Categories
Environment

University

University

In this case, when the scene begins the patient appears in the hallway of a university. The students that appear speaking will be between 18 and 30 years. This will allow you to intervene with exam anxiety with young people and adults who present this same problem. When entering the classroom the patient will be able to see a projector in the background and the organization of the desks will be the one that you can see in universities.

Since this environment is intended for adults, it can also be used to work in other, non-strictly university situations, such as, for example, entrance and public exams.

SCENES
University Hallway (Difficulty: medium-low) 
University Classroom (Difficulty: medium-high)
University Test (Difficulty: High)

SETTINGS VARIABLES

AVATAR

Gender
Choose between a male or female body. A neutral body is selected by default.

Skin tone
Choose the skin tone that best represents your patient to enhance the feeling of immersion.

ATTENDANCE

Alone / A few students / A lot of students
Depending on the option we select, the type and the amount of ambient sound will change. 

With this configuration variable, you can regulate the levels of anxiety and distractors. In general, more people and more noise, lead to more difficulty.

Difficulty

Easy 

  • Easier questions
  • Relaxed students
  • Calm and friendly teacher

Hard

  • Difficult questions
  • Anxious students
  • Serious and controlling teacher

The easy configuration can be used in the early stages of the intervention, where you are seeking anxiety reduction in an environment that does not generate excessively high levels of anxiety.

Exam subject

Psychology
“Psychoeducation about test anxiety and social anxiety”

Natural Sciences and Biology
“Autoimmunity and Immunopathology”

History and Law
“The Spanish Constitution”

Each one of these exams will consist of 10 questions, most of them true / false type.

Duration

Short / Long
This last variable is related to the duration of the test. If we choose “short” the test will last only five minutes, while if we choose “long”, the test will be about twenty minutes.

EVENTS

  • Teacher appears
    At the beginning of the session, the environment is the hallway of the high school/university, and an intelligible murmur is heard among the students who are waiting. When the event is activated, the teacher appears at one end of the hallway. As he approaches, he greets the patient with a gesture and invites the students to come into the classroom. Right after that, he proceeds to enter into the classroom and at the same time the murmur decreases until it reaches a normal level.  
  • Enter classroom
    Once this event is triggered, a fade to black will occur and the patient will appear seated at the classroom table, ready to perform the exam.

Once in the classroom, the teacher will be waiting for the test to begin. The students will be reviewing or waiting for the test to begin, so the general murmur will be low and unintelligible. 

  • Start exam
    When this event is activated, the test will be performed. The general murmur that could be heard is almost completely eliminated, and in the tablet placed on the desk in front of the patient will appear the first question of the test. This question will have two possible interactive answers, so to answer the question the patient should use visual control in the same way that he/she used it when entering the test classroom.

After the patient has selected one of the two available answers, the next question will appear, and the patient should follow the same interactive procedure to answer. When choosing one of the options, the third question will appear, and so on up to completing the ten questions.

In addition to the questions of the test and the corresponding answers, on the tablet will appear, at all times, the remaining time to finish the test. The time in question will depend on the configuration of the difficulty variable.

Throughout the development of the test, in case of having selected that there are people present, some students will finish their test announcing it aloud to the teacher (they will not move from their place). Depending on the difficulty level selected, there will be more or fewer students completing the test.

Once the test time expires, it will automatically be passed to the test completion event, described below. 

  • Finish exam
    By activating this event, the teacher will finish the test with a fade to black. The teacher will reappear in the hallway with the tablet visible, being able to see the test result on the screen. At this point, the general murmur among the students in the hallway will again be intelligible.
Categories
Environment

School

School

At the beginning of this scene, the patient is in the hall of a high school, so the people that appear are teenagers (between 14 and 17 years). Therefore, this environment will be suitable for adolescents of this age who are anxious about performing a test. When entering the classroom, the patient will sit at one of the multiple tables and will be ready to begin the test.

SCENES
Hallway (Difficulty: medium-low)
Classroom (Difficulty: medium-high)
Test (Difficulty: high)

SETTINGS VARIABLES

AVATAR

Gender
Choose between a male or female body. A neutral body is selected by default.

Skin tone
Choose the skin tone that best represents your patient to enhance the feeling of immersion.

Attendance

Alone / A few students / A lot of students
Depending on the option we select, the type and the amount of ambient sound will change. 

With this configuration variable, you can regulate the levels of anxiety and distractors. In general, more people and more noise, lead to more difficulty.

Difficulty

Easy 

  • Easier questions
  • Relaxed students
  • Calm and friendly teacher

Hard

  • Difficult questions
  • Anxious students
  • Serious and controlling teacher

The easy configuration can be used in the early stages of the intervention, where you are seeking anxiety reduction in an environment that does not generate excessively high levels of anxiety.

Exam subject

Psychology
“Psychoeducation about test anxiety and social anxiety”

Natural Sciences and Biology
“The cell”

History and Law
“The recent Spain”

Each one of these exams will consist of 10 questions, most of them true / false type.

Duration

Short / Long
This last variable is related to the duration of the test. If we choose “short” the test will last only five minutes, while if we choose “long”, the test will be about twenty minutes.

EVENTS

  • Teacher appears
    At the beginning of the session, the environment is the hallway of the high school/university, and an intelligible murmur is heard among the students who are waiting. When the event is activated, the teacher appears at one end of the hallway. As he approaches, he greets the patient with a gesture and invites the students to come into the classroom. Right after that, he proceeds to enter into the classroom and at the same time the murmur decreases until it reaches a normal level.  
  • Enter classroom
    Once this event is triggered, a fade to black will occur and the patient will appear seated at the classroom table, ready to perform the exam.

Once in the classroom, the teacher will be waiting for the test to begin. The students will be reviewing or waiting for the test to begin, so the general murmur will be low and unintelligible. 

  • Start exam
    When this event is activated, the test will be performed. The general murmur that could be heard is almost completely eliminated, and in the tablet placed on the desk in front of the patient will appear the first question of the test. This question will have two possible interactive answers, so to answer the question the patient should use visual control in the same way that he/she used it when entering the test classroom.

After the patient has selected one of the two available answers, the next question will appear, and the patient should follow the same interactive procedure to answer. When choosing one of the options, the third question will appear, and so on up to completing the ten questions.

In addition to the questions of the test and the corresponding answers, on the tablet will appear, at all times, the remaining time to finish the test. The time in question will depend on the configuration of the difficulty variable.

Throughout the development of the test, in case of having selected that there are people present, some students will finish their test announcing it aloud to the teacher (they will not move from their place). Depending on the difficulty level selected, there will be more or fewer students completing the test.

Once the test time expires, it will automatically be passed to the test completion event, described below. 

  • Finish exam
    By activating this event, the teacher will finish the test with a fade to black. The teacher will reappear in the hallway with the tablet visible, being able to see the test result on the screen. At this point, the general murmur among the students in the hallway will again be intelligible.

Categories
Environment

Underwater in the ocean

Underwater in the ocean

This virtual environment will take the patient under the sea , where he will be surrounded by fishes that swim around him. You will hear the pleasant sound of flowing water and dolphins and whales in the background.

SETTINGS VARIABLES

  • Animal acount
    None / Maximum

EVENT

  • Music
    To help the patient achieve a total concentration state.

  • Bubbles
    Stimulus that can be used for the practice of Mindfulness.
    (For more information please refer to the Mindfulness Manual)

Categories
Environment

Imagery for relaxation

Imagery for relaxation

The tropical island is a pleasant environment to carry out relaxation exercises. The patient will be able to walk around the island and select his/her favorite place to carry out the exercises.

This environment includes four different areas:

  • Beach
  • Field
  • Waterfall
  • Platform

Each zone reproduces an ideal tropical island with elements that typically promote a well-being sensation such as vegetation, clear skies, crystalline water, breeze, bird sounds, water flowing, etc.

We can choose two different ways to go to one of the four zones of the island: 

  • Pressing the event that takes us to a specific environment.
  • Let the environment automatically take us for a walk around the island visiting the four locations.

In the Beach, the patient will be able to hear the sound of the waves.

We can also start walking around the island and go into a Field. This walk will bring the patient to a cozy esplanade full of grass, vegetation and butterflies, with clear skies and huts. This place is ideal to make a relaxation exercise.

When continuing walking and crossing the shore, the patient will see a Waterfall, an ideal place to perform the Breathing Exercises. 

The patient will then continue walking around the island and will get to a Platform, where we recommend performing the Progressive muscle relaxation exercise. If the patient continues walking, he will arrive at the starting point. Here, the patient will be able to lay down on the sand before ending the session.

Categories
Environment

Thoughts about work

Thoughts about work

In the last scene, initially, the patient is on the subway platform, and when it arrives he or she gets in it. However, at the next stop, the subway will not move because it does not work, it can be seen as the doors remain open longer than usual. Meanwhile, the patient will be able to listen to a conversation between two passengers talking about the fault and expressing concern about the possibility of being late for work. Finally, after a few minutes, the subway will start moving.

These scenes have no configuration variables. In addition, each scene, as in the other environments, has the possibility of practicing relaxation exercises in the section Relax.

Categories
Environment

Family health

Family health

They are giving the weather broadcast on the television. The weatherman is talking about the heavy rains that are taking place, and talks about the dangers; he also explains recommendations and safety precautions to keep in mind due to the storm (as for example, to not take the car if it can be avoided). At the end, he speaks of a car crash that has taken place and about its victims.
The situation allows to work with the patient for example, on the excessive fear that something bad will happen to a loved one

These scenes have no configuration variables. In addition, each scene, as in the other environments, has the possibility of practicing relaxation exercises in the section Relax.

VARIABLES SETTINGS

The configuration variables will allow modifying the environment to suit each patient and each phase, be it the evaluation or the treatment phase. For this, you will have the same configuration variables available, explained below:

  • Gender
    Choose between a male or female body. A neutral body is selected by default.
  • Skin tone
    Choose the skin tone that best represents your patient to enhance the feeling of immersion.
Categories
Environment

Babies’ health

Babies’ health

The is a televised debate about babies care. Topics like what to eat and how, aspects of sleep and illness (with data of hospitalized children for example) are discussed.
While the patient is watching the debate program, child’s sobs are heard through the intercom which is on the coffee table (from issuing normal sounds until it begins to mourn with increasing intensity).
It is specially indicated for patients whose main worrying is that something bad may occur to their children.

These scenes have no configuration variables. In addition, each scene, as in the other environments, has the possibility of practicing relaxation exercises in the section Relax.

VARIABLES SETTINGS

The configuration variables will allow modifying the environment to suit each patient and each phase, be it the evaluation or the treatment phase. For this, you will have the same configuration variables available, explained below:

  • Gender
    Choose between a male or female body. A neutral body is selected by default.
  • Skin tone
    Choose the skin tone that best represents your patient to enhance the feeling of immersion.
Categories
Environment

Thinking about getting sick

Thinking about getting sick

In this case, it is also watching an informative discussion, but this time is about disease risk. At the beginning they will talk about heart attacks (high blood pressure, habits, stress, genetic factors, age, symptoms…). And later they will discuss cancer. Note that, from the beginning, the patient will have medical results, on the coffee table, plus a bottle of pills.
This scene is specially indicated to work on the overestimation of probability of a negative event may occur. And also to treat excessive worrying for health matters.

These scenes have no configuration variables. In addition, each scene, as in the other environments, has the possibility of practicing relaxation exercises in the section Relax.

SETTINGS VARIABLES

The configuration variables will allow modifying the environment to suit each patient and each phase, be it the evaluation or the treatment phase. For this, you will have the same configuration variables available, explained below:

  • Gender
    Choose between a male or female body. A neutral body is selected by default.
  • Skin tone
    Choose the skin tone that best represents your patient to enhance the feeling of immersion.
Categories
Environment

Children’s health

Children’s health

This scene is designed to work on the anxiety that gives some people the fact of leaving their children’s care to others. It is playing a debate program about supervision and children’s care. They talk about issues such as leaving them with a babysitter or relatives, several accidents, school trips, etc. Note that in the patient’s visual field there are elements such as a ball, which makes assume he or she has a son or a daughter. Whilst the patient is listening to the debate, a message from the school on the voicemail is received requesting an urgent callback.

These scenes have no configuration variables. In addition, each scene, as in the other environments, has the possibility of practicing relaxation exercises in the section Relax.

VARIABLES SETTINGS

The configuration variables will allow modifying the environment to suit each patient and each phase, be it the evaluation or the treatment phase. For this, you will have the same configuration variables available, explained below:

  • Gender
    Choose between a male or female body. A neutral body is selected by default.
  • Skin tone
    Choose the skin tone that best represents your patient to enhance the feeling of immersion.
Categories
Environment

Streaming conference

Streaming conference

This last virtual environment is practically the same as the previous one, but it can be used for more specific situations. This time the patient finds themselves again in an auditorium, sitting on the seats until the go to stage event is selected. However, the difference is that the lights are down, and there is a camera on the stage focussed directly at the lobby, that is to say where the patient will be placed. 

Therefore, this environment can be useful for patients who have to give a broadcast conference, or perhaps a talk that will be recorded or broadcast on television… 

SETTINGS VARIABLES

  • Amount of People
    • None 
    • Low (room practically empty)
    • Medium (room almost full of people)
    • Full (room completely full) 
  • Difficulty
    • Easy (audience that listens attentively and with approval)
    • Hard (audience that is more distracted or disinterested)

EVENTS

  • Go to the stage
    The patient goes onto the stage and is placed behind a table to start the presentation.
  • Positive question
    One listener from the public asks a question that is easy for the patient to answer. The healthcare professional can choose between a series of questions of this type, for example, if they can explain part of the presentation again.
  • Negative question
    In this case, one person from the audience asks a question that is more complicated to answer, something that could make the patient become nervous. The healthcare professional can choose from a series of questions of this type, for example, if they think that their proposal will work, or if they can highlight the weak points of their presentation.
  • Therapist positive feedback
    When the healthcare professional selects this event, one of the audience starts to speak although nothing is heard. Therefore, this button allows the healthcare professional to make a positive remark to the patient about their involvement but by introducing themselves into the virtual environment, so that the patient finds they are even more immersed in that environment.
  • Therapist negative feedback
    This event develops in exactly the same way as the previous setting, but it is reserved for the healthcare professional to make a more critical or negative remark about the patient’s involvement.
  • Applause
    The audience applauds the speaker.
  • Spectator leaves room
    One person gets up and leaves the room.
  • Distraction
    Choice of a series of distractions: yawning, mobile phone, telephone vibration, laughter, coughing.

APPENDIX

List of positive questions

  1. It’s evident that you are passionate about what you’ve explained. Where did the interest come from?
  2. I’ve attended similar conferences before on the same topic but I’ve never been as enthusiastic about it as today. Do you recommend any author or some reading related to what you told us today?
  3. What’s been the biggest obstacles you’ve had to overcome when preparing the subject?
  4. You’ve approached the matter in a very innovative way. You’ve also explained it very clearly and concisely, is this your first time giving this conference?
  5. Thank you very much for your presentation, it was fascinating. I would like to ask you though, what would you highlight from everything that you just explained?
  6. Are you satisfied with the results of your presentation? Could you talk a bit more on the argument that you’ve exposed?
  7. Do you think you could come back another day to repeat the presentation in front of a larger audience?
  8. Could you give an example by placing it in a different context?
  9. Excuse me, I didn’t understand your last point, could you explain it again?
  10. These results are promising, what impact do you think it may have in the future?
  11. Will you make another presentation during these upcoming weeks? I’d like to attend.
  12. What do you think is the scope or limit of what you have just described?

List of negative questions

  1. Could you highlight the strengths and weaknesses of your proposal?
  2. What resources are available for you to implement your plan?
  3. I don’t quite understand the last thing you explain. Could you give another example?
  4. What difficulties do you think may arise in the future?
  5. It started off so well, but the delivery of the findings isn’t as clear. Could you please summarize them again, briefly?
  6. Do you think the results that you’ve shown are realistic?
  7. Do you think that your proposal will work? The current situation doesn’t seem to be the most suitable.
  8. Can you prove what you just said? In my opinion, your argument shows some weaknesses.
  9. “You have made some very interesting proposals, although some of them are a little bit too daring. Have you thought about how you’ll proceed?”
  10. Are you sure that this information comes from reliable sources?
  11. Don’t you think that your point of view has certain limitations? How did you choose your presentation’s approach?
  12. Some of your conclusions seem outdated. Are you aware of the latest trends on this matter?