AUGMENTED REALITY Case Study AUGMENTED REALITY.
Post on 01-Apr-2015
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Slide 2 AUGMENTED REALITY Slide 3 Slide 4 Slide 5 Slide 6 Slide 7 Case Study AUGMENTED REALITY Slide 8 Slide 9 Slide 10 Slide 11 Slide 12 Slide 13 Slide 14 Slide 15 Slide 16 Slide 17 CASE STUDY Exposure treatment: One hour. The patient interacted with the cockroach in the container, and also with the cockroach outside the container. The patient killed four cockraches. AUGMENTED REALITY Slide 18 Treatment outcomes were maintained at one-month follow-up. Reports of high Reality judgment and Presence. AUGMENTED REALITY Slide 19 Participants: 10 patients so far (9 women and 1 man) Four with spider phobia Six with cockroach phobia AUGMENTED REALITY Case Series Study Treatment: Adaptation of the one-session exposure program developed by st delivered with Augmented Reality. Slide 20 AUGMENTED REALITY Results: BAT (0-12) PATIENTSBASELINEPRE-TESTPOST-TEST 15512 266 366 477 555 600 700 855 900 105512 Slide 21 AUGMENTED REALITY Results: Self-report (0-126) PATIENTSPRE-TESTPOST-TEST 111419 29168 39540 46035 511186 69545 79548 87134 99539 1012143 Slide 22 AUGMENTED REALITY Preference: IN VIVO vs AR (0-7) PATIENTS 12345678910 Willingness of getting involved in a treatment with AR exposure 7477776777 Willingness of getting involved in a treatment with in vivo exposure 6445424455 Slide 23 AUGMENTED REALITY Satisfaction (0-10) PATIENTS 12345678910 Do you think the procedure is logic? 9910 Your level of satisfaction with the procedure 1099888 Would you recommended it to a friend? 109 99 Do you think it could be useful for treating other psychological problems? 109 8 Do you find the treatment aversive? 2771571790 Do you think the treatment has been useful in treating your problem? 107 7779 Slide 24 AUGMENTED REALITYConclusions AR: Efficacious in the treatment of specific phobia. Significant reduction in objective and subjective measures of fear and avoidance. Patients preferred AR rather than in vivo exposure. Patients were satisfied with the treatment. Slide 25 Controlled Studies: n > 8 AuthorCountryYear # of Pts Tx Grps BergerU.S.199916 PC VR, Phobics, Non-Phobics KimKorea19999 PC VR, WLC WiederholdU.S.20019 VR, In vivo JangKorea200211 Driving vs. Flying WalsheIreland200314 ECT, CBT, WLC Fear of Driving Slide 26 Types of VR equipment used clinically: Regular Desktop Head Mounted Display Multiple Screens Full Car Automobile Seat Slide 27 Driving Study: 9 participants (Wiederhold BK, Jang DP, Kim SI, Wiederhold MD, 2001) Treatment Success Specific Phobia PDA PTSD Slide 28 Fear of Driving Movie Clip Slide 29 Social Phobia Patient wearing a HMD while engaging in the virtual party Slide 30 Controlled Studies: n > 8 AuthorCountryYear # of Pts Tx Grps SlaterU.K.200310 Neutral, demanding Lgeron France200336 VR, CBT RoyFrance200310 VR, CBT, WLC KlingerFrance200536 VR, CBT Social Phobia Slide 31 Social Phobia (Klinger, Bouchard et al., 2004) N = 36, 12 sessions. CBT in group. Slide 32 Sample Population = 18 participants 10 females and 8 males Mean age: 30.5 5.06 On average, participants have been suffering from social phobia for 14.5 years 9 participants were also displayed symptoms of major depression (all information based only on the VRT group) SOCIAL PHOBIA (Klinger et al., 2005) Slide 33 Measures The Short Beck Depression Inventory (BDI-13) The Liebowitz Social Anxiety Scale (LSAS) The Rathus Assertiveness Schedule The Zigmond and Snaith Hospital Anxiety Depression Scale (HAD) SOCIAL PHOBIA (Klinger et al., 2005) Slide 34 Protocol for VRT only Overview 12 sessions of VRT 45 minutes each Exposed to virtual environments for either assessment or therapy Virtual exposure lasts less than 20 minutes per session SOCIAL PHOBIA (Klinger et al., 2005) Slide 35 Protocol (contd) Virtual environments included 4 situations that social phobic patients felt were the most threatening: Performance Intimacy Scrutiny Assertiveness SOCIAL PHOBIA (Klinger et al., 2005) Slide 36 Protocol (contd) Session 1 Therapist presents virtual world to patient Patient familiarizes the virtual world and tools in a neutral environment Session 2-9 2 sessions devoted to each of the 4 virtual environments Assessment, expose patient to VR environment, 2 phases of therapy exposure to the environment SOCIAL PHOBIA (Klinger et al., 2005) Slide 37 Protocol (contd) Session 10-12 3 sessions devoted to more focused and detailed work on one or two of the four environments that gave the patient the most trouble 12 th session = conclusion to therapy and introduction of a personal program to carry out beyond the therapy SOCIAL PHOBIA (Klinger et al., 2005) Slide 38 SOCIAL PHOBIA (Klinger et al., 2005) Slide 39 Conclusion: Based on the LSAS, VRT would illustrate a better form of treatment over CBT The differences between the two groups, however, are not significant For VRT to be significantly better than CBT in terms of social phobia symptoms, experiment participants would have to be increased to 200-300 Participants should be increased to a sample of 3,000 in order to find a significant difference in performance anxiety In order to further confirm the efficacy of virtual reality for the treatment of social phobia, additional outcome studies could be conducted with the inclusion of a third control condition such as a placebo or a waiting list SOCIAL PHOBIA (Klinger et al., 2005) Slide 40 Social Phobia Movie Clip Slide 41 Internet-based Worlds Slide 42 www.there.com www.secondlife.com SOCIAL PHOBIA Online Worlds to Help with Social Phobia Online Worlds to Help with Social Phobia Slide 43 Human Avatars Slide 44 Animal Avatars Slide 45 Controlled Studies: n > 8RivaItaly200245 PC VR, In vivo, WLC WiederholdU.S.200245 BouchardCanada200245 KimKorea200245 Panic Disorder with Agoraphobia Multi-center Controlled Study AuthorCountryYear # of Pts Tx Grps NorthU.S.199830 PC VR, WLC KimKorea19999 BotellaSpain200210 PC VR, In vivo WiederholdU.S.20029 Non-phobics in PDA environ. BotellaSpain200336 VRE, In vivo, WLC Slide 46 Agoraphobia: 12 participants (Vincelli, Anolli, Bouchard, Wiederhold, Zurloni, & Riva, 2003) Patient Treatment VR-CBT CBT WLC Design VR-CBT 8 sessions CBT 12 sessions Results VR-CBT produced same or better results using 33% fewer sessions than CBT Measures Beck Depression Inventory State Trait Anxiety Inventory Agoraphobic Cognitions Questionnaire Fear Questionnaire Slide 47 Agoraphobia: 12 participants (Vincelli, Anolli, Bouchard, Wiederhold, Zurloni, & Riva, 2003) Slide 48 The Mall Slide 49 The Room