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Virtual Reality and Post Traumatic Stress
Virtual Reality and Post Traumatic Stress

NCT06684977

CompletedNA

Sponsor: Queen's University, Belfast

Conditions: PTSD - Post Traumatic Stress Disorder

Interventions: 360 Video, VR Photoscan, Standard TF-CBT

Countries: United Kingdom

Northern Ireland has a legacy of trauma-related mental health problems and a higher estimated prevalence of post-traumatic stress disorder (PTSD) than other comparable post-civil conflict societies. Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) is an effective treatment for PTSD and is currently recommended by the National Institute For Health and Social Care Excellence (NICE) as the first line of clinical treatment. During therapy, clients with PTSD revisit the trauma memory to process what has occurred. This technique is known as Imaginal Exposure (IE) which can be a difficult process. Clients can be highly avoidant and emotionally distant from trauma memories, making it challenging to engage with the exposure process. When trauma has occurred several decades previously, traumatic memories may be difficult to access, resulting in poor treatment outcomes. Technology such as Virtual Reality (VR) can aid this process, as patients can enter a world that exposes them to the traumatic memory in a controlled therapeutic way which has shown to be effective in the treatment of PTSD. VR is yet to be used in routine clinical settings. The investigators are proposing to create low-cost VR environments via 360° video and a new process called VR Photoscan, which will allow a clinical setting to use this beneficial tool to support patients who are receiving TF-CBT to treat PTSD. This is a three-arm intervention feasibility study using a mixed methods evaluation framework designed to explore the acceptability of low-cost VR as an adjunct within existing TF-CBT therapy. Participants will be split into 3 groups of 5: Group one (N=5) to use 360° Video alongside standard TF-CBT. Group two (N=5) to use VR Photo Scan alongside standard TF-CBT. Group three (N=5) is a control group that will only receive TF-CBT. The individuals selected for the technological interventions will be offered the opportunity of a personalized 360° video / VR Photoscan environment to aid their therapy session. Pre and post-measures will be collected from participants and semi-structured interviews will be held with participants at the end of their therapy and with the clinicians who have delivered the intervention. This protocol aims to investigate the potential of low-cost VR technology in supporting PTSD treatment, addressing both the practical and theoretical challenges of immersive trauma therapy. By examining the feasibility of 360° video and VR Photoscan, the study hopes to contribute valuable insights into VR's applicability in clinical mental health settings.

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Adults who self-report the experience of type 1 trauma (NI related)
* PTSD symptoms as identified via PCL-5 \> 31
* Ability to give informed consent
* Suitable and willingness to engage in TF-CBT
* Scene of the traumatic event is accessible for 360° video or VR Photoscan

Exclusion Criteria:

* History of severe motion sickness
* History of seizures, seizure disorder, or epilepsy
* History of bipolar disorder, psychosis, or schizophrenia
* Younger than 18 years old
* Experiences their trauma at a site that is not accessible (i.e., would not be possible to capture images)
* Previously engaged in TF-CBT within the PTS in the past 12 months
* Actively suicidal or undertaken suicidal action in the past 3 months
Locations (1)
  • Belfast, Dundonald, United Kingdom