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The Emotion Builder: An Intervention for Emotional Deficits after Brain Injury

情绪生成器：脑损伤后情绪缺陷的干预措施

基本信息

批准号：
8706310
负责人：
Dawn Marie Neumann
金额：
$ 19.46万
依托单位：
EMOTED, INC.
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2016-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8706310
关键词：
Address Affect American Autistic Disorder Behavior Brain Injuries Caring Child Chronic Clinic Clinical Services Clinical Treatment Communities Community Integration Community Participation Development Education Educational process of instructing Effectiveness Emotional Emotions Empathy Environment Evaluation Evidence based intervention Exercise Family Friends Goals Health Home environment Hospitals Impairment Indiana Inpatients Interpersonal Relations Intervention Learning Life Link Marketing Mission Outcome Outpatients Patients Phase Pilot Projects Plague Population Pre-Post Tests Printing Process Productivity Protocols documentation Provider Public Health Quality of life Randomized Controlled Trials Rehabilitation therapy Research Research Personnel Rural Community Safety Self Perception Services Simulate Small Business Technology Transfer Research Social Functioning Social Impacts Sterile coverings Structure Survivors TBI Patients Testing Time Training Traumatic Brain Injury Treatment Efficacy Treatment Protocols Universities Video Games Work base design disability evidence base experience improved improved functioning innovation interactive multimedia meetings phase 1 study programs prototype public health relevance rehabilitation service satisfaction skills social standard care telerehabilitation treatment effect treatment planning virtual

项目摘要

DESCRIPTION (provided by applicant): People with traumatic brain injury (TBI) are often plagued with socio-emotional deficits that include difficulty identifying emotions in oneself (alexithymia), difficulty recognizing other peoples' emotions (impaired affect recognition), and empathy loss. These highly prevalent deficits, ranging between 39-70% of the moderate to severe TBI population, are significant because they are associated with poor emotional control, inappropriate behavior, negative social outcomes, and reduced community integration and quality of life. A major limitation of rehabilitation services is that there are no standard, evidece-based treatments for alexithymia, affect recognition, and empathy deficits after TBI. As a result, therapists and rehabilitation facilities are not equipped to adequately treat these impairments in patients with TBI. Consequently, there is a robust need for an intervention that can effectively address these socio-emotional problems. In order to meet this need, EmotEd, LLC will work with research partners at Indiana University and the Rehabilitation Hospital of Indiana to develop and market a high quality, evidence-based product to treat alexithymia, affect recognition, and empathy deficits. This product, entitled the Emotion BuilderTM, will be a serious virtual environment (VE) video game that will be used by clinicians to teach patients with TBI to overcome these deficits in naturalistic social scenarios. It will contain three treatment modules: alexithymia, affect recognition, and empathy. For the proposed Phase I STTR project, the main objective will be the development and preliminary evaluation of the alexithymia module of the Emotion BuilderTM. Aim 1 is to develop a detailed treatment protocol to reduce alexithymia after TBI. Aim 2 is to develop a beta version of a VE serious video game, the Emotion BuilderTM, to support the alexithymia t r e a t m e n t protocol. Aim 3 is to demonstrate the feasibility of the Emotion BuilderTM to treat alexithymia in people with TBI. Feasibility will be demonstrated with a pilot study using a pre/ post-test design to determine product demand, acceptability, and treatment effect size on alexithymia after TBI (n=15). If successful, Phase II will aim to add affect recognition and empathy modules to the Emotion BuilderTM, and to conduct a large scale randomized control trial to determine efficacy, generalization of behavior, and skill retention for the comprehensive program. Short-term, the contribution of this project will be significant because it is the first step towards meeting the need for treatments that can effectively address emotional deficits after TBI. Long-term contributions are expected to minimize problems with alexithymia, affect recognition, empathy loss, and related socio-emotional problems for many people with TBI; enrich interpersonal relationships; and enhance community participation and quality of life after TBI. The video game format permits delivery either in the clinic or via home-based tele- rehabilitation, maximizing the number of patients who could benefit. There are no comparable treatments to the Emotion BuilderTM, poising this markedly innovative product to be in high demand.

描述（由申请人提供）：患有创伤性脑损伤（TBI）的人经常受到社会情绪缺陷的困扰，包括难以识别自己的情绪（述情障碍），难以识别他人的情绪（情感识别受损）和移情丧失。这些高度普遍的缺陷，范围在中度至重度TBI人群的39-70%之间，是显著的，因为它们与情绪控制不良，不适当的行为，负面的社会后果以及社区融合和生活质量降低有关。康复服务的一个主要限制是，没有标准的，基于证据的治疗述情障碍，情感识别和同情赤字后TBI。因此，治疗师和康复设施不具备充分治疗TBI患者的这些损伤的能力。因此，有一个强大的干预，可以有效地解决这些社会情绪问题的需要。为了满足这一需求，LittEd，LLC将与印第安纳州大学和印第安纳州康复医院的研究伙伴合作，开发和销售一种高质量的循证产品，用于治疗述情障碍、影响识别和同理心缺陷。这款名为Emotion BuilderTM的产品将是一款严肃的虚拟环境（VE）视频游戏，临床医生将使用它来教导TBI患者克服自然社会场景中的这些缺陷。它将包含三个治疗模块：述情障碍，情感识别和同理心。就建议的第一阶段STTR项目而言，主要目标将是开发和初步评估Emotion BuilderTM的述情障碍模块。目的1是制定一个详细的治疗方案，以减少TBI后的述情障碍。目标2是开发VE严肃视频游戏的测试版Emotion BuilderTM，以支持述情障碍测试协议。目的3是证明情绪建设者TM治疗TBI患者述情障碍的可行性。可行性将通过使用前/后测试设计的试点研究来证明，以确定TBI后述情障碍的产品需求、可接受性和治疗效果大小（n=15）。如果成功的话，第二阶段的目标是在Emotion BuilderTM中添加情感识别和同理心模块，并进行大规模的随机对照试验，以确定对情绪生成的有效性，行为的概括性和技能的保留。综合方案。从短期来看，该项目的贡献将是巨大的，因为它是满足治疗需求的第一步，可以有效地解决TBI后的情绪缺陷。长期的贡献预计将尽量减少述情障碍的问题，影响识别，同情心的丧失，以及许多TBI患者的相关社会情感问题;丰富人际关系;并提高TBI后的社区参与和生活质量。视频游戏的形式允许在诊所或通过家庭远程康复提供，最大限度地增加受益患者的数量。没有可与Emotion BuilderTM相比的治疗方法，这一显著创新的产品需求量很大。