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FEAR FIGHTERS Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN Virtual Reality Medical Institute

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Speaker at Games for Health Europe Conference 2014

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Page 1: Games For Health - Brenda Wiederhold - Designing Apps to Empower Kids

FEAR FIGHTERS

Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN

Virtual Reality Medical Institute

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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

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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

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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:

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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

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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

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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

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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.

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Common Childhood Phobias

Strangers

Separation anxiety

Monsters/ghosts

Natural disasters

Thunder/lightning

Animals (ex. Dogs)

Loud noises

Darkness

School

Injury

Needles

Death

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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

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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.

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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

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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

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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.

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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.

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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:

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FEAR FIGHTERS APP

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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

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Fear Fighters App

Small screen virtual environments can be just as immersive as large screen virtual

environments

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Story Board

Lily Mateo

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Research has found no difference between using first-person or third-person avatars to feel present in virtual-reality environments

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Merchandise

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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 [email protected]

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

[email protected]