Author: Brenda Wiederhold

From Generation to Generation

the 17th annual International CyberPsychology and CyberTherapy Conference (CYBER17) convened in Brussels, Belgium on the 25-28th September 2012. With speechs from keynote speakers such as Robert Madelin, Director General  of  the Communications Networks, Content and Technology Directorate General (DG-CONNECT)  at  the  European  Commission (EC), stakeholders from over 20 countries were in attendance, including industry  leaders,  academics, clinicians, government funders and representatives from affiliated associations.

The aim of the conference was twofold: to inform and educate on how advanced technologies, such as virtual reality, are being used in training, therapy  and rehabilitation;  and how interactive  technologies  and social networking tools are affecting individual behaviour (both positively and negatively), as well as interpersonal relationships and society in its entirety. An interactive exhibit area, the Cyberarium, allowed participants to try first-hand the innovative technological solutions.

Last  year,  the  European  Council  endorsed the  EC’s creation of an Innovation Partnership on Healthy and Active Ageing, with the goal of adding two years of healthy life to citizens by 2020. In the US, the Centers for Disease Control and Prevention conduct activities helping older adults live long, productive  and independent  lives under the Healthy Ageing Programme.

While humanitarian reasons are the foundation for these programmes, the cost to society in their absence cannot be denied. As is true in Japan today, by 2030 more than 20% of the population of northern EC countries, Australia, Canada and the US will be over 65. In the US, about 80% of older adults have at least one chronic health condition, and such conditions can lead to the person’s inability to perform activities  of daily living (ADL) such as ‘bathing, dressing, eating, or moving around the house’.

Although information and communications technology (ICT) solutions  are only one part of the mix, a recent EC report confirmed that citizens view an ‘innovative way of care’ (a category that includes new ways to organise care, telecare and telehealth) as the most important part. Indeed, the author of a 2008 paper4 determined from a literature review and wireless technology experience that remote monitoring alone could ‘reduce healthcare expenditures by a net of $197bn (in constant 2008 dollars) over the next 25 years with adoption of policies  that reduce barriers and accelerate the use of  remote monitoring technologies’.

 

The full article is available here: From Generation to Generation – Dr._M.Baker_B.Wierderhold

From Clinical to Cloud

In September 2012, the 17th Annual CyberPsychology & CyberTherapy Conference (CYBER17) was held. With some of the restrictions to growth acknowledged as early as 2000, the International Association of
CyberPsychology, Training, & Rehabilitation (iACToR) community has become acutely aware of the need to transform itself to quicken the pace of progress. Suggestions made around that time period still remain and continued to be amongst the discussions at CYBER17. In 2000 perhaps these difficulties were acceptable; however, with a multitude of technological advancements, and 12 additional years of research funding, these deficiencies need no longer continue. One remaining stumbling block is the lack of interoperability: the applications and software content are available, but the infrastructure is still lacking to allow widespread deployment of these tools.
The need for an overall shift from institutional healthcare settings to everyday environments, and from treatment to a preventive approach based on new personalised healthcare technologies, is widely recognised and made available by the advancement of Information and Communication Technologies (ICT). The Strategic Approach for the EU for 2008-2013 stated that ‘health is the greatest wealth’ and that ‘health is important for the wellbeing of individuals and society, but a healthy population is also a prerequisite for economic productivity and prosperity’. The strategy of European healthcare envisions innovation coupled with new technologies as the solution to these problems.
A wide variety of health promotion/disease prevention (wellness) multimedia content has been tested and validated in pilot studies and clinical trials. In addition, virtual reality content for multiple disorders ranging from obesity to posttraumatic stress disorder to cognitive and physical rehabilitation has shown clear efficacy. The development cycle for these technologies involved a migration process beginning with first designing and developing the solutions on desktop platforms, with input from end-users, clinicians and technical design staff. Once pilot studies and randomised, controlled clinical trials were performed, then the technologies were ported to more mobile platforms. Now the challenge is to move from the current mobile devices to a cloud-based solution for even easier access and more widely distributed treatment solutions.
It is critical that a platform now be put in place to deploy these tools for  sidespread use by stakeholders who may benefit from them; in some cases, these stakeholders will be individual citizens, and in other cases, healthcare providers. In order for this to occur, however,  interoperability is essential. An infrastructure must be implemented that will allow applications to work without the necessity of the patient, trainee or clinician/researcher purchasing a separate peripheral device, specific computer or software package to run each app.
As Vice President for the Digital Agenda Neelie Kroes said in a September 2012 interview on the EU Commission’s strategy on cloud computing, good reasons to be in the cloud include interoperability, data portability and reversibility.1 After the interoperability hurdle has been surmounted by the adoption of cloud computing, the prices of apps can come down as development costs shrink. Secure protocols for transmission of patient data in the cloud are coming online. Therefore, the primary remaining barrier to adoption will be clinician training and patient education, in which the EU has the opportunity to play an important role.
The full article can be read here: From Clinical to Cloud – Dr_B.Wiederhold

EU “eHealth in Focus” Newspaper mentions Cyber18!

Direct Extract:
“From 30 June until 2 July 2013, the 18th Annual CyberPsychology & CyberTherapy Conference will take place. Topics include: electronic health coaching, using virtual reality in treatments (for example after hand surgery), the new EU research program Horizon 2020, virtual body swapping and advanced technologies in the assessment and evaluation of psychological stress.

CYBER18 has grown to a full-scale conference with presentations that demonstrate controlled clinical trials with unique applications of cutting edge technologies that improve the access and increase the quality of healthcare.

Prominent academic representatives from Europe, North America, and Asia will serve as Scientific Chairs and on its Scientific Committee.

Note in your agenda:

July 1 – Conference Day 1

Keynote Address: Robert Madelin (Director-General for DG CONNECT): “Cyber Everything in Horizon 2020”

July 2 – Conference Day 2

Innovations in Health and Well-Being – Chairs: Terje Peetso and Peteris Zilgalvis

“ICT to Prevent Citizens From Becoming Patients” – Peteris Zilgalvis (Head of Unit, ICT for Health and Wellbeing, DG CONNECT)

The EU funded INTERSTRESS Project: “Advanced Technologies in the Assessment and Evaluation of Psychological Stress” – Prof. Andrea Gaggioli, Istituto Auxologico Italiano, Italy

European Commission Funding Program: Francois Junique (Project Officer, DG CONNECT, Flagship unit) will present  “The Human Brain project” (HBP).

Find the full program of the conference here.”

 

Original link can be found here

Belgian Economic Mission to the United States

Brussels, Belgium (June 11, 2013) – The Virtual Reality Medical Institute (VRMI) was selected to participate in the recent Belgian Economic Mission to the United States, organized by the Belgian Foreign Trade Agency in collaboration with the regional institutions Wallonia Foreign Trade & Investment AgencyBrussels Invest & Export and Flanders Investment & Trade and FPS Foreign Affairs.  The event, held from June 2 to June 9, 2013,was presided over by Prince Philippe of Belgium, and consisted of 393 participants, bringing together companies from various business sectors to expand their influence to the U.S. and promote trade between Belgium and the U.S.

 

Virtual Reality Medical Institute (VRMI) uses simulation technologies in three main areas: 1) treating patients with stress, anxiety, and trauma, 2) training for military medical and civilian populations, and 3) enhancing medical educational programs. A Belgian corporation established in December 2006 with affiliates in the U.S. and China, VRMI principals are world leaders in applying VR technology in combination with physiological monitoring and feedback for training, therapy, and emerging applications. We are also focused on developing a comprehensive protocol to address an array of needs for military personnel and civilian first responders as well as emerging technologies for various security and intelligence operations. Having been involved in R&D projects in Europe, Asia, and the U.S. for the past 25 years, we have won over 50 competitive government contracts and look now towards marketing the developed products and protocols.

 

Representing VRMI on the mission were Prof. Dr. Brenda Wiederhold, President, and Prof. Dr. Mark Wiederhold, Director of Clinical Research.

Social Media is Shifting Power from Advertisers to Consumers

In a recent Forbes.com column,1 Shel Israel opined, ‘‘Social media is not yet a vast wasteland.. But in the world, where changes come at the speed of the Internet, I see danger here.’’

When television was in its infancy, some of its pioneers sought to share fine arts with viewers, but advertisers quickly drove the decision makers to offer low comedy and variety shows. When social media was in its infancy, companies at first talked about listening to their products’ consumers, but now they are talking ‘‘about making social media more transactional rather than conversational.’’

Still, consumers push back, driving advertising budgets and media buys through their social media behavior. By the 2013 Super Bowl, some predict that advertisers will change less liked versions of their TV commercials to different ver- sions later in the game—for the first time making real time changes in the commercial lineup. This is based on the esti- mated 5 million viewers who tweeted or otherwise com- mented on the commercials during the 2012 Super Bowl, for which ads cost an average of $3.5 million.2 With $72 billion in U.S. television ad spending at stake,3 the once fanciful notion of ‘‘interactive TV’’ is becoming reality.

TV is still the primary communications channel for mar- keters, representing a 41% share of major media advertising spending globally in 2011, up from 38% in 2001, when In- ternet advertising was new.4 Advertisers are learning to put their TV commercials online, and it is paying off. Online au- diences watched ads a record breaking 1.3 billion times in the first quarter of 2012, an increase of more than 40% compared to the same period in 2011 and more than 225% compared to the same period in 2010.5

Paying attention to the convergence of TV and social media is critically important to advertisers, as Americans spend 20% of their day watching TV—and many are simultaneously playing with their iPad or iPhone.3 Research shows that 71% of tablet owners go online while watching TV; the extra device will soon not be needed, as all TVs are expected to be connected to the Internet, with more than three fourths of global TV shipments in 2015 having this capability.6

Research is beginning to appear to help advertisers un- derstand these interactions. Hanna et al. describe the social media ‘‘ecosystem’’ of digital and traditional media in their 2011 article.7 Hess et al. explore the interplay of TV, PC, and mobile technologies in the German home.8 And research by Onishi and Manchanda concludes that new and traditional media in Japan act synergistically in terms of market out- comes, with this relationship stronger during the prelaunch versus the postlaunch period for a new product.9

Certainly, more research is needed. Companies such as Bluefin Labs are using analytics to find out how context affects ad ‘‘buzz,’’ while recognizing that some processes are still a mystery. One ad appeared on two shows with similar demographics and ratings, yet one show created eight more times the social-media buzz than the other. Moreover, not everything is controllable, as social media users are not representative of the general population, and 90% of people’s conversations about brands happen offline.3

Experts in this emerging field believe that the relationship between advertisers and consumers is undergoing a funda- mental change. As Bluefin CEO Deb Roy put it, ‘‘Audience members speaking through social media is effectively a shift in power.’’3 Advertisers seeking to put that relationship back on a one way footing through ‘‘shouting’’ in social media ignore this power shift at their peril.
References
1. Israel S. (2012) Will marketing muck up social media? www.forbes.com/sites/shelisrael/2012/07/05/will-marketing- muck-up-social-media/ (accessed Jul. 15, 2012).
2. Talbot D. (2012) Why viewers could soon control Super Bowl ads. www.technologyreview.com/printer_friendly_ article.aspx?id = 39590 (accessed Jul. 15, 2012).
3. Talbot D. (2011) A social-media decoder. New technology deciphers—and empowers—the millions who talk back to their television through the Web. www.technologyreview .com/printer_friendly_article.aspx?id = 38910 (accessed Jul. 29, 2012).
4. Green A. (2011) Understanding television audiences. Warc best practice. www.ipsos-mori.com/Assets/Docs/Publications/ Understanding%20Television%20Audiences,%20September% 202011.pdf (accessed Jul. 29, 2012).
5. Visible measures. Q1 2012 social video advertising report. www.iab.net/media/file/SocialVideoAdvertisingReportQ12012 .pdf (accessed Jul. 29, 2012).
6. Mane S, Thompson K. How does industry buzz translate into real world consumer activity? Early indicators of what this means for advertising. www.iab.net/media/file/IAB_ Breakfast_Briefing_with_Ipsos_How_Does_Industry_Buzz_ Translate_into_Real_World_Consumer_Activity.pdf (accessed Jul. 29, 2012).

7. Hanna R, Rohm A, Crittenden VL. We’re all connected: the power of the social media ecosystem. Business Horizons 2011; in press. doi:10.1016/j.bushor.2011.01.007
8. Hess J, Ley B, Ogonowski C, Wan L, Wulf V. Understanding and supporting cross-platform usage in the living room. En- tertainment Computing 2012; 3:37–47.
9. Onishi H, Manchanda P. Marketing activity, blogging and sales. International Journal of Research in Marketing 2012; in press. doi:10.1016/j.ijresmar.2011.11.003

 

Brenda K. Wiederhold

Editor-in-Chief

http://www.liebertpub.com/overview/cyberpsychology-behavior-and-social-networking/10

2012 Summer Editorial

Journal of CyberTherapy & Rehabilitation

Summer 2012, Volume 5, Issue 2

 

 EDITORIAL

Welcome to the Summer 2012 issue of the Journal of CyberTher- apy & Rehabilitation (JCR). As you know, JCR is one of the two official journals of the International Association of CyberPsychology, Training & Rehabilitation (iACToR). Now in its 17th year, the annual international CyberPsychology & CyberTherapy Conference (CYBER 17) is the official conference of iACToR. The CyberPsychology, Behavior, & Social Networking Journal (CYBER), CyberTherapy & Rehabilitation (C&R) Magazine, and JCR, form to create our Combined Communications Platform. The journals, conference, magazine, and association combine into one powerful platform to address previous information deficits in the utilization of advanced technologies in healthcare which strives to speak with a united voice to inform and educate stakeholders about the uses of technologies in healthcare, as well as how tech- nologies are impacting behavior and society.

This year the Interactive Media Institute, in collaboration with the Virtual Reality Medical Institute, is organizing the International Association of CyberPsychology, Training, & Rehabilitation’s (iACToR) 17th Annual CyberPsychology & CyberTherapy Con- ference (CYBER17), scheduled for September 25-28, 2012 at the European Parlimanet in Brussels.

The Annual CyberPsychology & CyberTherapy Conference began as a symposium that featured presentations dealing mostly with conceptual matters and future possibilities at the Medicine Meets Virtual Reality Conference. CYBER17 has now grown to a full- scale conference with presentations that demonstrate controlled clinical trials with unique applications of cutting edge technologies that improve the access and increase the quality of healthcare.

CYBER17’s focus areas include:
1. The Impact of Technologies as Tools
CYBER17 will continue its examination of the exciting applications of advanced technologies being used in training, therapy, rehabilitation, and education for the improvement of the quality and availability of healthcare for people around the globe.

2. The Influence of New Technologies
CYBER17 will further its investigation into how new technologies are influencing behavior and society through the use of positive technology, healthy ageing and well-being.

3. The Imprint of Social Networking
CYBER17 will embrace, as it did in 2011, the exploration of social networking tools on individual behavior and societal relations.

4. The Introduction of New Technologies and New Terms
CYBER17 will study the psychological aspects of new areas in- fluenced by technology such as cyberfashion, cyberadvertising and cyberstalking.

 

I would like to take this opportunity to thank all those who are helping to make this year’s conference possible through their tireless energy and drive this year’s Scientific Chairs, Professors Rosa Marie Baños, Willem-Paul Brinkman and Giuseppe Riva; Exhibit Chairs Professors Evangelos Bekiaris and Luciano Gamberini; Workshop Chair Professor Stéphane Bouchard; Cyberarium Chairs Professors Mariano Alcañiz and Andrea Gaggioli; and Website Chair Professor Sun Kim. Many thanks to the Scientific Committee, made up of prominent researchers from around the world, as well as all of the presenters and attendees. Finally, my gratitude to James Cullen, Emily Butcher, Tanisha Croad and Pierre Schifflers for overseeing the Conference Coordination, to Chelsie Boyd for editing related materials, and to the teams at Interactive Media Institute, Virtual Reality Medical Center, and Virtual Realty Medical Institute for their time and contributions to all facets of the conference.

To our sponsors and supporters, who continue to support our vi- sion and help make it a reality, a warm and heartfelt thank you – Brussels Capital Region, Engineering Systems Technologies GmbH & Co. KG, the European Commission, Hanyang Univer- sity, International Association of CyberPsychology, Training, & Rehabilitation (iACToR), Interactive Media Institute (IMI), INTERSTRESS, ISfTeH, Istituto Auxologico Italiano, Mary Ann Liebert, Inc. Publishers, National Institute on Drug Abuse (NIDA), Université du Québec en Outaouais (UQO), the Virtual Reality Medical Center (VRMC), the Virtual Reality Medical Institute (VRMI) and Visit Brussels. As integral parts of our Combined Communications Platform, the CyberPsychology & CyberTher- apy Conference Conference series will continue to work together with iACToR, JCR, and C&R to inform and educate industry, ac- ademia, and government officials and the general public on the explosive growth of advanced technologies for therapy, training, education, prevention and rehabilitation.

As in previous conferences, this year’s conference will be hosting an interactive exhibit area, the Cyberarium, which allows conference attendees and members of the press to try new technologies firsthand. To recognize outstanding achievements by students and new researchers, as well as lifetime achievement for a senior researcher, we will also be hosting awards during the conference and announcing the 2012-2013 iACToR officers during the General Assembly. Pre-conference workshops will focus on advanced topics including Brain Computer Interfaces, VR for cognitive assessment and rehabilitation and finally VR treatment manuals for clinical applications.
As we approach CYBER17 with excitement, we begin too to look toward next year’s conference, CyberPsychology & CyberTherapy 18, to be held in June 2013. Thank you again for your commitment to the evolution of healthcare!

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2012 Spring Editorial

Journal of CyberTherapy & Rehabilitation

Spring 2012, Volume 5, Issue 1

 

 AMBIENT ASSISTED LIVING: A CALL TO SPEED RESEARCH AND IMPLEMENTATION

As defined by the European Commission, ambient assisted living (AAL) “refers to intelligent systems of assistance for a better, healthier, and safer life in the preferred living environment and covers concepts, products, and services that interlink and improve new technologies and the social environment. It aims at enhancing the quality of life (the physical, mental, and social well-being) for everyone (with a focus on elder persons) in all stages of their life. AAL can help elder individuals to improve their quality of life, to stay healthier and to live longer, thus extending one’s active and creative participation in the community.” AAL relies on Ambient Intelligence (AmI) to ensure that devices are noninvasive or in- visible, personalized to the user’s needs, adaptive to the user and the environment, and anticipatory of the user’s wishes. Its roots are in assistive technologies for people with disabilities, and in accessibility requirements for interactive technologies (e.g., Section 508 Web site requirements in the U.S.).

The impetus for accelerated AAL research and implementation is our elders, who live longer and can remain in their homes longer with the assistance of technology, thereby preventing costly hospitalizations and nursing home admissions. The number of older people worldwide has tripled in the last 50 years, and will more than triple again in the next 50 years.

A recent literature review categorizes AAL into services that handle adverse conditions, assess health state, consult and educate, motivate and provide feedback, facilitate ordering of service, and promote social inclusion. AAL devices use sensors and actuators in the home environment to, for example, detect falls in elders or spikes in blood sugar of people with diabetes, and fuse data to trigger caregiver alerts. Other systems of interest to our readers include those designed to help people who have mild cognitive impairments with activities of daily living. Most challenging to develop are pattern recognition applications that can, for example, sense an elder’s behavior change and prevent depression by motivating the elder to socialize.

Both Virtual Reality and mixed reality (augmented reality and aug- mented virtuality) environments for AAL have been proposed. For example, in an extension of the current boundaries of telemedicine, the physician could view the whole body of the at-home patient, and the patient could more easily understand(s) he was undergoing a physical examination. At least one paper reports elders’ positive reactions to AAL, so this scenario may not be far in the future.

However, a recent issue of ERCIM News highlighted the fundamental research challenges that remain in AAL and AmI:

  • “Knowledge of user requirements. Age-related factors are crucial, and the current understanding of the interaction requirements of older users in complex technological environments is limited.
  • Ready-to-use accessibility solutions supporting alternative interaction techniques. Most available assistive technologies are limited to specific devices, and cannot be easily made compatible with complex environments including a variety of devices.
  • Architectural frameworks supporting the integration and management accessibility solutions.
  • Tools supporting the development lifecycle of accessible AAL environments (e.g., requirements analysis, design and prototyping, evaluation).”
  • We applaud the clinicians and researchers who are working to solve AAL and AmI research problems, and look forward to the day when smart homes for our elders are the norm.

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2011 Winter Editorial

Journal of CyberTherapy & Rehabilitation

Winter 2011, Volume 4, Issue 4

 

How Can we Help preserve Mental Capital?

First, let me define what I mean by the concept of mental wealth or mental capital. The Foresight Project on Mental Health and Well-being says that it “encompasses a person’s cognitive and emotional resources. It includes their cognitive ability, how flexible and efficient they are at learning, and their ‘emotional intelligence,’ such as their social skills and resilience in the face of stress. It therefore conditions how well an individual is able to contribute effectively to society, and also to experience a high personal quality of life.” The study focused on the U.K., but the 20-year trends cited as affecting the mental wealth of that country are relevant to the rest of the EU, the U.S., and other parts of the world. Trends include the aging of the population (increasing dementia), changes in the global economy (rise of China and India, need for more training and work-life balance), the changing nature and expectations of society and public services (balance of responsibility), and new science and technology (equal access to their benefits).

These same themes emerge in the resulting study article, “The mental wealth of nations,” by Beddington et al., which reported on the group’s evaluation of the scientific evidence to produce this independent assessment involving 450 experts from 16 countries. The authors of this paper urged development of initiatives to support early diagnosis and treatment of childhood learning problems, workplace environments that promote mental health and programs that advance learning among elders to slow cognitive decline. They noted, “How a nation develops and uses its mental capital not only has a significant effect on its economic competitiveness and prosperity but is also important for mental health and well- being and social cohesion and inclusion.”

Pointing to a disproportionate share of investment in mental health relative to its disease burden, the U.S. National Institute of Mental Health (NIMH) created the Grand Challenges in Global Mental Health, identifying research priorities for the next 10 years that will make a difference in people’s mental health. These 25 specific challenges are grouped into broad goals that seek to:

  • Identify root causes, risk and protective factors
  • Advance prevention and implementation of early interventions
  • Improve treatments and expand access to care
  • Raise awareness of the global burden
  • Build human resource capacity
  • Transform health-system and policy responses

NIMH lists guiding principles for funding such research:

  • Use a life-course approach to study
  • Use system-wide approaches to address suffering
  • Use evidence-based interventions
  • Understand environmental influences

So how can we, as clinical and research professionals with spe- cialties in, for example, psychology, physical medicine and rehabilitation, or autism, help our clients boost their mental capital?

 

  1.  Improved access to education can help: “The [Foresight] Project has identified a number of technologies … ubiquitous and mobile technologies; artificial intelligence; assessment technologies; and tools to support teachers in designing and exchanging learning activities.” A virtual environment to help children with autism learn to cross the street is one example of how we can use the technolo- gies we espouse for early intervention, the most cost-effective way to prevent mental ill health.
  2.  Although the mechanisms are not yet understood, a growing number of studies show that physical exercise may prevent or mitigate the effects of depression, and a Stanford University study showed that a virtual representation of one’s self gaining or losing weight in proportion to the exercise completed motivated volunteers to complete more exercise.
  3.  While we are just beginning to debate the legal and ethical im- plications of using pharmacological (smart drugs) means of improving mental wealth, use of these drugs in controlled clinical trials and publication of results that show minimal side effects from long-term use will pave the way for their mainstreaming.
  4. Neurocognitive activation via cognitive training is a promising area of investigation, as I reported in my recent article co-authored with Dr. Mark Wiederhold. With the aid of fMRI-safe Virtual Reality goggles, we can study the brain while a patient interacts with a virtual environment, and learn how to tailor treatments to pro- duce the desired activations in that individual’s brain.
  5.  Finally, I would encourage you to continue to advocate for mental health funding by governments. As the Foresight study authors noted, “… a cross-governmental approach is needed to realize the full benefits … Interventions may have long timescales before they see any returns. Implementing these recommendations will require significant changes in the nature of governance, placing mental capital and well-being at the heart of policy-making.”

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

www.vrphobia.eu