用于慢性下腰痛的增强现实心理教育和正念身体扫描的可行性及用户体验
Feasibility and user experience of augmented reality psychoeducation and mindfulness body scan for chronic low back pain.
作者信息
Conen Robin, Hepke Nikolai, Lohscheller Jörg, Mueller Steffen, Tibubos Ana N
机构信息
Department of Diagnostics in Healthcare & eHealth, Trier University, Trier, Germany.
Department of Computer Science, Trier University of Applied Sciences, Trier, Germany.
出版信息
Front Pain Res (Lausanne). 2025 Jul 1;6:1600637. doi: 10.3389/fpain.2025.1600637. eCollection 2025.
BACKGROUND
Chronic low back pain (CLBP) is prevalent and a multimodal therapy is indicated, including psychological treatment. Effective conventional treatments involve psychoeducation and mindfulness-based body scans, while virtual reality offers superior but temporary pain relief. Augmented Reality (AR), which combines conventional and virtual methods, is a novel therapeutic strategy.
METHODS
We investigated the viability and acceptability of an AR intervention for CLBP by incorporating psychoeducation and mindfulness-based body scan techniques. 40 participants in two studies with a one-arm design underwent an educational AR intervention (Study I, = 18) and an enhanced version with an additional body scan (Study II, = 22). The studies focused on evaluating technical feasibility and multiple facets of user experience.
RESULTS
The results demonstrated high feasibility with low dropout rates (Study I: 10%, Study II: 0%). User experience ratings ranged from "Above Average" to "Excellent," with the advanced intervention receiving higher ratings. While Study I showed no significant changes in affect pre- vs. post-intervention, Study II exhibited a significant reduction in negative affect and improved valence. Qualitative analysis provided insights into technical requirements and user perceptions.
DISCUSSION
The AR prototype emerges as a promising psychoeducational tool for CLBP, aligning with current treatment guidelines and providing a basis for future controlled clinical trials. Limitations include the absence of a high-pain intervention group, as Study I reported a pain intensity of = 1.05 and Study II reported = 1.77 (Range: 0-10). Further research such as clinical trials with control groups is required to validate the efficacy of the piloted approach. The AR-based psychoeducation and mindfulness body scan intervention for CLBP demonstrated technical feasibility and a good user experience.
CLINICAL TRIAL REGISTRATION
Open Science Framework.io; https://doi.org/10.17605/OSF.IO/DSW5X and https://doi.org/10.17605/OSF.IO/XVJBZ.
背景
慢性下腰痛（CLBP）很常见，需要多模式治疗，包括心理治疗。有效的传统治疗方法包括心理教育和基于正念的身体扫描，而虚拟现实能提供更好但只是暂时的疼痛缓解。增强现实（AR）结合了传统和虚拟方法，是一种新颖的治疗策略。
方法
我们通过纳入心理教育和基于正念的身体扫描技术，研究了AR干预对CLBP的可行性和可接受性。两项单臂设计研究中的40名参与者接受了教育性AR干预（研究I，n = 18）和附加身体扫描的增强版干预（研究II，n = 22）。研究重点评估技术可行性和用户体验的多个方面。
结果
结果显示可行性高，脱落率低（研究I：10%，研究II：0%）。用户体验评分从“高于平均水平”到“优秀”，高级干预获得更高评分。虽然研究I显示干预前后情绪无显著变化，但研究II显示负面影响显著降低，效价改善。定性分析提供了对技术要求和用户认知的见解。
讨论
AR原型成为一种有前景的CLBP心理教育工具，符合当前治疗指南，并为未来的对照临床试验提供了基础。局限性包括缺乏高疼痛干预组，因为研究I报告的疼痛强度为M = 1.05，研究II报告为M = 1.77（范围：0 - 10）。需要进一步研究，如设立对照组的临床试验，以验证试点方法的疗效。基于AR的CLBP心理教育和正念身体扫描干预显示出技术可行性和良好的用户体验。
临床试验注册
Open Science Framework.io；https://doi.org/10.17605/OSF.IO/DSW5X和https://doi.org/10.17605/OSF.IO/XVJBZ。
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