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Toward Virtual Stress Inoculation Training of Prehospital Healthcare Personnel: A Stress-Inducing Environment Design and Investigation of an Emotional Connection Factor

机译:面向院前医护人员的虚拟压力接种培训:压力诱导环境设计和情感联系因素调查

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Prehospital emergency healthcare personnel are responsible for finding, rescuing, and taking prehospital care of emergency patients. They are regularly exposed to stressful and traumatic lifesaving situations. The stress involved can impact their performance and can cause mental disorders in the long term. Stress inoculation training (SIT) inoculates individuals to potential stressors by letting them practice stress-coping skills in a controlled environment. Our work explores a story-driven stressful virtual environment design that can potentially be used for SIT in the new context of emergency healthcare personnel. Users role-play a first-time emergency worker on a rescue mission. The interactive storytelling is designed to engage users and elicit strong emotional responses, and follows the three-act structure commonly found in films and video games. To understand the stress-inducing and sense of presence qualities of our approach including the previously untested impact of an emotional connection factor, we conduct a between-subjects experiment involving 60 subjects. Results show that the approach successfully induces stress by increasing heart rate, galvanic skin response, and subjective stress rating. Questionnaire results indicate positive presence. One subject group engages in an initial friendly conversation with a virtual co-worker to establish an emotional connection. Another group includes no such conversation. The group with the emotional connection shows higher physiological stress levels and more occurrences of subject behaviors reflecting presence. Medical experts review our approach and suggest several applications that can benefit from its stress inducing ability.
机译:院前急诊医疗人员负责发现,抢救和照顾急诊患者的院前护理。他们经常遭受压力和创伤性的救生情况。从长远来看,所涉及的压力会影响他们的表现并可能导致精神障碍。压力接种训练(SIT)通过让个人在受控环境中练习压力应对技能,从而使他们接种潜在的压力源。我们的工作探索了一个故事驱动的压力虚拟环境设计,可以在紧急医疗人员的新环境下将其用于SIT。用户在救援任务中扮演新的应急人员的角色。交互式讲故事旨在吸引用户并引起强烈的情感反响,并遵循电影和视频游戏中常见的三幕式结构。为了了解我们方法的压力诱发感和存在感,包括以前未经测试的情感联系因素的影响,我们进行了一项涉及60名受试者的受试者间实验。结果表明,该方法通过增加心率,皮肤电反应和主观压力等级而成功地诱发了压力。问卷调查结果表明存在阳性。一个主题小组与虚拟同事进行了初步的友好对话,建立了情感上的联系。另一组不包含此类对话。具有情感联系的组显示出较高的生理压力水平,并更多地出现了反映存在的受试者行为。医学专家回顾了我们的方法,并提出了一些可以从其压力诱导能力中受益的应用。

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