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Warsaw, 13.12.2023

Bioethics Committee
At the District Medical Chamber in Warsaw

FINAL REPORT on the conducted study concerning: EVALUATION OF THE EFFECTIVENESS OF CBT FOR SOCIAL ANXIETY USING THE FOBOS SYSTEM

STUDY OBJECTIVE

The aim of the study is to determine whether individual CBT for social anxiety using the FOBOS system is no less effective than standard CBT conducted with the use of the imaginal exposure method. The therapy will be conducted in the form of teletherapy (online).

Research hypothesis: Combating social anxiety using the FOBOS system in the form of teletherapy is not less effective (non-inferiority) than first-line treatment in the CBT approach.

The study included 30 adults meeting the diagnostic criteria for social anxiety disorder. Participants qualified for the study were those who:

  • in the screening test scored at least 30 points on the LSAS scale (Liebowitz, 1987) – online questionnaire, and then,
  • had the diagnosis (F40.1) confirmed in a structured psychiatric interview (Mini International Neuropsychiatric Interview, MINI; Sheehan et al., 1998),
  • agreed not to undergo any other psychological treatment during the study period,
  • had no history of CBT in the past three years,

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Advanced VR Platform Designed for Therapists

A flexible platform for utilizing and evaluating VR exposure therapy scenarios, compatible with smartphones.

Immersive 360° Scenarios

Therapeutically relevant virtual environments designed for controlled, gradual exposure.

Universal Compatibility

Support for all VR devices - from professional headsets to accessible solutions like Cardboard, where a smartphone is inserted during the session.

Therapist Preview Mode

Intuitive interface for therapists to review and select appropriate VR scenarios prior to client exposure.

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Simplified controls ensure a comfortable and intuitive client experience within the VR environment.

Versatile Solution

fobos works seamlessly on both Android and iOS devices

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Evidence-Based Approach

Validated VRET Principles & Integrated SUD Guidance

Our platform is grounded in research on Virtual Reality Exposure Therapy (VRET) effectiveness and incorporates Subjective Units of Distress (SUD) tracking to support the therapeutic process.

VRET Effectiveness in Research

Reduces Anxiety Symptoms

Meta-analyses show VRET significantly decreases social anxiety compared to waitlist controls (effect size g=0.82-0.90).

Comparable to In-Vivo Exposure

Studies indicate VRET yields results comparable to traditional real-world exposure therapy for social anxiety (minimal effect size differences noted in meta-analyses).

Aligns with CBT Standards

Research suggests VRET effectiveness is comparable to established cognitive-behavioral therapy approaches for anxiety disorders.

Note: fobos is designed as a supplementary tool to enhance traditional therapy, leveraging therapist expertise alongside VR capabilities. It does not replace the therapeutic relationship.

Built-in SUD Monitoring & Guidance

Integrated SUD Level Tracking

The platform facilitates systematic recording of Subjective Units of Distress (SUD) ratings before and after VR exposure, enabling quantifiable monitoring of client anxiety and response.

Data-Informed Exposure Guidance

SUD ratings analysis provides insights to guide the therapeutic process, informing decisions about exposure hierarchy progression within the fobos application.

Adaptive Session Recommendations

Based on tracked SUD data, the system offers recommendations for session adjustments, such as repeating a scenario or advancing to the next level of exposure intensity.

Clinical Validation of Exposure Induction

Internal validation using fobos demonstrated effectiveness in reducing social anxiety symptoms at the same level as imagery technique.

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