Cognitive Behavioral Immersion: A Randomized Control Trial of Peer-Based Coaching in the Metaverse

认知行为沉浸：元宇宙中同伴辅导的随机对照试验

• 批准号: 10759841
• 负责人: Noah Robinson
• 金额: $ 112.54万
• 依托单位: VERY REAL HELP, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-08 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10759841
• 关键词: Affect; Anxiety; Anxiety Disorders; Behavioral; Businesses; Caring; Clinical; Cognitive; Cognitive Therapy; Data; Development; Devices; Educational process of instructing; Effectiveness; Employee Assistance Program (Health Care); Environment; Hearing; Immersion; Individual; Internet; Intervention; Investigation; Marketing; Measures; Mediator; Mental Depression; Mental Health; Modality; Mood Disorders; Motivation; Names; Outcome; Persons; Phase; Provider; Psychotherapy; Public Health; Randomized, Controlled Trials; Regulation; Research; Substance Use Disorder; Symptoms; Technology; Television; Testing; Training; anxiety symptoms; cognitive enhancement; commercialization; comorbidity; cost; depressive symptoms; design; effective therapy; efficacy evaluation; efficacy testing; experience; functional outcomes; indexing; novel; opioid use disorder; peer; peer support; prognostic; programs; psychologic; psychosocial; recruit; response; scale up; skill acquisition; skills; skills training; social stigma; supportive environment; treatment as usual; uptake; virtual environment; virtual reality; virtual reality environment; virtual reality headset

PROJECT SUMMARY/ABSTRACT Depression and anxiety rank among the largest public health burdens worldwide. While effective first-line treatments like cognitive behavioral therapy have been shown to be effective, there are numerous barriers to accessing this kind of clinician delivered care (e.g., cost, provider availability, stigma). There is a critical need for effective and affordable interventions that can scale and provide mental health support for the millions of individuals around the world with depression and anxiety who are currently underserved. The Phase I project focused on the development and feasibility of Cognitive Behavioral Immersion™ (CBI), defined as the delivery of cognitive behavioral skills training by peer-based coaches in the metaverse. CBI has the potential to deliver effective, affordable, and scalable support to those with depression and anxiety. While there is initial evidence supporting the feasibility of CBI for depression and anxiety, a direct comparison of this modality against its absence or another effective treatment has yet to be conducted and its relative efficacy is unknown. In addition, it is unknown whether immersive virtual reality confers benefits in cognitive behavioral skill training above and beyond flat screens accessing the same content. The proposed Phase II project aims to evaluate the efficacy of an immersive CBI program accessed via VR headsets (CBI-VR) as compared to a treatment-as-usual (TAU) control and a non-immersive CBI condition accessed via flat screens (CBI-flat screen) in a randomized controlled trial. Upon completion of this aim, the proposed project will have further developed the CBI platform as well as tested the efficacy of this program. This will help with eventual partnerships with larger payers and employee assistance programs. The proposed project will also enhance the value proposition for both direct to consumer and business to business phases.

项目概要/摘要 抑郁和焦虑是全球最大的公共卫生负担之一。在一线有效的同时 认知行为疗法等治疗已被证明是有效的，但存在许多障碍 获得此类临床医生提供的护理（例如成本、提供者的可用性、耻辱）。迫切需要 有效且负担得起的干预措施，可以扩大规模并为数以百万计的人提供心理健康支持 世界各地患有抑郁症和焦虑症但目前得不到充分服务的人。一期工程 专注于认知行为沉浸™（CBI）的开发和可行性，定义为交付 元宇宙中同伴教练的认知行为技能培训。 CBI 有潜力提供 为抑郁症和焦虑症患者提供有效、负担得起且可扩展的支持。虽然有初步证据 支持 CBI 治疗抑郁和焦虑的可行性，将这种方式与它的直接比较 尚未进行或其他有效治疗，其相对疗效尚不清楚。此外， 目前尚不清楚沉浸式虚拟现实是否能为上述认知行为技能训练带来益处。 超越平面屏幕访问相同的内容。拟议的第二阶段项目旨在评估 通过 VR 耳机访问的沉浸式 CBI 程序 (CBI-VR) 与常规治疗 (TAU) 相比 控制和通过平面屏幕（CBI-平面屏幕）访问的非沉浸式 CBI 条件。 审判。完成这一目标后，拟议项目将进一步开发 CBI 平台以及 测试了这个程序的功效。这将有助于最终与更大的付款人和员工建立合作伙伴关系 援助计划。拟议的项目还将增强直接面向消费者的价值主张 和企业对企业阶段。