Design and Implementation of Home-Based Virtual Reality Exposure Therapy System with a Virtual eCoach

Hartanto, Dwi; Brinkman, Willem‐Paul; Kampmann, Isabel L.; Morina, Nexhmedin; Emmelkamp, Paul G. M.; Neerincx, Mark A.

doi:10.1007/978-3-319-21996-7_31

Cited by 12 publications

(10 citation statements)

References 3 publications

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“…However, there is a trend towards the combination of different technological developments and interventions. Boettcher, Hasselrot, Sund, Andersson, and Carlbring (2014) administered CBM in combination with ICBT and VRET can also be delivered via internet (Hartanto et al, 2015). Finally, all outcome measures used in the present meta-analysis were self-report measures.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of technology-assisted interventions for social anxiety disorder

Kampmann

Emmelkamp

Morina

2016

Journal of Anxiety Disorders

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130

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Section: Discussionmentioning

confidence: 99%

Meta-analysis of technology-assisted interventions for social anxiety disorder

Kampmann

Emmelkamp

Morina

2016

Journal of Anxiety Disorders

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130

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“…These findings provide support for remotely administered VRET therapy, and future studies should expand upon this work to include the treatment of other mental health conditions as well. Although previous research has explored the effectiveness of remote VRET in small samples, this study had an increased sample size compared to previous literature, therefore increasing statistical power (Hartanto et al, 2015;Levy et al, 2016;Lindner et al, 2019). Further, this study expanded upon previous work which historically relied solely on self-report measures to determine treatment effectiveness (Levy et al, 2016;Lindner et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Remotely conducted versus office-based virtual reality treatment for aviophobia: Questions of feasibility and accessibility.

Cherestal¹,

Schare²,

Grimaldi³

et al. 2021

Translational Issues in Psychological Science

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Virtual reality exposure therapy (VRET) is an efficacious treatment modality for anxiety disorder treatment. Advances within this technology have allowed individuals to experience virtual reality remotely over the Internet; yet little is known about the feasibility of implementing remote VRET. This study compared the effectiveness of conducting VRET remotely to delivering the same treatment in a traditional, in-person format. A sample of 17 aviophobia participants, split over the 2 conditions, received 8 intensive hours of VRET treatment for fear of flying that included virtual exposure to full airplane flights. The VRET was delivered via smartphone technology through a commercial supplier. All participants were administered the Flight Anxiety Situations (FAS) at intake and at the conclusion of treatment. Whereas participants in both conditions demonstrated significant reductions in flight-related anxiety as measured by the FAS, there were no significant differences between treatment conditions on the FAS and completion rates of graduation flights. These findings provide preliminary evidence for the feasibility of remotely conducted VRET as the outcomes for remote and in-person conditions were equally effective. By implementing remote VRET, clinicians may effectively work with phobic individuals whom experience barriers to psychotherapeutic treatment such as prohibitive costs or lack of community accessibility to such services. VRET may become another useful teletherapy modality with additional research supporting its utility.What is the significance of this article for the general public?This study provides preliminary evidence that remote virtual reality exposure therapy (VRET) produces similar treatment gains to in-person VRET for treatment of aviophobia. These results lay the groundwork for using this novel approach to treat individuals with other anxiety disorders, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) who otherwise might experience barriers to accessing treatment. These findings are particularly timely given the heightened sensitivity of providing teletherapy services stimulated by the COVID-19 pandemic.

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“…Two sessions of virtual exposure involving several free speech dialogs with virtual humans while being monitored by a therapist were associated with significantly lower levels of social anxiety and higher self-efficacy 3 months after exposure. In the following study, we went a step further by developing a home-based VRET system for the treatment of SAD [17]. The so-called Memphis system includes 19 exposure scenarios and a virtual health agent that explains the use of the system and guides the patient to various steps of therapy.…”

Section: Virtual Social Worldsmentioning

confidence: 99%

Virtual Reality Therapy in Social Anxiety Disorder

Emmelkamp

Meyerbröker

Morina

2020

Curr Psychiatry Rep

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Purpose of Review This review provides an overview of current methods and important aspects to consider when applying virtual worlds in the treatment of social anxiety disorder (SAD). Recent Findings Different aspects such as dialogs between avatars and patients have been investigated as well as virtual audiences, emotional facial expression, and verbal interaction with avatars. Results of these studies are promising. Few randomized controlled trials (RCTs) have investigated the efficacy of virtual reality exposure therapy (VRET) in SAD. Unfortunately, most RCTs into the efficacy of VRET in comparison with exposure in vivo in SAD have been conducted with a combination of cognitive interventions and VRET. No differences between these conditions were found, but the pure effect of VRET as a standalone treatment has only been investigated in one RCT, wherein VRET was not superior to exposure in vivo. Summary Current research into different facets of SAD and VRET has produced promising results with respect to technological aspects. No differences in efficacy between cognitive behavior therapy and VRET were found, but there is a clear need for studies investigating the efficacy of VRET as a stand-alone treatment and the therapeutic processes involved before this therapy can be disseminated in routine clinical practice.

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Design and Implementation of Home-Based Virtual Reality Exposure Therapy System with a Virtual eCoach

Cited by 12 publications

References 3 publications

Meta-analysis of technology-assisted interventions for social anxiety disorder

Meta-analysis of technology-assisted interventions for social anxiety disorder

Remotely conducted versus office-based virtual reality treatment for aviophobia: Questions of feasibility and accessibility.

Virtual Reality Therapy in Social Anxiety Disorder

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