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Bringing Virtual Reality From Clinical Trials to Clinical Practice for the Treatment of Eating Disorders: An Example
Theresa Brown1, Emily Nauman Vogel1, Sarah Adler2
1PGSP-Stanford PsyD Consortium, Palo Alto, CA, United States.
Journal of Medical Internet Research
|April 24, 2020
Summary
Virtual reality (VR) integrated with evidence-based treatments (EBTs) shows promise for eating disorders (EDs). This approach can improve outcomes and reduce dropout rates by making treatments more accessible and effective.
Area of Science:
- Psychiatry
- Clinical Psychology
- Human-Computer Interaction
Background:
- Eating disorders (EDs) have suboptimal treatment outcomes, with only 50% remission and 24% dropout rates.
- Virtual reality (VR) interventions show preliminary efficacy and noninferiority across psychiatric disorders.
- VR technology advancements offer increased portability, accessibility, and cost-effectiveness.
Purpose of the Study:
- To review empirical support for integrating VR with evidence-based treatments (EBTs) for EDs.
- To propose next steps for implementing VR-based interventions in clinical settings.
- To illustrate a deployment-focused model for developing and testing VR-CET for EDs.
Main Methods:
- Literature review of VR applications in psychiatric disorders, focusing on EDs.
- Analysis of existing empirical evidence for VR-integrated EBTs.
- Proposal of a deployment-focused model for intervention development and testing.
Main Results:
- VR integration with EBTs, specifically VR-Cue Exposure Therapy (VR-CET), is a promising avenue for ED treatment.
- A deployment-focused model and comprehensive clinical protocol are crucial for rapid implementation.
- Key missing protocol components for VR-CET implementation and testing were identified.
Conclusions:
- Integrating VR with EBTs, such as VR-CET, can significantly enhance ED treatment outcomes and reduce dropout.
- A structured approach, including a deployment-focused model and detailed clinical protocols, is essential for successful real-world application.
- Further research and development are needed to fully realize the potential of VR in global mental health care.
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