@article{stassart_impact_2024,

title = {Impact of Virtual Reality-Delivered Biofeedback and Yoga on Pediatric Headaches: A Pilot Study},

author = {C. Stassart and G. Dupuis and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85195584438&doi=10.1037%2fcpp0000521&partnerID=40&md5=292accc02c49dd8e5f1689bde694ce32},

doi = {10.1037/cpp0000521},

issn = {21694826 (ISSN)},

year  = {2024},

date = {2024-01-01},

journal = {Clinical Practice in Pediatric Psychology},

volume = {12},

number = {2},

pages = {157–269},

abstract = {Objectives: This study assessed the feasibility and acceptability of two types of innovative approaches, namely biofeedback-assisted relaxation in virtual reality ([VR]-delivered bio feedback) and yoga in the management of pediatric headaches. The secondary aim was to evaluate the preliminary efficacy of both interventions. Method: Children were randomized to three conditions: waiting list, yoga, and VR-delivered biofeedback. Feasibility was assessed by applicability to the pain problem, and acceptability by attendance (missed ses sions, dropout rate) and the use of learned strategies in everyday life. Preliminary efficacy wasevaluatedwithquestionnaires: frequencyofheadaches, functional disabilities,pain anx iety, and pain catastrophizing. Meanscale scores postintervention and two months afterward were compared with the baseline with repeated-measures analyses of variance and contrast analyses. Results: A total of 46 children were enrolled; 39 completed the questionnaires at the baseline and participated in interventions. Regarding feasibility, the safety of the inter ventions seems demonstrated by the absence or infrequency of headaches during sessions. Regarding acceptability, compliance with the sessions was excellent for VR-delivered bio feedback condition and satisfactory for yoga. Most of the children reported using the strat egies learned in daily life, even after the interventions. Regarding efficacy, participants reported significantly fewer headaches and functional disabilities postintervention and 2 months later. Minimal or noeffects were observed onpain anxietyandpain catastrophizing. Conclusion: This pilot study indicates that VR-delivered biofeedback and yoga exercises may be feasible and acceptable interventions for the treatment of pediatric headaches. © 2024 American Psychological Association},

note = {Publisher: American Psychological Association},

keywords = {Biofeedback, pediatric headaches, virtual reality, yoga},

pubstate = {published},

tppubtype = {article}

}

@article{seon_virtual_2023,

title = {A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial},

author = {Q. Seon and N. Mady and M. Yang and M. Karia and M. Lashley and C. Sescu and M. Lalonde and S. Puskas and J. Outerbridge and E. Parent-Racine and C. Pagiatakis and L. Gomez-Cardona and D. Jiang and S. Bouchard and O. Linnaranta},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85162096695&doi=10.2196%2f40236&partnerID=40&md5=81cbdc49f182df3c2a0062b0de21e496},

doi = {10.2196/40236},

issn = {19290748 (ISSN)},

year  = {2023},

date = {2023-01-01},

journal = {JMIR Research Protocols},

volume = {12},

abstract = {Background: Emotion regulation is an ability related to psychological well-being; when dysregulated, individuals may have psychiatric symptoms and maladapted physiological responses. Virtual reality-assisted cognitive behavioral therapy (VR-CBT) is an effective psychotherapy to target and strengthen emotion regulation; however, it currently lacks cultural sensitivity and can be improved by adapting it to the cultural context of service users. During previous participatory research, we co-designed a culturally adapted cognitive behavioral therapy (CBT) manual and 2 virtual reality (VR) environments to function as a complement to therapy (VR-CBT) for Inuit who would like to access psychotherapy. Emotion regulation skill building will occur in virtual environments that have interactive components such as heart rate biofeedback. Objective: We describe a protocol for a proof-of-concept 2-arm randomized controlled trial (RCT) with Inuit (n=40) in Québec. The primary aims of this research are to investigate the feasibility, benefits, and challenges of the culturally adapted VR-CBT intervention versus an established VR self-management that is available commercially. We will also investigate self-rated mental well-being and objective psychophysiological measures. Finally, we will use proof-of-concept data to identify suitable primary outcome measures, conduct power calculations in a larger trial for efficacy, and collect information about preferences for on-site or at-home treatment. Methods: Trial participants will be randomly assigned to an active condition or active control condition in a 1:1 ratio. Inuit aged 14 to 60 years will receive a culturally adapted and therapist-guided VR-CBT with biofeedback or a VR relaxation program with nonpersonalized guided components over a 10-week period. We will collect pre- and posttreatment measures of emotion regulation and biweekly assessments over the treatment and at 3-month follow-up. The primary outcome will be measured by the Difficulties in Emotion Regulation Scale (DERS-16) and a novel psychophysiological reactivity paradigm. Secondary measures include psychological symptoms and well-being via rating scales (eg, anxiety or depressive symptoms). Results: As this is the prospective registration of an RCT protocol, we do not yet report any results from the trial. Funding was confirmed in January 2020, and recruitment is expected to start in March 2023 and is set to finish in August 2025. The expected results are to be published in spring 2026. Conclusions: The proposed study responds to the community's desire for accessible and appropriate resources for psychological well-being, as it was developed in active collaboration with the Inuit community in Québec. We will test feasibility and acceptance by comparing a culturally adapted, on-site psychotherapy with a commercial self-management program while incorporating novel technology and measurement in the area of Indigenous health. We also aim to fulfill the needs for RCT evidence of culturally adapted psychotherapies that are lacking in Canada. © Quinta Seon, Noor Mady, Michelle Yang, Maharshee Karia, Myrna Lashley, Claudia Sescu, Maud Lalonde, Stephen Puskas, Joy Outerbridge, Echo Parent-Racine, Catherine Pagiatakis, Liliana Gomez-Cardona, Di Jiang, Stéphane Bouchard, Outi Linnaranta. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 24.05.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.},

note = {Publisher: JMIR Publications Inc.},

keywords = {Biofeedback, co-design, cognitive behavioral therapy, cultural adaptation, emotion regulation, Indigenous, Inuit health, randomized controlled trial, virtual reality},

pubstate = {published},

tppubtype = {article}

}

@article{tremblay_development_2013,

title = {The development of a haptic virtual reality environment to study body image and affect},

author = {L. Tremblay and S. Bouchard and B. Chebbi and L. Wei and J. Monthuy-Blanc and D. Boulanger},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894231106&partnerID=40&md5=79731f3a31e9e70fcf3bf8f5db1f7d7c},

issn = {15548716},

year  = {2013},

date = {2013-01-01},

journal = {Annual Review of CyberTherapy and Telemedicine},

volume = {11},

pages = {80–84},

abstract = {We report the results of a preliminary study testing the effect of participants’ mood rating on visual motor performance using a haptic device to manipulate a cartoonish human body. Our results suggest that moods involving high arousal (e.g. happiness) produce larger movements whereas mood involving low arousal (e.g. sadness) produce slower speed of performance. Our results are used for the development of a new haptic virtual reality application that we briefly present here. This application is intended to create a more interactive and motivational environment to treat body image issues and for emotional communication. © 2013 Interactive Media Institute.},

note = {Publisher: Virtual reality med institute},

keywords = {Affect, Arousal, art, article, Biofeedback, body image, computer interface, Emotional communications, female, happiness, Haptic devices, Haptics, human, Human bodies, human experiment, Humans, male, methodology, Mood, motor performance, physiology, psychological aspect, psychology, Psychomotor Performance, Psychophysiology, sadness, Touch, User-Computer Interface, velocity, virtual reality, Virtual-reality environment, Young Adult},

pubstate = {published},

tppubtype = {article}

}

@article{bouchard_using_2012,

title = {Using biofeedback while immersed in a stressful videogame increases the effectiveness of stress management skills in soldiers},

author = {S. Bouchard and F. Bernier and E. Boivin and B. Morin and G. Robillard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860485827&doi=10.1371%2fjournal.pone.0036169&partnerID=40&md5=4b29a984169d2fe12d54f4c562344723},

doi = {10.1371/journal.pone.0036169},

issn = {19326203},

year  = {2012},

date = {2012-01-01},

journal = {PLoS ONE},

volume = {7},

number = {4},

abstract = {This study assessed the efficacy of using visual and auditory biofeedback while immersed in a tridimensional videogame to practice a stress management skill (tactical breathing). All 41 participants were soldiers who had previously received basic stress management training and first aid training in combat. On the first day, they received a 15-minute refresher briefing and were randomly assigned to either: (a) no additional stress management training (SMT) for three days, or (b) 30-minute sessions (one per day for three days) of biofeedback-assisted SMT while immersed in a horror/first-person shooter game. The training was performed in a dark and enclosed environment using a 50-inch television with active stereoscopic display and loudspeakers. On the last day, all participants underwent a live simulated ambush with an improvised explosive device, where they had to provide first aid to a wounded soldier. Stress levels were measured with salivary cortisol collected when waking-up, before and after the live simulation. Stress was also measured with heart rate at baseline, during an apprehension phase, and during the live simulation. Repeated-measure ANOVAs and ANCOVAs confirmed that practicing SMT was effective in reducing stress. Results are discussed in terms of the advantages of the proposed program for military personnel and the need to practice SMT. © 2012 Bouchard et al.},

keywords = {adult, Arousal, article, Biofeedback, clinical trial, controlled clinical trial, controlled study, explosion, feedback system, first aid, Heart Rate, human, human experiment, Humans, Hydrocortisone, male, mental stress, metabolism, methodology, Military Personnel, military phenomena, normal human, pathophysiology, Psychological, psychological aspect, psychology, Psychophysiology, randomized controlled trial, recreation, Saliva, saliva level, simulation, soldier, Stress, Stress management, Video Games},

pubstate = {published},

tppubtype = {article}

}