• 沒有找到結果。

第五章 結論與建議

第二節 研究限制與後續研究建議

一、研究限制

(一) 本研究錄製之虛擬實境影片,雖解析度已達 4K,但在 360°空間中放映時,清 析度仍無法達到如同直接觀看實際環境的水平,聲音部分大致符合真實環境 但較難表現出細微的聲響,加之頭戴式顯示器對受試者頭部有一定負擔,因此 本研究中受試者體驗的虛擬自然與都市環境,與對真實環境的體驗會有差距。

(二) 為顧及受試者進行虛擬實境體驗時之舒適與安全度,實驗中採用坐姿進行體 驗。但錄製影片時攝影機必須高於一定高度才較不易被障礙物遮蔽或被路人 撞倒,且攝影機拍攝角度偏低會造成近處物體過度放大、變高造成壓迫感,故 採用高於坐姿的高度拍攝。實驗中受試者實際視線高度不符合影片錄製時的 拍攝高度,偶爾(主要是向下看時)會讓受試者感到違和感。

(三) 受限於實驗地點,實驗進行中即使門窗保持關閉,也時有受外界聲音干擾的情 況。其中又因實驗地點比鄰銘傳國小附幼,幼兒哭鬧或嘻鬧聲是相對常出現的

doi:10.6342/NTU201901429

95

聲音干擾,受試者可能因此受到影響。雖然受干擾特別嚴重的樣本已在分析前 被篩除,但仍未能完全排除外界聲音之影響。

(四) 因前後兩次實驗時間為受試者自行選擇,雖盡量以間隔 7 日為準,但受限於受 試者個人行程安排,以及研究室內器材使用時間上的協調,造成實際間隔日數 不等,使得實驗控制的精確度有所減損。

(五) 本研究因為測量項目較多且耗時,為避免實驗時間過長造成受試者嚴重疲勞,

並未測量受試者首次進行 SART 注意力測驗前的初始生理與情緒數值,因此 難以判斷SART 測驗對受試者是否有生理和情緒上的影響。

(六) 部分受試者對不同環境間的效益差異有先入為主的想法,認為自然環境理當較 有益於人類身心,可能因此影響實驗結果。

(七) 受試者性別比例不均,男性偏少,要外推研究結果會有較大限制。

二、後續研究建議

(一) 因招募階段發現願意參與相關研究的中高齡以上潛在受試者不少,建議可提高 實驗樣本數,並對於實驗間隔天數等可能影響實驗結果的因素加強限制,以增 加結果說服力。

(二) 建議可以特定疾病的有無,以及日常壓力量及工作量(或未∕已退休)來分組 比較,釐清受試者個人背景型態的影響。

(三) 若實驗中未給予足以明顯影響受試者身心狀態的刺激,可考慮使用其他更能反 映細微、多面向情緒的情緒量表。

(四) 建議可增加受實驗過程影響前的初始值測量,以釐清注意力測驗或其他壓力刺 激的影響。但為避免實驗時間拉長使受試者過度疲憊,可能需減少測量項目。

(五) 若未來虛擬實境相關設備品質有所提升,或經費上較無限制,可提升虛擬實境 的體驗品質,包括影像畫質、收音品質、耳機隔音性、穿戴舒適度等。若受試 者能接收到嗅覺、觸覺刺激,甚至能在虛擬場景中自主移動,也能提高虛擬環 境的臨場感。本研究中受試者視線高度與影像未完全配合的問題,建議或許能

doi:10.6342/NTU201901429

96

透過選用較高但安全的座椅、或僅拍攝遠景、或使用影像編輯技巧來克服。同 時,一個較不受外界干擾的實驗空間也能大大提升體驗品質。

(六) 本研究使用之 SART 測驗,主要考驗受試者的持續性注意力,未來亦可使用其 他測量方法來測驗其他注意力項目。且建議在正式測驗前給予足量之練習,以 確保受試者完全掌握測驗方式,並減少練習效果的影響。

(七) 本研究使用的虛擬環境內容分別為含有局部人造建物的森林、林間瀑布與溪流 環境,以及含有少部分植栽的商業購物區都市環境,未來可嘗試使用不同內容 的虛擬環境進行比較,例如不同自然程度的虛擬環境,可比較它們對恢復效益 的影響是否有差異。

(八) 可進行不同年齡層間的比較,看看不同年齡層在接觸恢復性環境後反應是否相 同,或者能提供最大恢復效益的環境類型是否相同。

doi:10.6342/NTU201901429

97

參考文獻

一、中文文獻

內政部戶政司(2018)。老年人口突破14% 內政部:臺灣正式邁入高齡社會。民國 107 年 4 月 10 日 14:00 新聞稿。取自 https://www.moi.gov.tw/chi/chi_news/n ews_detail.aspx?type_code=02&sn=13723

國家發展委員會(2018)。中華民國人口推估(2018 至 2065 年)。臺北市:國家發 展委員會。

張耀文、高東煒、黃宗正(2006)。老年憂鬱症。長期照護雜誌,10(3),207-215。

勞動部統計處(2018)。106 年中高齡(45~64 歲)勞動參與狀況。取自 https://ww w.mol.gov.tw/statistics/2462/2466/

doi:10.6342/NTU201901429

衛生福利部(2018)。中華民國 106 年老人狀況調查。取自 https://dep.mohw.gov.tw /DOS/cp-1767-38429-113.html

衛生福利部統計處(2016)。國人高血壓之現況案性別及年齡。取自 https://dep.mo hw.gov.tw/DOS/cp-1720-7324-113.html

Alvarsson, J. J., Wiens, S., & Nilsson, M. E. (2010). Stress recovery during exposure to nature sound and environmental noise. International journal of environmental research and public health, 7(3), 1036-1046.

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.

Annerstedt, M., Jönsson, P., Wallergård, M., Johansson, G., Karlson, B., Grahn, P., ... &

Währborg, P. (2013). Inducing physiological stress recovery with sounds of nature in a virtual reality forest—Results from a pilot study. Physiology & behavior, 118, 240-250.

Benfield, J. A., Taff, B. D., Newman, P., & Smyth, J. (2014). Natural sound facilitates mood recovery. Ecopsychology, 6(3), 183-188.

doi:10.6342/NTU201901429

99

Berman, M. G., Jonides, J., & Kaplan, S. (2008). The cognitive benefits of interacting with nature. Psychological science, 19(12), 1207-1212.

Berto, R. (2005). Exposure to restorative environments helps restore attentional capacity. Journal of environmental psychology, 25(3), 249-259.

Bohil, C. J., Alicea, B., & Biocca, F. A. (2011). Virtual reality in neuroscience research and therapy. Nature reviews neuroscience, 12(12), 752-762.

Brickenkamp, R. & Zillmer, E. (1998). The d2 Test of Attention. Seattle, Washington:

Hogrefe & Huber Publishers.

Burdea, G. C., & Coiffet, P. (2003). Virtual reality technology. Hoboken, N.J.: John Wiley

& Sons.

Camm, A. J., Malik, M., Bigger, J. T., Breithardt, G., Cerutti, S., Cohen, R. J., ... &

Lombardi, F. (1996). Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology.

European Heart Journal, 17, 354-381.

Carlin, A. S., Hoffman, H. G., & Weghorst, S. (1997). Virtual reality and tactile augmentation in the treatment of spider phobia: a case report. Behaviour research and therapy, 35(2), 153-158.

Chen, S. E. (1995). Quicktime VR: An image-based approach to virtual environment navigation. In Proceedings of the 22nd annual conference on Computer graphics and interactive techniques (pp. 29-38). ACM.

Depledge, M. H., Stone, R. J., & Bird, W. J. (2011). Can natural and virtual environments be used to promote improved human health and wellbeing? Environmental Science & Technology, 45(11), 4660-4665.

Difede, J., & Hoffman, H. G. (2002). Virtual reality exposure therapy for World Trade Center post-traumatic stress disorder: A case report. Cyberpsychology &

behavior, 5(6), 529-535.

Emmelkamp, P. M., Krijn, M., Hulsbosch, A. M., De Vries, S., Schuemie, M. J., & van der Mast, C. A. (2002). Virtual reality treatment versus exposure in vivo: a comparative evaluation in acrophobia. Behaviour research and therapy, 40(5), 509-516.

Fiorito, E. R., & Simons, R. F. (1994). Emotional imagery and physical anhedonia.

Psychophysiology, 31(5), 513-521.

Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of health and social behavior, 21(3), 219-239.

Fox, J., Arena, D., & Bailenson, J. N. (2009). Virtual reality: A survival guide for the social scientist. Journal of Media Psychology, 21(3), 95-113.

Friedman, B. H., & Thayer, J. F. (1998). Autonomic balance revisited: panic anxiety and heart rate variability. Journal of psychosomatic research, 44(1), 133-151.

doi:10.6342/NTU201901429

100

Gutiérrez, M., Vexo, F., & Thalmann, D. (2008). Stepping into virtual reality. London:

Springer-Verlag London Limited.

Hammitt, W. E., & Brown Jr, G. F. (1984). Functions of privacy in wilderness environments. Leisure Sciences, 6(2), 151-166.

Hartig, T., Evans, G. W., Jamner, L. D., Davis, D. S., & Gärling, T. (2003). Tracking restoration in natural and urban field settings. Journal of environmental psychology, 23(2), 109-123.

Hartig, T., Mitchell, R., De Vries, S., & Frumkin, H. (2014). Nature and health. Annual review of public health, 35, 207-228.

Herzog, T. R., Maguire, P., & Nebel, M. B. (2003). Assessing the restorative components of environments. Journal of Environmental Psychology, 23(2), 159-170.

Higuera-Trujillo, J. L., Maldonado, J. L. T., & Millán, C. L. (2017). Psychological and physiological human responses to simulated and real environments: A comparison between Photographs, 360 Panoramas, and Virtual Reality. Applied ergonomics, 65, 398-409.

Hodges, L. F., Kooper, R., Meyer, T. C., Rothbaum, B. O., Opdyke, D., De Graaff, J. J., ...

& North, M. M. (1995). Virtual environments for treating the fear of heights. Computer, 28(7), 27-34.

Hoffman, H. G., Garcia-Palacios, A., Carlin, A., Furness III, T. A., & Botella-Arbona, C.

(2003). Interfaces that heal: Coupling real and virtual objects to treat spider phobia. international Journal of Human-Computer interaction, 16(2), 283-300.

Hoffman, H. G., Patterson, D. R., Magula, J., Carrougher, G. J., Zeltzer, K., Dagadakis, S., & Sharar, S. R. (2004). Water‐friendly virtual reality pain control during wound care. Journal of clinical psychology, 60(2), 189-195.

James, W. (2001). Psychology: The briefer course. Mineola, N.Y.; Dover Publications.

(Original work published 1892).

Kalawsky, R. S. (2000). The validity of presence as a reliable human performance metric in immersive environments. Presented at Presence 2000: 3rd International Workshop on Presence, Delft, Netherlands.

Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective.

New York: Cambridge University Press.

Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of environmental psychology, 15(3), 169-182.

Kaplan, S. (2001). Meditation, restoration, and the management of mental fatigue. Environment and behavior, 33(4), 480-506.

Kjellgren, A., & Buhrkall, H. (2010). A comparison of the restorative effect of a natural environment with that of a simulated natural environment. Journal of environmental psychology, 30(4), 464-472.

doi:10.6342/NTU201901429

101

Korpela, K. M., Klemettilä, T., & Hietanen, J. K. (2002). Evidence for rapid affective evaluation of environmental scenes. Environment and Behavior, 34(5), 634-650.

Kuo, F. E. (2001). Coping with poverty: Impacts of environment and attention in the inner city. Environment and behavior, 33(1), 5-34.

Laumann, K., Gärling, T., & Stormark, K. M. (2001). Rating scale measures of restorative components of environments. Journal of Environmental Psychology, 21(1), 31-44.

Laver, K. E., Lange, B., George, S., Deutsch, J. E., Saposnik, G., & Crotty, M. (2017).

Virtual reality for stroke rehabilitation. Cochrane database of systematic reviews, (11).

Lee, J., Park, B. J., Tsunetsugu, Y., Ohira, T., Kagawa, T., & Miyazaki, Y. (2011). Effect of forest bathing on physiological and psychological responses in young Japanese male subjects. Public health, 125(2), 93-100.

Li, Q. (2010). Effect of forest bathing trips on human immune function. Environmental health and preventive medicine, 15(1), 9-17.

Manly, T., & Robertson, I. H. (2005). The sustained attention to response test (SART).

In Neurobiology of attention (pp. 337-338). Academic Press.

Mao, G. X., Cao, Y. B., Lan, X. G., He, Z. H., Chen, Z. M., Wang, Y. Z., ... & Yan, J.

(2012). Therapeutic effect of forest bathing on human hypertension in the elderly. Journal of cardiology, 60(6), 495-502.

Markevych, I., Schoierer, J., Hartig, T., Chudnovsky, A., Hystad, P., Dzhambov, A. M., ...

& Lupp, G. (2017). Exploring pathways linking greenspace to health: Theoretical and methodological guidance. Environmental Research, 158, 301-317.

McNair, D. M., Lorr, M., & Droppleman, L. F. (1971). Manual for the profile of mood states (POMS). San Diego: Educational and Industrial Testing Service.

Meehan, M., Insko, B., Whitton, M., & Brooks, F. P. Jr., (2002). Physiological measures of presence in stressful virtual environments. Acm transactions on graphics, 21(3), 645-652.

Merians, A. S., Poizner, H., Boian, R., Burdea, G., & Adamovich, S. (2006). Sensorimotor training in a virtual reality environment: does it improve functional recovery poststroke? Neurorehabilitation and neural repair, 20(2), 252-267.

Ottosson, J., & Grahn, P. (2005). A comparison of leisure time spent in a garden with leisure time spent indoors: on measures of restoration in residents in geriatric care. Landscape research, 30(1), 23-55.

Parsons, R., Tassinary, L. G., Ulrich, R. S., Hebl, M. R., & Grossman-Alexander, M.

(1998). The view from the road: Implications for stress recovery and immunization. Journal of environmental psychology, 18(2), 113-140.

Purcell, T., Peron, E., & Berto, R. (2001). Why do preferences differ between scene types? Environment and behavior, 33(1), 93-106.

doi:10.6342/NTU201901429

102

Riva, G. (2005). Virtual reality in psychotherapy: Review. Cyberpsychology &

behavior, 8(3), 220-230.

Robertson, I. H., Manly, T., Andrade, J., Baddeley, B. T., & Yiend, J. (1997). Oops!':

performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35(6), 747-758.

Rodiek, S. (2002). Influence of an outdoor garden on mood and stress in older persons. Journal of Therapeutic Horticulture, 13(1), 13-21.

Ross, R.M. (2005). The D2 Test of Attention: An Examination of Age, Gender and Cross- cultural Indices. Chicago: Argosy University.

Rothbaum, B. O., Hodges, L., Alarcon, R., Ready, D., Shahar, F., Graap, K., ... & Baltzell, D. (1999). Virtual reality exposure therapy for PTSD Vietnam veterans: A case study. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 12(2), 263-271.

Rothbaum, B. O., Hodges, L. F., Ready, D., Graap, K., & Alarcon, R. D. (2001). Virtual reality exposure therapy for Vietnam veterans with posttraumatic stress disorder. The Journal of clinical psychiatry, 62(8), 617-622.

Rothbaum, B. O., Hodges, L., Anderson, P. L., Price, L., & Smith, S. (2002). Twelve-month follow-up of virtual reality and standard exposure therapies for the fear of flying. Journal of consulting and clinical psychology, 70(2), 428-432.

Rothbaum, B. O., Hodges, L., Smith, S., Lee, J. H., & Price, L. (2000). A controlled study of virtual reality exposure therapy for the fear of flying. Journal of consulting and Clinical Psychology, 68(6), 1020-1026.

Sanchez-Vives, M. V., & Slater, M. (2005). From presence to consciousness through virtual reality. Nature Reviews Neuroscience, 6(4), 332-339.

Schutte, N. S., Bhullar, N., Stilinović, E. J., & Richardson, K. (2017). The impact of virtual environments on restorativeness and affect. Ecopsychology, 9(1), 1-7.

Shacham, S. (1983). A shortened version of the Profile of Mood States. Journal of personality assessment, 47(3), 305-306.

Shoemaker, S. (1989). Segmentation of the senior pleasure travel market. Journal of travel research, 27(3), 14-21.

Song, C., Ikei, H., Kobayashi, M., Miura, T., Li, Q., Kagawa, T., ... & Miyazaki, Y. (2017).

Effects of viewing forest landscape on middle-aged hypertensive men. Urban Forestry & Urban Greening, 21, 247-252.

Song, C., Ikei, H., & Miyazaki, Y. (2018). Physiological effects of visual stimulation with forest imagery. International journal of environmental research and public health, 15(2), 213.

Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970). Manualfor the State-Trait Anxieg Inventov (Self-evaluation questionnaire). Palo Alto, CA: Consulting Psychologists Press.

doi:10.6342/NTU201901429

103

Taylor, A. F., Kuo, F. E., & Sullivan, W. C. (2002). Views of nature and self-discipline:

Evidence from inner city children. Journal of environmental psychology, 22, 49-63.

Tennessen, C. M., & Cimprich, B. (1995). Views to nature: Effects on attention. Journal of environmental psychology, 15(1), 77-85.

Tsunetsugu, Y., Lee, J., Park, B. J., Tyrväinen, L., Kagawa, T., & Miyazaki, Y. (2013).

Physiological and psychological effects of viewing urban forest landscapes assessed by multiple measurements. Landscape and Urban Planning, 113, 90-93.

Tsunetsugu, Y., Park, B. J., & Miyazaki, Y. (2010). Trends in research related to “Shinrin-yoku” (taking in the forest atmosphere or forest bathing)in Japan. Environmental health and preventive medicine, 15(1), 27-37.

Ulrich, R. S. (1979). Visual landscapes and psychological well‐being. Landscape research, 4(1), 17-23.

Ulrich, R. S. (1981). Natural versus urban scenes: Some psychophysiological effects. Environment and behavior, 13(5), 523-556.

Ulrich, R. S. (1983). Aesthetic and affective response to natural environment. In Behavior and the natural environment (pp. 85-125). Boston, MA: Springer.

Ulrich, R. S., Simons, R. F., Losito, B. D., Fiorito, E., Miles, M. A., & Zelson, M. (1991).

Stress recovery during exposure to natural and urban environments. Journal of environmental psychology, 11(3), 201-230.

Valtchanov, D., Barton, K. R., & Ellard, C. (2010). Restorative effects of virtual nature settings. Cyberpsychology, Behavior, and Social Networking, 13(5), 503-512.

van den Berg, A. E., Koole, S. L., & Van der Wulp, N. Y. (2003). Environmental preference and restoration: (How) are they related? Journal of environmental psychology, 23(2), 135-146.

van den Berg, M., Maas, J., Muller, R., Braun, A., Kaandorp, W., van Lien, R., ... & van den Berg, A. (2015). Autonomic nervous system responses to viewing green and built settings: differentiating between sympathetic and parasympathetic activity. International journal of environmental research and public health, 12(12), 15860-15874.

Verbrugge, L. M. (1984). Longer life but worsening health? Trends in health and mortality of middle-aged and older persons. The Milbank Memorial Fund Quarterly. Health and Society, 62(3), 475-519.

Westin, A. F. (1967). Privacy and Freedom. New York: Atheneum.

Yin, J., Zhu, S., MacNaughton, P., Allen, J. G., & Spengler, J. D. (2018). Physiological and cognitive performance of exposure to biophilic indoor environment. Building and Environment, 132, 255-262.

doi:10.6342/NTU201901429

104

Yu, C. P., Lee, H. Y., & Luo, X. Y. (2018). The effect of virtual reality forest and urban environments on physiological and psychological responses. Urban forestry &

urban greening, 35, 106-114.

Zube, E. H., Pitt, D. G., & Evans, G. W. (1983). A lifespan developmental study of landscape assessment. Journal of Environmental Psychology, 3(2), 115-128.

Zuckerman, M. (1977). Development of a situation-specific trait-state test for the prediction and measurement of affective responses. Journal of Consulting and clinical psychology, 45(4), 513-523.

doi:10.6342/NTU201901429 英文:Restorative Effects of Virtual Reality Forest and Urban Environments on Middle-aged and Elderly People

研究機構名稱:臺大森林環境暨資源學系 自然資源遊憩研究室