Hoch-Mind Body intervention in SL
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Hoch-Mind Body intervention in SL



My presentation at Virtual worlds day at the Games for Health 2009 in Boston

My presentation at Virtual worlds day at the Games for Health 2009 in Boston



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Hoch-Mind Body intervention in SL Presentation Transcript

  • 1. Group Training Sessions for
    Relaxation Response Techniques
    in Virtual World
    Virtual Worlds Day
    Games For Health June 10th, 2009
    Dan Hoch
    Massachusetts General Hospital Boston
    Deborah Linton
    Center for Connected Health
    Partners HealthCare
  • 2. Group Training Sessions for Relaxation Response Techniques in Virtual World
    Dan Hoch, Massachusetts General Hospital, Boston
    Deb Linton, Partners Healthcare Center for Connected Health
    Virtual Worlds Day
    Games for Health, 2009
  • 3. Games
    GTA IV
    Halo 1-3
    Dead Space
  • 4. What is Second Life?
    Second Life is persistent online world with:
    a multiuser, international community
    completely built and owned by the residents who keep all IP
    Open source scripting language
    Fictional analogs are Stephenson’s Metaverse from “Snow Crash” or Vinge’s Otherverse from “True Names”
  • 5. property rights
    In Second Life, residents own their creations
    What does this mean?
    Residents retain their Intellectual Property rights to their creations
    Residents may buy and sell L$ for real world $
    Residents may license their creations back into the real world
  • 6. Emotional Connections
    Increase emotional bandwidthUse real-world social cues and proxemicsCreate (not merely customize) your visual identityAnimations and sounds add more depth
  • 7. Mainstream Health Activities
    • Health Info Island
    • 8. Ann Myers Medical Center
    • 9. The CDC
    • 10. Second Health
    • 11. Virtual Hallucinations
    • 12. Play2Train
    • 13. Palomar West/Cisco
    • 14. Immersive Learning
    • 15. Simulation
    • 16. First responder exercises
    • 17. Demonstrations
    ►Therapeutic Intervention
  • 18. Communities of support
    -Asperger’s Syndrome
    -Stroke Survivors
    -Healing depression
    -Cerebral Palsy
    -Children with cancer
  • 19. Cognitive Stimulation
    Programs may improve function in:
    MCI and Alzheimer’s
    Psychiatric disorders (Schizophrenia)
  • 20. User-generated Interventions
    Stroke survivors on Dreams Island
    Emotional support
    “equality”, physical disabilities minimized
    Physical and cognitive challenges to improve recovery
  • 21. Speed Builds
  • 22. Relaxation Response
    Coined by Herbert Benson
    Actual physiological state, with changes in biochemistry and even gene regulation
    Best thought of as opposite of “flight or fight” response
    Induced by MANY kinds of techniques
  • 23. Collaboration: Center for Connected Health Benson Henry Institute for Mind Body Medicine MGH Department of Neurology
  • 24. Design
    Pilot study of 2-3 groups of healthy volunteers talked to elicit the relaxation response in SL
    Target N=20-40
    Recruitment from the greater Boston area
    Exclusion criteria:
    Unable to travel to attend 2 face-to-face meetings at MGH
    Unfamiliar with SL
    “serious” psychopathology
  • 25. Methods-enrollment and assessment
    Face-to-face visit before and after 8-week “virtual” program
    Eliminated the problem of virtual consent and virtual survey instruments
    Basic demographic questionnaires, Perceived Stress Scale, SCL-90 R, QOL-10, SF-12
    Weekly, adherence questionnaires
  • 26. Method- Virtual Consent
    Recruitment of present users of SL via in world and real world ads, as well as word of mouth
    Face to face consent had to be obtained
    Validated measures had to be filled out in face to face meetings before and after the 8 week program
    Expedited IRB
  • 27. Method- Team Coordination
    Bi-Weekly meetings
    Share our domains of knowledge
    Greater usability
    Authenticity of clinical practice
    Explore the capability of the technology
    Maintained end-user perspective
    Acclimated team to virtual environment
    Feedback on the real-world program translation
  • 28. Method- Application of Tech
    We did not want to overly develop the environment with the technology
    Providing a preconceived notion of a self-initiated practice
    The imagination stays switched on
    Only material that would have played a role during the face-to-face session
  • 29. Method- Encouraging exchangeUsing the Environment as a tool
    Participants were granted creation privileges
    24/7 access promoted the idea that the virtual space was a resource itself
    Group text-chat acknowledged as form of legitimate communication
  • 30. Open Source - Animation
    Avimator .bvh Animation Editor
    (originally by Vinay Pulim / Vince Invincible)
    (early alpha stage)
  • 31. Open Source - Scripting
  • 32. Tour of the space:
  • 33. HUD
  • 34. Imbedded information
    • Gong survey
    • 35. Listening stations
    • 36. Group Chat
    • 37. Psychoacoustics
  • Labyrinth
  • 38. Conference Center
  • 39. Yoga
  • 40. Crown
  • 41. Results-1
    28 subjects took part in 3 separate groups
    Attendance was good, but not perfect
    Some parts of the program/build “worked” better than others
    Users returned to the space on their own time
  • 42. Results-2
    Before and after assessment showed a trend toward reduced stress, fewer medical symptoms, better quality of life and health status
    Goal of estimating “effect size” of teaching RR in this environment was achieved
  • 43. Conclusions
    A face to face health intervention can be adapted to a virtual world, with input from team on both sides of the looking glass.
    Effect may be close to that of face to face
    Experimental design and statistics need attention in this field, as in every other
  • 44. Acknowledgements
    Funding was granted by the Partners Information Services Research Council
    Special thanks for support and sage advice from:
    Dr. Joe Kvedar
    Dr. Herb Benson
    Dr. Greg Fricchione
  • 45. Our Team
    The Center for Connected Health
    Heather Bello
    Deb Linton
    Marco Senelly
    Alice Watson
    The Benson Henry Center for Mind-Body Medicine
    Peg Baim
    Mariola Milik
    Megan Floret
    Albert Yeung
  • 46. Thanks
    Example of poor avatar construction
    @dbhoch @ozone24