Virtual Reality Cue Refusal Video Game for Alcohol and Cigarette Recovery Support: Summative Study

Metcalf, Mary; Rossie, Karen M.; Stokes, Katie; Tallman, Christina; Tanner, Bradley

doi:10.2196/games.9231

Cited by 31 publications

(25 citation statements)

References 19 publications

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“…VR exposure therapies have been shown to be effective in the treatment of a variety of conditions including: specific phobias (acrophobia, aviophobia, arachnophobia), social anxiety disorder, public speaking anxiety, panic disorder, posttraumatic stress disorder, acute stress disorder, substance abuse disorders (alcohol and nicotine), and depression (26)(27)(28)(29)(30). A number of studies have been published on the use of immersive VR by healthy older adults (31,32), but very few have empirically examined the feasibility of introducing immersive VR in rehab or long-term care settings (33,34).…”

Section: Introductionmentioning

confidence: 99%

Older Adults With Cognitive and/or Physical Impairments Can Benefit From Immersive Virtual Reality Experiences: A Feasibility Study

et al. 2020

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Background: Older adults living in long term care, rehabilitation hospitals, and seniors' residences often experience reduced mobility, sometimes resulting in confinement indoors and isolation, which can introduce or aggravate symptoms of depression, anxiety, loneliness, and apathy. As Virtual Reality (VR) technologies become increasingly accessible and affordable, there is a unique opportunity to enable older adults to escape their restricted physical realities and be transported to both stimulating and calming places which may improve their general well-being. To date no robust evaluations of the use of immersive VR therapy [experienced through a head-mounted-display (HMD)] for older adults within these settings have been reported. VR-therapy may prove to be a safe, inexpensive, non-pharmacological means of managing depressive symptoms and providing engagement and enjoyment to this rapidly growing demographic. Objectives: Establish whether it is feasible to use immersive VR technology as therapy for older adults who have reduced sensory, mobility and/or impaired cognition. This includes evaluation of tolerability, comfort, and ease of use of the HMD, and of the potential for immersive VR to provide enjoyment/relaxation and reduce anxiety and depressive symptoms. Methods: Sixty-six older adults (mean age 80.5, SD = 10.5) with varying cognitive abilities (normal = 28, mild impairment = 17, moderate impairment = 12, severe impairment = 3, unknown cognitive score = 6), and/or physical impairments, entered a multi-site non-randomized interventional study in Toronto, Canada. Participants experienced 3 to 20 min of 360 •-video footage of nature scenes displayed on Samsung GearVR HMD. Data was collected through pre/post-intervention surveys, standardized observations during intervention, and post-intervention semi-structured interviews addressing the VR experience. Results: All participants completed the study with no negative side-effects reported (e.g., No dizziness, disorientation, interference with hearing aids); the average time spent in VR was 8 min and 76% of participants viewed the entire experience at least Appel et al. VR-therapy for Frail Older Adults once. Participants tolerated the HMD very well; most had positive feedback, feeling more relaxed and adventurous; 76% wanted to try VR again. Better image quality and increased narrative video content were suggested to improve the experience. Conclusion: It is feasible and safe to expose older adults with various levels of cognitive and physical impairments to immersive VR within these settings. Further research should evaluate the potential benefits of VR in different settings (e.g., home/community based) and explore better customization/optimization of the VR content and equipment for the targeted populations.

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Section: Introductionmentioning

confidence: 99%

Older Adults With Cognitive and/or Physical Impairments Can Benefit From Immersive Virtual Reality Experiences: A Feasibility Study

et al. 2020

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“…Increasingly healthcare providers and caregivers are using virtual reality (VR) simulation as one approach to enhance empathic understanding for training and educational purposes (Aziz, 2018;Dyer, Swartzlanfer, & Gugliucci, 2018;Jütten et al, 2017;Elliman, Loizou, & Loizides, 2016;McDougall, 2015). VR has been used for a range of conditions, for example, alcoholism (Metcalf, Rossie, Stokes, Tallman, & Tanner, 2018), multiple sclerosis (Massetti et al, 2016), cardiovascular disease (Silva, Southworth, Raptis, & Sliva, 2018) and dementia (Wijma et al, 2018).…”

mentioning

confidence: 99%

Virtual simulation training: Imaged experience of dementia

Slater

Hasson

Gillen

et al. 2019

Int J Older People Nursing

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Background and objectives The need to provide an empathic response to the care of people with dementia has long been advocated. Virtual reality‐based programmes continue to gain momentum across health sectors, becoming an innovative tool that provides staff with the opportunity to experience a dementia‐like experience within a relatively short time frame. The purpose of this study is to explore the impact of an interactive training experience on moral, emotive, behavioural and cognitive elements of empathy. Research design and methods A qualitative exploratory design was adopted employing purposive sampling to identify participants, aged over 18 years, who participated in the Virtual Dementia Tour (VDT®) programme. Interviews were conducted over a two‐month period, and qualitative thematic analysis was used to analyse the data. Results The four components (moral, emotive, behavioural and cognitive) of empathy were reflected in findings. Overall the interactive training programme was perceived as useful, and emotionally, it provided an opportunity to “imagine what it is to live with dementia,” enabling a cognitive, moral and behavioural reflection to occur, enhancing the empathic state. Discussion In this study, the VDT® provides a different way of learning, with participants reporting the emergence of an empathic response. Results suggest that the emotional response laid the foundations to the behavioural or cognitive (objective and subjective) reaction which was underpinned by a moral reaction. Implications for practice Virtual reality programmes are one step in the process for healthcare professionals caring empathetically for people with dementia; however, further research is required.

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“…Indeed-despite a single treatment sessionparticipants changed implicit craving (as assessed via alcohol implicit association test, eye-tracking test and alcohol Stroop test) as well as explicit, self-reported craving. Metcalf et al developed a serious game in VR for individuals with alcohol and nicotine dependence (n = 61) with the aim to strengthen refusal of addiction-related cues [41]. Specifically, users were instructed to hit or kick away drug-related cue images as they fly towards the user.…”

Section: Vr-based Therapeutic Approachesmentioning

confidence: 99%

“…A different therapeutic approach used a virtual reality game where participants crushed virtual cigarettes with their arm motion [41,53]. By using this approach, Girard et al found no significant effect on nicotine abstinence for the cigarettes crushing group (n = 46) compared to a placebo virtual condition (n = 45) after 4 weeks of treatment [53].…”

Section: Vr-based Therapeutic Approachesmentioning

confidence: 99%

Virtual Reality-Based Treatment Approaches in the Field of Substance Use Disorders

et al. 2021

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Purpose Substance use disorders (SUD) are burdening chronic conditions characterized by high relapse rates despite severe negative consequences. Substance-related cues that elicit craving by means of automatic physiological and behavioural responses have long been suggested to predict relapse. One major mechanism contributing to relapse behaviour are cue-induced behavioural approach tendencies towards the addictive agent. Recently, there has been an emerging interest in virtual reality (VR)-based approaches to assess and modify craving and its related responses. This review aims at elucidating (1) VR techniques applied in the field of SUD, (2) VR as an induction/assessment tool for biopsychological correlates of craving and (3) VR-based therapeutic approaches. Findings There is an emerging number of studies focusing on different substances of abuse incorporating VR in craving induction/assessment as well as therapy. Despite some limitations as missing of randomized controlled clinical trials with large samples and missing data on the long-term effects of VR treatment, the VR approach showed consistent results in eliciting and reducing craving across different substances. Summary This review suggests virtual reality as a promising tool for the assessment and treatment of craving among individuals with substance use disorders. Because of its ecological validity, VR unifies the benefits of a laboratory setting with the advantages of a realistic environment. Further studies with large samples and randomized controlled clinical trials using more homogenous VR techniques as well as assessment of objective biophysiological craving markers are required.

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Virtual Reality Cue Refusal Video Game for Alcohol and Cigarette Recovery Support: Summative Study

Cited by 31 publications

References 19 publications

Older Adults With Cognitive and/or Physical Impairments Can Benefit From Immersive Virtual Reality Experiences: A Feasibility Study

Older Adults With Cognitive and/or Physical Impairments Can Benefit From Immersive Virtual Reality Experiences: A Feasibility Study

Virtual simulation training: Imaged experience of dementia

Virtual Reality-Based Treatment Approaches in the Field of Substance Use Disorders

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