Teaching Cognitive Behavior Therapy to Postgraduate Health Care Professionals in Times of COVID 19 - An Asynchronous Blended Learning Environment Proved to Be Non-inferior to In-Person Training.

Training of postgraduate health professionals on their way to becoming licensed therapists for Cognitive Behavior Therapy (CBT) came to a halt in Germany in March 2020 when social distancing regulations came into effect. Since the German healthcare system almost exclusively relies on this profession when it comes to the implementation of CBT and 80% of those therapists active in 2010 will have retired at the end of 2030, it is critical to assess whether online CBT training is as satisfactory as classroom on-site CBT training. An asynchronous, blended, inverted-classroom online learning environment for CBT training (CBT for psychosis) was developed as an emergency solution. It consisted of pre-recorded CBT video lectures, exercises to train interventions in online role-plays, and regular web conferences. Training was provided at five different training institutes in Germany (duration 8-16 h). Postgraduate health care professionals (psychiatrists and psychologists) (n = 43) who received the online CBT training filled out standard self-report evaluations that assessed satisfaction and didactic quality. These evaluations were compared to those evaluations of students (n = 142) who had received in-person CBT training with identical content offered by the same CBT trainer at the same training institutes before the COVID-19 crisis. Both groups were comparable with respect to interest in the subject and prior knowledge. We tested non-inferiority hypotheses using Wilcoxon-Mann-Whitney ROC-curve analyses with an equivalence margin corresponding to a small-to-medium effect size (d = 0.35). The online training evaluations were non-inferior concerning information content, conception of content, didactic presentation, assessment of the trainer as a suitable role-model, working atmosphere, own commitment, and practical relevance. In contrast, we could not exclude a small effect in favor of in-person training in professional benefit and room for active participation. Our results suggest that delivering substantial CBT knowledge online to postgraduate health-professionals is sufficient, and at most incurs minimal loss to the learning experience. These encouraging findings indicate that integrating online elements in CBT teaching is an acceptable option even beyond social distancing requirements.

World lines.

In this paper we present World Lines as a novel interactive visualization that provides complete control over multiple heterogeneous simulation runs. In many application areas, decisions can only be made by exploring alternative scenarios. The goal of the suggested approach is to support users in this decision making process. In this setting, the data domain is extended to a set of alternative worlds where only one outcome will actually happen. World Lines integrate simulation, visualization and computational steering into a single unified system that is capable of dealing with the extended solution space. World Lines represent simulation runs as causally connected tracks that share a common time axis. This setup enables users to interfere and add new information quickly. A World Line is introduced as a visual combination of user events and their effects in order to present a possible future. To quickly find the most attractive outcome, we suggest World Lines as the governing component in a system of multiple linked views and a simulation component. World Lines employ linking and brushing to enable comparative visual analysis of multiple simulations in linked views. Analysis results can be mapped to various visual variables that World Lines provide in order to highlight the most compelling solutions. To demonstrate this technique we present a flooding scenario and show the usefulness of the integrated approach to support informed decision making.

Visual human+machine learning.

In this paper we describe a novel method to integrate interactive visual analysis and machine learning to support the insight generation of the user. The suggested approach combines the vast search and processing power of the computer with the superior reasoning and pattern recognition capabilities of the human user. An evolutionary search algorithm has been adapted to assist in the fuzzy logic formalization of hypotheses that aim at explaining features inside multivariate, volumetric data. Up to now, users solely rely on their knowledge and expertise when looking for explanatory theories. However, it often remains unclear whether the selected attribute ranges represent the real explanation for the feature of interest. Other selections hidden in the large number of data variables could potentially lead to similar features. Moreover, as simulation complexity grows, users are confronted with huge multidimensional data sets making it almost impossible to find meaningful hypotheses at all. We propose an interactive cycle of knowledge-based analysis and automatic hypothesis generation. Starting from initial hypotheses, created with linking and brushing, the user steers a heuristic search algorithm to look for alternative or related hypotheses. The results are analyzed in information visualization views that are linked to the volume rendering. Individual properties as well as global aggregates are visually presented to provide insight into the most relevant aspects of the generated hypotheses. This novel approach becomes computationally feasible due to a GPU implementation of the time-critical parts in the algorithm. A thorough evaluation of search times and noise sensitivity as well as a case study on data from the automotive domain substantiate the usefulness of the suggested approach.

Predictor-corrector schemes for visualization of smoothed particle hydrodynamics data.

In this paper we present a method for vortex core line extraction which operates directly on the smoothed particle hydrodynamics (SPH) representation and, by this, generates smoother and more (spatially and temporally) coherent results in an efficient way. The underlying predictor-corrector scheme is general enough to be applied to other line-type features and it is extendable to the extraction of surfaces such as isosurfaces or Lagrangian coherent structures. The proposed method exploits temporal coherence to speed up computation for subsequent time steps. We show how the predictor-corrector formulation can be specialized for several variants of vortex core line definitions including two recent unsteady extensions, and we contribute a theoretical and practical comparison of these. In particular, we reveal a close relation between unsteady extensions of Fuchs et al. and Weinkauf et al. and we give a proof of the Galilean invariance of the latter. When visualizing SPH data, there is the possibility to use the same interpolation method for visualization as has been used for the simulation. This is different from the case of finite volume simulation results, where it is not possible to recover from the results the spatial interpolation that was used during the simulation. Such data are typically interpolated using the basic trilinear interpolant, and if smoothness is required, some artificial processing is added. In SPH data, however, the smoothing kernels are specified from the simulation, and they provide an exact and smooth interpolation of data or gradients at arbitrary points in the domain.

Parallel vectors criteria for unsteady flow vortices.

Feature-based flow visualization is naturally dependent on feature extraction. To extract flow features, often higher-order properties of the flow data are used such as the Jacobian or curvature properties, implicitly describing the flow features in terms of their inherent flow characteristics (e.g., collinear flow and vorticity vectors). In this paper we present recent research which leads to the (not really surprising) conclusion that feature extraction algorithms need to be extended to a time-dependent analysis framework (in terms of time derivatives) when dealing with unsteady flow data. Accordingly, we present two extensions of the parallel vectors based vortex extraction criteria to the time-dependent domain and show the improvements of feature-based flow visualization in comparison to the steady versions of this extraction algorithm both in the context of a high-resolution dataset, i.e., a simulation specifically designed to evaluate our new approach, as well as for a real-world dataset from a concrete application.

Smart transparency for illustrative visualization of complex flow surfaces.

The perception of transparency and the underlying neural mechanisms have been subject to extensive research in the cognitive sciences. However, we have yet to develop visualization techniques that optimally convey the inner structure of complex transparent shapes. In this paper, we apply the findings of perception research to develop a novel illustrative rendering method that enhances surface transparency nonlocally. Rendering of transparent geometry is computationally expensive since many optimizations, such as visibility culling, are not applicable and fragments have to be sorted by depth for correct blending. In order to overcome these difficulties efficiently, we propose the illustration buffer. This novel data structure combines the ideas of the A and G-buffers to store a list of all surface layers for each pixel. A set of local and nonlocal operators is then used to process these depth-lists to generate the final image. Our technique is interactive on current graphics hardware and is only limited by the available graphics memory. Based on this framework, we present an efficient algorithm for a nonlocal transparency enhancement that creates expressive renderings of transparent surfaces. A controlled quantitative double blind user study shows that the presented approach improves the understanding of complex transparent surfaces significantly.

Multiverse data-flow control.

In this paper, we present a data-flow system which supports comparative analysis of time-dependent data and interactive simulation steering. The system creates data on-the-fly to allow for the exploration of different parameters and the investigation of multiple scenarios. Existing data-flow architectures provide no generic approach to handle modules that perform complex temporal processing such as particle tracing or statistical analysis over time. Moreover, there is no solution to create and manage module data, which is associated with alternative scenarios. Our solution is based on generic data-flow algorithms to automate this process, enabling elaborate data-flow procedures, such as simulation, temporal integration or data aggregation over many time steps in many worlds. To hide the complexity from the user, we extend the World Lines interaction techniques to control the novel data-flow architecture. The concept of multiple, special-purpose cursors is introduced to let users intuitively navigate through time and alternative scenarios. Users specify only what they want to see, the decision which data are required is handled automatically. The concepts are explained by taking the example of the simulation and analysis of material transport in levee-breach scenarios. To strengthen the general applicability, we demonstrate the investigation of vortices in an offline-simulated dam-break data set.

Visual analysis and steering of flooding simulations.

We present a visualization tool for the real-time analysis of interactively steered ensemble-simulation runs, and apply it to flooding simulations. Simulations are performed on-the-fly, generating large quantities of data. The user wants to make sense of the data as it is created. The tool facilitates understanding of what happens in all scenarios, where important events occur, and how simulation runs are related. We combine different approaches to achieve this goal. To maintain an overview, data are aggregated and embedded into the simulation rendering, showing trends, outliers, and robustness. For a detailed view, we use information-visualization views and interactive visual analysis techniques. A selection mechanism connects the two approaches. Points of interest are selected by clicking on aggregates, supplying data for visual analysis. This allows the user to maintain an overview of the ensemble and perform analysis even as new data are supplied through simulation steering. Unexpected or unwanted developments are detected easily, and the user can focus the exploration on them. The solution was evaluated with two case studies focusing on placing and testing flood defense measures. Both were evaluated by a consortium of flood simulation and defense experts, who found the system to be both intuitive and relevant.

Nodes on ropes: a comprehensive data and control flow for steering ensemble simulations.

Flood disasters are the most common natural risk and tremendous efforts are spent to improve their simulation and management. However, simulation-based investigation of actions that can be taken in case of flood emergencies is rarely done. This is in part due to the lack of a comprehensive framework which integrates and facilitates these efforts. In this paper, we tackle several problems which are related to steering a flood simulation. One issue is related to uncertainty. We need to account for uncertain knowledge about the environment, such as levee-breach locations. Furthermore, the steering process has to reveal how these uncertainties in the boundary conditions affect the confidence in the simulation outcome. Another important problem is that the simulation setup is often hidden in a black-box. We expose system internals and show that simulation steering can be comprehensible at the same time. This is important because the domain expert needs to be able to modify the simulation setup in order to include local knowledge and experience. In the proposed solution, users steer parameter studies through the World Lines interface to account for input uncertainties. The transport of steering information to the underlying data-flow components is handled by a novel meta-flow. The meta-flow is an extension to a standard data-flow network, comprising additional nodes and ropes to abstract parameter control. The meta-flow has a visual representation to inform the user about which control operations happen. Finally, we present the idea to use the data-flow diagram itself for visualizing steering information and simulation results. We discuss a case-study in collaboration with a domain expert who proposes different actions to protect a virtual city from imminent flooding. The key to choosing the best response strategy is the ability to compare different regions of the parameter space while retaining an understanding of what is happening inside the data-flow system.

Non-convex polyhedral volume of interest selection.

We introduce a novel approach to specify and edit volumes of interest (VOI for short) interactively. Enhancing the capabilities of standard systems we provide tools to edit the VOI by defining a not necessarily convex polyhedral bounding object. We suggest to use low-level editing interactions for moving, inserting and deleting vertices, edges and faces of the polyhedron. The low-level operations can be used as building blocks for more complex higher order operations fitting the application demands. Flexible initialization allows the user to select within a few clicks convex VOI that in the classical clipping plane model need the specification of a large number of cutting planes. In our model it is similarly simple to select non-convex VOI. Boolean combinations allow to select non-connected VOI of arbitrary complexity. The polyhedral VOI selection technique enables the user to define VOI with complex boundary structure interactively, in an easy to comprehend and predictable manner.