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Approach bias retraining through virtual reality in smokers willing to quit smoking: A randomized-controlled study
Alla Machulska1, Tanja Joan Eiler2, Kristian Kleinke1
1Department of Clinical Psychology, University of Siegen, Siegen, Germany.
Behaviour Research and Therapy
|April 16, 2021
Summary
Virtual reality Approach Bias Modification (VR-ABM) showed promise for reducing smoking, but did not alter approach biases. Further research into VR-ABM
Area of Science:
- Addiction research
- Behavioral psychology
- Virtual reality applications
Background:
- Automatic approach biases towards smoking cues contribute to addiction.
- Existing bias modification techniques show limited and inconsistent effects.
- Virtual reality (VR) offers a novel platform for therapeutic interventions.
Purpose of the Study:
- To investigate the efficacy of VR-based Approach Bias Modification (VR-ABM) in modifying approach biases and reducing smoking behavior.
- To assess the impact of VR-ABM compared to a VR-control condition in smokers undergoing cessation treatment.
Main Methods:
- A randomized controlled trial involving 108 smokers undergoing behavioral counseling.
- Participants received either VR-ABM or a VR-control training over six sessions within two weeks.
- Assessments of approach biases, cognitive biases, and smoking behavior were conducted at baseline, post-intervention, and follow-up.
Main Results:
- VR-ABM did not significantly alter approach biases or other cognitive biases.
- VR-ABM demonstrated superiority in reducing daily smoking, but this effect was confined to the training period.
- Both groups showed improvements in smoking cessation and health-related variables over time.
Conclusions:
- While VR-ABM did not modify underlying biases, it showed a transient benefit for smoking reduction.
- Further investigation into the mechanisms and optimal components of ABM is warranted.
- VR technology holds significant potential for public health interventions in addiction treatment.

