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Hoch-Mind Body intervention in SL

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Daniel Hoch

The document summarizes a study that adapted relaxation response techniques to be taught in virtual group training sessions in Second Life. Researchers from Massachusetts General Hospital and Partners Healthcare Center for Connected Health collaborated on a pilot study with the goal of estimating the effect size of teaching relaxation response techniques in a virtual world compared to in-person. Twenty-eight subjects participated in three separate virtual group training sessions over eight weeks. Results showed a trend toward reduced stress, fewer medical symptoms, and better quality of life following the virtual sessions, suggesting the effect may be similar to teaching techniques face-to-face.

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Group Training Sessions for Relaxation Response Techniques in Virtual WorldVirtual Worlds Day Games For Health June 10th, 2009Dan Hoch Massachusetts General Hospital BostonDeborah Linton Center for Connected Health Partners HealthCare
Group Training Sessions for Relaxation Response Techniques in Virtual WorldDan Hoch, Massachusetts General Hospital, BostonDeb Linton, Partners Healthcare Center for Connected HealthVirtual Worlds DayGames for Health, 2009
GamesGTA IVHalo 1-3Dead Space
What is Second Life?Second Life is persistent online world with: a multiuser, international community completely built and owned by the residents who keep all IPOpen source scripting languageFictional analogs are Stephensons Metaverse from Snow Crash or Vinges Otherverse from True Names
property rightsIn Second Life, residents own their creationsWhat does this mean?Residents retain their Intellectual Property rights to their creationsResidents may buy and sell L$ for real world $Residents may license their creations back into the real world
Emotional ConnectionsIncrease emotional bandwidthUse real-world social cues and proxemicsCreate (not merely customize) your visual identityAnimations and sounds add more depth
Mainstream Health ActivitiesHealth Info Island
Ann Myers Medical Center
The CDC
Second Health
Virtual Hallucinations
Play2Train
Palomar West/Cisco
Immersive Learning
Simulation
First responder exercises
DemonstrationsTherapeutic Intervention
Communities of support-Aspergers Syndrome-Stroke Survivors-Healing depression-Cerebral Palsy-Children with cancer
Cognitive StimulationPrograms may improve function in: MCI and AlzheimersStrokePsychiatric disorders (Schizophrenia)
User-generated InterventionsStroke survivors on Dreams IslandEmotional supportequality, physical disabilities minimizedPhysical and cognitive challenges to improve recovery
Speed Builds
Relaxation Response Coined by Herbert BensonActual physiological state, with changes in biochemistry and even gene regulationBest thought of as opposite of flight or fight responseInduced by MANY kinds of techniques
Collaboration: Center for Connected Health Benson Henry Institute for Mind Body Medicine MGH Department of Neurology
DesignPilot study of 2-3 groups of healthy volunteers talked to elicit the relaxation response in SLTarget N=20-40Recruitment from the greater Boston areaExclusion criteria:Unable to travel to attend 2 face-to-face meetings at MGH Unfamiliar with SLserious psychopathology
Methods-enrollment and assessmentFace-to-face visit before and after 8-week virtual programEliminated the problem of virtual consent and virtual survey instrumentsBasic demographic questionnaires, Perceived Stress Scale, SCL-90 R, QOL-10, SF-12Weekly, adherence questionnaires
Method- Virtual ConsentRecruitment of present users of SL via in world and real world ads, as well as word of mouthFace to face consent had to be obtainedValidated measures had to be filled out in face to face meetings before and after the 8 week programExpedited IRB
Method- Team CoordinationBi-Weekly meetingsShare our domains of knowledgeGreater usabilityAuthenticity of clinical practiceExplore the capability of the technology Maintained end-user perspectiveAcclimated team to virtual environmentFeedback on the real-world program translation
Method- Application of TechWe did not want to overly develop the environment with the technologyProviding a preconceived notion of a self-initiated practiceThe imagination stays switched onOnly material that would have played a role during the face-to-face session
Method- Encouraging exchangeUsing the Environment as a toolParticipants were granted creation privileges 24/7 access promoted the idea that the virtual space was a resource itselfGroup text-chat acknowledged as form of legitimate communication
Open Source - Animation Avimator .bvh Animation EditorAvimator (originally by Vinay Pulim / Vince Invincible)QAvimator (early alpha stage)
Open Source - Scripting
Tour of the space:
HUD
Imbedded information Gong survey

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Hoch-Mind Body intervention in SL

  • 1. Group Training Sessions for Relaxation Response Techniques in Virtual WorldVirtual Worlds Day Games For Health June 10th, 2009Dan Hoch Massachusetts General Hospital BostonDeborah Linton Center for Connected Health Partners HealthCare
  • 2. Group Training Sessions for Relaxation Response Techniques in Virtual WorldDan Hoch, Massachusetts General Hospital, BostonDeb Linton, Partners Healthcare Center for Connected HealthVirtual Worlds DayGames for Health, 2009
  • 4. What is Second Life?Second Life is persistent online world with: a multiuser, international community completely built and owned by the residents who keep all IPOpen source scripting languageFictional analogs are Stephensons Metaverse from Snow Crash or Vinges Otherverse from True Names
  • 5. property rightsIn Second Life, residents own their creationsWhat does this mean?Residents retain their Intellectual Property rights to their creationsResidents may buy and sell L$ for real world $Residents may license their creations back into the real world
  • 6. Emotional ConnectionsIncrease emotional bandwidthUse real-world social cues and proxemicsCreate (not merely customize) your visual identityAnimations and sounds add more depth
  • 18. Communities of support-Aspergers Syndrome-Stroke Survivors-Healing depression-Cerebral Palsy-Children with cancer
  • 19. Cognitive StimulationPrograms may improve function in: MCI and AlzheimersStrokePsychiatric disorders (Schizophrenia)
  • 20. User-generated InterventionsStroke survivors on Dreams IslandEmotional supportequality, physical disabilities minimizedPhysical and cognitive challenges to improve recovery
  • 22. Relaxation Response Coined by Herbert BensonActual physiological state, with changes in biochemistry and even gene regulationBest thought of as opposite of flight or fight responseInduced by MANY kinds of techniques
  • 23. Collaboration: Center for Connected Health Benson Henry Institute for Mind Body Medicine MGH Department of Neurology
  • 24. DesignPilot study of 2-3 groups of healthy volunteers talked to elicit the relaxation response in SLTarget N=20-40Recruitment from the greater Boston areaExclusion criteria:Unable to travel to attend 2 face-to-face meetings at MGH Unfamiliar with SLserious psychopathology
  • 25. Methods-enrollment and assessmentFace-to-face visit before and after 8-week virtual programEliminated the problem of virtual consent and virtual survey instrumentsBasic demographic questionnaires, Perceived Stress Scale, SCL-90 R, QOL-10, SF-12Weekly, adherence questionnaires
  • 26. Method- Virtual ConsentRecruitment of present users of SL via in world and real world ads, as well as word of mouthFace to face consent had to be obtainedValidated measures had to be filled out in face to face meetings before and after the 8 week programExpedited IRB
  • 27. Method- Team CoordinationBi-Weekly meetingsShare our domains of knowledgeGreater usabilityAuthenticity of clinical practiceExplore the capability of the technology Maintained end-user perspectiveAcclimated team to virtual environmentFeedback on the real-world program translation
  • 28. Method- Application of TechWe did not want to overly develop the environment with the technologyProviding a preconceived notion of a self-initiated practiceThe imagination stays switched onOnly material that would have played a role during the face-to-face session
  • 29. Method- Encouraging exchangeUsing the Environment as a toolParticipants were granted creation privileges 24/7 access promoted the idea that the virtual space was a resource itselfGroup text-chat acknowledged as form of legitimate communication
  • 30. Open Source - Animation Avimator .bvh Animation EditorAvimator (originally by Vinay Pulim / Vince Invincible)QAvimator (early alpha stage)
  • 31. Open Source - Scripting
  • 32. Tour of the space:
  • 33. HUD
  • 39. Yoga
  • 40. Crown
  • 41. Results-128 subjects took part in 3 separate groupsAttendance was good, but not perfectSome parts of the program/build worked better than others Users returned to the space on their own time
  • 42. Results-2 Before and after assessment showed a trend toward reduced stress, fewer medical symptoms, better quality of life and health statusGoal of estimating effect size of teaching RR in this environment was achieved
  • 43. ConclusionsA face to face health intervention can be adapted to a virtual world, with input from team on both sides of the looking glass. Effect may be close to that of face to face Experimental design and statistics need attention in this field, as in every other
  • 44. Acknowledgements Funding was granted by the Partners Information Services Research Council Special thanks for support and sage advice from:Dr. Joe KvedarDr. Herb BensonDr. Greg Fricchione
  • 45. Our Team The Center for Connected HealthHeather BelloDeb LintonMarco SenellyAlice WatsonThe Benson Henry Center for Mind-Body MedicinePeg BaimMariola MilikMegan FloretAlbert Yeung
  • 46. ThanksExample of poor avatar construction@dbhoch @ozone24

Editor's Notes

  • #2: Who I amWhy this research is significant What this presentation consists of