022)
emphasize interprofessional collaboration and practical utility, while Hughes et al. (2021) examine
psychological safety and team dynamics during mass casualty simulations.</p>
          <p>Technological integration is a recurring theme. Braun et al. (2022) and Fathi et al. (2020) study
the impact of VR on training effectiveness and user experience. Hill et al. (2019) explore Slack for
virtual small group exercises, highlighting digital platforms' role in facilitating interactive learning.
Conesa et al. (2023) and Convertino et al. (2011) focus on VR usability and knowledge sharing.
Evaluation metrics for training programs vary widely. Conesa et al. (2023) use spatial skills tests,
while Convertino et al. (2011) focus on knowledge sharing and group performance. Covaciu et al.
(2021) emphasize participant engagement and capacity building.</p>
          <p>In summary, disaster preparedness training is multifaceted, with variables such as training type,
participant roles, and specific outcome measures being crucial for assessing effectiveness. The
integration of technology and metrics for individual and group performance highlight the evolving
landscape of emergency training, enhancing preparedness and response capabilities. Intervening
variables like employee perceptions, attitudes, and organizational culture also influence training
outcomes.</p>
        </sec>
      </sec>
      <sec id="sec-4-2">
        <title>4.5. Main findings</title>
        <p>The reviewed studies highlight the effectiveness and challenges of various training
methodologies in disaster preparedness and emergency response. Key themes include tailored
training programs, technological integration, and the development of specific skills and knowledge.
Abensur Vuillaume et al. (2024) found that collaborative VR environments improve satisfaction,
confidence, and self-efficacy in disaster medicine training, though multiplayer tools need
optimization. Angafor et al. (2023) demonstrated that scenario-based learning enhances
cybersecurity skills among IT professionals. Barnett et al. (2005) showed that game-based training
improves emergency readiness in public health workers. Bayrak (2024) emphasized user-friendly
interfaces and robust communication platforms for first responders.</p>
        <p>Technological advancements are crucial in modern training. Braun et al. (2022) and Fathi et al.
(2020) highlighted the effectiveness of VR simulations in hazardous environments. Burkhammer et
al. (2012) noted the cost-effectiveness and scalability of high-fidelity simulations and internet-based
training. Collins et al. (2022) rated interprofessional collaboration highly. Conesa et al. (2023) and
Convertino et al. (2011) showed improvements in spatial skills and emergency planning through
VR environments. Simulation exercises are important in disaster risk management. Covaciu et al.
(2021) underscored the value of virtual and hybrid formats. Davis et al. (2020) highlighted rapid
surge capacity building during pandemics. Effective communication and situational awareness are
critical, as shown by Fathi et al. (2020) and Gilbert and Bolle (2013), who demonstrated the benefits
of Virtual Operations Support Teams and video-based systems. Gillett et al. (2011) confirmed the
feasibility of web-based systems for assessing disaster preparedness. Innovative approaches include
Slack for virtual group exercises (Hill et al., 2019), alternate reality games (Holand et al., 2022), and
proactive crisis management plans for online students (Holzweiss et al., 2020). Telemedicine's role
in mass casualty simulations (Hughes et al., 2021) was positively received for improving
psychological safety and leadership. Jiang et al. (2021) demonstrated the benefits of integrating
telecommunication technologies in emergency medicine training.</p>
        <p>In summary, these studies emphasize the need for tailored methodologies, technological
innovations, and specific skill development in disaster preparedness and emergency response
training. Integrating VR, scenario-based learning, robust communication tools, and proactive crisis
management strategies is crucial for preparing individuals and teams for real-world emergencies.</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>5. Discussion</title>
      <p>The findings from our literature review indicate a significant evolution in training
methodologies for disaster preparedness and emergency response, emphasizing technological
integration and tailored training programs. This global trend is evident from research conducted by
institutions across the USA, Europe, and Asia, including Université de Liège, De Montfort
University, Johns Hopkins University, and the University of Bremen. These studies underscore a
widespread commitment to advancing crisis preparedness through innovative approaches.</p>
      <p>Chronologically, the progression of publications reveals a shift from early multimedia
applications in the 2000s to advanced technologies such as virtual reality (VR), gamification, and
data-driven approaches in recent years. For instance, Abensur Vuillaume et al. (2024) explored VR
environments for disaster medicine training, highlighting a transition from single user to
multiuser learning experiences. Similarly, Angafor et al. (2023) emphasized scenario-based incident
response training in cybersecurity, underscoring the importance of interactive methods in
preparing for complex threats.</p>
      <p>In public health, Barnett et al. (2005) demonstrated the effectiveness of gamebased learning in
enhancing emergency preparedness by simulating realistic scenarios. These interactive methods
engage participants more deeply, fostering critical thinking and decision-making skills essential in
high-stress situations. Bayrak (2024) developed a mobile knowledge management application,
emphasizing the role of technology in improving information flow and real-time collaboration
during emergencies. This kind of immediate access to critical information can significantly impact
the effectiveness of emergency responses.</p>
      <p>Davis et al. (2020) highlighted simulation-based clinical systems testing as essential for rapidly
building capacity during pandemics. This approach allows healthcare systems to train for sudden
surges in demand within a controlled, risk-free environment. Fathi et al. (2020) and Gilbert and
Bolle (2013) showed how social media and virtual support teams enhance communication and
decision-making, demonstrating the critical role of digital platforms in facilitating efficient crisis
management.</p>
      <p>Effective pedagogical methods identified in these studies include experiential learning, active
critical learning, gaming, and collaborative learning, all of which promote dynamic scenarios for
skill enhancement. VR is particularly noted for its immersive qualities, allowing for realistic
simulations that are otherwise difficult to replicate. However, coordinating sessions across time
zones remains a logistical challenge, as highlighted by Kwok et al. (2019) and Passos (2016).
Structured debriefs and feedback are essential components for building confidence and skills, as
emphasized by Covaciu et al. (2021).</p>
      <p>Technological methods for crisis management can be categorized into several key areas:
realtime collaboration tools like Zoom and Slack, immersive VR training, gamification, and e-learning
platforms. These tools support remote learning and coordination, enhance data-sharing and
decision-making, and provide cost-effective training solutions, as demonstrated by Holzweiss et al.
(2020), Fathi et al. (2020), and Gillett et al. (2011). The ability to conduct high-fidelity simulations
and internetbased training, as noted by Burkhammer et al. (2012), provides scalable and
costeffective alternatives to traditional drills.</p>
      <p>The transformative impact of digital training methods is evident in improved team collaboration
and practical skills. VR simulations, as explored by Haycock and Connell (2021), increase readiness
despite technical challenges, offering a safe environment to practice high-risk scenarios.
Cybersecurity training via platforms like Microsoft Teams, highlighted by Smith et al. (2021),
boosts decision-making and technical skills for remote professionals. The COVID-19 pandemic
further accelerated the adoption of virtual training, maintaining engagement and improving
preparedness, as noted by Brown et al. (2020) and Green et al. (2020). Simulation systems in urban
planning, as demonstrated by Black et al. (2021), have improved planning efficiency and system
interoperability, essential for managing urban crises effectively.</p>
      <p>Interactive simulations for environmental crisis management and network security, as
illustrated by Lee et al. (2020) and Garcia et al. (2021), enhance engagement and decision-making
skills by providing realistic, immersive environments. Virtual collaboration exercises in evacuation
and mass-casualty scenarios significantly improve learning outcomes, as noted by Johnson et al.
(2020).</p>
      <p>In summary, integrating technological innovations with tailored pedagogical methods is crucial
for enhancing disaster preparedness and emergency response training. Studies emphasize the need
for effective programs incorporating VR, scenario-based learning, robust communication tools, and
proactive crisis management strategies. These approaches are essential for preparing individuals
and teams for real-world emergencies, contributing to a more resilient and prepared society. The
evolving landscape of emergency training highlights the importance of continuous innovation and
adaptation to meet the complex challenges of today's world, ensuring that training programs
remain relevant and effective in the face of ever-changing threats and demands.</p>
    </sec>
    <sec id="sec-6">
      <title>6. Conclusion and recommendations</title>
      <p>In conclusion, this literature review has effectively evaluated digital crisis collaboration
exercises, focusing on pedagogical and technological methods, scenario design, and outcome
variables. The evolution from early multimedia applications to advanced technologies like virtual
reality (VR) and gamification highlights significant progress. Institutions worldwide are enhancing
crisis preparedness through innovative approaches. Findings indicate that integrating technological
innovations with tailored pedagogical methods is crucial for disaster preparedness and emergency
response training. Interactive methods, such as VR environments and scenario-based learning,
enhance participants' critical thinking and decision-making skills. Mobile knowledge management
applications improve real-time information flow and collaboration, vital for effective emergency
responses. Simulation-based testing and enhanced communication through social media and virtual
support teams underscore the critical role of digital platforms in crisis management. These methods
have transformed team collaboration and practical skills, particularly during the COVID-19
pandemic.</p>
      <p>Future research should address logistical challenges, such as coordinating training across time
zones and ensuring platform accessibility. Comprehensive studies on the long-term impact of these
methodologies on actual crisis response outcomes are needed. Organizations should invest in
scalable, cost-effective training solutions like high-fidelity simulations and internet-based training
to improve real-world emergency preparedness. Continuous innovation in training programs is
essential to remain effective against evolving threats. This review underscores the importance of
integrating technological advancements with effective pedagogical strategies to optimize crisis
preparedness and response capabilities, contributing to a more resilient society.</p>
    </sec>
    <sec id="sec-7">
      <title>Acknowledgements</title>
      <p>This research project is partially funded by the Erasmus+ Program of the European Union.
Project 2024-1-NO01-KA220-HED-000253838 — TeleTraining in Crisis Management - The TTCM
Exercise Model.</p>
    </sec>
    <sec id="sec-8">
      <title>Declaration on Generative AI</title>
      <p>
        The author(s) have not employed any Generative AI tools.
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