Simulated Exposure Trainer (SET-VR): Implementing Targeted Experiential Training with a Virtual Patient

模拟暴露训练器 (SET-VR)：通过虚拟患者实施有针对性的体验式训练

• 批准号: 10677031
• 负责人: Margo Adams Larsen
• 金额: $ 23.42万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-04 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10677031
• 关键词: Active Learning; Anxiety; Anxiety Disorders; Behavioral; Belief; Benchmarking; Clinical; Collaborations; Community Practice; Computer software; Dangerousness; Databases; Development; Distress; Educational Intervention; Educational workshop; Effectiveness; Effectiveness of Interventions; Equilibrium; Evaluation; Evidence based practice; Exposure to; Feedback; Fright; Future; Goals; Hour; Immersion; Impairment; Intervention; Interview; Investigational Therapies; Investments; Learning; Literature; Measures; Medical Education; Mental disorders; Methods; National Institute of Mental Health; Online Systems; Patients; Pattern; Phase; Play; Process; Randomized; Research; Research Design; Research Training; Role; Running; Services; Small Business Technology Transfer Research; Standardization; Strategic Planning; Structure; System; Technology; Testing; Training; Training Programs; Update; anxious; behavior change; clinical training; clinically relevant; community setting; cost effective; design; efficacy evaluation; experience; handheld mobile device; head mounted display; innovation; novel; pilot trial; practice setting; programs; research to practice; simulation; tool; uptake; usability; virtual; virtual patient; virtual reality; virtual reality headset

PROJECT SUMMARY/ABSTRACT Despite the existence of numerous, well-established evidence-based practices (EBPs) for mental disorders, it has been difficult to disseminate these practices in community settings. Exposure therapy for anxiety disorders represents one of the most glaring examples of this research-to-practice gap. Just as patients are anxious about approaching their fears, therapists are often reluctant to use exposure therapy due to their own anxious beliefs that it may be dangerous and/or intolerable for patients, even after receiving specialized exposure training. Emerging training research suggests the inclusion of targeted behavioral strategies (i.e., role play, self-exposure) can reduce anxious beliefs above and beyond standard didactic training sessions. By leveraging the same behavior change principles that reduce patient anxiety (i.e., exposure), behavioral strategies can be tailored to target therapists’ anxious beliefs about the treatment (i.e., conduct training as “exposure to exposure”). Unfortunately, current experiential training tasks have failed to closely replicate commonly feared clinical contexts, and as a result lack the necessary potency to potentially overcome therapist-level barriers for uptake and quality treatment delivery following training. Virtual reality (VR) has demonstrated utility as a potent and cost- effective approach for delivering exposure. We plan to investigate the application of VR as a tailored training tool (i.e., virtual “exposure to exposure” for therapists) capable of enhancing the quantity and quality of experiential learning that is lacking in current exposure training initiatives. The proposed 20-month Phase I STTR study will test the implementation of a VR training program delivered on two platforms (i.e., VR headset and web-based) to assess which platform provides the ideal balance of immersion, usability, target engagement, and scalability. The study takes place in three stages: 1) initial development, 2) iterative evaluation and development to optimize usability, 3) clinical training trial to establish target engagement. Usability and target engagement information from this pilot trial will support a Phase II STTR project aimed at building out and broadly disseminating the VR- enhanced training approach.

项目摘要/摘要 尽管存在许多精神疾病的众多，公认的循证实践（EBP），但 在社区环境中很难传播这些做法。动画障碍的暴露疗法 这是该研究对实践差距的最明显的例子之一。就像病人对 解决他们的恐惧，治疗师通常由于自己的焦虑信念而不愿意使用暴露疗法 即使在接受专门的曝光培训后，对于患者来说，这可能是危险和/或插入的。 新兴培训研究表明，包含有针对性的行为策略（即角色扮演，自我暴露） 可以减少焦虑的信念超越标准的教学培训课程。通过利用相同的 行为改变原则可以减少患者动画（即接触），行为策略可以量身定制为 目标治疗师对治疗的焦虑（即进行培训是“接触暴露”）。 不幸的是，当前经验丰富的培训任务未能密切复制普遍资助的临床 环境，因此缺乏必要的效力来克服治疗师级的障碍以吸收 培训后的质量治疗交付。虚拟现实（VR）已证明实用性是一种潜在和成本 - 提供曝光的有效方法。我们计划调查VR作为量身定制的培训工具的应用 （即治疗师的虚拟“接触暴露”）能够增强体验的数量和质量 在当前的曝光培训计划中缺乏学习。拟议的20个月I阶段STTR研究将 测试在两个平台上提供的VR培训计划的实现（即VR耳机和基于Web） 评估哪个平台提供了沉浸式，可用性，目标参与度和可扩展性的理想平衡。 该研究分为三个阶段：1）初始发展，2）迭代评估和开发以优化 可用性，3）建立目标参与的临床培训试验。可用性和目标参与信息 从这项试验试验将支持一个旨在建立和广泛传播VR-的II期STTR项目 增强的训练方法。