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“这并非每个人的写照。它只是对那个世界的一种洞察”:一项关于通过虚拟现实理解医学生心理健康体验及消除污名化的多视角定性研究。

'It's not everybody's snapshot. It's just an insight into that world': A qualitative study of multiple perspectives towards understanding the mental health experience and addressing stigma in healthcare students through virtual reality.

作者信息

Szekely Raul, Mason Oliver, Frohlich David, Barley Elizabeth

机构信息

School of Psychology, University of Surrey, Guildford, UK.

Digital World Research Centre, University of Surrey, Guildford, UK.

出版信息

Digit Health. 2024 Jan 4;10:20552076231223801. doi: 10.1177/20552076231223801. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVE

The resurgence of virtual reality (VR) technologies has led to their increased use in contemporary healthcare education. One promising application is simulating the experiences of individuals with mental health conditions (MHCs) to reduce stigma among future healthcare professionals. This study set out to explore what those impacted by, or involved in, the education of healthcare students think about using VR in this way.

METHODS

One individual interview and five focus groups were conducted with healthcare students ( = 7), healthcare educators ( = 6), and lived experience experts ( = 5). Before sharing their perspectives, participants familiarised themselves with VR equipment and immersive materials simulating MHCs. The constant comparative method and thematic analysis were used to analyse the data.

RESULTS

Participants recognised the acceptability and utility of VR for addressing mental health stigma in healthcare students, emphasising the immersive nature of this technology. However, some participants raised concerns about the limited insight VR could provide into the experiences of patients with the same MHCs and its potential emotional impact on users. Participants recommended the incorporation of interactive, realistic environments with a person-centred focus into future VR-based stigma reduction interventions while stressing the importance of providing healthcare students with opportunities for reflection and support.

CONCLUSIONS

Healthcare students, healthcare educators, and lived experience experts highlighted both advantages and barriers associated with using VR to understand the experience of patients with MHCs. Furthermore, the recommendations put forward can inform the design, content, and delivery of VR-based stigma reduction interventions in healthcare education.

摘要

目的

虚拟现实(VR)技术的复兴导致其在当代医疗保健教育中的使用增加。一个有前景的应用是模拟有心理健康状况(MHCs)的个体的经历,以减少未来医疗保健专业人员的耻辱感。本研究旨在探讨那些受到医学生教育影响或参与其中的人对以这种方式使用VR的看法。

方法

对医学生(n = 7)、医学教育工作者(n = 6)和有实际经历的专家(n = 5)进行了一次个人访谈和五个焦点小组访谈。在分享他们的观点之前,参与者熟悉了模拟MHCs的VR设备和沉浸式材料。采用持续比较法和主题分析法对数据进行分析。

结果

参与者认识到VR在解决医学生心理健康耻辱感方面的可接受性和实用性,强调了这项技术的沉浸式特性。然而,一些参与者对VR能够提供的关于患有相同MHCs患者经历的有限见解及其对用户的潜在情感影响表示担忧。参与者建议在未来基于VR的减少耻辱感干预措施中纳入以人为主的交互式、逼真环境,同时强调为医学生提供反思和支持机会的重要性。

结论

医学生、医学教育工作者和有实际经历的专家强调了使用VR来理解患有MHCs患者经历的优点和障碍。此外,提出的建议可为医疗保健教育中基于VR的减少耻辱感干预措施的设计、内容和实施提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e5f/10768613/6f28e2c0fcf2/10.1177_20552076231223801-fig1.jpg

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