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.

项目总结/摘要 抑郁和焦虑是全球最大的公共卫生负担之一。虽然有效的第一线 像认知行为疗法这样的治疗方法已经被证明是有效的，但是还有很多障碍， 访问这种临床医生提供的护理（例如，成本、提供者可用性、耻辱）。迫切需要掌握 有效和负担得起的干预措施，可以扩大规模，并为数百万人提供心理健康支持 世界各地患有抑郁症和焦虑症的人，他们目前服务不足。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 认知行为技能培训的一个例子。加调局有能力 有效的，负担得起的，可扩展的支持那些抑郁症和焦虑症。虽然有初步证据表明 支持CBI治疗抑郁症和焦虑症的可行性，将这种模式与其 缺乏或尚未进行另一种有效的治疗，其相对疗效尚不清楚。此外，本发明还提供了一种方法， 目前还不清楚沉浸式虚拟现实是否对上述认知行为技能训练有好处， 超越了平面屏幕访问相同内容。拟议的第二阶段项目旨在评估 与常规治疗（TAU）相比，通过VR耳机（CBI-VR）访问的沉浸式CBI计划 对照和非沉浸式CBI条件下访问通过平面屏幕（CBI-平面屏幕）在一个随机对照 审判在完成这一目标后，拟议项目将进一步开发CBI平台， 测试了这个项目的有效性。这将有助于与更大的付款人和员工的最终合作伙伴关系 援助方案。拟议的项目还将提高直接面向消费者的 和企业对企业的阶段。