Integration of Virtual Reality Mindfulness Application Within a Mobile-Based Recovery Platform to Support Rehab and Post-Rehab Engagement

将虚拟现实正念应用程序集成到基于移动的恢复平台中，以支持康复和康复后参与

• 批准号: 9898123
• 负责人: Beau Mann
• 金额: $ 22.5万
• 依托单位: SOBER GRID, INC.
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2021-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9898123
• 关键词: Aftercare; Alcohol dependence; Alcohol or Other Drugs use; Alcohols; Android; Caring; Cellular Phone; Clinic; Clinical; Communities; Coupled; Development; Drug Addiction; Enhancement Technology; Feedback; Focus Groups; Health; Health Services Accessibility; Healthcare Systems; Home environment; Immersion Investigative Technique; Individual; Informal Social Control; Inpatients; Intervention; Medical Device; Mental Health; Methods; Mission; Opioid; Outcome; Participant; Patients; Personal Satisfaction; Persons; Phase; Population; Preparation; Production; Protocols documentation; Psyche structure; Randomized; Recovery; Relapse; Research; Resources; Scientist; Services; Structure; Substance Use Disorder; Technology; Testing; Therapeutic; Therapeutic Effect; Time; Training; Training Support; Treatment Efficacy; Universities; Visual; Well in self; addiction; base; cost; cost effective; design; evidence base; experience; improved; innovation; inpatient service; machine learning algorithm; member; mindfulness; mindfulness intervention; mobile application; new technology; peer; peer coaching; peer support; prototype; relapse prediction; relapse risk; sobriety; social; sound frequency; success; telehealth; therapy design; treatment as usual; treatment program; virtual reality

ABSTRACT Post-treatment substance use disorder (SUD) relapse rates are high (40-60% at one year), with relapse occurring early (median time to relapse 1-3 months), indicating that the transition period from inpatient care to the home environment is particularly challenging for patients seeking sobriety. Telehealth and VR technologies have the ability to greatly increase the accessibility of highly engaging recovery support. Combining these two approaches provides a unique opportunity to create a highly engaging, cost-effective take home recovery support solution targeting the critical transition from inpatient care. Sober Grid proposes to leverage its existing highly accessible social and peer coaching mobile recovery app, to develop a convenient and cost-effective integrated take-home combined VR and professional peer coaching recovery support intervention (RecoVRi) that begins in the inpatient clinic. RecoVRi is designed to increase engagement with recovery therapy during the critical transition from inpatient to home, thereby reducing the risk of relapse and associated health and monetary costs. Sober Grid is collaborating with TRIPP, Inc. to utilize TRIPP’s immersive wellness platform. The design of the TRIPP experience leverages a large body of existing research on the use of VR technology in the mental wellness arena and utilizes proven mindfulness structures, targeted sound frequencies, visuals and interactions that have a multiplicative effect when administered through immersion. The Sober Grid Network will create a support wrapper to the VR experience that facilitates access to crisis management experts and community for the person in early recovery. The unique combination of a personalized and targeted self-regulation toolkit and community and professional support is a key differentiator for this service. In phase I of the project, we will develop and pilot test a proof-of-concept RecoVRi VR-mindfulness protocol and intervention to ascertain feasibility and acceptability (Aim 1). In phase II of the project, a production-quality intervention will be developed with new VR content created by the TRIPP development team specifically targeting themes supporting recovery from alcohol, stimulant and opioid SUD separately (Aim 2). We will then test post-treatment recovery support engagement in the RecoVRi intervention in comparison to treatment as usual in a randomized comparison trial involving 80 patients receiving inpatient treatment and transitioning to the home setting (Aim 3). Over the span of both phases, we will seek regulatory guidance from the FDA in order to attain clearance for use of the RecoVRi intervention as a therapeutic medical device (Aim 4).

抽象的 治疗后药物使用障碍（SUD）复发率很高（年度为40-60％），复发 发生早期（中位为1-3个月复发），表明从住院护理到TO的过渡期。 对于寻求sophybruit的患者而言，家庭环境尤其具有挑战性。 有能力大大提高高级恢复支持的可及性。 方法为创建高度吸引人，具有成本效益的带回家恢复支持提供了独特的机会 针对从住院护理的关键过渡的解决方案。 Souber Grid提议利用其外观高度访问的社交和同行教练移动恢复应用程序 开发方便且具有成本效益的集成综合餐厅合并的VR和专业同行指导 恢复支持干预（RECOVRI）在住院诊所开始旨在增加。 从住院到家的批判性过渡期间，参与恢复疗法，从而降低了风险 复发和相关的健康和货币成本。 Tripp的沉浸式健康平台。 关于在心理健康领域使用VR技术的研究，并利用了经过证明的正念结构， 通过进行靶向的声音频率，视觉效果和相互作用，在通过 浸入式网格网络将为VR实验创建支持包装 危机管理专家和社区早期康复的独特组合 个性化和有针对性的自我调节工具包以及社区以及专业支持是关键的区别 为此服务。 在该项目的第一阶段，我们将开发和进行试验测试概念验证的recovri vr-nindelness协议和 确定饮食和可接受性的间隔（目标1）。 与TRIPP开发团队创建的VR内容的间隔为DEVELOPE 靶向主题支持酒精，兴奋剂和阿片类药物SUD（AIM 2） 与治疗相比 通常，在随机比较试验中，有80名患者也接受住院和扭转 家庭环境（AIM 3）。 为了使用Recovri干预作为治疗性医疗设备的清除率（AIM 4）。