An Immersive Virtual Reality Peer Support Application for Individuals with Opioid Use Disorder: Development and Initial Evaluation

针对阿片类药物使用障碍患者的沉浸式虚拟现实同伴支持应用程序：开发和初步评估

• 批准号: 10011746
• 负责人: STEVEN DENNIS HOLLON
• 金额: $ 20.67万
• 依托单位: VERY REAL HELP, LLC
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10011746
• 关键词: Abstinence; Address; Affect; Affective; Agonist; Alcohol or Other Drugs use; American; Area; Behavior Therapy; Buprenorphine; Caring; Cause of Death; Communities; Computer software; Data; Development; Disease remission; Environment; Evaluation; Event; Feedback; Focus Groups; Frequencies; Goals; Grant; Home environment; Immersion; Individual; Intervention; Interview; Lead; Learning; Measures; Metadata; Methadone; Mind; Modeling; Moods; Motivation; Opioid; Outcome; Overdose; Patient Recruitments; Patients; Pharmaceutical Preparations; Phase; Positioning Attribute; Public Health; Randomized; Recovery; Relapse; Research; Schedule; Services; Small Business Technology Transfer Research; Social Network; Social support; Socialization; Standardization; Substance Use Disorder; Supportive care; System; Technology; Testing; Time; Training; United States; base; care systems; combat; control trial; cost; craving; digital; disorder prevention; effective intervention; effective therapy; efficacy testing; experience; improved; medication-assisted treatment; meetings; negative affect; novel; opioid epidemic; opioid use disorder; patient engagement; peer; peer support; prevent; programs; psychoeducation; psychosocial; recruit; relapse risk; self help; social; substance abuse treatment; treatment program; usability; virtual; virtual environment; virtual reality; virtual reality environment; virtual reality intervention

PROJECT SUMMARY Drug overdoses are the leading cause of death in the United States with approximately 72,000 people dying from drug overdose in 2017. Many of these fatalities occurred in individuals with opioid use disorder (OUD), which is one of the greatest public health issues confronting the United States today. Digital Recovery Support Services (DRSs) that include peer support, psychoeducation, and other continuing care services, have the potential to circumvent many of the limitations attendant with agonist medication treatment and traditional psychosocial interventions for OUD. DRSs are highly accessible and provide continuous access to peer support to influence recovery outcomes by helping individuals break ties to pro-substance-use peers and establish ties to pro-recovery-peers. The goal of the proposed project is to explore the feasibility of a new type of immersive Digital Recovery Support Service that delivers live, synchronous peer-based social support in virtual reality (VR) for individuals with Opioid Use Disorder. This project will involve two primary aims: (1) to develop a minimum viable product through initial acceptance and usability testing with 30 OUD patients receiving medication assisted treatment, and (2) to assess the impact of the intervention on patient mood and perceived social support. This new type of VR application may help individuals at home during moments of relapse risk, allowing them to “leave” (in their own minds) a potentially challenging or triggering environment and instead become immersed in a recovery-focused social world. If effective, this intervention could help to combat the opioid crisis and save the lives of thousands of Americans.

项目概要 药物过量是美国死亡的主要原因，约有 72,000 人死亡 2017 年因吸毒过量而死亡。其中许多死亡发生在阿片类药物使用障碍 (OUD) 患者中， 这是美国当今数字恢复支持面临的最大公共卫生问题之一。 服务 (DRS) 包括同伴支持、心理教育和其他持续护理服务， 有可能规避激动剂药物治疗和传统药物治疗带来的许多限制 DRS 的心理社会干预措施非常容易获得，并提供与同伴的持续接触。 通过帮助个人断绝与支持药物使用的同龄人的联系来支持影响康复结果， 与支持复苏的同行建立联系 拟议项目的目标是探索新的可行性。 一种沉浸式数字恢复支持服务，提供实时、同步的基于对等的社交 为阿片类药物使用障碍患者提供虚拟现实 (VR) 支持 该项目将涉及两个项目。 主要目标：(1) 通过 30 个项目的初步验收和可用性测试来开发最小可行产品 接受药物辅助治疗的 OUD 患者，以及 (2) 评估干预措施对 患者情绪和感知的社会支持这种新型 VR 应用程序可以帮助在家中的个人。 在复发风险的时刻，允许他们“离开”（在他们自己的脑海中）一个潜在的挑战或 触发环境，而不是沉浸在以恢复为中心的社交世界中。 干预措施可以帮助应对阿片类药物危机并拯救数千名美国人的生命。