{"id":"https://openalex.org/W4415696698","doi":"https://doi.org/10.1080/10447318.2025.2576635","title":"Virtual Reality Training to De-escalate Patient Aggressive Behavior: A Pilot Study","display_name":"Virtual Reality Training to De-escalate Patient Aggressive Behavior: A Pilot Study","publication_year":2025,"publication_date":"2025-10-30","ids":{"openalex":"https://openalex.org/W4415696698","doi":"https://doi.org/10.1080/10447318.2025.2576635"},"language":"en","primary_location":{"id":"doi:10.1080/10447318.2025.2576635","is_oa":false,"landing_page_url":"https://doi.org/10.1080/10447318.2025.2576635","pdf_url":null,"source":{"id":"https://openalex.org/S165559636","display_name":"International Journal of Human-Computer Interaction","issn_l":"1044-7318","issn":["1044-7318","1532-7590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547"],"host_organization_lineage_names":["Taylor & Francis"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Human\u2013Computer Interaction","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063334094","display_name":"Nancy M. Daraiseh","orcid":"https://orcid.org/0000-0003-0669-4309"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I92156820","display_name":"University of Cincinnati Medical Center","ror":"https://ror.org/02p72h367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I92156820"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nancy M. Daraiseh","raw_affiliation_strings":["Department of Pediatrics, College of Medicine, University of Cincinnati","Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0000-0003-0669-4309","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, College of Medicine, University of Cincinnati","institution_ids":["https://openalex.org/I92156820"]},{"raw_affiliation_string":"Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101398093","display_name":"Ming Tang","orcid":"https://orcid.org/0000-0001-7284-856X"},"institutions":[{"id":"https://openalex.org/I4210089692","display_name":"Einstein Center Digital Future","ror":"https://ror.org/0086bb350","country_code":"DE","type":"facility","lineage":["https://openalex.org/I39343248","https://openalex.org/I4210089692","https://openalex.org/I46043019","https://openalex.org/I75951250","https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ming Tang","raw_affiliation_strings":["eXtended Reality (XR) Lab, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Digital Futures"],"raw_orcid":"https://orcid.org/0000-0001-7284-856X","affiliations":[{"raw_affiliation_string":"eXtended Reality (XR) Lab, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Digital Futures","institution_ids":["https://openalex.org/I4210089692"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054540023","display_name":"Maurizio Macaluso","orcid":"https://orcid.org/0000-0002-2977-9690"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I92156820","display_name":"University of Cincinnati Medical Center","ror":"https://ror.org/02p72h367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I92156820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maurizio Macaluso","raw_affiliation_strings":["Department of Pediatrics, College of Medicine, University of Cincinnati","Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0000-0002-2977-9690","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, College of Medicine, University of Cincinnati","institution_ids":["https://openalex.org/I92156820"]},{"raw_affiliation_string":"Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117192378","display_name":"Madeline Aeschbury","orcid":null},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Madeline Aeschbury","raw_affiliation_strings":["Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0009-0003-5797-421X","affiliations":[{"raw_affiliation_string":"Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073693278","display_name":"Alycia Bachtel","orcid":"https://orcid.org/0000-0001-8056-7338"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alycia Bachtel","raw_affiliation_strings":["Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0000-0001-8056-7338","affiliations":[{"raw_affiliation_string":"Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5098977751","display_name":"Mikhail Nikolaenko","orcid":null},"institutions":[{"id":"https://openalex.org/I4210089692","display_name":"Einstein Center Digital Future","ror":"https://ror.org/0086bb350","country_code":"DE","type":"facility","lineage":["https://openalex.org/I39343248","https://openalex.org/I4210089692","https://openalex.org/I46043019","https://openalex.org/I75951250","https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Mikhail Nikolaenko","raw_affiliation_strings":["eXtended Reality (XR) Lab, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Digital Futures"],"raw_orcid":"https://orcid.org/0009-0006-2009-8158","affiliations":[{"raw_affiliation_string":"eXtended Reality (XR) Lab, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Digital Futures","institution_ids":["https://openalex.org/I4210089692"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Camryn Backman","orcid":null},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Camryn Backman","raw_affiliation_strings":["Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033294519","display_name":"Chunyan Liu","orcid":"https://orcid.org/0000-0002-4096-3210"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chunyan Liu","raw_affiliation_strings":["Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0000-0002-4096-3210","affiliations":[{"raw_affiliation_string":"Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015879489","display_name":"Aaron J. Vaughn","orcid":"https://orcid.org/0000-0002-6365-8390"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aaron Vaughn","raw_affiliation_strings":["Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children\u2019s Hospital Medical Center","Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center"],"raw_orcid":"https://orcid.org/0000-0002-6365-8390","affiliations":[{"raw_affiliation_string":"Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]},{"raw_affiliation_string":"Division of Child Psychiatry, Cincinnati Children\u2019s Hospital Medical Center","institution_ids":["https://openalex.org/I1285204247"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5063334094"],"corresponding_institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I92156820"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.38503877,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"42","issue":"12","first_page":"9371","last_page":"9386"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11647","display_name":"Workplace Violence and Bullying","score":0.20970000326633453,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11647","display_name":"Workplace Violence and Bullying","score":0.20970000326633453,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.07649999856948853,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.053700000047683716,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/virtual-reality","display_name":"Virtual reality","score":0.6434000134468079},{"id":"https://openalex.org/keywords/training","display_name":"Training (meteorology)","score":0.5472000241279602},{"id":"https://openalex.org/keywords/action","display_name":"Action (physics)","score":0.2637999951839447},{"id":"https://openalex.org/keywords/virtual-patient","display_name":"Virtual patient","score":0.25279998779296875}],"concepts":[{"id":"https://openalex.org/C194969405","wikidata":"https://www.wikidata.org/wiki/Q170519","display_name":"Virtual reality","level":2,"score":0.6434000134468079},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.5472000241279602},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.384799987077713},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3698999881744385},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3637999892234802},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3416999876499176},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.30630001425743103},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2775999903678894},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.271699994802475},{"id":"https://openalex.org/C2780791683","wikidata":"https://www.wikidata.org/wiki/Q846785","display_name":"Action (physics)","level":2,"score":0.2637999951839447},{"id":"https://openalex.org/C2778533338","wikidata":"https://www.wikidata.org/wiki/Q7935148","display_name":"Virtual patient","level":2,"score":0.25279998779296875}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1080/10447318.2025.2576635","is_oa":false,"landing_page_url":"https://doi.org/10.1080/10447318.2025.2576635","pdf_url":null,"source":{"id":"https://openalex.org/S165559636","display_name":"International Journal of Human-Computer Interaction","issn_l":"1044-7318","issn":["1044-7318","1532-7590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547"],"host_organization_lineage_names":["Taylor & Francis"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Human\u2013Computer Interaction","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W1801695590","https://openalex.org/W1963875979","https://openalex.org/W1995223135","https://openalex.org/W2028365554","https://openalex.org/W2072747695","https://openalex.org/W2077953127","https://openalex.org/W2107379813","https://openalex.org/W2115340659","https://openalex.org/W2116845543","https://openalex.org/W2136757566","https://openalex.org/W2142848478","https://openalex.org/W2157538203","https://openalex.org/W2167980398","https://openalex.org/W2184792755","https://openalex.org/W2375864427","https://openalex.org/W2521387914","https://openalex.org/W2579026760","https://openalex.org/W2786931694","https://openalex.org/W2890777865","https://openalex.org/W2993958428","https://openalex.org/W3042540017","https://openalex.org/W3042726768","https://openalex.org/W3089981941","https://openalex.org/W3119286888","https://openalex.org/W3119531137","https://openalex.org/W3165793349","https://openalex.org/W3205511361","https://openalex.org/W4281746604","https://openalex.org/W4298213508","https://openalex.org/W4367281491","https://openalex.org/W4380988543","https://openalex.org/W4384203492","https://openalex.org/W4385318163","https://openalex.org/W4387809676","https://openalex.org/W4388931266","https://openalex.org/W4392964103","https://openalex.org/W4396561970","https://openalex.org/W4396962960","https://openalex.org/W4400348041","https://openalex.org/W4402602096","https://openalex.org/W4404170257"],"related_works":[],"abstract_inverted_index":{"Despite":[0],"intensive":[1],"crisis":[2],"de-escalation":[3,50,141],"training,":[4],"psychiatric":[5,43,56,148],"staff":[6,44,57],"continue":[7],"to":[8,22],"face":[9],"high":[10],"injury":[11],"rates":[12],"from":[13],"aggressive":[14],"patient":[15],"interactions":[16],"(APIs).":[17],"New":[18],"approaches":[19],"are":[20],"needed":[21],"enhance":[23],"the":[24,35,62,81,130],"application":[25],"of":[26,39,66,80,127],"effective":[27,136],"strategies":[28],"in":[29,45,83,118],"managing":[30],"APIs.":[31],"This":[32],"study":[33],"explored":[34],"efficacy":[36],"and":[37,47,64,95,110,121,137],"feasibility":[38,65],"VR":[40,67,133],"training":[41,68,131,134],"for":[42,139,147],"recognizing":[46],"selecting":[48],"appropriate":[49],"interventions.":[51],"A":[52],"quasi-experimental":[53],"design":[54],"with":[55,85,124],"(N":[58],"=":[59],"33)":[60],"tested":[61],"effectiveness":[63],"depicting":[69],"a":[70,144],"common":[71],"API":[72],"interaction.":[73],"Effectiveness":[74],"was":[75,100],"assessed":[76],"through":[77],"pre-post":[78],"comparisons":[79],"Confidence":[82],"Coping":[84],"Patient":[86],"Aggression":[87],"(CCPA)":[88],"survey,":[89],"correct":[90],"answer":[91],"percentages,":[92],"response":[93,119],"times,":[94],"attempt":[96],"success":[97],"rates.":[98],"Feasibility":[99],"indicated":[101],"by":[102],"mean":[103],"scores":[104],"above":[105],"\u2018neutral\u2019":[106],"on":[107],"usability,":[108],"presence,":[109],"learner":[111],"satisfaction":[112],"surveys.":[113],"Results":[114],"showed":[115],"significant":[116],"improvements":[117],"times":[120],"confidence":[122],"(p<.0001),":[123],"over":[125],"75%":[126],"participants":[128],"rating":[129],"positively.":[132],"is":[135],"feasible":[138],"enhancing":[140],"skills,":[142],"offering":[143],"promising":[145],"approach":[146],"facilities.":[149]},"counts_by_year":[],"updated_date":"2026-06-17T06:14:20.161405","created_date":"2025-10-30T00:00:00"}