Virtual Reality Training in Occupational Rehabilitation

Not Applicable

Active, not recruiting

• Conditions: Anxiety Disorders; Back Pain, Low; Depression; Musculoskeletal Diseases; Mental Health Disorder
• Interventions: Device: Virtual Reality with Beat Saber

• Registration Number: NCT06410794
• Lead Sponsor: Molde University College

Brief Summary

Work-related attention bias modification training and virtual reality training in occupational rehabilitation is a multisite pilot study.

The quantitative aim of this pilot study is to compared virtual reality (VR) training and attention bias modication (ABM) training to investigate whether the different training forms result in different results measured with work-related outcomes and cognitive outcomes. The qualitative aim of this pilot study is to investigate the patients' experiences with the usage of VR.

Three rehabilitation insitutions will be recruiting patients participating in occupational rehabilitation, and the study will compare the outcomes of work-related interventions with and without the addition of ABM or VR training.

The study seeks to determine if these interventions can improve work ability, reduce symptoms of depression and anxiety, and change attentional bias from negative to positive stimuli.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-01
• Study First Submitted: 2024-04-23
• Status Verified: 2024-05
• Study First Submitted QC: 2024-05-07
• Last Update Submitted: 2024-05-07
• Study First Posted: 2024-05-13
• Last Update Posted: 2024-05-13
• Primary Completion: 2026-01-01
• Study Completion: 2026-01-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Age between 18 - 67 years
• Must be on sick leave, work assessment allowance or on disability pension
• Receiving work-related rehabilitation or treatment at clinics with either an International Classification of Primary Care, Second edition (ICPC-2) within the musculoskeletal (L), psychiatric (P) or unspecific disorders (A) categories or International Classification Disorders-10 diagnosis within the mental and behavioral disorders (F), Diseases of the musculoskeletal system and connective tissue (M) or other diagnoses.

Exclusion Criteria

• Applying for a full disability pension;
• Unable to complete the measures and receive instructions in Norwegian.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Comparing VR training and ABM training	Virtual Reality with Beat Saber	The objective of this study is to investigate whether VR and ABM training increases work ability, work-related self-efficacy, attention and reduces symptoms of depression and anxiety and consequently change an attentional bias from negative to positive stimuli. We will compare patients receiving work-related interventions + VR, work-related interventions + ABM training and work-related interventions only. We will also investigate whether positive changes in attentional bias are associated with increased work participation. Self-reported work ability, self-efficacy, depression, anxiety and objective computerised cognitive and emotional testing will be assessed at baseline (start rehabilitation/treatment) and at posttest (end rehabilitation/treatment).

Primary Outcome Measures

Name	Time	Method
Reduced depression and anxiety	Baseline and discharge (four weeks)	Self-reported questionnaire measure, (The Hospital Anxiety And Depression Scale).
Increase expectations to return to work	Baseline and discharge (four weeks), and 6 and 12 months after discharge	Self-reported questionnaire measures, (Return-to-Work Expectation)
Increase work ability	Baseline and discharge (four weeks), and 6 and 12 months after discharge	Self-reported questionnaire measures, (Work Ability Scale). Work ability: Self-rated work ability was assessed using a single-item question to determine the WAS; this question was published by Gould et al. as part of the full work ability index (WAI). The question used by this study to measure WAS ("current work ability compared with your lifetime best") used a scale of 0 to 10 (0 = "completely unable to work" and 10 = "work ability at its best"). The following measurement classification from Gould et al. \[46\] was used: poor (0 to 5), moderate (6 to 7), good (8 to 9) and excellent (10).

Secondary Outcome Measures

Name	Time	Method
Increased cognitive performance and attention	Baseline and discharge (four weeks)	Computerized cognitive measures.; - Rapid Visual Information Processing (Cambridge Cognition, 2020). The mean response latency on trials where the subject responded correctly. Calculated across all assessed trials.
Increased cognitive performance and memory	Baseline and discharge (four weeks)	Computerized cognitive measures.; - Spatial Working Memory (Cambridge Cognition, 2020). The number of times the subject incorrectly revisits a box in which a token has previously been found.
Increased cognitive performance	Baseline and discharge (four weeks)	Computerized cognitive measures.; - Stop Signal Task (Cambridge Cognition, 2020). The estimate of time when an individual can successfully inhibit their responses 50% of the time.
Patients's experiences in using VR	From discharge up to 5 month after discharge.	Interview guide based on the participants experience.

Trial Locations

Locations (1)

Norwegian National Advisory Unit on Occupational Rehabilitation; 🇳🇴 Rauland, Norway