Paper: VR Training to De-escalate Patient Aggressive Behavior

Journal Paper: Virtual Reality Training to De-escalate Patient Aggressive Behavior: A Pilot Study

Daraiseh, N. M., Tang, M., Macaluso, M., Aeschbury, M., Bachtel, A., Nikolaenko, M., … Vaughn, A. (2025). Virtual Reality Training to De-escalate Patient Aggressive Behavior: A Pilot Study. International Journal of Human–Computer Interaction, 1–16. https://doi.org/10.1080/10447318.2025.2576635

Abstract
Despite intensive crisis de-escalation training, psychiatric staff continue to face high injury rates from aggressive patient interactions (APIs). New approaches are needed to enhance the application of effective strategies in managing APIs. This study explored the efficacy and feasibility of VR training for psychiatric staff in recognizing and selecting appropriate de-escalation interventions. A quasi-experimental design with psychiatric staff (N = 33) tested the effectiveness and feasibility of VR training depicting a common API interaction. Effectiveness was assessed through pre-post comparisons of the Confidence in Coping with Patient Aggression (CCPA) survey, correct answer percentages, response times, and attempt success rates. Feasibility was indicated by mean scores above ‘neutral’ on usability, presence, and learner satisfaction surveys. Results showed significant improvements in response times and confidence (p<.0001), with over 75% of participants rating the training positively. VR training is effective and feasible for enhancing de-escalation skills, offering a promising approach for psychiatric facilities.

More information on the project Therapeutic Crisis Intervention Simulation. P1,P2