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Pilot Study: VR Mind and VR Mind+ Intervention

11 februari 2019 uppdaterad av: Tomorrow Sp. z o.o.

Pilot Study: Feasibility, Usability and Safety Assessment of VR Mind and VR Mind+ Intervention

The aim of the pilot study is feasibility, usability and safety assessment of VR Mind intervention. In particular the subject of assessment will be:

  • the length of the laboratory session utilizing virtual reality exposure (feasibility),
  • the ergonomics and ease of use for both patients and system operators (usability),
  • the frequency of side effect occurrence as a result of virtual reality exposure (ie. Vertigo) (safety).

The results pilot study will be used in the designing a clinical trial aimed for testing efficacy and safety of VR Mind intervention.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

In this study, investigators will test the software developed by Tomorrow Sp. z o. o., named VR Mind. The software utilizes the concept of virtual reality exposure therapy to treat social anxiety disorder. The pilot investigators will be tested for the feasibility, usability and safety of the system in order to obtain information useful in further designs for the clinical trial. The research consists of four laboratory sessions. The first and the last session will be dedicated to participant assessment. During the second and third session the virtual reality scenarios (2 x 10 minutes for each session) will be presented to participants. The participants will be playing a role of someone who is giving a speech (Public speaking scenario) and someone who is speaking on a phone in public (Telephoning in public scenario).

Studietyp

Interventionell

Inskrivning (Faktisk)

10

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Polen
    • Mazowieckie
      • Warszawa, Mazowieckie, Polen, 02-957
        • Instytut Psychiatrii i Neurologii

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 50 år (Vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Age: 18-50 y.o.
  2. Confirmed DSM-IV-TR criteria for Social Anxiety Disorder (SAD).
  3. Signing informed consent

Exclusion Criteria:

  1. Occurrence of SAD symptoms inconsistent with DSM-IV-TR criteria and with psychiatric interview (SCID-I; Structured Clinical Interview)

  2. Occurrence and/or recognition:

    1. psychosis,
    2. bipolar disorder,
    3. mental retardation

  3. Exclusion based on interview:

    1. pregnancy,
    2. drug addiction,
    3. alcohol addiction,
    4. participating in the experimental session while intoxicated
    5. (current) neurological treatment of chronic disease of central nervous system,
    6. epilepsy,
    7. paroxysmal vertigo,
    8. presence of suicidal thoughts , tendencies or attempts,
    9. participant is taking drugs from benzodiazepine group, other sedatives, narcotic drugs

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: VR Mind
Two VR Mind sessions using experimental virtual reality scenarios. During these two sessions, participants will be exposed to virtual reality environment, for 2 x 10 min each session.
Beteende: VR Mind
Two VR Mind sessions using virtual reality scenarios concerning social situations in which social phobics are prone to experience anxiety. The pilot study will consist of two scenarios: "Public Speaking in Lecture Hall" and "Telephoning in Public". Two sessions are planned, each containing two expositions to virtual reality environment, each lasting 10 minutes.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Feasibility_1: Number of participants, who have completed 4 laboratory sessions within 2 weeks.
Tidsram: At the end of 4th laboratory session within 2 weeks
Number of participants, who have completed 4 laboratory sessions within 2 weeks.
At the end of 4th laboratory session within 2 weeks
Feasibility_2: Number of virtual reality exposure sessions completed in predefined time.
Tidsram: At the end of 2nd and 3th laboratory session within 2 weeks
Number of virtual reality exposure sessions completed in predefined time.
At the end of 2nd and 3th laboratory session within 2 weeks
Usability_ 3: immersion, perceived reality and engagement
Tidsram: At the end of 2 and 3 laboratory session within 2 weeks

3 items with 7-point scale, where 1 is "Totally agree" and 7 "Totally disagree":

  1. The virtual reality immersed me in all aspects (Immersion),
  2. The virtual reality resembled true experiences (Reality),
  3. The virtual reality was engaging (Engagement).
At the end of 2 and 3 laboratory session within 2 weeks
Safety_1: occurrence and severity of simulator sickness
Tidsram: During 2nd and 3th laboratory session within 2 weeks

Simulator sickness is expected adverse effect of the VR. Hence, the Simulator Sickness Questionnaire (SSQ; Kennedy, Lane, Berbaum, Lilienthal, 1993) will be administered as a primary outcome measure to evaluate safety of the VR intervention.

Total SSQ score equal to or higher than 10 will be used as a preliminary cut-off for simulator sickness (Balk et al., 2013). Individual scores will be corrected for baseline (pre-VR) symptom severity. Only items with a pre-VR - post-VR increase will contribute to a final SSQ score. All post-intervention SSQ scores >10 will be analyzed further for its association with study drop-outs and other intervention required. The adverse effect will be classified as:

  • mild (no intervention required, all VR sessions completed),
  • moderate (any intervention needed, e.g. session termination),
  • severe (hospitalization required),
  • life-threatening / death. Any unexpected adverse effects will be recorded by a physician and classified as described above.
During 2nd and 3th laboratory session within 2 weeks

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Clinical Global Impression
Tidsram: During 1st and 4th session within 2 weeks
Clinical Global Impression (Guy, 1976) - is a single item, 7 point scale used by clinicians to asses the severity of illness, where 1 is labeled as "Normal, not at all ill" and 7 is labeled as "Among the most extremely ill patients".
During 1st and 4th session within 2 weeks
Patient Global Impression
Tidsram: During 1st and 4th session within 2 weeks
Patient Global Impression - is a single item, 4 point scale used by patients to asses their impression of severity of their illness and quality of their functioning in everyday life, where 1 is labeled as "Normal" and 4 is labeled as "Severe".
During 1st and 4th session within 2 weeks
Liebowitz Social Anxiety Scale
Tidsram: During 1st and 4th session within 2 weeks

Liebowitz Social Anxiety Scale (LSAS; Leibowitz, 1987)

The scale is composed of 24 items, depicting various social situations. For each item, participants assess their fear (from 1 - "No fear" to 4 - "Severe") and avoidance (from 1 - "Never" to 4 - "Usually").

LSAS has 3 scores, summing the results for particular items - fear (0-72), avoidance (0-72) and total score (0-144).
During 1st and 4th session within 2 weeks
Beck Depression Inventory
Tidsram: During 1st and 4th session within 2 weeks
During 1st and 4th session within 2 weeks
Subjective Units of Distress
Tidsram: During 2nd and 3th session within 2 weeks

Subjective Units of Distress (SUD)

SUD is a subjective measure of perceived fear in certain situation. The scale range is from 0 ("Totally relaxed) to 100 ("Highest distress/fear/anxiety/discomfort that you have ever felt").
During 2nd and 3th session within 2 weeks

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Tomorrow Sp. z o.o.

Samarbetspartners

National Center for Research and Development, Poland

Utredare

  • Huvudutredare: Paweł Mierzejewski, prof, Tomorrow Sp. z o.o.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

13 september 2018

Primärt slutförande (Faktisk)

31 januari 2019

Avslutad studie (Faktisk)

31 januari 2019

Studieregistreringsdatum

Först inskickad

18 juni 2018

Först inskickad som uppfyllde QC-kriterierna

24 augusti 2018

Första postat (Faktisk)

27 augusti 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

12 februari 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

11 februari 2019

Senast verifierad

1 januari 2019

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • POIR.01.01.01-00-0636/16-00

Plan för individuella deltagardata (IPD)

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Obeslutsam

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