Impact VR: An Emotion Recognition and Regulation Training Program for Youth with Conduct Disorder

Impact VR：针对行为障碍青少年的情绪识别与调节培训项目

• 批准号: 10698855
• 负责人: Nicholas David Thomson
• 金额: $ 21.05万
• 依托单位: ARCHE VR LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2024-11-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10698855
• 关键词: Address; Adolescence; Adult; Affect; Aggressive behavior; Behavior; Behavioral; Businesses; Childhood; Chronic; Clinic; Cognitive; Conduct Disorder; Development; Diagnosis; Diagnostic; Disease; Educational process of instructing; Effectiveness; Emotions; Empathy; Ensure; Evidence based treatment; Face; Floor; Goals; Guilt; Health; Home; Hospitals; Impairment; Improve Access; Instruction; Intervention; Legal; Link; Marketing; Mediator; Mental Health; Mental disorders; Modification; Motivation; National Institute of Mental Health; Occupational Health; Outcome; Outcome Study; Parents; Performance; Phase; Play; Prevention strategy; Process; Provider; Psychopathology; Randomized, Controlled Trials; Regulation; Reporting; Research Domain Criteria; Resistance; Resources; Rights; Risk; Role; Schools; Small Business Technology Transfer Research; Standardization; Symptoms; System; Technology; Testing; Time; Training; Training Programs; Virginia; Youth; antisocial behavior; callous unemotional trait; conduct problem; cost; criminal behavior; design; emotion regulation; evidence base; follow-up; improved; individualized medicine; innovation; phase 1 study; physical conditioning; psychoeducation; psychoeducational; psychoeducational intervention; psychosocial; rural area; school health; showing emotion; social; treatment strategy; urban area; usability; virtual reality; virtual reality game; virtual reality intervention; visual tracking; Address; Adolescence; Adult; Affect; Aggressive behavior; Behavior; Behavioral; Businesses; Childhood; Chronic; Clinic; Cognitive; Conduct Disorder; Development; Diagnosis; Diagnostic; Disease; Educational process of instructing; Effectiveness; Emotions; Empathy; Ensure; Evidence based treatment; Face; Floor; Goals; Guilt; Health; Home; Hospitals; Impairment; Improve Access; Instruction; Intervention; Legal; Link; Marketing; Mediator; Mental Health; Mental disorders; Modification; Motivation; National Institute of Mental Health; Occupational Health; Outcome; Outcome Study; Parents; Performance; Phase; Play; Prevention strategy; Process; Provider; Psychopathology; Randomized, Controlled Trials; Regulation; Reporting; Research Domain Criteria; Resistance; Resources; Rights; Risk; Role; Schools; Small Business Technology Transfer Research; Standardization; Symptoms; System; Technology; Testing; Time; Training; Training Programs; Virginia; Youth; antisocial behavior; callous unemotional trait; conduct problem; cost; criminal behavior; design; emotion regulation; evidence base; follow-up; improved; individualized medicine; innovation; phase 1 study; physical conditioning; psychoeducation; psychoeducational; psychoeducational intervention; psychosocial; rural area; school health; showing emotion; social; treatment strategy; urban area; usability; virtual reality; virtual reality game; virtual reality intervention; visual tracking

ABSTRACT Conduct disorder (CD) remains one of the most common, impairing, and costliest psychiatric disorders among youth. Youth with CD often face lifelong adjustment, mental health, legal, social, occupational, and physical health problems. A subset of youth with CD display callous-unemotional (CU) traits (termed “limited prosocial emotions”). Youth with CD and CU traits are more likely to engage in chronic criminal behaviors and develop psychopathology into adulthood when compared to youth with CD only. Although both CD and CU traits are inextricably linked to poor outcomes, there remains a scarcity of targeted interventions for CD and CU traits. One of the most significant challenges for treatment is that youth with CD are often perceived as treatment-resistant and treatment disrupters. This leads to poor treatment retention and further isolation from treatment opportunities. Interventions that do exist largely focus on reducing antisocial behavior rather than disrupting the developmental mechanisms of CD and CU traits. Arche VR, LLC, a Virginia-based small business, aims to offer a solution to this problem by providing a culturally appropriate, cutting-edge virtual reality (VR) intervention for CD and CU traits called Impact VR. Impact VR provides brief psychoeducational programming for emotion regulation and emotion recognition training using immersive gameplay and storylines that are engaging and relevant to youth. Impact VR is developed using evidence-based strategies to improve emotion regulation. At the center of Impact VR is an individualized training program that teaches youth to effectively identify emotional expressions in others. Impact VR uses cutting-edge technologies, including integrated eye-tracking and real- time adaptive programming to adjust instruction based on the youths' performance. This ensures that youth receive tailored, individualized treatment without the risk of floor and ceiling effects. Further, Impact VR provides a resource-efficient and standardized treatment approach for systems (e.g., schools, hospitals) to help improve access to evidence-based mental health treatment for youth with CD by targeting the mechanisms of CD and CU traits. The overall objective of this proposal is to refine Impact VR to be an engaging and topic-relevant intervention that youth with CD will want to participate in, and to determine the feasibility and usability of the deployment of Impact VR across treatment settings (i.e., in the home, school, and mental health settings). Lastly, this study includes a randomized control trial (RCT) to assess the preliminary efficacy of Impact VR for reducing CD, CU traits, and conduct problems (CP) and improving emotion recognition and regulation. Outcomes from this Phase I study include overall improvements in Impact VR as a deployment-ready, effective, and engaging treatment strategy for youth with CD and CU traits.

抽象的 行为障碍（CD）仍然是最常见，最常见和最昂贵的精神疾病之一 青年。 CD的青年经常面临终身调整，心理健康，法律，社会，占领和身体 健康问题。带有CD的年轻人的子集，表演老虎了（CU）特征（称为“有限的亲社会” 情感”）。具有CD和CU特征的青年更有可能从事慢性犯罪行为并发展 与仅具有CD的青年相比，心理病理学成年。尽管CD和CU性状都是 与差的结果无关紧要的是，CD和CU性状的有针对性干预措施仍然很少。一 治疗最重大的挑战是，患有CD的青年通常被认为是耐药的 和治疗方法。这导致治疗保留率不佳，并从治疗中进一步隔离 机会。确实存在的干预措施在很大程度上集中于减少反社会行为，而不是破坏 CD和CU性状的发展机制。 Arche VR，LLC是一家位于弗吉尼亚州的小型企业，旨在提供 通过为文化适当，尖端的虚拟现实（VR）干预来解决此问题的解决方案 CD和CU性状称为影响VR。 Impact VR为情感提供了简短的心理教育节目 使用沉浸式游戏和故事情节的监管和情感识别培训，这些培训和故事情节引人入胜且 与青年有关。影响VR是使用基于证据的策略来改善情绪调节的。在 影响VR的中心是一个个性化的培训计划，它教会青年有效地识别情感 他人的表情。 Impact VR使用了最先进的技术，包括综合的眼球跟踪和实现 时间自适应编程根据年轻人的表现调整指导。这确保了青年 接受量身定制的个性化治疗，而没有地板和天花板效果的风险。此外，影响VR提供 一种资源效率高标准化的系统（例如学校，医院），以帮助改善 通过针对CD的机制和 Cu特征。该提案的总体目的是将影响VR提高为引人入胜且与主题相关的 CD青年人希望参与的干预措施，并确定 在治疗环境（即在家庭，学校和心理健康环境中）部署影响VR。最后， 这项研究包括一项随机对照试验（RCT），以评估降低影响VR的初步效率 CD，CU性状和引起问题（CP）以及改善情绪识别和调节。结果 这一I阶段研究包括影响VR的总体改进，作为部署，有效和引人入胜 具有CD和CU特征的青年的治疗策略。