Simulated Exposure Trainer (SET-VR): Implementing Targeted Experiential Training with a Virtual Patient

模拟暴露训练器 (SET-VR)：通过虚拟患者实施有针对性的体验式训练

基本信息

批准号：
10677031
负责人：
Margo Adams Larsen
金额：
$ 23.42万
依托单位：
VIRTUALLY BETTER, INC.
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-04 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10677031
关键词：
Active Learning Anxiety Anxiety Disorders Behavioral Belief Benchmarking Clinical Collaborations Community Practice Computer software Dangerousness Databases Development Distress Educational Intervention Educational workshop Effectiveness Effectiveness of Interventions Equilibrium Evaluation Evidence based practice Exposure to Feedback Fright Future Goals Hour Immersion Impairment Intervention Interview Investigational Therapies Investments Learning Literature Measures Medical Education Mental disorders Methods National Institute of Mental Health Online Systems Patients Pattern Phase Play Process Randomized Research Research Design Research Training Role Running Services Small Business Technology Transfer Research Standardization Strategic Planning Structure System Technology Testing Training Training Programs Update anxious behavior change clinical training clinically relevant community setting cost effective design efficacy evaluation experience handheld mobile device head mounted display innovation novel pilot trial practice setting programs research to practice simulation tool uptake usability virtual virtual patient virtual reality virtual reality headset

项目摘要

PROJECT SUMMARY/ABSTRACT Despite the existence of numerous, well-established evidence-based practices (EBPs) for mental disorders, it has been difficult to disseminate these practices in community settings. Exposure therapy for anxiety disorders represents one of the most glaring examples of this research-to-practice gap. Just as patients are anxious about approaching their fears, therapists are often reluctant to use exposure therapy due to their own anxious beliefs that it may be dangerous and/or intolerable for patients, even after receiving specialized exposure training. Emerging training research suggests the inclusion of targeted behavioral strategies (i.e., role play, self-exposure) can reduce anxious beliefs above and beyond standard didactic training sessions. By leveraging the same behavior change principles that reduce patient anxiety (i.e., exposure), behavioral strategies can be tailored to target therapists’ anxious beliefs about the treatment (i.e., conduct training as “exposure to exposure”). Unfortunately, current experiential training tasks have failed to closely replicate commonly feared clinical contexts, and as a result lack the necessary potency to potentially overcome therapist-level barriers for uptake and quality treatment delivery following training. Virtual reality (VR) has demonstrated utility as a potent and cost- effective approach for delivering exposure. We plan to investigate the application of VR as a tailored training tool (i.e., virtual “exposure to exposure” for therapists) capable of enhancing the quantity and quality of experiential learning that is lacking in current exposure training initiatives. The proposed 20-month Phase I STTR study will test the implementation of a VR training program delivered on two platforms (i.e., VR headset and web-based) to assess which platform provides the ideal balance of immersion, usability, target engagement, and scalability. The study takes place in three stages: 1) initial development, 2) iterative evaluation and development to optimize usability, 3) clinical training trial to establish target engagement. Usability and target engagement information from this pilot trial will support a Phase II STTR project aimed at building out and broadly disseminating the VR- enhanced training approach.

项目概要/摘要尽管存在大量、完善的针对精神障碍的循证实践 (EBP)，但很难在社区环境中传播这些针对焦虑症的暴露疗法。正如患者所担心的那样，这是研究与实践差距的最明显例子之一。在接近他们的恐惧时，治疗师往往由于自己的焦虑信念而不愿意使用暴露疗法即使在接受专门的暴露训练后，这对患者来说也可能是危险的和/或无法忍受的。新兴的培训研究建议纳入有针对性的行为策略（即角色扮演、自我暴露）通过利用相同的教学培训课程，可以减少超出标准教学培训课程的焦虑信念。减少患者焦虑（即暴露）的行为改变原则，可以定制行为策略针对治疗师对治疗的焦虑信念（即进行“暴露于暴露”的培训）。不幸的是，当前的体验式培训任务未能准确复制人们普遍担心的临床情况。背景，因此缺乏必要的潜力来克服治疗师层面的吸收障碍虚拟现实 (VR) 已被证明是一种有效且成本低廉的实用工具。我们计划研究 VR 作为定制培训工具的应用。（即治疗师的虚拟“暴露”）能够提高体验的数量和质量拟议的为期 20 个月的第一阶段 STTR 研究将弥补当前暴露培训计划中所缺乏的学习内容。测试在两个平台（即 VR 耳机和基于网络）上提供的 VR 培训计划的实施情况评估哪个平台提供了沉浸感、可用性、目标参与度和可扩展性的理想平衡。研究分三个阶段进行：1）初始开发，2）迭代评估和开发优化可用性，3) 建立目标参与度的临床培训试验。此次试点试验将支持第二阶段 STTR 项目，旨在构建并广泛传播 VR- 强化培训方法。