The Experts below are selected from a list of 141 Experts worldwide ranked by ideXlab platform

Claude Botella - One of the best experts on this subject based on the ideXlab platform.

  • Using a Flexible Virtual Environment for Treating a Storm Phobia
    Psychnology Journal, 2020
    Co-Authors: Claude Botella, Soledad Quero, Rosa María Baños, Azucena García-palacios, Belén Guerrero, Mariano Alcañiz Raya
    Abstract:

    ABSTRACT Most of the Virtual Environments (VE) currently available in the field of psychologicaltreatments are designed to solve a specific problem (acroPhobia, Flying Phobia,claustroPhobia, etc.). Our research group has developed a versatile Virtual Reality (VR)sys tem (an adaptive display) that could be useful for different problems. In previousstudies, a VR application called “EMMA’sworld” was developed for the treatment of PTSDand pathological grief. The aim of the present work is to show the utility of this sy stem forthe treatment of a storm Phobia. The patient was a 70 year -old woman, who was notfamiliar at all with computer technologies. As the patient was not able to confront even avirtual storm, the treatment was applied in two phases: In vivo exposure ( explodingballoons), and exposure to VE simulating storms, rain, thunders and lightings. Resultsshowed changes in the expected direction and were maintained at 6 -month follow -up.Keywords: virtual reality exposure, adaptive display, psychological treat ment, specific Phobia.Paper received: 15/07/2006; received in revised form: 14/09/2006; accepted: 17/09/2006.

  • Annual Review of Cybertherapy and Telemedicine - A Cross - Cultural Validation of VR Treatment System for Flying Phobia in the Mexican Population
    Studies in health technology and informatics, 2020
    Co-Authors: Georgina Cárdenas, Claude Botella, Liliana Moreyra, Anabel De La Rosa, Soledad Quero, Sandra Muñoz
    Abstract:

    : Anxiety as a symptom or disorder is affected by multiple variables such as antecedent events, interpretation of the events, psychological vulnerability, and individual differences in the reaction towards an event. Nowadays, virtual-reality therapy is used as therapeutic tool for patients suffering from some kind of anxiety disorder. In Mexico, the National Survey on Psychiatric Epidemiology [1] informed that anxiety disorders are the most common disorders followed by affective disorders, which are more prevalent in women than in men. Among the different anxiety disorders, the category of specific Phobias (7.1%) was the most common. Based on this demand, a collaborative effort between research groups from the University Jaume I in Spain and the National Autonomous University of Mexico (UNAM), initiated a project which purpose was the technological transfer of systems based on virtual reality for the treatment of Fear of Flying to be implemented and evaluated in the Mexican population. The treatment protocol developed by Botella et al., [2] has been applied to five volunteer participants. In this paper we present data of adapted treatment protocols in Mexican population that support the efficacy of VR of treatment of fear of Flying, achieved by the Spanish research group.

  • Efficacy of an internet-based exposure treatment for Flying Phobia ( NO-FEAR Airlines ) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps 

  • Efficacy of an internet-based exposure treatment for Flying Phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP ( NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines , with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale . Secondary outcomes included the Fear and Avoidance Scales , Clinician Severity Scale, and Patient’s Improvement scale . Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all p s 

  • efficacy of an internet based exposure treatment for Flying Phobia no fear airlines with and without therapist guidance a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Adriana Mira, Diana Castilla, Juana Bretonlopez
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps < .05), and no significant differences were found between the two ways of delivering the intervention. Significant improvements on diagnostic status and reliable change indexes were also found in both treatment groups at post-treatment. Regarding behavioral outcomes, significant differences in safety behaviors were found at post-treatment, compared to the waiting list. Treatment gains were maintained at 3- and 12-month follow-ups. FP can be treated effectively via the Internet. NO-FEAR Airlines helps to enhance the exposure technique and provide access to evidence-based psychological treatment to more people in need. These data are congruent with previous studies highlighting the usefulness of computer-assisted exposure programs for FP, and they contribute to the literature on Internet-based interventions. To the best of our knowledge, this is the first RCT to investigate the effectiveness of an Internet-based treatment for FP and explore two ways of delivering the intervention (with and without therapist guidance). Clinicaltrials.gov: NCT02298478 ( https://clinicaltrials.gov/ct2/show/NCT02298478 ). Trial registration date 3 November 2014.

Rosa María Baños - One of the best experts on this subject based on the ideXlab platform.

  • Using a Flexible Virtual Environment for Treating a Storm Phobia
    Psychnology Journal, 2020
    Co-Authors: Claude Botella, Soledad Quero, Rosa María Baños, Azucena García-palacios, Belén Guerrero, Mariano Alcañiz Raya
    Abstract:

    ABSTRACT Most of the Virtual Environments (VE) currently available in the field of psychologicaltreatments are designed to solve a specific problem (acroPhobia, Flying Phobia,claustroPhobia, etc.). Our research group has developed a versatile Virtual Reality (VR)sys tem (an adaptive display) that could be useful for different problems. In previousstudies, a VR application called “EMMA’sworld” was developed for the treatment of PTSDand pathological grief. The aim of the present work is to show the utility of this sy stem forthe treatment of a storm Phobia. The patient was a 70 year -old woman, who was notfamiliar at all with computer technologies. As the patient was not able to confront even avirtual storm, the treatment was applied in two phases: In vivo exposure ( explodingballoons), and exposure to VE simulating storms, rain, thunders and lightings. Resultsshowed changes in the expected direction and were maintained at 6 -month follow -up.Keywords: virtual reality exposure, adaptive display, psychological treat ment, specific Phobia.Paper received: 15/07/2006; received in revised form: 14/09/2006; accepted: 17/09/2006.

  • Efficacy of an internet-based exposure treatment for Flying Phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP ( NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines , with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale . Secondary outcomes included the Fear and Avoidance Scales , Clinician Severity Scale, and Patient’s Improvement scale . Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all p s 

  • Efficacy of an internet-based exposure treatment for Flying Phobia ( NO-FEAR Airlines ) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps 

  • the acceptability of an internet based exposure treatment for Flying Phobia with and without therapist guidance patients expectations satisfaction treatment preferences and usability
    Neuropsychiatric Disease and Treatment, 2018
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretonlopez, Soledad Quero
    Abstract:

    Purpose: Internet-based treatments have been tested for several psychological disorders. However, few studies have directly assessed the acceptability of these self-applied interventions in terms of expectations, satisfaction, treatment preferences, and usability. Moreover, no studies provide this type of data on Internet-based treatment for Flying Phobia (FP), with or without therapist guidance. The aim of this study was to analyze the acceptability of an Internet-based treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and real sounds. A secondary aim was to compare patients' acceptance of two ways of delivering this treatment (with or without therapist guidance). Patients and methods: The sample included 46 participants from a randomized controlled trial who had received the self-applied intervention with (n = 23) or without (n = 23) therapist guidance. All participants completed an assessment protocol conducted online and by telephone at both pre- and posttreatment. Results: Results showed good expectations, satisfaction, opinion, and usability, regardless of the presence of therapist guidance, including low aversiveness levels from before to after the intervention. However, participants generally preferred the therapist-supported condition. Conclusion: NO-FEAR Airlines is a well-accepted Internet-based treatment that can help enhance the application of the exposure technique, improving patient acceptance and access to FP treatment.

  • an internet based treatment for Flying Phobia no fear airlines study protocol for a randomized controlled trial
    BMC Psychiatry, 2016
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Juani Bretonlopez, Adriana Mira, Diana Castilla, Miquel Tortellafeliu
    Abstract:

    Background Flying Phobia (FP) is a common and disabling mental disorder. Although in vivo exposure is the treatment of choice, it is linked to a number of limitations in its implementation. Particularly important, is the limited access to the feared stimulus (i.e., plane). Moreover, the economic cost of in vivo exposure should be specially considered as well as the difficulty of applying the exposure technique in an appropriate way; controlling important variables such as the duration of the exposure or the number of sessions. ICTs could help to reduce these limitations. Computer-assisted treatments have remarkable advantages in treating FP. Furthermore, they can be delivered through the Internet, increasing their advantages and reaching more people in need. The Internet has been established as an effective way to treat a wide range of mental disorders. However, as far as we know, no controlled studies exist on FP treatment via the Internet. This study aims to evaluate the efficacy of an Internet-based treatment for FP (NO-FEAR Airlines) versus a waiting list control group. Secondary objectives will be to explore two ways of delivering NO-FEAR Airlines, with or without therapist guidance, and study the patients’ acceptance of the program. This paper presents the study protocol.

Diana Castilla - One of the best experts on this subject based on the ideXlab platform.

  • Efficacy of an internet-based exposure treatment for Flying Phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP ( NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines , with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale . Secondary outcomes included the Fear and Avoidance Scales , Clinician Severity Scale, and Patient’s Improvement scale . Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all p s 

  • Efficacy of an internet-based exposure treatment for Flying Phobia ( NO-FEAR Airlines ) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps 

  • efficacy of an internet based exposure treatment for Flying Phobia no fear airlines with and without therapist guidance a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Adriana Mira, Diana Castilla, Juana Bretonlopez
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps < .05), and no significant differences were found between the two ways of delivering the intervention. Significant improvements on diagnostic status and reliable change indexes were also found in both treatment groups at post-treatment. Regarding behavioral outcomes, significant differences in safety behaviors were found at post-treatment, compared to the waiting list. Treatment gains were maintained at 3- and 12-month follow-ups. FP can be treated effectively via the Internet. NO-FEAR Airlines helps to enhance the exposure technique and provide access to evidence-based psychological treatment to more people in need. These data are congruent with previous studies highlighting the usefulness of computer-assisted exposure programs for FP, and they contribute to the literature on Internet-based interventions. To the best of our knowledge, this is the first RCT to investigate the effectiveness of an Internet-based treatment for FP and explore two ways of delivering the intervention (with and without therapist guidance). Clinicaltrials.gov: NCT02298478 ( https://clinicaltrials.gov/ct2/show/NCT02298478 ). Trial registration date 3 November 2014.

  • the acceptability of an internet based exposure treatment for Flying Phobia with and without therapist guidance patients expectations satisfaction treatment preferences and usability
    Neuropsychiatric Disease and Treatment, 2018
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretonlopez, Soledad Quero
    Abstract:

    Purpose: Internet-based treatments have been tested for several psychological disorders. However, few studies have directly assessed the acceptability of these self-applied interventions in terms of expectations, satisfaction, treatment preferences, and usability. Moreover, no studies provide this type of data on Internet-based treatment for Flying Phobia (FP), with or without therapist guidance. The aim of this study was to analyze the acceptability of an Internet-based treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and real sounds. A secondary aim was to compare patients' acceptance of two ways of delivering this treatment (with or without therapist guidance). Patients and methods: The sample included 46 participants from a randomized controlled trial who had received the self-applied intervention with (n = 23) or without (n = 23) therapist guidance. All participants completed an assessment protocol conducted online and by telephone at both pre- and posttreatment. Results: Results showed good expectations, satisfaction, opinion, and usability, regardless of the presence of therapist guidance, including low aversiveness levels from before to after the intervention. However, participants generally preferred the therapist-supported condition. Conclusion: NO-FEAR Airlines is a well-accepted Internet-based treatment that can help enhance the application of the exposure technique, improving patient acceptance and access to FP treatment.

  • an internet based treatment for Flying Phobia no fear airlines study protocol for a randomized controlled trial
    BMC Psychiatry, 2016
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Juani Bretonlopez, Adriana Mira, Diana Castilla, Miquel Tortellafeliu
    Abstract:

    Background Flying Phobia (FP) is a common and disabling mental disorder. Although in vivo exposure is the treatment of choice, it is linked to a number of limitations in its implementation. Particularly important, is the limited access to the feared stimulus (i.e., plane). Moreover, the economic cost of in vivo exposure should be specially considered as well as the difficulty of applying the exposure technique in an appropriate way; controlling important variables such as the duration of the exposure or the number of sessions. ICTs could help to reduce these limitations. Computer-assisted treatments have remarkable advantages in treating FP. Furthermore, they can be delivered through the Internet, increasing their advantages and reaching more people in need. The Internet has been established as an effective way to treat a wide range of mental disorders. However, as far as we know, no controlled studies exist on FP treatment via the Internet. This study aims to evaluate the efficacy of an Internet-based treatment for FP (NO-FEAR Airlines) versus a waiting list control group. Secondary objectives will be to explore two ways of delivering NO-FEAR Airlines, with or without therapist guidance, and study the patients’ acceptance of the program. This paper presents the study protocol.

Soledad Quero - One of the best experts on this subject based on the ideXlab platform.

  • Using a Flexible Virtual Environment for Treating a Storm Phobia
    Psychnology Journal, 2020
    Co-Authors: Claude Botella, Soledad Quero, Rosa María Baños, Azucena García-palacios, Belén Guerrero, Mariano Alcañiz Raya
    Abstract:

    ABSTRACT Most of the Virtual Environments (VE) currently available in the field of psychologicaltreatments are designed to solve a specific problem (acroPhobia, Flying Phobia,claustroPhobia, etc.). Our research group has developed a versatile Virtual Reality (VR)sys tem (an adaptive display) that could be useful for different problems. In previousstudies, a VR application called “EMMA’sworld” was developed for the treatment of PTSDand pathological grief. The aim of the present work is to show the utility of this sy stem forthe treatment of a storm Phobia. The patient was a 70 year -old woman, who was notfamiliar at all with computer technologies. As the patient was not able to confront even avirtual storm, the treatment was applied in two phases: In vivo exposure ( explodingballoons), and exposure to VE simulating storms, rain, thunders and lightings. Resultsshowed changes in the expected direction and were maintained at 6 -month follow -up.Keywords: virtual reality exposure, adaptive display, psychological treat ment, specific Phobia.Paper received: 15/07/2006; received in revised form: 14/09/2006; accepted: 17/09/2006.

  • Annual Review of Cybertherapy and Telemedicine - A Cross - Cultural Validation of VR Treatment System for Flying Phobia in the Mexican Population
    Studies in health technology and informatics, 2020
    Co-Authors: Georgina Cárdenas, Claude Botella, Liliana Moreyra, Anabel De La Rosa, Soledad Quero, Sandra Muñoz
    Abstract:

    : Anxiety as a symptom or disorder is affected by multiple variables such as antecedent events, interpretation of the events, psychological vulnerability, and individual differences in the reaction towards an event. Nowadays, virtual-reality therapy is used as therapeutic tool for patients suffering from some kind of anxiety disorder. In Mexico, the National Survey on Psychiatric Epidemiology [1] informed that anxiety disorders are the most common disorders followed by affective disorders, which are more prevalent in women than in men. Among the different anxiety disorders, the category of specific Phobias (7.1%) was the most common. Based on this demand, a collaborative effort between research groups from the University Jaume I in Spain and the National Autonomous University of Mexico (UNAM), initiated a project which purpose was the technological transfer of systems based on virtual reality for the treatment of Fear of Flying to be implemented and evaluated in the Mexican population. The treatment protocol developed by Botella et al., [2] has been applied to five volunteer participants. In this paper we present data of adapted treatment protocols in Mexican population that support the efficacy of VR of treatment of fear of Flying, achieved by the Spanish research group.

  • Efficacy of an internet-based exposure treatment for Flying Phobia ( NO-FEAR Airlines ) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps 

  • Efficacy of an internet-based exposure treatment for Flying Phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP ( NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines , with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale . Secondary outcomes included the Fear and Avoidance Scales , Clinician Severity Scale, and Patient’s Improvement scale . Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all p s 

  • the acceptability of an internet based exposure treatment for Flying Phobia with and without therapist guidance patients expectations satisfaction treatment preferences and usability
    Neuropsychiatric Disease and Treatment, 2018
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretonlopez, Soledad Quero
    Abstract:

    Purpose: Internet-based treatments have been tested for several psychological disorders. However, few studies have directly assessed the acceptability of these self-applied interventions in terms of expectations, satisfaction, treatment preferences, and usability. Moreover, no studies provide this type of data on Internet-based treatment for Flying Phobia (FP), with or without therapist guidance. The aim of this study was to analyze the acceptability of an Internet-based treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and real sounds. A secondary aim was to compare patients' acceptance of two ways of delivering this treatment (with or without therapist guidance). Patients and methods: The sample included 46 participants from a randomized controlled trial who had received the self-applied intervention with (n = 23) or without (n = 23) therapist guidance. All participants completed an assessment protocol conducted online and by telephone at both pre- and posttreatment. Results: Results showed good expectations, satisfaction, opinion, and usability, regardless of the presence of therapist guidance, including low aversiveness levels from before to after the intervention. However, participants generally preferred the therapist-supported condition. Conclusion: NO-FEAR Airlines is a well-accepted Internet-based treatment that can help enhance the application of the exposure technique, improving patient acceptance and access to FP treatment.

Daniel Campos - One of the best experts on this subject based on the ideXlab platform.

  • Efficacy of an internet-based exposure treatment for Flying Phobia (NO-FEAR Airlines) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Background Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP ( NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines , with and without therapist guidance. Methods A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale . Secondary outcomes included the Fear and Avoidance Scales , Clinician Severity Scale, and Patient’s Improvement scale . Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. Results NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all p s 

  • Efficacy of an internet-based exposure treatment for Flying Phobia ( NO-FEAR Airlines ) with and without therapist guidance: a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretón-lópez, Soledad Quero
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps 

  • efficacy of an internet based exposure treatment for Flying Phobia no fear airlines with and without therapist guidance a randomized controlled trial
    BMC Psychiatry, 2019
    Co-Authors: Daniel Campos, Claude Botella, Adriana Mira, Diana Castilla, Juana Bretonlopez
    Abstract:

    Internet-based treatments appear to be a promising way to enhance the in vivo exposure approach, specifically in terms of acceptability and access to treatment. However, the literature on specific Phobias is scarce, and, as far as we know, there are no studies on Flying Phobia (FP). This study aims to investigate the effectiveness of an Internet-based exposure treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and sounds, versus a waiting-list control group. A secondary aim is to explore two ways of delivering NO-FEAR Airlines, with and without therapist guidance. A randomized controlled trial (RCT) was conducted in which 69 participants were allocated to: 1) NO-FEAR Airlines totally self-applied, 2) NO-FEAR Airlines with therapist guidance, 3) a waiting-list control group. Primary outcome measures were the Fear of Flying Questionnaire-II and the Fear of Flying Scale. Secondary outcomes included the Fear and Avoidance Scales, Clinician Severity Scale, and Patient’s Improvement scale. Behavioral outcomes (post-treatment flights and safety behaviors) were also included. Mixed-model analyses with no ad hoc imputations were conducted for primary and secondary outcome measures. NO-FEAR Airlines (with and without therapist guidance) was significantly effective, compared to the waiting list control group, on all primary and secondary outcomes (all ps < .05), and no significant differences were found between the two ways of delivering the intervention. Significant improvements on diagnostic status and reliable change indexes were also found in both treatment groups at post-treatment. Regarding behavioral outcomes, significant differences in safety behaviors were found at post-treatment, compared to the waiting list. Treatment gains were maintained at 3- and 12-month follow-ups. FP can be treated effectively via the Internet. NO-FEAR Airlines helps to enhance the exposure technique and provide access to evidence-based psychological treatment to more people in need. These data are congruent with previous studies highlighting the usefulness of computer-assisted exposure programs for FP, and they contribute to the literature on Internet-based interventions. To the best of our knowledge, this is the first RCT to investigate the effectiveness of an Internet-based treatment for FP and explore two ways of delivering the intervention (with and without therapist guidance). Clinicaltrials.gov: NCT02298478 ( https://clinicaltrials.gov/ct2/show/NCT02298478 ). Trial registration date 3 November 2014.

  • the acceptability of an internet based exposure treatment for Flying Phobia with and without therapist guidance patients expectations satisfaction treatment preferences and usability
    Neuropsychiatric Disease and Treatment, 2018
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Adriana Mira, Diana Castilla, Juana Bretonlopez, Soledad Quero
    Abstract:

    Purpose: Internet-based treatments have been tested for several psychological disorders. However, few studies have directly assessed the acceptability of these self-applied interventions in terms of expectations, satisfaction, treatment preferences, and usability. Moreover, no studies provide this type of data on Internet-based treatment for Flying Phobia (FP), with or without therapist guidance. The aim of this study was to analyze the acceptability of an Internet-based treatment for FP (NO-FEAR Airlines) that includes exposure scenarios composed of images and real sounds. A secondary aim was to compare patients' acceptance of two ways of delivering this treatment (with or without therapist guidance). Patients and methods: The sample included 46 participants from a randomized controlled trial who had received the self-applied intervention with (n = 23) or without (n = 23) therapist guidance. All participants completed an assessment protocol conducted online and by telephone at both pre- and posttreatment. Results: Results showed good expectations, satisfaction, opinion, and usability, regardless of the presence of therapist guidance, including low aversiveness levels from before to after the intervention. However, participants generally preferred the therapist-supported condition. Conclusion: NO-FEAR Airlines is a well-accepted Internet-based treatment that can help enhance the application of the exposure technique, improving patient acceptance and access to FP treatment.

  • an internet based treatment for Flying Phobia no fear airlines study protocol for a randomized controlled trial
    BMC Psychiatry, 2016
    Co-Authors: Daniel Campos, Claude Botella, Rosa María Baños, Juani Bretonlopez, Adriana Mira, Diana Castilla, Miquel Tortellafeliu
    Abstract:

    Background Flying Phobia (FP) is a common and disabling mental disorder. Although in vivo exposure is the treatment of choice, it is linked to a number of limitations in its implementation. Particularly important, is the limited access to the feared stimulus (i.e., plane). Moreover, the economic cost of in vivo exposure should be specially considered as well as the difficulty of applying the exposure technique in an appropriate way; controlling important variables such as the duration of the exposure or the number of sessions. ICTs could help to reduce these limitations. Computer-assisted treatments have remarkable advantages in treating FP. Furthermore, they can be delivered through the Internet, increasing their advantages and reaching more people in need. The Internet has been established as an effective way to treat a wide range of mental disorders. However, as far as we know, no controlled studies exist on FP treatment via the Internet. This study aims to evaluate the efficacy of an Internet-based treatment for FP (NO-FEAR Airlines) versus a waiting list control group. Secondary objectives will be to explore two ways of delivering NO-FEAR Airlines, with or without therapist guidance, and study the patients’ acceptance of the program. This paper presents the study protocol.