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

基本信息

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
项目类别：
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

项目摘要

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.

抽象的品行障碍 (CD) 仍然是最常见、损害性最大且代价最高的精神疾病之一患有 CD 的青少年常常面临终生的调整、心理健康、法律、社会、职业和身体方面的问题。一部分患有 CD 的青少年表现出冷酷无情 (CU) 特征（称为“有限亲社会”）。具有 CD 和 CU 特征的青少年更有可能从事长期犯罪行为并发展为犯罪行为。与仅患有 CD 的青少年相比，成年后的精神病理学特征有所不同，尽管 CD 和 CU 特征都是如此。 CD 和 CU 特征与不良结果密不可分，但仍然缺乏针对性的干预措施。治疗方面最重大的挑战之一是患有克罗恩病的青少年通常被认为对治疗有抵抗力这会导致治疗保留不佳并进一步与治疗隔离。现有的干预措施主要侧重于减少反社会行为，而不是破坏社会秩序。 Arche VR, LLC 是一家位于弗吉尼亚州的小型企业，旨在提供 CD 和 CU 特征的发展机制。通过提供适合文化的尖端虚拟现实（VR）干预来解决这个问题 CD 和 CU 特征称为 Impact VR，为情感提供简短的心理教育编程。使用引人入胜的沉浸式游戏和故事情节进行调节和情绪识别培训 Impact VR 是利用基于证据的策略来改善情绪调节而开发的。 Impact VR的核心是一个个性化培训项目，教青少年有效识别情绪 Impact VR 使用尖端技术，包括集成眼动追踪和实时技术。时间自适应编程根据青少年的表现调整教学，这确保了青少年的学习。接受量身定制的个性化治疗，而没有地板和天花板效应的风险此外，Impact VR 还提供了这种功能。为系统（例如学校、医院）提供资源高效且标准化的治疗方法，以帮助改善通过针对 CD 和 CD 的机制，为患有 CD 的青少年提供循证心理健康治疗该提案的总体目标是将 Impact VR 改进为引人入胜且与主题相关的内容。患有 CD 的青少年想要参与的干预措施，并确定该项目的可行性和可用性在治疗环境（即家庭、学校和心理健康环境）中部署 Impact VR。这项研究包括一项随机对照试验 (RCT)，旨在评估 Impact VR 减少 CD、CU 特征和行为问题 (CP) 以及改善情绪识别和调节的结果。该第一阶段研究包括对 Impact VR 的整体改进，使其成为可部署、有效且有吸引力的具有 CD 和 CU 特征的青少年的治疗策略。