VR Therapy: Multisensory Experience


InstaVR testing
May 07, 2017
16:00-17:30 Forever Yogurt, Evanston
The first testing occurred during the first user observation, when all four members met Ethan for the first time. The mockup we presented to Ethan was an InstaVR application about a trip to the Cubs’ game at Wrigley Field, which also includes a train ride before the game.
At first, Ethan said no when we asked him if he wanted to try the VR headset on. However, when Abizar started passing the headset around and asking all members to try it on, Ethan agreed to try it. He did not secure the headset with the straps when he tried it for the first time. He held the headset with his hands and looked around, and told us that the station he saw was Sheridan. After exploring the virtual environment briefly for about a minute, he passed the headset to Wu Di, who was next to him.
We encouraged Ethan to try on the headset for the second time, when the interface was showing Wrigley Field instead of the train station. This time, he figured out that the straps should go over his head, and secured the headset on his own. He took longer to watch the 360 video, but quickly lost his interest. He refused to try it on again after the second time.
We prepared a survey for Ethan, but he did not want to take it during the first observation/ tesing. Click "Survey for first testing" to see the full survey.

HTC VIVE testing
May 10, 2017
16:15 - 17:15 Garage at Northwestern University
Since Ethan did not show much interest in the app made with InstaVR, we decided to conduct a second testing with him using a more interactive VR headset. Abizar and Danqing took Ethan to the VR lab at Northwestern. The HTC VIVE includes two controllers that allow the user to interact with the application. The user is also able to walk around in the animated virtual world, seeing the objects from different perspectives.
We tried out two applications with Ethan: Tilt Brush, a 3D drawing application, and Job Simulator, a job training application that requires user to complete different tasks based on the job he chooses. The setting of the virtual world and the actions that the user takes are mirrored on the computer screen next to the testing space.
Ethan first observed Abizar playing Tilt Brush. When he put on the headset, he quickly started drawing random lines in the 3D space. When Abizar asked him to draw a square or a circle, he was able perform these actions successfully.
Then, he observed Danqing playing the role of an office worker in Job Simulator. He watched Danqing exploring the cubical, using the copy machine, “eating” a donut and picking things from the floor. Ethan quickly mastered the game when it was his turn. Since the setting in Job Simulator is more complicated and requires the user to complete different tasks, Ethan spent more time in the Job Simulator than Tilt Brush. He figured out how to send emails quickly, and “ate” two donuts from the same box that Danqing opened. Then, he turned his attention to the copy machine, a machine that duplicates whatever object that is put into it, and started making duplicates of different kinds of things he could find in the cubical, including document, a stapler, a computer model and toy. He kept repeating “The copy machine, the copy machine” with a cheerful voice when he performed the task, showing clear interest and satisfaction.
However, after he finished the survey with Abizar later on, he did not want to use the VR headset again for more games. This might be because he does not play computer games, as he mentioned in the conversation with Danqing during the testing.
Before Ethan tried on the headset, Abizar asked him if he was excited to use the HTC vive by typing the question on the computer. Ethan started typing his response instead of giving verbal feedback. So we decided to proceed with this method, and started prompting him with questions after he finished playing Job Simulator. The whole list of questions was generated on the spot by Abizar, and Ethan typed his response after each question is prompted. Questions that are critical to our analysis are highlighted in the survey.

VR sensory room testing
May 25, 2017
Northwestern Garage
For the third testing session, we wanted to figure out what kinds of objects and environment Ethan prefers in the VR space. We have already decided on creating a sensory room, as an alternative way to conduct sensory integration therapy for individuals with ASD.
Based on the second observation, we knew that Ethan is interested in Tilt Brush, so we decided to try out two ideas with him: 1) drawing with a friend with limited strokes; 2) exploring different environment created by other Tilt Brush users.
To test out the first idea, Ethan and Danqing drew a car together. Since we only had one HTC VIVE headset, the two had to take turns to draw. Danqing started first, and had only ten strokes before passing the headset to Ethan. When it was Ethan’s turn, he quickly finished drawing and passed the headset back to Danqing. He said he enjoyed the game, but did not like the stroke limit. When we asked him if he wanted to try it one more time, he was clearly not interested. He told the team that using a timer is better than having a stroke limit. We had him rated this drawing game, and he only gave a 2 upon 5 for the engaging and enjoyable aspect of the game, as shown in the rating table we let him fill up.
For the second part of the testing, we let Ethan tried out two VR environments. The first one is a simple bedroom with some lights and a TV. Ethan walked around the space, and went inside the TV. He started waving at the “electricity strokes” inside the TV and laughed while doing that. The second environment is based on a Japanese animation Attack on Titian. There was fire around a wall, over which a giant was hunching. Ethan showed more interest in this environment, as he kept repeating “fire, fire”. He told us that he enjoyed the fire a lot, as it was bright and flickering.
We also let him tried listening to music in the VR environment. When there is music in Tilt Brush, the strokes would vibrate on the beats. He first listened to a song with distinct beats, and observed the change in the environment. Then, we asked him to choose his own music. Ethan chose Mr. Brightside and told us he just wanted to listen to the music without the headset on. Later, when we asked him to rate his experience, he rated “Listening to Mr. Brightside” the highest. He also rated these environments higher than the drawing game. We think this is largely due to the bright colors, the presence of fire and music.
Another take away from this session is that Ethan prefers to be alone in the environment. He does not like switching the headset too often. However, he said if we can have two users in the VR space at the same time, he might want to play with a friend in VR.
At the end of the session, Abizar explained out VR sensory room design concept to Ethan. Ethan told us that he prefers the actual sensory room over the virtual one, because there is no sense of touch in the VR space. However, he did agree with Abizar that one advantage of a VR sensory room is that people can design the space freely and change the design whenever they want. You can click on the VR environments survey to find out more about Ethan's feedback for the session.
Conclusion
Ethan showed more interest in HTC vive than InstaVR. We believe it is due to the greater mobility, sense of control and interactions involved in the HTC vive. In terms of the kind of applications, Ethan preferred the free drawing game, Tilt Brush, over the job training application, Job Simulator. He enjoyed the sense of freedom in Tilt Brush, which is limited in Job Simulator.
Therefore, instead of creating an InstaVR application ourselves, we are going to develop a guide for the VR developers to create an HTC vive application for Ethan. The primary goal of our application is to be engaging and enjoyable, since these are the stepping stones for considering any therapeutic or educational value of the application.
Limitation
We could not test the same experience in InstaVR and HTC vive, because the two devices use different form of settings. In InstaVR, the setting is make of photos or videos of the real world. So the application we made using InstaVR included photos and videos of the real train station, trains and the Wrigley field. On the other hand, all HTC vive applications are animated, so to make it possible for the user to walk around in the virtual world and make changes to the setting (e.g. move objects around). As such, we cannot have a comparison between the effect of using real-life images and animation. Since InstaVR is a very simple editor with limited functions, we are not able to realize many of our concepts in it. In addition, HTC vive only has a few predownloaded games we can choose from for the user testing, thus may not reflect all the elements we want in the testing virtual environment.

HTC VIVE survey
Are you excited to try the VR?
Yes, I am excited to try it out.
Do you prefer the HTC VIVE or the InstaVR?
HTC Vive, You actually do more stuff.
But do you still enjoy InstaVR? Or is it boring?
It was boring. Abizar: I think it is a bit boring. BUt we are trying to make it fun.
For the HTC VIVE, what is different between the virtual world and the real world?
You can go though walls.
Is it more fun in the virtual world or the real world?
Real World. But the copy machine is more fun in the virtural world.
Do you think you would like to learn about different things in VR? Would you be interested in seeing my home town in India in a VR headset and learning about India?
Yes I would. Being in the VR would be better to learn so you can actually walk around certain parts of it.
Would you prefer learning in a classroom or learning in a VR headset?
I don’t know.
What do you think about social stories?
I don’t like stories.
Why don’t you like it?
Made up. (Real life things are more fun)
What form of social stories have you done?
Pen and paper
How long ago did you last do a social story?
I don’t remember
Is it annoying to be around too many people?
Kind of. (Crowded spaces)
Would you be interested in talking to people in VR?
If it’s not in InstaVR, yes I would. You shouldn’t be able to go through objects.
What if you were to practice for your job in a VR setting?
Ya. (Not going through walls)
What jobs do you do right now?
IT job at ETHS, Cleaning dishes at sargent
How were you trained?
Job coach. Learned to take out laptop power cords and put it into box.
Would you like to learn about IT job in VR?
I don’t know. But it would be fun to try out.
Did you experience any discomfort while being in the VR?
No.
Did you like the Job Simulator or the Drawing Game?
Drawing game. Because you can actually make stuff, really crazy stuff. (it helps creativity).
Table U1. Drawing Game (10 strokes each player)
Engaging Enjoyable Would you play it again What did you like or
(Rate 1 to 5) (Rate 1 to 5) (Yes/No) dislike?
Car 2 2 No Dislike 10 stroke limits
Table U2. Tilt Brush VR environments rating
VR sketch Engaging Enjoyable Would you play it again What did you like or
(Rate 1 to 5) (Rate 1 to 5) (Yes/No) dislike?
90's VR bedroom 2 2 No I liked the TV
Attack on Titan 3 3 Yes I liked the fire
Listening to Music 4 4 Yes Music makes the experience
with VR more engaging
Listening to 5 5 Yes Liked the song
Mr Brightside
Was the drawing game fun?
Ya, but drawing free-hand was more fun.
What do you think about the 90’s VR room?
It’s fun to be inside the TV (larger than reality)
Was the environment with fire (Attack on Titan) fun?
The fire one is a bit more fun. Why? Cause there’s fire
Does your head hurt while doing this?
No
Is it good with sound?
Yes
What do you think of the idea of the sensory room?
Yes I would like to be in that room
Alone or with a friend?
Alone. In VR I would be with myself. If there were two headsets, that would be fun
Did you like the brighter parts of it?
Yes
Do you feel dizzy with the headset on?
No, not at all.
Would you rather be in the sensory room or VR sensory room?
Sensory room. (He has not been in sensory room before)
But you can’t change the scenes in real sensory room.
Yes that is a negative.
VR environments survey
The purpose of user testing was to receive feedback from Ethan on the virtual environment in InstaVR and HTC VIVE. We were also interested in whether Ethan could understand and navigate well in the virtual environment without any discomfort. Comprehension is important as the whole application would not yield any positive influence on individuals with autism when they do not understand the occurrence in the virtual world, making the application of VR for autism impractical.
User Testing
Figure U1. Photo of Ethan Ducayet during user testing
Figure U3: HTC VIVE testing session
Figure 2. InstaVR mockup
Figure U4: Tilt Brush work used for user testing. Source: https://vr.google.com/sketches/awgGsM9Vyh-