rashid kashani virtual worlds and future of medicine november 3 2016
TRANSCRIPT
Virtual Worlds and the Future of Medicine
Rashid Kashani, BA, BSc, BScOT, MScOT(C)Occupational Therapist / PhD Candidate
Outline• What are Virtual
Worlds (VW s)?• Current clinical uses,
studies• Why use a VW at all?• Demonstration,
further examples• Current research in
development – client and student focused
What Many Think When Hearing the Term “Virtual Worlds”…
So What are Virtual Worlds?• A virtual world is an interactive simulated environment
accessed by multiple users through an online interface. • There are many different types of virtual worlds, however
there are six features all of them have in common:
• Shared Space • Graphical User Interface• Immediacy • Interactivity• Persistence • Socialization/Community• Education in Second Life
Current Clinical Uses
Current Clinical Uses
Current Clinical Uses (VW)
• Few example– amputees, weight management, numerous psych, pt engagement, HC professional training….
Limitations and BarriersPerceived:• Cost• Too hard to use• Real is better than virtual
Real:• Habits• Learning of some new
skills required• Sometimes real is better
than virtual (but sometimes it’s the other way around too!)
• Need for further research, infancy of technology
So why use VWs at all?• Interactivity• Safety• Training costs• Immersion• Shift in type of
learning/experiences• The 3D Web is
coming – remember what happened when…
Demonstrations
Jefferson Occupational Therapy in Second Life®UPDATE
Virtual Nursing Education in Second Life
Others….
Current Research in Development – Student / Learner Focused
Occupational Therapists’ Expectations of a Virtual World Program for Client EducationRashid Kashani, University of Plymouth, Dr. Ray Jones, Professor, University of Plymouth, Dr. Anne Roberts, Associate
Professor, University of Plymouth and Dr. Maged NK Boulos, Associate Professor, University of Plymouth
Abstract Introduction Methods Results DiscussionDuring preliminary research for a pilot randomized control trial (RCT), Occupational Therapists (OTs) provided expert input via qualitative interviews.
This study will culminate in a pilot RCT for a current PhD study at the University of Plymouth. This stage is the development of VW content.
Once ethics approval was obtained, 5 of 6 expert OTs identified agreed to participate.
Information on expected content was substantial , consistent & informative regarding JP & RA.
Interviews provided the basis for multiple stations on a VW platform aimed at teaching JP for RA management (depicted below), primarily around key principles of JP and specific activities
The objective was to determine the content OTs expect of a Virtual World (VW) program designed to teach clients living with rheumatoid arthritis (RA) about joint protection (JP)
What is described here are the preliminary stages of this study: qualitative interviewing & thematic analysis of clinician interviews about this technology.
Transcription of interviews was followed by coding with nVivo software & thematic analysis at saturation; member checks were also used.
Thematic analysis indicates OTs working in rheumatology may experience role strain, not use outcome measures and require further education about online safety.
As this may be a clinically & cost effective means of delivering educational material, what first must occur is the development of appropriate content with expert input. Input from both clinician & client experts, will provide the foundation for a future pilot RCT.
ConclusionThe intent of this part of the study was to get expert input in developing the content of a VW program for JP and RA. Some results indicate there may be a need to further educate OTs about the new social web and they may need an introductory module in learning to use a VW program for client teaching. Guidelines and recommendations for more commonly used forms of the new social web are being developed to better educate occupational therapists given publicized issues with online privacy and safety [1].
References[1]R. Kashani, S. Burwash, and A. Hamilton, To be or not to be on Facebook: That is the question, Occupational Therapy Now 12(6) (2010), 19-22.
Managing homeproductivity & Leisure
Wanted: Occupational Therapists to Apply Their Skill to Virtual Occupations, Please Apply in-WorldAuthors: RM Kashani, R Jones, AEK Roberts, MKN Boulos, Plymouth University
Internet based Virtual world (VW) programs have expanded rapidly in number and membership over the past decade. Registered populations of online communities of Second Life® and Blue Mars® are presently greater than North America and Europe combined (KZero, 2010). Estimates suggest 2 billion people will be using VWs by 2013. Individuals may access VWs for entertainment, socialization, paid employment or curiosity. Occupations occurring in VWs mirror real world ones, having meaning, providing opportunities for achievement, social connectedness, fun, just right challenges and may combat occupational deprivation.
As Occupational Therapists (OTs) are in a position to facilitate engagement in occupations, they are in a strong position to participate in development and use of VWs and virtual occupations. OTs have opportunities to contribute to the science of virtual occupations including facilitation of client participation in virtual occupations and as a therapeutic modality. Examples from the authors' current research and work with OT students describe virtual occupations linking to practice. Examples include students participating in virtual building, students depicting a client story via allegory, clients discovering new means of addressing occupational deprivation and as a potential means of providing self-management education for clients living with rheumatoid arthritis.
Kzero (2010) Virtual Worlds 2011+. Downloaded from: www.kzero.co.uk/order-reports.phpImage: Mercury New Media (2010). Downloaded from: www.mercurynewmedia.com/What/Content-Management
Students building for assistive technology project –for partial credit in a module on assistive technology OT students were required to produce a model of the final product. After seeing research another instructor was engaged in, some elected to use this media instead of basic diagrams or other mainstream means, such as PowerPoint
Students presenting a client’s narrative – for partial credit in mental health course OT students used a VW to tell a client story as allegory. The client became engaged in the VW as a meaningful occupation after seeing the final presentation and the various activities his avatar could engage in, including building, exploring and socializing
Researching education and self-management of rheumatoid arthritis – as part of a current PhD study in progress a VW educational area themed around joint protection and rheumatoid arthritis is being developed based on input from clients and OTs. Qualitative interviews are being used to develop the program content. A pilot RCT is underway for the final phase of this study which will determine the feasibility of a full RCT, and potentially, clinical efficacy
Occupational engagement for student using a new media / teaching tool with a high level of flexibility
Unexpected benefit to client, reduced occupational deprivation
Flexible and testable opportunities to explore person/environment/occupation fit
Podium presentation from Northern Alberta Institute of Technology (NAIT) SIMFEST Conference, May 2012.
Technology-Enhanced Simulation stream (Podium 1) presentation. Video recording of presentations for Podium 1 stream is at: http://www.nait.ca/83074.htm, presentation starts at 20:20. Authors: Kashani R, Jones R, Roberts AEK and Boulos MNK.
Current Research in Development – Client / Patient Focused
Current Research in Development – Client / Patient Focused
http://www.screencast.com/t/JCRYqAyN2
