Robin Conen, Nikolai Hepke, Jörg Lohscheller, Steffen Mueller, Ana N Tibubos
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Augmented Reality (AR), which combines conventional and virtual methods, is a novel therapeutic strategy.</p><p><strong>Methods: </strong>We investigated the viability and acceptability of an AR intervention for CLBP by incorporating psychoeducation and mindfulness-based body scan techniques. 40 participants in two studies with a one-arm design underwent an educational AR intervention (Study I, <i>n</i> <sub>1</sub> = 18) and an enhanced version with an additional body scan (Study II, <i>n</i> <sub>2</sub> = 22). The studies focused on evaluating technical feasibility and multiple facets of user experience.</p><p><strong>Results: </strong>The results demonstrated high feasibility with low dropout rates (Study I: 10%, Study II: 0%). User experience ratings ranged from \"Above Average\" to \"Excellent,\" with the advanced intervention receiving higher ratings. While Study I showed no significant changes in affect pre- vs. post-intervention, Study II exhibited a significant reduction in negative affect and improved valence. Qualitative analysis provided insights into technical requirements and user perceptions.</p><p><strong>Discussion: </strong>The AR prototype emerges as a promising psychoeducational tool for CLBP, aligning with current treatment guidelines and providing a basis for future controlled clinical trials. Limitations include the absence of a high-pain intervention group, as Study I reported a pain intensity of <i>M</i> = 1.05 and Study II reported <i>M</i> = 1.77 (Range: 0-10). Further research such as clinical trials with control groups is required to validate the efficacy of the piloted approach. The AR-based psychoeducation and mindfulness body scan intervention for CLBP demonstrated technical feasibility and a good user experience.</p><p><strong>Clinical trial registration: </strong>Open Science Framework.io; https://doi.org/10.17605/OSF.IO/DSW5X and https://doi.org/10.17605/OSF.IO/XVJBZ.</p>","PeriodicalId":73097,"journal":{"name":"Frontiers in pain research (Lausanne, Switzerland)","volume":"6 ","pages":"1600637"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281825/pdf/","citationCount":"0","resultStr":"{\"title\":\"Feasibility and user experience of augmented reality psychoeducation and mindfulness body scan for chronic low back pain.\",\"authors\":\"Robin Conen, Nikolai Hepke, Jörg Lohscheller, Steffen Mueller, Ana N Tibubos\",\"doi\":\"10.3389/fpain.2025.1600637\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic low back pain (CLBP) is prevalent and a multimodal therapy is indicated, including psychological treatment. Effective conventional treatments involve psychoeducation and mindfulness-based body scans, while virtual reality offers superior but temporary pain relief. Augmented Reality (AR), which combines conventional and virtual methods, is a novel therapeutic strategy.</p><p><strong>Methods: </strong>We investigated the viability and acceptability of an AR intervention for CLBP by incorporating psychoeducation and mindfulness-based body scan techniques. 40 participants in two studies with a one-arm design underwent an educational AR intervention (Study I, <i>n</i> <sub>1</sub> = 18) and an enhanced version with an additional body scan (Study II, <i>n</i> <sub>2</sub> = 22). The studies focused on evaluating technical feasibility and multiple facets of user experience.</p><p><strong>Results: </strong>The results demonstrated high feasibility with low dropout rates (Study I: 10%, Study II: 0%). 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引用次数: 0
摘要
背景：慢性腰痛（CLBP）很普遍，需要多模式治疗，包括心理治疗。有效的传统治疗包括心理教育和基于正念的身体扫描，而虚拟现实提供了更好但暂时的疼痛缓解。增强现实（AR）是一种新型的治疗策略，它将传统方法与虚拟方法相结合。方法：我们通过结合心理教育和基于正念的身体扫描技术，研究了AR干预CLBP的可行性和可接受性。在两项单臂设计的研究中，40名参与者接受了教育性AR干预（研究I， n 1 = 18）和增强版附加身体扫描（研究II， n 2 = 22）。研究的重点是评估技术可行性和用户体验的多个方面。结果：实验结果可行性高，中途退学率低（研究1:10%，研究2:0%）。用户体验评级从“中等以上”到“优秀”，高级干预获得更高的评级。虽然研究1显示干预前和干预后的情绪没有显著变化，但研究2显示负面情绪显著减少，效价改善。定性分析提供了对技术需求和用户感知的见解。讨论：AR原型作为一种有前途的CLBP心理教育工具出现，与当前的治疗指南保持一致，并为未来的对照临床试验提供基础。局限性包括缺乏高疼痛干预组，因为研究I报告的疼痛强度M = 1.05，研究II报告的M = 1.77（范围：0-10）。需要进一步的研究，如与对照组进行临床试验，以验证试点方法的有效性。基于ar的心理教育和正念身体扫描干预CLBP证明了技术可行性和良好的用户体验。临床试验注册：Open Science Framework.io；https://doi.org/10.17605/OSF.IO/DSW5X和https://doi.org/10.17605/OSF.IO/XVJBZ。
Feasibility and user experience of augmented reality psychoeducation and mindfulness body scan for chronic low back pain.
Background: Chronic low back pain (CLBP) is prevalent and a multimodal therapy is indicated, including psychological treatment. Effective conventional treatments involve psychoeducation and mindfulness-based body scans, while virtual reality offers superior but temporary pain relief. Augmented Reality (AR), which combines conventional and virtual methods, is a novel therapeutic strategy.
Methods: We investigated the viability and acceptability of an AR intervention for CLBP by incorporating psychoeducation and mindfulness-based body scan techniques. 40 participants in two studies with a one-arm design underwent an educational AR intervention (Study I, n1 = 18) and an enhanced version with an additional body scan (Study II, n2 = 22). The studies focused on evaluating technical feasibility and multiple facets of user experience.
Results: The results demonstrated high feasibility with low dropout rates (Study I: 10%, Study II: 0%). User experience ratings ranged from "Above Average" to "Excellent," with the advanced intervention receiving higher ratings. While Study I showed no significant changes in affect pre- vs. post-intervention, Study II exhibited a significant reduction in negative affect and improved valence. Qualitative analysis provided insights into technical requirements and user perceptions.
Discussion: The AR prototype emerges as a promising psychoeducational tool for CLBP, aligning with current treatment guidelines and providing a basis for future controlled clinical trials. Limitations include the absence of a high-pain intervention group, as Study I reported a pain intensity of M = 1.05 and Study II reported M = 1.77 (Range: 0-10). Further research such as clinical trials with control groups is required to validate the efficacy of the piloted approach. The AR-based psychoeducation and mindfulness body scan intervention for CLBP demonstrated technical feasibility and a good user experience.
Clinical trial registration: Open Science Framework.io; https://doi.org/10.17605/OSF.IO/DSW5X and https://doi.org/10.17605/OSF.IO/XVJBZ.
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