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Virtual Reality Intervention for Speech Anxiety

Not Applicable
Completed
Conditions
Public Speaking
Speech Anxiety
Interventions
Behavioral: Exposure intervention plus negative mood induction
Behavioral: Exposure intervention plus positive mood induction
Registration Number
NCT06086756
Lead Sponsor
Boston University Charles River Campus
Brief Summary

Exposure-based cognitive behavior therapy is an efficacious treatment for speech anxiety and has been delivered effectively in a virtual reality (VR) environment. The present study is designed to evaluate whether mood state moderates outcome to a brief VR exposure intervention.

Detailed Description

The goal of this clinical trial is to compare outcomes of VR exposure therapy for college students with public speaking anxiety following a positive or negative mood induction. The overarching aim of the present study is to determine whether mood state prior to engaging in a brief VR exposure therapy session for public speaking anxiety impacts treatment outcomes.

The study involves three phases: (1) initial screening, (2) in-person assessment and brief exposure intervention for a subset of participants with elevated public speaking anxiety, and (3) a one-week follow-up assessment conducted online. Students who choose to participate and screen high on a public speaking anxiety scale will be assigned to a positive or negative mood induction condition prior to undergoing VR based exposure therapy. Public speaking and social anxiety outcomes are measured immediately post-intervention and one week later.

Researchers will compare participants given a positive mood induction to participants given a negative mood induction to see if public speaking anxiety outcomes differ.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Self-report of 18 years of age or older
  • Current student at Boston University
  • Ability to read English to provide informed consent
  • Familiarity with a computer keyboard and mouse or a touch screen device (e.g. phone, tablet).
  • For Phase 2: speech anxiety scale score of ≥ 14 on the Personal Report of Communication Apprehension, Public Speaking Subscale (PRCA-PS)
Exclusion Criteria
  • Previous participation (i.e., no participant may take the survey more than once).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Negative Mood Induction via negative film clipsExposure intervention plus negative mood inductionThe standardized procedures outlined in our laboratory's previously conducted study (Stathopoulou, Pollack, \& Otto, 2018) will be followed. Participants will be presented with two brief film clips on a computer monitor or TV screen. These film clips were selected to elicit negative affect. As utilized in past lab study procedures, participants will be asked to: "Let yourself experience whatever emotions you have, as fully as you can. Don't try to hold back, or hold in, your feelings" (Stathopoulou, Pollack, \& Otto, 2018). Together, the two film clips will last for approximately 5 minutes.
Positive Mood Induction via positive film clipsExposure intervention plus positive mood inductionThe standardized procedures outlined in our laboratory's previously conducted study (Stathopoulou, Pollack, \& Otto, 2018) will be followed. Participants will be presented with two brief film clips on a computer monitor or TV screen. These film clips were selected to elicit positive affect. As utilized in past lab study procedures, participants will be asked to: "Let yourself experience whatever emotions you have, as fully as you can. Don't try to hold back, or hold in, your feelings" (Stathopoulou, Pollack, \& Otto, 2018). Together, the two film clips will last for approximately 5 minutes.
Primary Outcome Measures
NameTimeMethod
Public Speaking AnxietyComparison of pre-exposure scores to scores from post-treatment, approximately 2 week post-screen

Assessed using the Personal Report of Communication Apprehension, Public Speaking Subscale (PRCA-PS)

Secondary Outcome Measures
NameTimeMethod
ValenceComparison of pre-exposure scores to scores from follow up survey, 1 week post-exposure

Self-report measure of how participant feels about having to give a speech

Social PhobiaComparison of pre-exposure scores to scores from follow up survey, 1 week post-exposure

Assessed using the social phobia inventory (SPIN)

Public Speaking AnxietyComparison of pre-exposure scores to scores from follow up survey, 1 week post-exposure

Assessed using the PRCA-PS

Trial Locations

Locations (1)

Center for Anxiety and Related Disorders

🇺🇸

Boston, Massachusetts, United States

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