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Project Title:  Quantification of Response to Virtual Reality-based Sensory Stimulation for Relaxation and Therapeutic Release in ICE Reduce
Fiscal Year: FY 2023 
Division: Human Research 
Research Discipline/Element:
HRP HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Start Date: 09/09/2020  
End Date: 09/08/2024  
Task Last Updated: 08/21/2023 
Download report in PDF pdf
Principal Investigator/Affiliation:   Stankovic, Aleksandra  Ph.D. / Massachusetts General Hospital/Harvard Medical School 
Address:  Human Performance Laboratory 
149 13th St 
Charlestown , MA 02129-2020 
Email: astankovic1@mgh.harvard.edu 
Phone: 908-391-1177  
Congressional District:
Web:  
Organization Type: NON-PROFIT 
Organization Name: Massachusetts General Hospital/Harvard Medical School 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Buckey, Jay  M.D. Dartmouth College 
Bovard, Pooja  Ph.D. Charles Stark Draper Laboratory Inc 
Strangman, Gary   Massachusetts General Hospital/Harvard Medical School 
Project Information: Grant/Contract No. 80NSSC20K1852 
Responsible Center: NASA JSC 
Grant Monitor: Whitmire, Alexandra  
Center Contact:  
alexandra.m.whitmire@nasa.gov 
Unique ID: 14074 
Solicitation / Funding Source: 2017-2018 HERO 80JSC017N0001-HHCHFBP: Human Health Countermeasures, Human Factors, Behavioral Performance. Appendix D 
Grant/Contract No.: 80NSSC20K1852 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:
No. of PhD Candidates:  
No. of Master's Candidates:
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Human Research Program Risks: (1) BMed:Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders
(2) HSIA:Risk of Adverse Outcomes Due to Inadequate Human Systems Integration Architecture
Human Research Program Gaps: (1) BMed-101:We need to identify, quantify, and validate the key selection factors for astronaut cognitive and behavioral strengths (e.g., resiliency) and operationally-relevant performance threats for increasingly Earth independent, long-duration, autonomous, and/or long-distance exploration missions.
(2) BMed-102:Given exposures to spaceflight hazards (space radiation, isolation), how do we identify individual susceptibility, monitor molecular/biomarkers and acceptable thresholds, and validate behavioral health and CNS/neurological/neuropsychological performance measures and domains of relevance to exploration class missions?
(3) BMed-103:What are the validated, efficacious treatments (individual or Team-based) and/or countermeasures to prevent adverse behavioral conditions, CNS/neurological, and/or psychiatric disorders caused by either single and/or integrated exposures to spaceflight hazards during exploration class missions?
(4) BMed-104:Given the potentially negative spaceflight associated CNS changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated modifications to habitat/vehicle to mitigate stressors impacting on CNS / cognition / behavioral health?
(5) BMed-105:Given the potentially negative spaceflight associated CNS/cognitive changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated medical or dietary countermeasures to mitigate stressors impacting on CNS / cognition / behavioral health?
(6) BMed-107:What are the long-term changes and risks to astronaut health post-mission that, when using a continuity of care model, helps retrospectively identify and understand individual susceptibility (e.g., hereditary, dose, thresholds) to mitigate adverse CNS, cognitive, and behavioral health changes resulting from long-duration exploration missions, promoting the behavioral health of current and future crews?
(7) HSIA-201:We need to evaluate the demands of future exploration habitat/vehicle systems and mission scenarios (e.g. increased automation, multi-modal communication) on individuals and teams, and determine the risks these demands pose to crew health and performance.
(8) HSIA-401:We need to determine how HSI can be applied in the vehicle/habitat and computer interface Design Phase to mitigate potential decrements in operationally-relevant performance (e.g. problem-solving, execution procedures), during increasingly earth-independent, future exploration missions (including in-mission and at landing).
Flight Assignment/Project Notes: NOTE: End date changed to 09/08/2024 per L. Juliette/HFBP (Ed., 8/15/23).

Task Description: The environmental conditions of prolonged spaceflight missions pose medical and psychological risks for astronauts. As identified by NASA Human Research Program (HRP), long duration exposure to an isolated, confined, and extreme (ICE) environment contributes to the risk of adverse cognitive or behavioral events which may compromise mission safety and success. Previous work has suggested a link between the reduced sensory stimulation associated with such environments and a loss of pleasure, satisfaction, and engagement ([1], [2], [3]). Effective countermeasures are necessary to promote individual behavioral health and performance by providing increased sensory stimulation, offering novelty, preventing boredom, reducing stress, and increasing attention. This study investigates the application of Virtual Reality (VR) stimulation for relaxation to promote stress management and mitigate against the risk of adverse cognitive and behavioral effects in spaceflight-like isolated, confined, and extreme (ICE) environments. Expanding upon previous work which investigated the feasibility of nature-based sensory stimulation using VR to promote stress management and relaxation ([4]), this project will (1) optimize the VR-based sensory stimulation experience through the integration of additional immersive components (e.g. haptic cues, enhanced audio), to promote engagement and thereby facilitate therapeutic release; (2) incorporate non-intrusive physiological monitoring for the objective assessment of relaxation; (3) promote relaxation through the introduction of biofeedback (i.e. VR presentation altered based on physiological cues); and (4) compare the effectiveness of various aspects of the VR experience for producing relaxation (via monitoring of physiological stress reduction) and restoring attention (through the measurement of performance on a cognition task). We will also examine individual preferences for sensory stimulation scenario characteristics (e.g. scene content, duration).

References: [1] Kanas N, Sandal G, Boyd JE, Gushin VI, Manzey D, North R, (...), Inoue N. (2009). Psychology and culture during long-duration space missions. Acta Astronautica, 64(7-8), 659-77. [2] Stuster J. (2011). Bold endeavors: Lessons from polar and space exploration. Naval Institute Press. [3] Holland AW. (2000). Psychology of spaceflight. Journal of Human Performance in Extreme Environments, 5(1), 4-20. [4] Anderson, A. P., Mayer, M. D., Fellows, A. M., Cowan, D. R., Hegel, M. T., & Buckey, J. C. (2017). Relaxation with immersive natural scenes presented using virtual reality. Aerospace medicine and human performance, 88(6), 520-526.

Research Impact/Earth Benefits: Virtual Reality platforms offer tremendous promise as psychological support tools in conditions of prolonged isolation and confinement.

Task Progress & Bibliography Information FY2023 
Task Progress: This project aims to optimize and test virtual reality (VR) sensory presentation for behavioral health support in isolated, confined, and extreme (ICE) environments. The work will include psychophysiological monitoring and feedback, and multisensory display presentations (e.g., haptic/tactile stimulation, enhanced audio), and will be tested in laboratory and ICE analog environments.

The first phase of this investigation involved the analysis of subjective feedback questionnaires and post-mission interviews collected from participating operational ICE environment volunteers who interacted with a standard VR platform on an informal basis. The purpose of this exploratory, opportunistic research was to assess preference for VR scenarios and to gather contextually specific experiential data with the goal of optimizing future VR presentation for maximum restorative impact. This work has shown immersive VR to be highly rated, with natural scene content and dynamic scenes involving people and animals perceived as restorative following long periods of isolation and confinement. Findings suggest that options for personalized customization of the VR experience are also highly desirable.

We deployed a set of VR experiences for usage at the South Pole Station and have collected data during the past two winter-over seasons. These experiences included several different VR scenarios which modulated one or more of four specific attributes of the VR experience: (1) scenario duration (short vs. long); (2) sensory modality (visual only or visual haptic cues and enhanced audio); (3) scene context (city or nature scenes); and (4) scene dynamic presentation (fixed scenes or dynamically explorable scenes with motion). We also investigated the differential effects of assigned vs. self-selected VR sessions. For both seasons, we collected subjective response data through self-reported mood and preference questionnaires, as well as objective physiological responses to VR experience interactions during the second half of winter-over (approximately July-October), to assess the emotional and psychological impacts of various platform configurations.

In the next several months, we will be conducting laboratory testing which will expand upon our analog work and incorporate an investigation of the impact of various VR experiences (including the introduction of biofeedback) on cognitive performance. We look forward to sharing our results soon!

Bibliography: Description: (Last Updated: 04/19/2024) 

Show Cumulative Bibliography
 
 None in FY 2023
Project Title:  Quantification of Response to Virtual Reality-based Sensory Stimulation for Relaxation and Therapeutic Release in ICE Reduce
Fiscal Year: FY 2022 
Division: Human Research 
Research Discipline/Element:
HRP HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Start Date: 09/09/2020  
End Date: 09/08/2023  
Task Last Updated: 07/11/2022 
Download report in PDF pdf
Principal Investigator/Affiliation:   Stankovic, Aleksandra  Ph.D. / Massachusetts General Hospital/Harvard Medical School 
Address:  Human Performance Laboratory 
149 13th St 
Charlestown , MA 02129-2020 
Email: astankovic1@mgh.harvard.edu 
Phone: 908-391-1177  
Congressional District:
Web:  
Organization Type: NON-PROFIT 
Organization Name: Massachusetts General Hospital/Harvard Medical School 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Buckey, Jay  M.D. Dartmouth College 
Bovard, Pooja  Ph.D. Charles Stark Draper Laboratory Inc 
Strangman, Gary   Massachusetts General Hospital/Harvard Medical School 
Project Information: Grant/Contract No. 80NSSC20K1852 
Responsible Center: NASA JSC 
Grant Monitor: Whitmire, Alexandra  
Center Contact:  
alexandra.m.whitmire@nasa.gov 
Unique ID: 14074 
Solicitation / Funding Source: 2017-2018 HERO 80JSC017N0001-HHCHFBP: Human Health Countermeasures, Human Factors, Behavioral Performance. Appendix D 
Grant/Contract No.: 80NSSC20K1852 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:
No. of PhD Candidates:  
No. of Master's Candidates:
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Human Research Program Risks: (1) BMed:Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders
(2) HSIA:Risk of Adverse Outcomes Due to Inadequate Human Systems Integration Architecture
Human Research Program Gaps: (1) BMed-101:We need to identify, quantify, and validate the key selection factors for astronaut cognitive and behavioral strengths (e.g., resiliency) and operationally-relevant performance threats for increasingly Earth independent, long-duration, autonomous, and/or long-distance exploration missions.
(2) BMed-102:Given exposures to spaceflight hazards (space radiation, isolation), how do we identify individual susceptibility, monitor molecular/biomarkers and acceptable thresholds, and validate behavioral health and CNS/neurological/neuropsychological performance measures and domains of relevance to exploration class missions?
(3) BMed-103:What are the validated, efficacious treatments (individual or Team-based) and/or countermeasures to prevent adverse behavioral conditions, CNS/neurological, and/or psychiatric disorders caused by either single and/or integrated exposures to spaceflight hazards during exploration class missions?
(4) BMed-104:Given the potentially negative spaceflight associated CNS changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated modifications to habitat/vehicle to mitigate stressors impacting on CNS / cognition / behavioral health?
(5) BMed-105:Given the potentially negative spaceflight associated CNS/cognitive changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated medical or dietary countermeasures to mitigate stressors impacting on CNS / cognition / behavioral health?
(6) BMed-107:What are the long-term changes and risks to astronaut health post-mission that, when using a continuity of care model, helps retrospectively identify and understand individual susceptibility (e.g., hereditary, dose, thresholds) to mitigate adverse CNS, cognitive, and behavioral health changes resulting from long-duration exploration missions, promoting the behavioral health of current and future crews?
(7) HSIA-201:We need to evaluate the demands of future exploration habitat/vehicle systems and mission scenarios (e.g. increased automation, multi-modal communication) on individuals and teams, and determine the risks these demands pose to crew health and performance.
(8) HSIA-401:We need to determine how HSI can be applied in the vehicle/habitat and computer interface Design Phase to mitigate potential decrements in operationally-relevant performance (e.g. problem-solving, execution procedures), during increasingly earth-independent, future exploration missions (including in-mission and at landing).
Task Description: The environmental conditions of prolonged spaceflight missions pose medical and psychological risks for astronauts. As identified by NASA Human Research Program (HRP), long duration exposure to an isolated, confined, and extreme (ICE) environment contributes to the risk of adverse cognitive or behavioral events which may compromise mission safety and success. Previous work has suggested a link between the reduced sensory stimulation associated with such environments and a loss of pleasure, satisfaction, and engagement ([1], [2], [3]). Effective countermeasures are necessary to promote individual behavioral health and performance by providing increased sensory stimulation, offering novelty, preventing boredom, reducing stress, and increasing attention. This study investigates the application of Virtual Reality (VR) stimulation for relaxation and therapeutic release to promote stress management and mitigate against the risk of adverse cognitive and behavioral effects in spaceflight-like isolated, confined, and extreme environments (ICEs). Expanding upon previous work which investigated the feasibility of nature-based sensory stimulation using VR to promote stress management and relaxation ([4]), this project will (1) optimize the VR-based sensory stimulation experience through the integration of additional immersive components (e.g. haptic cues, enhanced audio), to promote engagement and thereby facilitate therapeutic release; (2) incorporate non-intrusive physiological monitoring for the objective assessment of relaxation; (3) promote relaxation and therapeutic release through the introduction of biofeedback (i.e. VR presentation altered based on physiological cues); and (4) compare the effectiveness of various aspects of the VR experience for producing relaxation (via monitoring of physiological stress reduction) and restoring attention (through the measurement of performance on an operationally-relevant task). We will also examine individual preferences for sensory stimulation scenario characteristics (e.g. scene content, duration).

References: [1] Kanas N, Sandal G, Boyd JE, Gushin VI, Manzey D, North R, (...), Inoue N. (2009). Psychology and culture during long-duration space missions. Acta Astronautica, 64(7-8), 659-77. [2] Stuster J. (2011). Bold endeavors: Lessons from polar and space exploration. Naval Institute Press. [3] Holland AW. (2000). Psychology of spaceflight. Journal of Human Performance in Extreme Environments, 5(1), 4-20. [4] Anderson, A. P., Mayer, M. D., Fellows, A. M., Cowan, D. R., Hegel, M. T., & Buckey, J. C. (2017). Relaxation with immersive natural scenes presented using virtual reality. Aerospace medicine and human performance, 88(6), 520-526.

Research Impact/Earth Benefits: Virtual Reality platforms offer tremendous promise as psychological support tools in conditions of prolonged isolation and confinement.

Task Progress & Bibliography Information FY2022 
Task Progress: This project aims to optimize and test virtual reality (VR) sensory presentation for behavioral health support in isolated, confined, and extreme (ICE) environments. The work will include integrated psychophysiological monitoring and feedback, and multisensory display presentations (e.g., haptic/tactile stimulation, enhanced audio), and will be tested in laboratory and ICE analog environments.

The project includes three research phases:

(1) evaluating the acceptance, perceived effectiveness, and operational feasibility of various VR parameters for relaxation, restoration, and therapeutic release, based on prior usage in operational ICE (e.g., Antarctica). (Aim completed. Please see Anderson, Stankovic, et al. 2022 for a summary of findings.) (2) manipulating various aspects of VR presentation (e.g., scene content, experience duration, presentation modality, and interactivity) in a high-fidelity, long-duration ICE analog to determine which VR attributes most optimize beneficial mood impacts related to relaxation, restoration, and therapeutic release. (Research currently in progress at the Antarctic South Pole Station during winter-over 2022.) (3) assessing experimentally in the laboratory the impact of various aspects of VR presentation (e.g., scene content, experience duration, presentation modality, and interactivity) on (1) psychophysiological response (to assess relaxation) and (2) performance on an operationally-relevant task (as a measure of cognitive performance and attention restoration), following stress induction. (Testing currently scheduled to commence in Fall 2022).

The first phase of this investigation (which has just concluded) involved the analysis of subjective feedback questionnaires and post-mission interviews collected from participating members of a pilot cohort of Antarctic winter-over expeditioners, and other operational ICE environment volunteers, who interacted with a standard VR platform on an informal basis. The purpose of this exploratory, opportunistic research was to assess preference for VR scenarios (e.g., evaluating along attributes such as interaction duration and scene content), and to gather contextually-specific experiential data with the goal of optimizing future VR presentation for maximum restorative impact. This work has shown immersive VR to be highly rated, with natural scene content and dynamic scenes involving people and animals perceived as restorative following long periods of isolation and confinement. Findings suggest that options for personalized customization of the VR experience are also highly desirable. Data gathered from this investigation will help inform the future optimization of VR experience for spaceflight and spaceflight-like isolated and confined environments.

We have also deployed -- for winter-over 2022 at the South Pole Station -- a set of VR experiences with enhanced immersion that allow for increased participant engagement to support relaxation and therapeutic release. This includes the design of several different VR scenarios which modulate one or more of four specific attributes of the VR experience: (1) scenario duration (short vs. long); (2) sensory modality (VR only, or VR with increased immersiveness through the addition of haptic cues and enhanced audio); (3) scene context (city or nature scenes); and (4) scene dynamic presentation (fixed scenes or dynamically explorable scenes with motion). We will be examining both subjective response to VR experience interaction (through self-reported mood and preference questionnaires) and objective physiological responses, to assess the emotional and psychological impacts of various platform configurations.

We are now in the process of preparing for upcoming laboratory testing, currently scheduled to be in Fall 2022, which will expand upon our analog work and incorporate an investigation of the impact of various VR experiences (including the introduction of biofeedback) on operationally relevant performance.

Reference: Anderson A, Stankovic A, Cowan D, Fellows A, Buckey J Jr. Natural scene virtual reality as a behavioral health countermeasure in isolated, confined, and extreme environments: Three isolated, confined, extreme analog case studies. Hum Factors. 2022 May 23. https://doi.org/10.1177/00187208221100693 ; PMID: 35604867.

Bibliography: Description: (Last Updated: 04/19/2024) 

Show Cumulative Bibliography
 
Articles in Peer-reviewed Journals Anderson A, Stankovic A, Cowan D, Fellows A, Buckey J Jr. "Natural scene virtual reality as a behavioral health countermeasure in isolated, confined, and extreme environments: Three isolated, confined, extreme analog case studies." Hum Factors. 2022 May 23. https://doi.org/10.1177/00187208221100693 ; PMID: 35604867 , May-2022
Project Title:  Quantification of Response to Virtual Reality-based Sensory Stimulation for Relaxation and Therapeutic Release in ICE Reduce
Fiscal Year: FY 2021 
Division: Human Research 
Research Discipline/Element:
HRP HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Start Date: 09/09/2020  
End Date: 09/08/2023  
Task Last Updated: 08/24/2022 
Download report in PDF pdf
Principal Investigator/Affiliation:   Stankovic, Aleksandra  Ph.D. / Massachusetts General Hospital/Harvard Medical School 
Address:  Human Performance Laboratory 
149 13th St 
Charlestown , MA 02129-2020 
Email: astankovic1@mgh.harvard.edu 
Phone: 908-391-1177  
Congressional District:
Web:  
Organization Type: NON-PROFIT 
Organization Name: Massachusetts General Hospital/Harvard Medical School 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Buckey, Jay  M.D. Dartmouth College 
Bovard, Pooja  Ph.D. Charles Stark Draper Laboratory Inc 
Strangman, Gary  Ph.D. Massachusetts General Hospital/Harvard Medical School 
Key Personnel Changes / Previous PI: Ed. Note (8/23/22): As per the PI, the following personnel have changed. Dr. Gary Strangman, of Massachusetts General Hospital/Harvard Medical School, has been added to the project as a CoInvestigator. Tristan Endsley, Ph.D. and Kevin Duda, Ph.D., of the Charles Stark Draper Laboratory, are no longer CoInvestigators with the project.
Project Information: Grant/Contract No. 80NSSC20K1852 
Responsible Center: NASA JSC 
Grant Monitor: Whitmire, Alexandra  
Center Contact:  
alexandra.m.whitmire@nasa.gov 
Unique ID: 14074 
Solicitation / Funding Source: 2017-2018 HERO 80JSC017N0001-HHCHFBP: Human Health Countermeasures, Human Factors, Behavioral Performance. Appendix D 
Grant/Contract No.: 80NSSC20K1852 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:  
No. of PhD Candidates:  
No. of Master's Candidates:  
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Human Research Program Risks: (1) BMed:Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders
(2) HSIA:Risk of Adverse Outcomes Due to Inadequate Human Systems Integration Architecture
Human Research Program Gaps: (1) BMed-101:We need to identify, quantify, and validate the key selection factors for astronaut cognitive and behavioral strengths (e.g., resiliency) and operationally-relevant performance threats for increasingly Earth independent, long-duration, autonomous, and/or long-distance exploration missions.
(2) BMed-102:Given exposures to spaceflight hazards (space radiation, isolation), how do we identify individual susceptibility, monitor molecular/biomarkers and acceptable thresholds, and validate behavioral health and CNS/neurological/neuropsychological performance measures and domains of relevance to exploration class missions?
(3) BMed-103:What are the validated, efficacious treatments (individual or Team-based) and/or countermeasures to prevent adverse behavioral conditions, CNS/neurological, and/or psychiatric disorders caused by either single and/or integrated exposures to spaceflight hazards during exploration class missions?
(4) BMed-104:Given the potentially negative spaceflight associated CNS changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated modifications to habitat/vehicle to mitigate stressors impacting on CNS / cognition / behavioral health?
(5) BMed-105:Given the potentially negative spaceflight associated CNS/cognitive changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated medical or dietary countermeasures to mitigate stressors impacting on CNS / cognition / behavioral health?
(6) BMed-107:What are the long-term changes and risks to astronaut health post-mission that, when using a continuity of care model, helps retrospectively identify and understand individual susceptibility (e.g., hereditary, dose, thresholds) to mitigate adverse CNS, cognitive, and behavioral health changes resulting from long-duration exploration missions, promoting the behavioral health of current and future crews?
(7) HSIA-201:We need to evaluate the demands of future exploration habitat/vehicle systems and mission scenarios (e.g. increased automation, multi-modal communication) on individuals and teams, and determine the risks these demands pose to crew health and performance.
(8) HSIA-401:We need to determine how HSI can be applied in the vehicle/habitat and computer interface Design Phase to mitigate potential decrements in operationally-relevant performance (e.g. problem-solving, execution procedures), during increasingly earth-independent, future exploration missions (including in-mission and at landing).
Task Description: The environmental conditions of prolonged spaceflight missions pose medical and psychological risks for astronauts. As identified by NASA Human Research Program (HRP), long duration exposure to an isolated, confined, and extreme (ICE) environment contributes to the risk of adverse cognitive or behavioral events which may compromise mission safety and success. Previous work has suggested a link between the reduced sensory stimulation associated with such environments and a loss of pleasure, satisfaction, and engagement ([1], [2], [3]). Effective countermeasures are necessary to promote individual behavioral health and performance by providing increased sensory stimulation, offering novelty, preventing boredom, reducing stress, and increasing attention. Draper Laboratory, in conjunction with collaborators at Dartmouth Geisel School of Medicine, will investigate Virtual Reality (VR) stimulation for relaxation and therapeutic release to mitigate the risk of adverse cognitive and behavioral effects in spaceflight-like isolated, confined environments.

This study will expand upon previous work conducted by our Dartmouth collaborators which investigated the feasibility of nature-based sensory stimulation using VR to promote stress management and relaxation ([4]) by (1) adding an interactive component to the VR-based sensory stimulation, to promote engagement and to facilitate therapeutic release; (2) deploying and testing this platform in ICE for feasibility and validation; (3) incorporating non-intrusive physiological monitoring; and (4) examining quantifiable neurophysiological response to stimulation exposure, individual variability in responses, and longitudinal and dose-response characteristics of exposure impacts.

References:

[1] Kanas N, Sandal G, Boyd JE, Gushin VI, Manzey D, North R, (...), Inoue N. (2009). Psychology and culture during long-duration space missions. Acta Astronautica, 64(7-8), 659-77.

[2] Stuster J. (2011). Bold endeavors: Lessons from polar and space exploration. Naval Institute Press.

[3] Holland AW. (2000). Psychology of spaceflight. Journal of Human Performance in Extreme Environments, 5(1), 4-20.

[4] Brasher KS, Dew AB, Kilminster SG, Bridger RS. (2010). Occupational stress in submariners: the impact of isolated and confined work on psychological well-being. Ergonomics, 53(3), 305-313.

Research Impact/Earth Benefits:

Task Progress & Bibliography Information FY2021 
Task Progress: Year 1 Progress (Ed., 8/24/22)

This project aims to optimize and test virtual reality (VR) sensory presentation for behavioral health support in isolated, confined, and extreme (ICE) environments. The work will include psychophysiological monitoring and feedback, and multisensory display presentations (e.g., haptic/tactile stimulation, enhanced audio), and will be tested in laboratory and ICE analog environments.

The first phase of this investigation involves the analysis of subjective feedback questionnaires and post-mission interviews collected from participating operational ICE environment volunteers who interacted with a standard VR platform on an informal basis. The purpose of this exploratory, opportunistic research is to assess preference for VR scenarios and to gather contextually-specific experiential data with the goal of optimizing future VR presentation for maximum restorative impact.

Currently, we are in the process of deploying a set of VR experiences for winter-over usage at the South Pole Station. These include several different VR scenarios which modulate one or more of four specific attributes of the VR experience: (1) scenario duration (short vs. long); (2) sensory modality (visual only or visual haptic cues and enhanced audio); (3) scene context (city or nature scenes); and (4) scene dynamic presentation (fixed scenes or dynamically explorable scenes with motion). We will be examining both subjective responses (through self-reported mood and preference questionnaires) and objective physiological responses to VR experience interactions, to assess the emotional and psychological impacts of various platform configurations. We anticipate collecting data during the second half of the winter-over 2022 season (approximately July-October). Future work will involve preparations for Aim 3 laboratory testing, which will expand upon our analog work and incorporate an investigation of the impact of various VR experiences (including the introduction of biofeedback) on attributes of cognitive performance.

Bibliography: Description: (Last Updated: 04/19/2024) 

Show Cumulative Bibliography
 
Articles in Peer-reviewed Journals Lyons KD, Slaughenhaupt RM, Mupparaju SH, Lim JS, Anderson AA, Stankovic AS, Cowan DR, Fellows AM, Binsted KA, Buckey JC. "Autonomous psychological support for isolation and confinement. " Aerosp Med Hum Perform. 2020 Nov;91(11):876-85. https://doi.org/10.3357/AMHP.5705.2020 , Nov-2020
Project Title:  Quantification of Response to Virtual Reality-based Sensory Stimulation for Relaxation and Therapeutic Release in ICE Reduce
Fiscal Year: FY 2020 
Division: Human Research 
Research Discipline/Element:
HRP HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Start Date: 09/09/2020  
End Date: 09/08/2023  
Task Last Updated: 10/18/2020 
Download report in PDF pdf
Principal Investigator/Affiliation:   Stankovic, Aleksandra  Ph.D. / Massachusetts General Hospital/Harvard Medical School 
Address:  Human Performance Laboratory 
149 13th St 
Charlestown , MA 02129-2020 
Email: astankovic1@mgh.harvard.edu 
Phone: 908-391-1177  
Congressional District:
Web:  
Organization Type: NON-PROFIT 
Organization Name: Massachusetts General Hospital/Harvard Medical School 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Endsley, Tristan  Ph.D. Charles Stark Draper Laboratory Inc 
Duda, Kevin  Ph.D. Charles Stark Draper Laboratory Inc 
Buckey, Jay  M.D. Dartmouth College 
Bovard, Pooja  Ph.D. Charles Stark Draper Laboratory Inc 
Project Information: Grant/Contract No. 80NSSC20K1852 
Responsible Center: NASA JSC 
Grant Monitor: Williams, Thomas  
Center Contact: 281-483-8773 
thomas.j.will1@nasa.gov 
Unique ID: 14074 
Solicitation / Funding Source: 2017-2018 HERO 80JSC017N0001-HHCHFBP: Human Health Countermeasures, Human Factors, Behavioral Performance. Appendix D 
Grant/Contract No.: 80NSSC20K1852 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:  
No. of PhD Candidates:  
No. of Master's Candidates:  
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) HFBP:Human Factors & Behavioral Performance (IRP Rev H)
Human Research Program Risks: (1) BMed:Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders
(2) HSIA:Risk of Adverse Outcomes Due to Inadequate Human Systems Integration Architecture
Human Research Program Gaps: (1) BMed-101:We need to identify, quantify, and validate the key selection factors for astronaut cognitive and behavioral strengths (e.g., resiliency) and operationally-relevant performance threats for increasingly Earth independent, long-duration, autonomous, and/or long-distance exploration missions.
(2) BMed-102:Given exposures to spaceflight hazards (space radiation, isolation), how do we identify individual susceptibility, monitor molecular/biomarkers and acceptable thresholds, and validate behavioral health and CNS/neurological/neuropsychological performance measures and domains of relevance to exploration class missions?
(3) BMed-103:What are the validated, efficacious treatments (individual or Team-based) and/or countermeasures to prevent adverse behavioral conditions, CNS/neurological, and/or psychiatric disorders caused by either single and/or integrated exposures to spaceflight hazards during exploration class missions?
(4) BMed-104:Given the potentially negative spaceflight associated CNS changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated modifications to habitat/vehicle to mitigate stressors impacting on CNS / cognition / behavioral health?
(5) BMed-105:Given the potentially negative spaceflight associated CNS/cognitive changes and behavioral experiences of stressors during long-duration missions (e.g., isolation, confinement, reduced sensory stimulation, altered gravity, space radiation), what are validated medical or dietary countermeasures to mitigate stressors impacting on CNS / cognition / behavioral health?
(6) BMed-107:What are the long-term changes and risks to astronaut health post-mission that, when using a continuity of care model, helps retrospectively identify and understand individual susceptibility (e.g., hereditary, dose, thresholds) to mitigate adverse CNS, cognitive, and behavioral health changes resulting from long-duration exploration missions, promoting the behavioral health of current and future crews?
(7) HSIA-201:We need to evaluate the demands of future exploration habitat/vehicle systems and mission scenarios (e.g. increased automation, multi-modal communication) on individuals and teams, and determine the risks these demands pose to crew health and performance.
(8) HSIA-401:We need to determine how HSI can be applied in the vehicle/habitat and computer interface Design Phase to mitigate potential decrements in operationally-relevant performance (e.g. problem-solving, execution procedures), during increasingly earth-independent, future exploration missions (including in-mission and at landing).
Task Description: The environmental conditions of prolonged spaceflight missions pose medical and psychological risks for astronauts. As identified by NASA Human Research Program (HRP), long duration exposure to an isolated, confined, and extreme (ICE) environment contributes to the risk of adverse cognitive or behavioral events which may compromise mission safety and success. Previous work has suggested a link between the reduced sensory stimulation associated with such environments and a loss of pleasure, satisfaction, and engagement ([1], [2], [3]). Effective countermeasures are necessary to promote individual behavioral health and performance by providing increased sensory stimulation, offering novelty, preventing boredom, reducing stress, and increasing attention. Draper Laboratory, in conjunction with collaborators at Dartmouth Geisel School of Medicine, will investigate Virtual Reality (VR) stimulation for relaxation and therapeutic release to mitigate the risk of adverse cognitive and behavioral effects in spaceflight-like isolated, confined environments.

This study will expand upon previous work conducted by our Dartmouth collaborators which investigated the feasibility of nature-based sensory stimulation using VR to promote stress management and relaxation ([4]) by (1) adding an interactive component to the VR-based sensory stimulation, to promote engagement and to facilitate therapeutic release; (2) deploying and testing this platform in ICE for feasibility and validation; (3) incorporating non-intrusive physiological monitoring; and (4) examining quantifiable neurophysiological response to stimulation exposure, individual variability in responses, and longitudinal and dose-response characteristics of exposure impacts.

References:

[1] Kanas N, Sandal G, Boyd JE, Gushin VI, Manzey D, North R, (...), Inoue N. (2009). Psychology and culture during long-duration space missions. Acta Astronautica, 64(7-8), 659-77.

[2] Stuster J. (2011). Bold endeavors: Lessons from polar and space exploration. Naval Institute Press.

[3] Holland AW. (2000). Psychology of spaceflight. Journal of Human Performance in Extreme Environments, 5(1), 4-20.

[4] Brasher KS, Dew AB, Kilminster SG, Bridger RS. (2010). Occupational stress in submariners: the impact of isolated and confined work on psychological well-being. Ergonomics, 53(3), 305-313.

Research Impact/Earth Benefits:

Task Progress & Bibliography Information FY2020 
Task Progress: New project for FY2020.

Bibliography: Description: (Last Updated: 04/19/2024) 

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 None in FY 2020