Evidence map›Paper›PMID 37058343›Full record

ArticleJournal of medical Internet research2023

Characterizing Consumer Smartphone Apps for Virtual Reality-Based Exposure Therapy: Content Analysis.

Charvi Sunkara, Rajvi Thakkar, Triton Ong, Brian E Bunnell

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

4 authors at 1 institution in 1 country.

Charvi SunkaraPsychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.ORCID 0000-0002-2216-3981
Rajvi ThakkarPsychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.ORCID 0009-0003-2375-5078
Triton OngDoxy.me Research, Doxy.me Inc, Rochester, NY, United States.ORCID 0000-0002-2512-2026
Brian E BunnellPsychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.ORCID 0000-0002-4964-0688
University of South Florida · US

Funding

Doxy.me VR: A scalable virtual reality app to facilitate evidence-based immersive telemental healthR44MH129065 · NIMH · DOXY.ME, LLC · PI Brian E. Bunnell, Triton Ong · 2025 to 2026
$1.4M
Developing a virtual reality clinic to enhance telemental health.R43MH129065 · NIMH · DOXY.ME, LLC · PI BUNNELL, BRIAN E., ONG, TRITON · 2022 to 2023
$861k
Improving adherence to evidence-based practice using an innovative and easy-to-use health IT solutionR41MH126734 · NIMH · ADHERE.LY, LLC · PI BUNNELL, BRIAN E. · 2021 to 2022
$837k
PRACTICE: A Mobile Health Solution to Improve Between-Session Skills Practice in Youth Mental Health TreatmentK23MH118482 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI BUNNELL, BRIAN E. · 2018 to 2021
$621k
NIMH NIH HHS K23 MH118482NIMH NIH HHS R41 MH126734NIMH NIH HHS R43 MH129065NIMH NIH HHS R44 MH129065
6 · The paper itself

Abstract

backgroundIn vivo exposure therapy is the most effective treatment for phobias but is often impractical. Virtual reality exposure therapy (VRET) can help overcome critical barriers to in vivo exposure therapy. However, accessible mobile software related to VRET is not well understood.

objectiveThe purpose of our study is to describe the landscape of accessible smartphone apps with potential utility for clinical VRET.

methodsWe conducted a content analysis of publicly available smartphone apps related to virtual reality on the Google Play Store and the Apple App Store as of March 2020.

resultsThe initial search yielded 525 apps, with 84 apps (52 on the Google Play Store and 32 on the Apple App Store) included for analysis. The most common phobic stimulus depicted was bodies of water or weather events (25/84, 29.8%), followed by heights (24/84, 28.6%), and animals (23/84, 27.4%). More than half of the apps were visually abstract (39/84, 53.5%). Most apps were free to use (48/84, 57.1%), while the rest were free to try (22/84, 26.2%) or required payment for use (14/84, 16.7%), with the highest cost for use being US $6. The average overall app rating was 2.9 stars out of 5, but the number of ratings ranged from 0 to 49,233. None of the 84 apps advertised compliance with the Health Insurance Portability and Accountability Act, offered the ability to monitor data, provided clinician control over variables in the app experiences, or explicitly stated use by or development with clinicians.

conclusionsNone of the smartphone apps reviewed were explicitly developed for phobia therapy. However, 16 of the 84 included apps were considered ideal candidates to investigate further as part of treatment due to their accessibility, depiction of phobia-relevant stimuli, low or no cost, and high user scores. Most of these apps were visually abstract and free to use, making them accessible and potentially flexible as part of clinical exposure hierarchies. However, none of the apps were designed for clinical use, nor did they provide tools for clinician workflows. Formal evaluation of these accessible smartphone apps is needed to understand the clinical potential of accessible VRET solutions.

Indexed as

Implosive TherapyMobile ApplicationsVirtual Reality Exposure TherapyHumansSelf CareSmartphoneTreatment Outcomeappsclinical evaluationconsumer appscontent analysisexposure therapymHealth appsmobile phone appsphobiasmartphone appssmartphonestreatmentvirtual realityVR

Identifiers

PMID37058343
PMCPMC10148210
OpenAlexW4327524099

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.