Evidence map›Paper›PMID 35819834›Full record

ArticleJMIR human factors2022

The Redesign and Validation of Multimodal Motion-Assisted Memory Desensitization and Reconsolidation Hardware and Software: Mixed Methods, Modified Delphi-Based Validation Study.

Chelsea Jones, Lorraine Smith-MacDonald, Matthew R G Brown, Jacob VanDehy, Rasmus Grunnet-Jepsen, Vrajeshri P Ordek, Sarah Kruger, Anne Ayres Gerhart, Nancy van Veelen, Mirjam J Nijdam and 6 more

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 3 countries.

Chelsea JonesLeiden University Medical Center, Leiden University, Leiden, Netherlands.ORCID https://orcid.org/0000-0001-7713-4099
Lorraine Smith-MacDonaldHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0003-3712-0674
Matthew R G BrownHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-8448-3710
Jacob VanDehyDepartment of Warfighter Performance, Naval Health Research Center, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-2471-0528
Rasmus Grunnet-JepsenDepartment of Warfighter Performance, Naval Health Research Center, San Diego, CA, United States.ORCID https://orcid.org/0000-0001-5614-604X
Vrajeshri P OrdekDepartment of Warfighter Performance, Naval Health Research Center, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-4398-484X
Sarah KrugerNational Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, United States.ORCID https://orcid.org/0000-0003-4366-8505
Anne Ayres GerhartDepartment of Warfighter Performance, Naval Health Research Center, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-1590-497X
Nancy van VeelenLeiden University Medical Center, Leiden University, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-3558-8065
Mirjam J NijdamARQ National Psychotrauma Center, Diemen, Netherlands.ORCID https://orcid.org/0000-0002-0458-9567
Lisa BurbackHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0001-9591-4355
Bo CaoDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0001-9338-3271
Michael J RoyDepartment of Medicine and Center for Neuroscience and Regenerative Medicine, Uniformed Services University, Bethesda, MD, United States.ORCID https://orcid.org/0000-0001-6727-774X
Pinata SessomsDepartment of Warfighter Performance, Naval Health Research Center, San Diego, CA, United States.ORCID https://orcid.org/0000-0002-6960-0659
Eric VermettenLeiden University Medical Center, Leiden University, Leiden, Netherlands.ORCID https://orcid.org/0000-0003-0579-4404
Suzette Brémault-PhillipsHeroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0003-4167-1815
University of Alberta · CALeidos (United States) · USAlberta Health Services · CALeiden University Medical Center · NLNaval Health Research Center · USArq Psychotrauma Expert Group · NLUniformed Services University of the Health Sciences · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the delivery of evidence-based therapies targeting posttraumatic stress disorder (PTSD) has been the focus of the Departments of Defense in countries such as Canada, the Netherlands, and the United States. More than 66% of military members continue to experience symptoms of PTSD that significantly impact their daily functioning and quality of life after completing evidence-based treatments. Innovative, engaging, and effective treatments for PTSD are needed. Multimodal motion-assisted memory desensitization and reconsolidation (3MDR) is an exposure-based, virtual reality-supported therapy used to treat military members and veterans with treatment-resistant PTSD. Given the demonstrated efficacy of 3MDR in recently published randomized control trials, there is both an interest in and a need to adapt the intervention to other populations affected by trauma and to improve accessibility to the treatment.

objectiveWe aimed to further innovate, develop, and validate new and existing hardware and software components of 3MDR to enhance its mobility, accessibility, feasibility, and applicability to other populations affected by trauma, including public safety personnel (PSP), via international collaboration.

methodsThis study used a modified Delphi expert consultation method and mixed methods quasi-experimental validation with the purpose of software validation among PSP (first responders, health care providers) participants (N=35). A team of international experts from the Netherlands, the United States, and Canada met on the web on a weekly basis since September 2020 to discuss the adoption of 3MDR in real-world contexts, hardware and software development, and software validation. The evolution of 3MDR hardware and software was undertaken followed by a mixed methods software validation study with triangulation of results to inform the further development of 3MDR.

resultsThis study resulted in the identification, description, and evolution of hardware and software components and the development of new 3MDR software. Within the software validation, PSP participants widely acknowledged that the newly developed 3MDR software would be applicable and feasible for PSP affected by trauma within their professions. The key themes that emerged from the thematic analysis among the PSP included the desire for occupationally tailored environments, individually tailored immersion, and the applicability of 3MDR beyond military populations.

conclusionsWithin the modified Delphi consultation and software validation study, support for 3MDR as an intervention was communicated. PSP participants perceived that 3MDR was relevant for populations affected by trauma beyond military members and veterans. The resulting hardware and software evolution addressed the recommendations and themes that arose from PSP participants. 3MDR is a novel, structured, exposure-based, virtual reality-supported therapy that is currently used to treat military members and veterans with PTSD. Going forward, it is necessary to innovate and adapt 3MDR, as well as other trauma interventions, to increase effectiveness, accessibility, cost-effectiveness, and efficacy among other populations affected by trauma.

Indexed as

3MDRmilitarymobile phonemultimodal motion-assisted memory desensitization and reconsolidationparticipantspatientstherapistsvirtual reality

Identifiers

PMID35819834
PMCPMC9328788
OpenAlexW4285042064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.