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Virtual Reality Attention Management Program for Improving Attention in Children

提高儿童注意力的虚拟现实注意力管理计划

基本信息

批准号：
10264774
负责人：
JULIE B. SCHWEITZER
金额：
$ 57.78万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-02-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10264774
关键词：
3-Dimensional Accidents Adherence Adult Affect Age Anxiety Applications Grants Attention Attention deficit hyperactivity disorder Auditory Automobile Driving Behavioral Behavioral Sciences Child Clinical Clinical Trials Cognition Cognitive Combined Modality Therapy Computers Control Groups Data Disease Distal Dose Environment Exercise Eye Movements Failure Family Frequencies Funding Future General Population Goals Graduation Rates Head Movements Home Impairment Incidence Intervention Laboratories Learning Link Literature Longevity Maintenance Mathematics Measures Mental disorders Methods Modeling Monitor National Institute of Mental Health Neurosciences Outcome Outcome Measure Parents Participant Performance Persons Phase Physiological Precision therapeutics Prevention Process Productivity Public Health Randomized Research Research Domain Criteria Saccades Sampling Schools Severities Societies Sports Strategic Planning Substance Use Disorder Suicide attempt Surgeon Symptoms System Task Performances Technology Testing Text Messaging Time Training United States National Institutes of Health Visual Waiting Lists Walking Workplace arm attentional control base behavioral response cognitive control cognitive function cognitive testing control trial cost cost estimate criminal behavior daily functioning distracted driving distraction educational atmosphere efficacy clinical trial experience first responder follow-up functional outcomes habituation health disparity high school improved inattention interest light weight novel oculomotor peer physical conditioning post-traumatic stress programs relating to nervous system response skills social social media success targeted treatment teacher treatment adherence virtual reality virtual reality game virtual reality headset virtual reality simulation

项目摘要

Distraction is a growing and large public health problem with estimated societal harm due to distracted driving alone at $123 billion 1. In the age of texting, social media and computer pop-ups, distractions are unavoidable. There are no known interventions specifically developed to reduce distractions from interfering with attention. This project will test a treatment that combines virtual reality (VR) technology with habituation learning and exposure therapy to reduce the ability of distractors to interfere with learning and attention in children who are highly susceptible to being distracted. We will test the treatment in children with symptoms of attention- deficit/hyperactivity disorder (ADHD) as they represent an enriched sample experiencing impairing distractibility that interferes with their daily functioning. We hypothesize that children who suffer from severe distractibility can learn to ignore the distractors and improve their attention in VR therapy that simulates environments requiring focused attention. Our neural targets are both proactive and reactive control mechanisms used to suppress distractor processing. We will assess how well VR therapy is at modulating distractor suppression via saccade metrics and measure the frequency of oculomotor capture by distractors as well as the efficiency of distractor suppression before and after therapy. Changes in head movement toward distractors, parent and teacher ADHD rating scales and improved performance on attention-demanding tasks will further assess success of the therapy and its ability to generalize to novel environments. Children will practice computer exercises at home using a VR headset that simulates a classroom environment with a high rate of distractors. Children will be performing attention-demanding tasks as if they were in a classroom with the intensity and rate of presentation of the personalized distractions (e.g., peers talking, teacher walking by) adapted according to the child’s performance. With today’s low-cost VR-gaming technology, children will be able to participate in habituation treatment sessions at-home, several times a week, using a lightweight and comfortable VR gaming headset. In this “fast fail” test of the VR therapy, the R61 phase will assess the preliminary success and feasibility of VR training to modify saccades to distractors in an adaptive training versus waitlist control trial. The R33 phase will commence if the R61 trial results indicate saccade metrics change in response to the VR treatment. Consistent with the RFA, the R33 will test the link between the degree of the VR therapy’s target engagement and functional outcomes (parent & teacher ratings) and feasibility. The R33 will compare an adaptive distractor training, non-adaptive distractor training and a waitlist control arm in children with high rates of distractibility. Data from this trial will determine whether to go forward for a subsequent confirmatory study in a larger, R01 project. Future studies will include new VR scenarios besides the classroom and a longer test of maintenance effects of the therapy. This project is consistent with the NIMH Strategic Plan: Objective 3: Strive for Prevention and Cures,” by developing new precision treatments based on neuroscience and behavioral science.

分心是一个日益严重的公共卫生问题，据估计，分心会造成社会危害