Abstract
Among all the technologies that make up the Digital Psychology intervention, Virtual Reality (VR) represents a decisive paradigm of innovation since it allows to work in terms of prevention and monitoring of many psychological issues, such as stress, anxiety, depression and burnout. This paper presents ERMES project “Virtual Reality to promote the well-being of vulnerable people within Hospitals", and a preliminary psychometric assessment of the results obtained from its first experimentation. Specifically, the main goal is to provide a tool that can act on stress levels by practicing Mindfulness sessions, virtual museum exploration, and Art Therapy activities, with the possibility of safely sharing the experience with other patients. During the experimental phase, clinical interviews and psychometric tests were carried out in order to assess the impact of VR therapy after participating in the experimental protocol. This first analysis shows significant changes in the stress levels, that have to be confirmed by the biosignals data acquired during the experimentation, that still needs to be evaluated.
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05 September 2023
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References
Adhyaru, J.S., Kemp, C.: Virtual reality as a tool to promote wellbeing in the workplace. Digital Health 8, 20552076221084470 (2022). https://doi.org/10.1177/20552076221084473
Alyan, E., Combe, T., Awang Rambli, D.R., Sulaiman, S., Merienne, F., Diyana, N.: The influence of virtual forest walk on physiological and psychological responses. Int. J. Environ. Res. Public Health 18(21), 11420 (2021)
Apicella, A., et al.: Electroencephalography correlates of fear of heights in a virtual reality environment. Acta IMEKO 12(2), 1–7 (2023)
Arpaia, P., D’Errico, G., De Paolis, L.T., Moccaldi, N., Nuccetelli, F.: A narrative review of mindfulness-based interventions using virtual reality. In: Mindfulness. pp. 1–16 (2021)
Badcock, N.A., Mousikou, P., Mahajan, Y., De Lissa, P., Thie, J., McArthur, G.: Validation of the emotiv epoc® EEG gaming system for measuring research quality auditory ERPS. PeerJ 1, e38 (2013)
Baños, R.M., et al.: Virtual reality treatment of flying phobia. IEEE Trans. Inf Technol. Biomed. 6(3), 206–212 (2002)
Barba, M.C., et al.: BRAVO: a gaming environment for the treatment of ADHD. In: De Paolis, L.T., Bourdot, P. (eds.) AVR 2019. LNCS, vol. 11613, pp. 394–407. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-25965-5_30
Blum, J., Rockstroh, C., Göritz, A.S.: Heart rate variability biofeedback based on slow-paced breathing with immersive virtual reality nature scenery. Front. Psychol. 10, 2172 (2019)
Botella, C., Garcia-Palacios, A., Vizcaíno, Y., Herrero, R., Baños, R.M., Belmonte, M.A.: Virtual reality in the treatment of fibromyalgia: a pilot study. Cyberpsychol. Behav. Soc. Netw. 16(3), 215–223 (2013)
Carroll, J., Hopper, L., Farrelly, A.M., Lombard-Vance, R., Bamidis, P.D., Konstantinidis, E.I.: A scoping review of augmented/virtual reality health and wellbeing interventions for older adults: redefining immersive virtual reality. Front. Virtual Reality 2 (2021)
Chavez, L.J.: Virtual reality meditation among youth experiencing homelessness: pilot randomized controlled trial of feasibility. JMIR Mental Health 7(9), e18244 (2020)
Coles, A.: What do museums mean? public perceptions of the purposes of museums and implications for their use in art therapy. Art Therapy in Museums and Galleries. Reframing Practice, pp. 44–62 (2020)
Coles, A., Harrison, F., Todd, S.: Flexing the frame: Therapist experiences of museum-based group art psychotherapy for adults with complex mental health difficulties. Inter. J. Art Therapy 24(2), 56–67 (2019)
Costa, M.R., et al.: Nature inspired scenes for guided mindfulness training: presence, perceived restorativeness and meditation depth. In: Schmorrow, D.D., Fidopiastis, C.M. (eds.) HCII 2019. LNCS (LNAI), vol. 11580, pp. 517–532. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-22419-6_37
Costa, M.R., Bergen-Cico, D., Hererro, R., Navarro, J., Razza, R., Wang, Q.: xR-based systems for mindfulness based training in clinical settings. In: Chen, J.Y.C., Fragomeni, G. (eds.) VAMR 2018. LNCS, vol. 10910, pp. 31–39. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-91584-5_3
Cronbach, L.: Coefficient alpha and the internal structure of tests. Psychometrika 16(3), 297–334 (1951). https://doi.org/10.1007/BF02310555
Dulau, E., Botha-Ravyse, C.R., Luimula, M.: Virtual reality for physical rehabilitation: A pilot study how will virtual reality change physical therapy? In: 2019 10th IEEE International Conference on Cognitive Infocommunications (CogInfoCom), pp. 277–282. IEEE (2019)
Garcia-Palacios, A., Hoffman, H., Carlin, A., Furness, T.A., III., Botella, C.: Virtual reality in the treatment of spider phobia: a controlled study. Behav. Res. Ther. 40(9), 983–993 (2002)
Gatto, C., et al.: Wellbeing assessment of a museum experience in virtual reality through ucl measurement tool kit and heart rate measurement: a pilot study. In: 2022 IEEE International Conference on Metrology for Extended Reality, Artificial Intelligence and Neural Engineering (MetroXRAINE), pp. 483–488. IEEE (2022)
Gatto, C., et al.: A virtual reality application for stress reduction: design and first implementation of ermes project. In: De Paolis, L.T., Arpaia, P., Sacco, M. (eds.) Extended Reality, pp. 162–173. Springer International Publishing, Cham (2022). https://doi.org/10.1007/978-3-031-15546-8_15
Gatto, C., D’Errico, G., Nuccetelli, F., De Luca, V., Paladini, G.I., De Paolis, L.T.: XR-based mindfulness and art therapy: facing the psychological impact of Covid-19 emergency. In: De Paolis, L.T., Bourdot, P. (eds.) AVR 2020. LNCS, vol. 12243, pp. 147–155. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-58468-9_11
Hacmun, I., Regev, D., Salomon, R.: The principles of art therapy in virtual reality. Front. Psychol. 9, 2082 (2018)
Hatta, M.H., et al.: Virtual reality (vr) technology for treatment of mental health problems during Covid-19: a systematic review. Int. J. Environ. Res. Public Health 19(9), 5389 (2022)
Helou, S., Khalil, N., Daou, M., El Helou, E.: Virtual reality for healthcare: A scoping review of commercially available applications for head-mounted displays. Digital health 9, 20552076231178620 (2023)
Kaplan, S.: The restorative benefits of nature: toward an integrative framework. J. Environ. Psychol. 15(3), 169–182 (1995)
Keshner, E.A.: Virtual reality and physical rehabilitation: a new toy or a new research and rehabilitation tool? (2004)
Kolbe, L., Jaywant, A., Gupta, A., Vanderlind, W.M., Jabbour, G.: Use of virtual reality in the inpatient rehabilitation of Covid-19 patients. Gen. Hosp. Psychiatry 71, 76–81 (2021)
Kosunen, I., Salminen, M., Järvelä, S., Ruonala, A., Ravaja, N., Jacucci, G.: Relaworld: neuroadaptive and immersive virtual reality meditation system. In: Proceedings of the 21st International Conference on Intelligent User Interfaces, pp. 208–217 (2016)
Koutsabasis, P., Vosinakis, S.: Kinesthetic interactions in museums: conveying cultural heritage by making use of ancient tools and (re-) constructing artworks. Virtual Reality 22(2), 103–118 (2018)
Lee, L.N., Kim, M.J., Hwang, W.J.: Potential of augmented reality and virtual reality technologies to promote wellbeing in older adults. Appli. Sci. 9(17) (2019). https://www.mdpi.com/2076-3417/9/17/3556
McCarthy, C., Pradhan, N., Redpath, C., Adler, A.: Validation of the empatica e4 wristband. In: 2016 IEEE EMBS International Student Conference (ISC), pp. 1–4. IEEE (2016)
Nath, R.K., Thapliyal, H.: Smart wristband-based stress detection framework for older adults with cortisol as stress biomarker. IEEE Trans. Consum. Electron. 67(1), 30–39 (2021)
Nunnari, F., Magliaro, S., D’Errico, G., De Luca, V., Barba, M.C., De Paolis, L.T.: Designing and assessing interactive virtual characters for children affected by ADHD. In: Bourdot, P., Interrante, V., Nedel, L., Magnenat-Thalmann, N., Zachmann, G. (eds.) EuroVR 2019. LNCS, vol. 11883, pp. 285–290. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-31908-3_17
Reis, R.S., Hino, A., Añez, C.: Perceived stress scale. J. Health Psychol. 15(1), 107–114 (2010)
Revelle, W.: Hierarchical cluster analysis and the internal structure of tests. Multivar. Behav. Res. 14(1), 57–74 (1979). https://doi.org/10.1207/s15327906mbr1401_4
Revelle, W.: ICLUST: a cluster analytic approach to exploratory and confirmatory scale construction. Behav. Res. Methods Instrum. 10(5), 739–742 (1978). https://doi.org/10.3758/bf03205389
Siani, A., Marley, S.A.: Impact of the recreational use of virtual reality on physical and mental wellbeing during the Covid-19 lockdown. Heal. Technol. 11, 425–435 (2021)
Stickley, T., Eades, M.: Arts on prescription: a qualitative outcomes study. Public Health 127(8), 727–734 (2013)
Wei, Z., Zhong, C., Gao, Y.: Art therapy practices in museum education: A mini review. Front. Psychol. 13, 1075427 (2023)
Yang, T., Lai, I.K.W., Fan, Z.B., Mo, Q.M.: The impact of a 360 virtual tour on the reduction of psychological stress caused by Covid-19. Technol. Soc. 64, 101514 (2021)
Zigmond, A.S., Snaith, R.P.: The hospital anxiety and depression scale. Acta Psychiatr. Scand. 67(6), 361–370 (1983)
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D’Errico, G. et al. (2023). Measuring the Effectiveness of Virtual Reality for Stress Reduction: Psychometric Evaluation of the ERMES Project. In: De Paolis, L.T., Arpaia, P., Sacco, M. (eds) Extended Reality. XR Salento 2023. Lecture Notes in Computer Science, vol 14218. Springer, Cham. https://doi.org/10.1007/978-3-031-43401-3_32
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