Developing a virtual reality clinic to enhance telemental health.

项目总结/摘要 远程提供心理健康服务（即，远程健康）已成为新的护理标准， 与传统的面对面治疗一样有效或更有效。随着远程健康的不断发展， 需要整合创新解决方案，以提高其临床实用性和患者结局， 远程医疗服务提供商继续提供最先进的远程医疗保健。在Doxy.me公司，我们 相信虚拟现实（VR）是远程医疗的未来。VR使用交互式和沉浸式模拟 促进各种条件下精神健康治疗的交付，参与和结果。有 丰富的支持虚拟现实支持的心理健康治疗在现场设置，但工作在虚拟现实支持 远程医疗保健仅限于初步的功效研究。Doxy.me，Inc是领先的 远程医疗在美国和独特的定位，以执行这一潜力。在第一阶段SBIR中， 建议利用我们已建立的Doxy.me远程医疗平台，该平台拥有超过775，000名医疗保健提供者 用户，其中40%是远程医疗提供者，开发Doxy.me VR，一个创新的和以用户为中心的 VR解决方案，以提高远程健康的可用性，参与度和成果。我们将实现这一目标 通过两个具体目标。在目标1中，我们将寻求理解和优先考虑的需求，偏好，和障碍， 在远程医疗保健期间使用Doxy.me VR，使用探索性顺序（qual→quant）混合方法 设计，将包括个人，半结构化的定性访谈与远程健康患者， 供应商（n=25）。这些访谈的数据将用于制定我们将管理的调查 对远程医疗提供者（n=200）进行调查，以定量确定特征优先级，循证治疗 练习，以及Doxy.me VR采用的决定因素。在目标2中，我们将设计、开发和迭代地改进一个 Doxy.me远程健康的虚拟现实原型。为了实现这一目标，我们将（1）与 远程健康提供者和患者（各n=5），利用我们的目标1研究结果创建一组终端， 用户需求、人物角色和使用场景（即，用户体验资产）来指导Doxy.me VR设计决策; (2)与远程医疗服务提供者和患者（各n=5）开展共同设计研讨会， 经验资产，以迭代方式共同设计Doxy.me VR功能和证据的线框和模型- 基于治疗练习;（3）开发和完善基于正式的Doxy.me VR的功能原型 远程医疗提供者和患者的用户测试（各n=5）。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。在实现我们提出的项目目标后，我们 我将很好地准备提交第二阶段SBIR提案，以进一步开发和评估用户请求 我们还将测试Doxy.me VR的影响和可扩展性， 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.