治疗师对基于远程医疗的虚拟现实暴露疗法的看法。

Therapist perspectives on telehealth-based virtual reality exposure therapy.

作者信息

Ong Triton, Wilczewski Hattie, Soni Hiral, Ivanova Julia, Barrera Janelle, Cummins Mollie, Welch Brandon, Bunnell Brian

机构信息

Doxy.me Inc.

University of South Florida.

出版信息

Res Sq. 2023 Jul 17:rs.3.rs-3161151. doi: 10.21203/rs.3.rs-3161151/v1.

DOI:10.21203/rs.3.rs-3161151/v1

PMID:37503192

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10371164/

Abstract

Virtual reality (VR) can enhance mental health care. In particular, the effectiveness of VR-based exposure therapy (VRET) has been well-demonstrated for treatment of anxiety disorders. However, most applications of VRET remain localized to clinic spaces. We aimed to explore mental health therapists' perceptions of telehealth-based VRET (tele-VRET) by conducting semi-structured, qualitative interviews with 18 telemental health therapists between October and December 2022. Interview topics included telehealth experiences, exposure therapy over telehealth, perceptions of VR in therapy, and perspectives on tele-VRET. Therapists described how telehealth reduced barriers (88.9%, 16/18), enhanced therapy (61.1%, 11/18), and improved access to clients (38.9%, 7/18), but entailed problems with technology (61.1%, 11/18), uncontrolled settings (55.6%, 10/18), and communication di culties (50%, 9/18). Therapists adapted exposure therapy to telehealth by using online resources (66.7%, 12/18), preparing client expectations (55.6%, 10/18), and adjusting workflows (27.8%, 5/18). Most therapists had used VR before (72.2%, 13/18) and had positive impressions (55.6%, 10/18), but none had used VR clinically. In response to tele-VRET, therapists requested interactive session activities (77.8%, 14/18) and customizable interventions components (55.6%, 10/18). Concerns about tele-VRET included risks with certain clients (77.8%, 14/18), costs (50%, 9/18), side effects and privacy (22.2%, 4/18), and inappropriateness for specific forms of exposure therapy (16.7%, 3/18). These results show how designing for telehealth may extend VRET and can help inform collaborative development of health technologies.

摘要

虚拟现实（VR）可以改善心理健康护理。特别是，基于VR的暴露疗法（VRET）在治疗焦虑症方面的有效性已得到充分证明。然而，VRET的大多数应用仍局限于诊所空间。我们旨在通过在2022年10月至12月期间对18名远程心理健康治疗师进行半结构化的定性访谈，来探索心理健康治疗师对基于远程医疗的VRET（远程VRET）的看法。访谈主题包括远程医疗体验、通过远程医疗进行的暴露疗法、对治疗中VR的看法以及对远程VRET的看法。治疗师们描述了远程医疗如何减少障碍（88.9%，16/18）、增强治疗效果（61.1%，11/18）以及改善与客户的接触（38.9%，7/18），但也带来了技术问题（61.1%，11/18）、环境不可控（55.6%，10/18）和沟通困难（50%，9/18）。治疗师通过使用在线资源（66.7%，12/18）、让客户做好预期准备（55.6%，10/18）以及调整工作流程（27.8%，5/18），将暴露疗法应用于远程医疗。大多数治疗师以前使用过VR（72.2%，13/18），并且有积极的印象（55.6%，10/18），但没有人在临床中使用过VR。对于远程VRET，治疗师们要求提供互动式会话活动（77.8%，14/18）和可定制的干预组件（55.6%，10/18）。对远程VRET的担忧包括某些客户存在风险（77.8%，14/18）、成本（50%，9/18）、副作用和隐私（22.2%，4/18）以及不适用于特定形式的暴露疗法（16.7%，3/18）。这些结果表明，为远程医疗进行设计如何可以扩展VRET，并有助于为健康技术的合作开发提供信息。