Developing a virtual reality clinic to enhance telemental health.

开发虚拟现实诊所以增强远程心理健康。

• 批准号: 10385276
• 负责人: Brian E. Bunnell
• 金额: $ 44.22万
• 依托单位: DOXY.ME, LLC
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-02 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10385276
• 关键词: Adoption; Body Image; Caring; Client satisfaction; Clinic; Clinical; Clinical Psychology; Data; Development; Educational workshop; Effectiveness; Evolution; Exercise; Future; Geography; Goals; Health Personnel; Health Professional; Health Services; Healthcare; Immersion; Individual; Industry; Interview; Mental Health; Mental Health Services; Methods; Modernization; Moods; Outcome; Patient-Focused Outcomes; Patients; Persons; Phase; Phobias; Positioning Attribute; Preparation; Provider; Site; Small Business Innovation Research Grant; Structure; Surveys; Telemedicine; Telemental; Testing; Theoretical Domains framework; Therapeutic; Transcend; Transportation; Trauma; Work; addiction; base; biomedical informatics; commercialization; compliance behavior; cost; design; effective therapy; efficacy study; evidence base; experience; implementation science; improved; innovation; pandemic disease; personalized medicine; preference; prototype; psychologic; remote delivery; simulation; social culture; social stigma; standard of care; stressor; telehealth; trend; usability; user centered design; virtual reality

PROJECT SUMMARY/ABSTRACT Remote delivery of mental health services (i.e., telemental health) has become the new standard of care with equal or greater effectiveness as traditional in-person treatment. As telemental health continues to evolve, the integration of innovative solutions that enhance its clinical utility and patient outcomes will be needed for telemental health providers to continue delivering state-of-the-art telemental health care. At Doxy.me, Inc., we believe virtual reality (VR) is the future of telemental health care. VR uses interactive and immersive simulation to facilitate delivery, engagement, and outcomes of mental health treatment for a variety of conditions. There is abundant support for VR supported mental health therapy in on-site settings, but work in VR supported telemental health care has been limited to preliminary efficacy studies. Doxy.me, Inc is the leading provider of telemedicine in the U.S. and is uniquely positioned to execute upon this potential. In this Phase I SBIR, we propose to leverage our established Doxy.me telemedicine platform with over 775,000 healthcare provider users, 40% of whom are telemental health providers, to develop Doxy.me VR, an innovative and user-centric VR solution to enhance usability, engagement, and outcomes in telemental health. We will accomplish this goal via two specific aims. In Aim 1 we will seek to understand and prioritize the needs, preferences, and barriers of using Doxy.me VR during telemental health care using an exploratory sequential (qual→quant) mixed-methods design that will include individual, semi-structured qualitative interviews with telemental health patients and providers (n=25 each). Data from these interviews will then be used to develop a survey that we will administer a survey to telemental health providers (n=200) to quantitatively prioritize features, evidence-based therapeutic exercises, and determinants of Doxy.me VR adoption. In Aim 2 we will design, develop, and iteratively refine a Doxy.me VR prototype for telemental health. To accomplish this, we will (1) conduct co-design workshops with telemental health providers and patients (n=5 each) that draw upon our Aim 1 findings to create a set of end- user needs, personas, and use scenarios (i.e., user experience assets) to guide Doxy.me VR design decisions; (2) conduct co-design workshops with telemental health providers and patients (n=5 each) that employ user experience assets to iteratively co-design wireframes and mockups of Doxy.me VR features and evidence- based therapeutic exercises; and (3) develop and refine a functional prototype of Doxy.me VR based on formal user testing with telemental health providers and patients (n=5 each). This project will result in the first scalable and widely accessible VR solution for telemental health. Upon achieving the goals of our proposed project, we will be well-positioned to submit a Phase II SBIR proposal to further develop and evaluate user requested features and therapeutic exercises for Doxy.me VR, which we will also test for impact and scalability in preparation for commercialization to the growing global telehealth market.

项目概要/摘要 远程提供心理健康服务（即远程心理健康）已成为新的护理标准 与传统的面对面治疗具有相同或更高的效果。随着远程心理健康的不断发展， 需要整合创新解决方案来增强其临床效用和患者结果 远程精神保健提供者继续提供最先进的远程精神保健服务。在 Doxy.me, Inc.，我们 相信虚拟现实 (VR) 是远程医疗保健的未来。 VR采用交互式和沉浸式模拟 促进针对各种情况的心理健康治疗的实施、参与和结果。有 对 VR 的大量支持支持在现场环境中进行心理健康治疗，但支持在 VR 中工作 远程精神保健仅限于初步功效研究。 Doxy.me, Inc 是领先的提供商 远程医疗在美国具有独特的优势，可以发挥这一潜力。在第一阶段 SBIR 中，我们 建议利用我们与超过 775,000 名医疗保健提供者建立的 Doxy.me 远程医疗平台 用户（其中​​ 40% 是远程心理健康提供商）开发 Doxy.me VR，这是一款以用户为中心的创新产品 VR 解决方案可增强远程心理健康的可用性、参与度和成果。我们将实现这个目标 通过两个具体目标。在目标 1 中，我们将寻求了解并优先考虑以下人员的需求、偏好和障碍： 在远程精神保健期间使用 Doxy.me VR 使用探索性顺序（定性→定量）混合方法 设计将包括对远程心理健康患者进行个人半结构化定性访谈，以及 提供者（每个 n=25）。这些访谈的数据将用于开展我们将管理的调查 对远程心理健康服务提供者 (n=200) 进行的一项调查，以定量确定功能、循证治疗的优先顺序 练习以及 Doxy.me VR 采用的决定因素。在目标 2 中，我们将设计、开发并迭代完善 Doxy.me 用于远程心理健康的 VR 原型。为了实现这一目标，我们将 (1) 与以下机构举办联合设计研讨会： 远程心理健康提供者和患者（每人 n=5）利用我们的目标 1 研究结果创建一组最终- 用户需求、角色和使用场景（即用户体验资产）来指导 Doxy.me VR 设计决策； (2) 与雇用用户的远程医疗提供者和患者（各 n=5）举办共同设计研讨会 体验资产以迭代方式共同设计 Doxy.me VR 功能和证据的线框图和模型 基于治疗练习； (3)基于形式化开发和完善Doxy.me VR的功能原型 对远程心理健康提供者和患者进行用户测试（各 n=5）。该项目将产生第一个可扩展的 以及广泛使用的远程心理健康 VR 解决方案。在实现我们提议的项目的目标后，我们 将有能力提交第二阶段 SBIR 提案，以进一步开发和评估用户请求 Doxy.me VR 的功能和治疗练习，我们还将测试其影响和可扩展性 为不断增长的全球远程医疗市场的商业化做好准备。