Games For Health - Brenda Wiederhold - Designing Apps to Empower Kids
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The document discusses the Virtual Reality Medical Institute (VRMI) which uses virtual reality to treat anxiety, phobias, PTSD and other stress-related disorders. It provides an overview of VRMI's history and experience in this area since the 1990s. It also summarizes common childhood phobias and anxiety disorders, treatments for childhood anxiety using virtual reality exposure therapy, and introduces a "Fear Fighters" virtual reality app for treating phobias on mobile devices.
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Games For Health - Brenda Wiederhold - Designing Apps to Empower Kids
- 1. FEAR FIGHTERS Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN Virtual Reality Medical Institute
- 2. VRMC Corporate Overview Incorporated in 2001 (S Corp) Professional Medical Corp Headquarters located in San Diego, CA Additional office located in Los Angeles Affiliated non-profit: Interactive Media Institute (IMI) (2001) Affiliated international non-profit (2006) Affiliated Belgian SME, VRMI—BVBA legal structure (2006) Affiliated company China: Cybercare(2011) San DiegoLos AngelesBrusselsQingdao
- 3. History of Development 1996—Began International Conference 1997—1stAnxiety/VR controlled trial completed (flying) 1998—Began International Journal 2001—U.S. Non-profit and For Profit companies, clinics mid-2000s—VR products disseminated, publications for general public/scientific community 2006—International Association formed in Belgium, Magazine Publication, 2ndScientific Journal 2006—European SME incorporated in Belgium 2007—Ported VR to Mobile Platforms, Specialty Workshops, and Continuing Education classes 2009—1stPTSD controlled trial completed (OIF/OEF) 2010—1stEuropean Union grant began (INTERSTRESS) 2011—Opened company in Qingdao, China 2014—Opened clinic as part of VRMI in Brussels
- 4. Experience Virtual Technologies and Environments Performance Metrics for Evaluating Training Transfer Effectiveness in a Virtual Environment Simulation Human Behavior and Performance Analysis Medical & Trauma Care Training Tactical Language & Culture Training Augmented Cognition Situational Awareness Shipboard Remediation and Training Advanced Distance and Distributed Learning Distributed Instruction Utilizing COTS Cognitive Task Analysis for Instructional Systems Scenario-based Instruction The VRMC team has experience in the following areas:
- 5. Qualifications Delivery of turnkey PTSD systems and APA-approved therapist training programs to over 20 locations in U.S./Europe Sole source contract for VISN 23 VA Hospitals ISO 9001:2000 and ISO 13485:2003 medical device level certified manufacturing and testing facilities Listed in the Central Contractor Registry (CCR) Current DCAA approved accounting system Successfully bid and won over 50 competitive government contracts Certified by the Department of the Navy Human Research Protection Protocol approved by the Navy Surgeon General Certified Veteran’s Administration Hospital vendor NATO approved contract vendor
- 6. Clinical Training & Education VRMC’s 501c3 non-profit affiliate, the Interactive Media Institute (IMI), is certified by the American Psychological Association (APA) to provide Continuing Education (CE) credits for VR therapy Workshops and training courses for the past 19 years Training programs for interns, fellows, post docs, medical students, master’s students in psychology, and students of biofeedback and physiological regulation NATO-sponsored 10-day training program for VR and biofeedback to treat and prevent PTSD NATO-sponsored symposium series on Invisible Wounds of War: Suicide PTSD TBI Pain Additional funding from Austrian & Croatian MOD and US Army MRMC 19 nations in attendance
- 7. Human Identification at a Distance Cultural Influences on Virtual Reality Environment Response Behavior Student State VR for Pain Distraction during Dental Procedures VR for Burn Pain Distraction VR for Chronic Pain VR and physiological Monitoring for pain Cyber Therapy Conference ARO Adaptive Displays Conference at AMC SIGGRAPH 2004 Combat Medic Injury Creation Science SIT for AeroMeds PTSD in Iraq PTSD Coalition Forces Mobile Medical Monitor CAP Program CDC VR Driving Simulator for Training and Evaluating Driver Behavior SIT PTSD Rehabilitation BioWatch TBI Cognitive Rehabilitation ICS Severe Trauma Training Mixed Reality Science for Peace and Security Rehabilitation System North Atlantic Treaty Organization Partners and Programs
- 8. Virtual Reality Medical Institute VRMI integrates medical science with cutting edge simulation and training technologies to develop new products and training protocols for the treatment of medical, traumatic, and other stress- related injuries and disorders.
- 10. Common Childhood Phobias Strangers Separation anxiety Monsters/ghosts Natural disasters Thunder/lightning Animals (ex. Dogs) Loud noises Darkness School Injury Needles Death
- 11. Anxiety Disorder Prevalence Prevalence between 9% and 32% during childhood and adolescence Implications: Depression Behavioral disorders Suicidal thoughts Negative impact on education Stress in family life CreswellC, et al. ArchDis Child 2014;99:674–678. doi:10.1136/archdischild-2013-303768
- 12. Anxiety Associated with: Fear Nervousness Apprehension Panic Can involve: Cardiovascular system Respiratory system Gastrointestinal system Nervous system Martin P., Dialogues ClinNeursoci. 2003 Sep;5(30):281-98.
- 13. DSM-5 Classifications Specific phobia Generalized anxiety disorder Social anxiety disorder Formally social phobia Panic disorder Agoraphobia CreswellC, et al. ArchDis Child 2014;99:674– 678. doi:10.1136/archdischild-2013-303768
- 14. Age of Onset Anxiety disorders (phobias and separation anxiety disorder) have median age of onset of 7-14 years old Inter-quartile range of 4-20 years old Kessler et al. CurrOpin Psychiatry. 2007 July; 20(4): 359–364
- 15. Specific Phobias Subtypes (according to DSM-IV) Animal Natural environment Blood-injection-injury Situational Frequently co-occur Lifetime prevalence of 12.5% About twice as common for women than men Most specific phobias begin in childhood Fond G, Franc N. Encephale. 2013 Apr;39(2):109-14.
- 16. Childhood Anxiety Increases risk of: Depression Anxiety later in life Suicide attempts Psychiatric hospitalization Fond G, Franc N. Encephale. 2013 Apr;39(2):109-14.
- 17. Treating Childhood Anxiety Counter-conditioning Extinction Habituation Change in catastrophic cognitions Development of coping skills Increased self-efficacy Emotional processing Changes in expectancies Changes in perceptions of dangerousness Fond G, Franc N. Encephale. 2013 Apr;39(2):109-14. Processes that can treat childhood anxiety:
- 19. Fear Fighters App Downloadable app for iPhone and Android Suggested price: $2.99 Additional modules: $.99 per scenario Available on iTunes Store and Google Play
- 20. Fear Fighters App Small screen virtual environments can be just as immersive as large screen virtual environments
- 21. Story Board Lily Mateo
- 24. Research has found no difference between using first-person or third-person avatars to feel present in virtual-reality environments
- 32. Merchandise
- 33. Points of Contact Europe Professor Dr. Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN Virtual Reality Medical Institute 30 Clos Chapelleaux Champs, 6thFloor 1200 Brussels, Belgium +32 2 880 6226 b@vrphobia.eu USA and China Professor Dr. Mark D. Wiederhold, M.D., Ph.D., FACP Virtual Reality Medical Center 9565 WaplesStreet, Suite 200 San Diego, CA 92121 +1 858 642 0267 mwiederhold@vrphobia.com