Impact VR: An Emotion Recognition and Regulation Training Program for Youth with Conduct Disorder

Impact VR：针对行为障碍青少年的情绪识别与调节培训项目

• 批准号: 10877639
• 负责人: Nicholas David Thomson
• 金额: $ 8.57万
• 依托单位: ARCHE VR LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2024-11-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10877639
• 关键词: Address; Administrative Supplement; Adult; Affect; Age; Behavioral; Businesses; Caregivers; Childhood; Chronic; Clinic; Cognitive; Communities; Conduct Disorder; Development; Diagnosis; Diagnostic; Disease; Educational process of instructing; Effectiveness; Emotions; Empathy; Ensure; Equity; Evidence based intervention; Face; Floor; Focus Groups; Funding; Goals; Guilt; Health; Health Educators; Health Professional; Home; Hospitals; Impact evaluation; Impairment; Instruction; Intervention; Language; Legal; Link; Mental Health; Mental Health Services; Mental disorders; Modification; Motivation; National Institute of Mental Health; Occupational Health; Outcome; Outcome Assessment; Participant; Performance; Phase; Play; Process; Psychopathology; Randomized, Controlled Trials; Regulation; Reporting; Research; Research Domain Criteria; Resistance; Resources; Risk; Role; Sample Size; Schools; Sex Differences; Small Business Technology Transfer Research; Standardization; Symptoms; System; Technology; Testing; Time; Training; Training Programs; Translating; United States National Institutes of Health; Virginia; Youth; acceptability and feasibility; age group; antisocial behavior; base; callous unemotional trait; commercialization; conduct problem; cost; criminal behavior; design; emotion regulation; evidence base; follow-up; improved; individualized medicine; innovation; physical conditioning; pilot test; psychoeducation; psychoeducational; psychoeducational intervention; recruit; school health; sex; showing emotion; social; teacher; usability; virtual assessment; virtual reality; virtual reality game; virtual reality intervention; visual tracking

ABSTRACT Conduct disorder (CD) remains one of the most common, impairing, and costliest psychiatric disorders among youth. Youth with CD often face lifelong adjustment, mental health, legal, social, occupational, and physical health problems. A subset of youth with CD display callous-unemotional (CU) traits. Youth with CD and CU traits are more likely to engage in chronic criminal behaviors and develop psychopathology into adulthood when compared to youth with CD only. Although both CD and CU traits are inextricably linked to poor outcomes, there remains a scarcity of targeted interventions for CD and CU traits. One of the most significant challenges for treatment is that youth with CD are often perceived as treatment-resistant and treatment disrupters. This leads to poor treatment retention and further isolation from treatment opportunities. Interventions that do exist largely focus on reducing antisocial behavior rather than disrupting the developmental mechanisms of CD and CU traits. Arche VR, LLC, a Virginia-based small business, aims to offer a solution to this problem by providing a culturally appropriate, cutting-edge virtual reality (VR) intervention for CD and CU traits called Impact VR. Impact VR provides brief psychoeducational programming for emotion regulation and emotion recognition training using immersive gameplay and storylines that are engaging and relevant to youth. At the center of Impact VR is an individualized training program that teaches youth to effectively identify emotional expressions in others. Impact VR uses cutting-edge technologies, including integrated eye-tracking and real-time adaptive programming to adjust instruction based on the youths' performance. This ensures that youth receive tailored, individualized treatment without the risk of floor and ceiling effects. The overall objective of the proposal is to refine Impact VR to be an engaging and topic-relevant intervention that youth with CD will want to participate in, and to determine the feasibility and usability of the deployment of Impact VR across treatment settings (i.e., in the home, school, and mental health settings). Lastly, this study includes a randomized control trial (RCT) to assess the preliminary efficacy of Impact VR for reducing CD, CU traits, and conduct problems (CP) and improving emotion recognition and regulation. During our early-stage focus groups with mental health professionals and educators, we discovered a critical need for Impact VR to be available to Spanish-speaking youth. To address this unanticipated need, this administrative supplement (PA-20-272) is requesting funds to include Spanish-speaking youth, which will also bolster our recruitment opportunities for the project. The supplement will support translating Impact VR to Spanish, as well as including Spanish-speaking youth in the development process (SA1 and SA2) and evaluation of Impact VR (SA3). Research has shown that mental health among Spanish-speaking youth has worsened in recent years, and this is largely due to the reduction in Spanish-language mental health services. This supplement will strengthen the existing study by increasing recruitment opportunities, as well as provide equitable research and treatment opportunities to Spanish-speaking youth.

摘要 行为障碍（CD）仍然是最常见的，损害，和最昂贵的精神疾病之一， 青年患有CD的青少年经常面临终身适应，心理健康，法律的，社会，职业和身体 健康问题CD青年的一个子集表现出冷酷无情（CU）的特征。具有CD和CU特征的青少年 更有可能从事慢性犯罪行为，并在成年后发展出精神病理学， 与只带CD的年轻人相比。尽管CD和CU特征与不良结局有着千丝万缕的联系， 仍然缺乏针对CD和CU性状的靶向干预措施。最重要的挑战之一， 在治疗方面，青年CD患者通常被视为治疗抵抗者和治疗干扰者。这导致 治疗保留率差和进一步远离治疗机会。存在的干预措施 专注于减少反社会行为，而不是破坏CD和CU特征的发展机制。 Arche VR，LLC是一家总部位于美国的小企业，旨在通过提供一种文化上的 适当的，尖端的虚拟现实（VR）干预CD和CU特征称为影响VR。影响VR 为情绪调节和情绪识别训练提供了简短的心理教育程序， 沉浸式游戏和故事情节，吸引和相关的青年。Impact VR的核心是一个 个性化的培训计划，教导青少年有效地识别他人的情感表达。影响 VR使用尖端技术，包括集成的眼睛跟踪和实时自适应编程， 根据青少年的表现调整教学。这确保青年得到量身定制的、个性化的 没有下限和上限效应的风险。该提案的总体目标是完善Impact VR 是一个有吸引力和主题相关的干预，青年与CD将希望参与，并确定 Impact VR在治疗环境中部署的可行性和可用性（即，在家里，学校， 心理健康（mental health）最后，本研究包括一项随机对照试验（RCT），以评估初步的 Impact VR在减少CD、CU特征和行为问题（CP）以及改善情绪识别方面的功效 和监管。在我们与心理健康专业人员和教育工作者的早期焦点小组中，我们 发现了对Impact VR的迫切需求，以提供给讲西班牙语的年轻人。为了解决这个意想不到的 需要，这一行政补充（PA-20-272）要求资金，包括讲西班牙语的青年， 也将增加我们为该项目招聘的机会。该补充将支持翻译Impact VR 以及将讲西班牙语的青年纳入发展进程（战略领域1和战略领域2）， Impact VR（SA3）研究表明，讲西班牙语的年轻人的心理健康状况 最近几年，西班牙语的心理健康服务有所减少，这在很大程度上是由于西班牙语心理健康服务的减少。 这一补充将通过增加招聘机会加强现有的研究，并提供 为讲西班牙语的青年提供公平的研究和治疗机会。