Developing a virtual reality clinic to enhance telemental health.

项目摘要/摘要 远程提供精神卫生服务(即远程保健)已成为新的护理标准 与传统的面对面治疗具有同等或更高的有效性。随着心灵健康的不断发展， 将需要集成创新的解决方案，以增强其临床实用性和患者预后 远程保健提供者将继续提供最先进的远程保健服务。在Dox.me，Inc.，我们 相信虚拟现实(VR)是远程医疗保健的未来。VR使用交互式、身临其境的模拟 促进各种情况下心理健康治疗的交付、参与和结果。的确有 对虚拟现实的充分支持支持现场环境中的心理健康治疗，但支持在虚拟现实中工作 远程医疗保健仅限于初步疗效研究。Dox.me，Inc.是领先的 远程医疗在美国，并处于独特的地位，以执行这一潜力。在第一阶段SBIR中，我们 建议利用我们已建立的Dox.me远程医疗平台，该平台拥有超过775,000名医疗保健提供商 用户，其中40%是远程医疗服务提供者，开发Dox.me VR，一种创新的以用户为中心的 增强可用性、参与度和远程健康效果的VR解决方案。我们将实现这一目标 通过两个具体目标。在目标1中，我们将努力了解以下方面的需求、偏好和障碍并确定其优先顺序 使用探索性序贯(QUAL→QUANT)混合方法在远程医疗期间使用Dox.me VR 设计将包括对远程健康患者的个人、半结构化定性访谈和 提供者(n=25)。这些访谈的数据将被用来制定一项调查，我们将对其进行管理 对远程卫生服务提供者(n=200)进行的一项调查，以定量地区分特征和循证治疗的优先顺序 练习，以及Dox.me VR采用的决定因素。在目标2中，我们将设计、开发并迭代地改进 Dox.me远程健康VR原型。为了实现这一目标，我们将(1)与 远程保健提供者和患者(n=5)，他们利用我们的目标1的发现来创建一套最终- 用户需求、角色和使用场景(即用户体验资产)，以指导Dox.me VR设计决策； (2)与雇用用户的远程医疗服务提供者和患者(n=5)举办联合设计研讨会 体验资源，反复联合设计Dox.me VR功能和证据的线框和模型- 基于治疗性练习；(3)开发和提炼了一个基于形式化的Dox.me VR功能原型 与远程保健提供者和患者(n=5)进行用户测试。该项目将产生第一个可扩展的 和广泛使用的远程健康VR解决方案。在实现我们提议的项目的目标后，我们 将很好地提交第二阶段SBIR提案，以进一步开发和评估用户请求 Dox.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准备。

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.