Smith Matthew J, Humm Laura Boteler, Fleming Michael F, Jordan Neil, Wright Michael A, Ginger Emily J, Wright Katherine, Olsen Dale, Bell Morris D
Northwestern University Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL USA.
SIMmersion LLC., Columbia, MD USA.
J Vocat Rehabil. 2015;42(3):271-279. doi: 10.3233/JVR-150748.
Veterans with posttraumatic stress disorder (PTSD) have low employment rates and the job interview presents a critical barrier for them to obtain competitive employment.
To evaluate the acceptability and efficacy of virtual reality job interview training (VR-JIT) among veterans with PTSD via a small randomized controlled trial (n=23 VR-JIT trainees, n=10 waitlist treatment-as-usual (TAU) controls).
VR-JIT trainees completed up to 10 hours of simulated job interviews and reviewed information and tips about job interviewing, while wait-list TAU controls received services as usual. Primary outcome measures included two pre-test and two post-test video-recorded role-play interviews scored by blinded human resource experts and self-reported interviewing self-confidence.
Trainees attended 95% of lab-based VR-JIT sessions and found the intervention easy-to-use, helpful, and prepared them for future interviews. VR-JIT trainees demonstrated significantly greater improvement on role-play interviews compared with wait-list TAU controls (p=0.04) and demonstrated a large effect for within-subject change (Cohen's d=0.76). VR-JIT performance scores increased significantly over time (R-Squared=0.76). Although VR-JIT trainees showed a moderate effect for within-subject change on self-confidence (Cohen's d=0.58), the observed difference between conditions did not reach significance (p=0.09).
Results provide preliminary support that VR-JIT is acceptable to trainees and may be efficacious for improving job interview skills and self-confidence in veterans with PTSD.
患有创伤后应激障碍（PTSD）的退伍军人就业率较低，而求职面试是他们获得竞争性工作的关键障碍。
通过一项小型随机对照试验（23名虚拟现实求职面试培训（VR-JIT）学员，10名等待名单上接受常规治疗（TAU）的对照组），评估VR-JIT在患有PTSD的退伍军人中的可接受性和有效性。
VR-JIT学员完成了长达10小时 的模拟求职面试，并查看了有关求职面试的信息和提示，而等待名单上的TAU对照组则照常接受服务。主要结局指标包括由不知情的人力资源专家评分的两次测试前和两次测试后的视频记录角色扮演面试，以及自我报告的面试自信心。
学员参加了95%的基于实验室的VR-JIT课程，并认为该干预措施易于使用、有帮助，并为他们未来的面试做好了准备。与等待名单上的TAU对照组相比，VR-JIT学员在角色扮演面试中表现出显著更大的进步（p=0.04），并且在受试者内部变化方面显示出较大的效果（科恩d=0.76）。VR-JIT的表现分数随时间显著增加（R平方=0.76）。虽然VR-JIT学员在自信心的受试者内部变化方面显示出中等效果（科恩d=0.58），但观察到的组间差异未达到显著水平（p=0.09）。
结果提供了初步支持，表明VR-JIT为学员所接受，并且可能对提高患有PTSD的退伍军人的求职面试技能和自信心有效。
