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      Design of a Virtual Reality Interactive Training System for Public Health Emergency Preparedness for Major Emerging Infectious Diseases: Theory and Framework

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          Abstract

          Background

          Sufficient public health emergency preparedness (PHEP) is the key factor in effectively responding to and recovering from major emerging infectious diseases (MEIDs). However, in the face of MEIDs, PHEP is insufficient, so it is necessary to improve PHEP. The rapid development of virtual reality and human-computer interaction provides unprecedented opportunities for innovative educational methods.

          Objective

          This study designed a virtual reality interactive training system (VRITS) to provide an effective path for improving PHEP in the context of MEIDs so that the public can effectively respond to and recover from MEIDs.

          Methods

          This study used interactive narrative, situated learning and human-computer interaction theories as a theoretical framework to guide the design of the system. We used the literature research method and the Delphi method; consulted multidisciplinary experts, such as infectious diseases, disease control, psychology, and public health personnel, to determine the educational content framework; and set up an interdisciplinary team to construct an operating system framework for the VRITS.

          Results

          We named the VRITS “People’s War Against Pandemic.” The educational content framework includes 20 knowledge, emotion, and behavior skills in 5 aspects (cooperating with prevention and control work, improving emergency response ability, guaranteeing supplies and equipment, preparing economic resources, and maintaining physical and mental health). The operating system framework includes virtual interactive training, knowledge corner, intelligent evaluation, and community forum modules, and the core module is the virtual interactive training module. In this module, users control virtual characters to move in various scenes, and then identify and analyze the controllability and harmfulness of the evolving pandemic and select the correct prevention and control strategy to avoid infecting themselves and others.

          Conclusions

          The development and sharing of the multidisciplinary theoretical framework adopted by People’s War Against Pandemic can help us clarify the design ideas and assumptions of the VRITS; predict training results; understand the ability of training to change emergency knowledge, emergency emotion, and behavioral responses to MEIDs; and promote the development of more effective training systems based on virtual reality.

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          Most cited references38

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          The outbreak of COVID-19 coronavirus and its impact on global mental health

          The current outbreak of COVID-19 coronavirus infection among humans in Wuhan (China) and its spreading around the globe is heavily impacting on the global health and mental health. Despite all resources employed to counteract the spreading of the virus, additional global strategies are needed to handle the related mental health issues. Published articles concerning mental health related to the COVID-19 outbreak and other previous global infections have been considered and reviewed. This outbreak is leading to additional health problems such as stress, anxiety, depressive symptoms, insomnia, denial, anger and fear globally. Collective concerns influence daily behaviors, economy, prevention strategies and decision-making from policy makers, health organizations and medical centers, which can weaken strategies of COVID-19 control and lead to more morbidity and mental health needs at global level.
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            Impact of COVID-19 on the social, economic, environmental and energy domains: Lessons learnt from a global pandemic

            COVID-19 has heightened human suffering, undermined the economy, turned the lives of billions of people around the globe upside down, and significantly affected the health, economic, environmental and social domains. This study aims to provide a comprehensive analysis of the impact of the COVID-19 outbreak on the ecological domain, the energy sector, society and the economy and investigate the global preventive measures taken to reduce the transmission of COVID-19. This analysis unpacks the key responses to COVID-19, the efficacy of current initiatives, and summarises the lessons learnt as an update on the information available to authorities, business and industry. This review found that a 72-hour delay in the collection and disposal of waste from infected households and quarantine facilities is crucial to controlling the spread of the virus. Broad sector by sector plans for socio-economic growth as well as a robust entrepreneurship-friendly economy is needed for the business to be sustainable at the peak of the pandemic. The socio-economic crisis has reshaped investment in energy and affected the energy sector significantly with most investment activity facing disruption due to mobility restrictions. Delays in energy projects are expected to create uncertainty in the years ahead. This report will benefit governments, leaders, energy firms and customers in addressing a pandemic-like situation in the future.
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              Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic

              The emergence of SARS-CoV-2 in December 2019 prompted consternation in many parts of the world. Due to its fast dissemination, the World Health Organization declared a pandemic in March 2020. Aiming to contain the spread of the virus, leaders of many countries restrained social movement, targeting to flatten the curve of contamination with social distancing. This review aimed to analyze how human behavior has changed throughout this period. We also approached the key components of the emotional reaction to the pandemic, how internal and external factors, such as personality traits, gender, the media, the economy and the governmental response, influence the social perception of the pandemic and the psychological outcomes of the current scenario. Moreover, we explored in depth the groups at increased risk of suffering mental health burden secondary to these circumstances. These include the healthcare professionals, elderly individuals, children, college students, black subjects, latin and LGBTQ+ communities, economically disadvantaged groups, the homeless, prisoners, the rural population and psychiatric patients. We also discussed several measures that might minimize the emotional impact derived from this scenario. It is crucial that the health authorities, the government and the population articulate to assist the vulnerable groups and promote emotional and psychological support strategies. Moreover, it is fundamental that the population is provided with accurate information concerning the COVID-19 pandemic.
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                Author and article information

                Contributors
                Journal
                JMIR Serious Games
                JMIR Serious Games
                JSG
                JMIR Serious Games
                JMIR Publications (Toronto, Canada )
                2291-9279
                Oct-Dec 2021
                14 December 2021
                : 9
                : 4
                : e29956
                Affiliations
                [1 ] School of Nursing Southwest Medical University Luzhou City China
                [2 ] Operating Room The Affiliated Hospital of Southwest Medical University Luzhou City China
                [3 ] Department of Anesthesiology The Affiliated Hospital of Southwest Medical University Luzhou City China
                [4 ] Department of Rheumatism and Immunology The Affiliated Hospital of Southwest Medical University Luzhou City China
                [5 ] Department of Cardiac Surgery The Affiliated Hospital of Southwest Medical University Luzhou City China
                [6 ] Department of Nursing The Affiliated Hospital of Southwest Medical University Luzhou City China
                Author notes
                Corresponding Author: YanHua Chen Chen_yanhua25@ 123456163.com
                Author information
                https://orcid.org/0000-0002-1926-4503
                https://orcid.org/0000-0002-3030-2603
                https://orcid.org/0000-0001-8360-4106
                https://orcid.org/0000-0002-2986-3825
                https://orcid.org/0000-0002-7393-0327
                https://orcid.org/0000-0001-6787-5926
                https://orcid.org/0000-0001-9749-5035
                https://orcid.org/0000-0002-9822-607X
                https://orcid.org/0000-0001-9957-4124
                Article
                v9i4e29956
                10.2196/29956
                8715362
                34904951
                90bbfb6f-8256-4d27-ad4e-caaf761ba0a7
                ©Yue Luo, Mei Li, Jian Tang, JianLan Ren, Yu Zheng, XingLi Yu, LinRui Jiang, DingLin Fan, YanHua Chen. Originally published in JMIR Serious Games (https://games.jmir.org), 14.12.2021.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Serious Games, is properly cited. The complete bibliographic information, a link to the original publication on https://games.jmir.org, as well as this copyright and license information must be included.

                History
                : 26 April 2021
                : 28 June 2021
                : 14 August 2021
                : 9 September 2021
                Categories
                Original Paper
                Original Paper

                virtual reality,major emerging infectious diseases,emergency preparedness,interactive narrative theory,situated learning theory,human-computer interaction theory,emergency simulation,public health,training,vr,epidemic,medical education,education

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