Chung Olivia S, Johnson Alisha M, Dowling Nathan L, Robinson Tracy, Ng Chee H, Yücel Murat, Segrave Rebecca A
BrainPark, Turner Institute for Brain and Mental Health and Monash Biomedical Imaging Facility, Monash University, Melbourne, VIC, Australia.
Professorial Unit, Department of Psychiatry, The Melbourne Clinic, The University of Melbourne, Melbourne, VIC, Australia.
Front Psychiatry. 2022 Feb 4;13:792663. doi: 10.3389/fpsyt.2022.792663. eCollection 2022.
Therapeutic virtual reality (VR) has the potential to address the challenges of equitable delivery of evidence-based psychological treatment. However, little is known about therapeutic VR regarding the perspectives and needs of real-world service providers. This exploratory study aimed to assess the acceptability, appropriateness, and feasibility of therapeutic VR among clinicians, managers, and service staff working in mental healthcare and explore potential implementation barriers and enablers. Eighty-one staff from a network of private psychiatric hospitals in Victoria, Australia (aged + : 41.88 + 12.01 years, 71.6% female; 64% clinical staff) completed an online survey, which included the Acceptability of Intervention Measure (AIM), Appropriateness of Intervention Measure (IAM), and Feasibility of Intervention Measure (FIM). While 91% of participants had heard about VR technology, only 40% of participants had heard of therapeutic VR being used in mental healthcare, and none had used therapeutic VR in a clinical setting. Most participants perceived VR to be acceptable (84%), appropriate (69%), and feasible (59%) to implement within their role or service and envisioned a range of possible applications. However, participants expressed concerns regarding safety, efficacy, and logistical challenges across clinical settings. Findings suggest a strong interest for therapeutic VR among Australian mental health providers working in the private system. However, dissemination efforts should focus on addressing identified barriers to ensure mental health providers are adequately informed and empowered to make implementation decisions.
治疗性虚拟现实（VR）有潜力应对循证心理治疗公平提供方面的挑战。然而，对于现实世界服务提供者的观点和需求而言，人们对治疗性VR了解甚少。这项探索性研究旨在评估治疗性VR在精神卫生保健领域工作的临床医生、管理人员和服务人员中的可接受性、适宜性和可行性，并探讨潜在的实施障碍和促进因素。来自澳大利亚维多利亚州一家私立精神病医院网络的81名工作人员（年龄：41.88±12.01岁，71.6%为女性；64%为临床工作人员）完成了一项在线调查，该调查包括干预措施可接受性量表（AIM）、干预措施适宜性量表（IAM）和干预措施可行性量表（FIM）。虽然91%的参与者听说过VR技术，但只有40%的参与者听说过治疗性VR用于精神卫生保健，且没有人在临床环境中使用过治疗性VR。大多数参与者认为VR在其角色或服务范围内实施是可接受的（84%）、适宜的（69%）和可行的（59%），并设想了一系列可能的应用。然而，参与者对临床环境中的安全性、疗效和后勤挑战表示担忧。研究结果表明，澳大利亚私立系统中的精神卫生服务提供者对治疗性VR有浓厚兴趣。然而，传播工作应侧重于解决已确定的障碍，以确保精神卫生服务提供者得到充分的信息并有权做出实施决策。
