Tree: Reducing the use of restrictive practices on psychiatric wards through virtual reality immersive technology training  

作　　者：Peter Phiri Laura Pemberton Yang Liu Xiaojie Yang Joe Salmon Isabel Boulter Sana Sajid Jackie Clarke Andy McMillan Jian Qing Shi Gayathri Delanerolle 

机构地区：[1]Department of Research&Innovation,Southern Health National Health Service Foundation Trust,Southampton SO303JB,United Kingdom [2]Department of Statistics and Data Science,Southern University of Science and Technology,Shenzhen 518055,Guangdong Province,China [3]School of Statistics and Mathematics,Yunnan University of Finance and Economics,Kunming 650221,Yunnan Province,China [4]Virti Healthcare,Keynsham,Bristol BS311SN,United Kingdom [5]Neuromodulation Centre,Southern Health National Health Service Foundation Trust,Southampton SO140YG,United Kingdom [6]National Health Service Talking Therapies,Southern Health National Health Service Foundation Trust,Southampton SO509FH,United Kingdom

出　　处：《World Journal of Psychiatry》2024年第10期1521-1537,共17页世界精神病学杂志（英文）

摘　　要：BACKGROUND Restrictive practices(RPs)are defined by measures linked to physical and chemical restraints to reduce the movement or control behaviours during any emergency.Seclusion is an equal part of RPs intended to isolate and reduce the sensory stimulation to safeguard the patient and those within the vicinity.Using interventions by way of virtual reality(VR)could assist with reducing the need for RPs as it could help reduce anxiety or agitation by way of placing users into realistic and immersive environments.This could also aid staff to and change current RPs.AIM To assess the feasibility and effectiveness of using a VR platform to provide reduction in RP training.METHODS A randomised controlled feasibility study,accompanied by evaluations at 1 month and 6 months,was conducted within inpatient psychiatric wards at Southern Health National Health Service Foundation Trust,United Kingdom.Virti VR scenarios were used on VR headsets to provide training on reducing RPs in 3 inpatient psychiatric wards.Outcome measures included general self-efficacy scale,generalised anxiety disorder assessment 7(GAD-7),Burnout Assessment Tool 12,the Everyday Discrimination Scale,and the Compassionate Engagement and Action Scale.RESULTS Findings revealed statistically significant differences between the VR and treatment as usual groups,in the Everyday Discrimination Scale items Q8 and Q9:P=0.023 and P=0.040 respectively,indicating higher levels of perceived discrimination in the VR group.There were no significant differences between groups in terms of general self-efficacy,generalised anxiety disorder assessment 9,and Burnout Assessment Tool 12 scores.A significant difference was observed within the VR group for compassionate engagement from others(P=0.005)over time.Most respondents recorded System Usability Scale scores above 70,with an average score of 71.79.There was a significant reduction in rates of RPs in the VR group vs treatment as usual group with a fluctuating variability observed in the VR group likely due to external fa

关 键 词：Virtual reality Restrictive practices Inpatient wards Restraint Isolation Rapid tranquilisation Covert medication Procedural restrictions Health professions training 

分 类 号：R749[医药卫生—神经病学与精神病学]