games for health - brenda wiederhold - designing apps to empower kids
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FEAR FIGHTERS
Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN
Virtual Reality Medical Institute
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 Diego Los Angeles Brussels Qingdao
History of Development
1996—Began International Conference
1997—1st Anxiety/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, 2nd
Scientific Journal
2006—European SME incorporated in
Belgium
2007—Ported VR to Mobile Platforms, Specialty Workshops, and Continuing Education classes
2009—1st PTSD controlled trial completed (OIF/OEF)
2010—1st European Union grant began (INTERSTRESS)
2011—Opened company in Qingdao, China
2014—Opened clinic as part of VRMI in Brussels
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:
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
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
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 Rehabilitation System Science for Peace and Security
North Atlantic Treaty Organization
Partners and Programs
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.
Common Childhood Phobias
Strangers
Separation anxiety
Monsters/ghosts
Natural disasters
Thunder/lightning
Animals (ex. Dogs)
Loud noises
Darkness
School
Injury
Needles
Death
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
Creswell C, et al. Arch Dis Child 2014;99:674–678. doi:10.1136/archdischild-2013-303768
Anxiety
Associated with:
Fear
Nervousness
Apprehension
Panic
Can involve:
Cardiovascular system
Respiratory system
Gastrointestinal system
Nervous system
Martin P., Dialogues Clin Neursoci. 2003 Sep;5(30):281-98.
DSM-5 Classifications
Specific phobia
Generalized anxiety disorder
Social anxiety disorder
Formally social phobia
Panic disorder
Agoraphobia
Creswell C, et al. Arch Dis Child 2014;99:674–678. doi:10.1136/archdischild-2013-303768
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. Curr Opin Psychiatry. 2007 July ; 20(4): 359–364
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.
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.
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:
FEAR FIGHTERS APP
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
Fear Fighters App
Small screen virtual environments can be just as immersive as large screen virtual
environments
Story Board
Lily Mateo
Research has found no difference between using first-person or third-person avatars to feel present in virtual-reality environments
Merchandise
Points of Contact
EuropeProfessor Dr. Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN
Virtual Reality Medical Institute30 Clos Chapelle aux Champs, 6th Floor
1200 Brussels, Belgium+32 2 880 6226b@vrphobia.eu
USA and ChinaProfessor Dr. Mark D. Wiederhold, M.D., Ph.D., FACP
Virtual Reality Medical Center9565 Waples Street, Suite 200
San Diego, CA 92121+1 858 642 0267
mwiederhold@vrphobia.com
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