Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights

Background: Occupational workers at altitudes are more prone to falls, leading to catastrophic outcomes. Acrophobia, height-related anxiety, and affected executive functions lead to postural instabilities, causing falls. This study investigated the effects of repeated virtual height exposure and tra...

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Main Authors: Sachini N.K. Kodithuwakku Arachchige, Harish Chander, Alana J. Turner, Alireza Shojaei, Adam C. Knight, Aaron Griffith, Reuben F. Burch, Chih-Chia Chen
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Safety and Health at Work
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791123000410
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author Sachini N.K. Kodithuwakku Arachchige
Harish Chander
Alana J. Turner
Alireza Shojaei
Adam C. Knight
Aaron Griffith
Reuben F. Burch
Chih-Chia Chen
author_facet Sachini N.K. Kodithuwakku Arachchige
Harish Chander
Alana J. Turner
Alireza Shojaei
Adam C. Knight
Aaron Griffith
Reuben F. Burch
Chih-Chia Chen
author_sort Sachini N.K. Kodithuwakku Arachchige
collection DOAJ
description Background: Occupational workers at altitudes are more prone to falls, leading to catastrophic outcomes. Acrophobia, height-related anxiety, and affected executive functions lead to postural instabilities, causing falls. This study investigated the effects of repeated virtual height exposure and training on cognitive processing and height-related anxiety. Methods: Twenty-eight healthy volunteers (age 20.48 ± 1.26 years; mass 69.52 ± 13.78 kg) were recruited and tested in seven virtual environments (VE) [ground (G), 2-story altitude (A1), 2-story edge (E1), 4-story altitude (A2), 4-story edge (E2), 6-story altitude (A3), and 6-story edge (E3)] over three days. At each VE, participants identified occupational hazards present in the VE and completed an Attitude Towards Heights Questionnaire (ATHQ) and a modified State-Trait Anxiety Inventory Questionnaire (mSTAIQ). The number of hazards identified and the ATHQ and mSTAIQ scores were analyzed using a 7 (VE; G, A1, A2, A3, E1, E2, E3) x 3 (DAY; DAY 1, DAY 2, DAY 3) factorial repeated measures analysis of variance. Results: The participants identified the lowest number of hazards at A3 and E3 VEs and on DAY 1 compared to other VEs and DAYs. ATHQ scores were lowest at G, A1, and E1 VEs. Conclusion: Cognitive processing is negatively affected by virtual altitudes, while it improves with short-term training. The features of virtual reality, such as higher involvement, engagement, and reliability, make it a better training tool to be considered in ergonomic settings. The findings of this study will provide insights into cognitive dual-tasking at altitude and its challenges, which will aid in minimizing occupational falls.
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spelling doaj.art-254fd79960404cbba5b7e2028e8200062023-09-24T05:14:56ZengElsevierSafety and Health at Work2093-79112023-09-01143303308Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different HeightsSachini N.K. Kodithuwakku Arachchige0Harish Chander1Alana J. Turner2Alireza Shojaei3Adam C. Knight4Aaron Griffith5Reuben F. Burch6Chih-Chia Chen7Department of Exercise and Nutrition Sciences, Weber State University, Ogden, UT, USA; Corresponding author. Dept 2805, 1435 Village Dr, Ogden, UT 84408-5150, USA.Department of Kinesiology, Mississippi State University, MS, USA; Human Factors & Athlete Engineering, Center for Advanced Vehicular Systems, Mississippi State University, MS, USADepartment of Kinesiology, Coastal Carolina University, Conway, SC, USAMyers-Lawson School of Construction, Virginia Tech, Blacksburg, VA, USADepartment of Kinesiology, Mississippi State University, MS, USADepartment of Kinesiology, Mississippi State University, MS, USAHuman Factors & Athlete Engineering, Center for Advanced Vehicular Systems, Mississippi State University, MS, USA; Department of Industrial & Systems Engineering, Mississippi State University, MS, USADepartment of Kinesiology, Mississippi State University, MS, USABackground: Occupational workers at altitudes are more prone to falls, leading to catastrophic outcomes. Acrophobia, height-related anxiety, and affected executive functions lead to postural instabilities, causing falls. This study investigated the effects of repeated virtual height exposure and training on cognitive processing and height-related anxiety. Methods: Twenty-eight healthy volunteers (age 20.48 ± 1.26 years; mass 69.52 ± 13.78 kg) were recruited and tested in seven virtual environments (VE) [ground (G), 2-story altitude (A1), 2-story edge (E1), 4-story altitude (A2), 4-story edge (E2), 6-story altitude (A3), and 6-story edge (E3)] over three days. At each VE, participants identified occupational hazards present in the VE and completed an Attitude Towards Heights Questionnaire (ATHQ) and a modified State-Trait Anxiety Inventory Questionnaire (mSTAIQ). The number of hazards identified and the ATHQ and mSTAIQ scores were analyzed using a 7 (VE; G, A1, A2, A3, E1, E2, E3) x 3 (DAY; DAY 1, DAY 2, DAY 3) factorial repeated measures analysis of variance. Results: The participants identified the lowest number of hazards at A3 and E3 VEs and on DAY 1 compared to other VEs and DAYs. ATHQ scores were lowest at G, A1, and E1 VEs. Conclusion: Cognitive processing is negatively affected by virtual altitudes, while it improves with short-term training. The features of virtual reality, such as higher involvement, engagement, and reliability, make it a better training tool to be considered in ergonomic settings. The findings of this study will provide insights into cognitive dual-tasking at altitude and its challenges, which will aid in minimizing occupational falls.http://www.sciencedirect.com/science/article/pii/S2093791123000410ErgonomicFallsVirtual reality (VR)
spellingShingle Sachini N.K. Kodithuwakku Arachchige
Harish Chander
Alana J. Turner
Alireza Shojaei
Adam C. Knight
Aaron Griffith
Reuben F. Burch
Chih-Chia Chen
Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
Safety and Health at Work
Ergonomic
Falls
Virtual reality (VR)
title Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
title_full Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
title_fullStr Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
title_full_unstemmed Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
title_short Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights
title_sort physiological and subjective measures of anxiety with repeated exposure to virtual construction sites at different heights
topic Ergonomic
Falls
Virtual reality (VR)
url http://www.sciencedirect.com/science/article/pii/S2093791123000410
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