Virtual Reality Intervention (VR--GINSO) for Reducing Aggression in Young Offenders
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Overall aggression measured with the Aggression Questionnaire (AQ)
研究概览
简要总结
The goal of this clinical trial is to see if a specific intervention program that uses virtual reality (VR) helps young people reduce aggressive behavior more than the same program without VR or their usual treatment. The study will also look at how the program affects anger, impulsivity, emotional control, and how participants understand and handle conflicts with others.
The main questions the study wants to answer are:
- Does the intervention program with VR help young people reduce aggressive behavior more than the same program without VR or just their usual treatment?
- What changes in the mind and body are linked to improvements in aggressive behavior and emotional control?
The researchers will compare three groups of young people:
- Usual treatment plus the 4-session intervention program with VR.
- Usual treatment plus the 4-session intervention program without VR.
- Usual treatment only.
Participants will:
- Attend 4 individual sessions lasting 1 to 1.5 hours, once a week.
- Take part in activities to learn how to recognize emotions, understand conflict situations, and manage anger and impulsivity.
- Complete questionnaires about aggressive behavior, anger, impulsivity, emotional control, and how they interpret conflicts.
- Have their aggressive behavior recorded through disciplinary reports at the center.
- Provide saliva samples before and after sessions to measure hormones related to stress and aggression.
- Wear a chest band that measures heart rate and a headset that records brain activity during the VR activities.
All data will be kept confidential, and the identities of participants will be protected at all times.
详细描述
Juvenile violence constitutes a major public health and social challenge, with significant individual, societal, and economic consequences. In Spain, violent offenses committed by adolescents account for approximately 5% of all registered crimes, and official data indicate a marked increase in youth violence over the past decade. Both perpetrators and victims are frequently minors, particularly in contexts such as bullying, physical assault, dating violence, and youth gang-related offenses. Beyond its immediate impact on victims, juvenile violence is strongly associated with adverse developmental trajectories for offenders, including academic failure, social exclusion, mental health problems, and an elevated risk of persistent criminal behavior into adulthood.
Adolescence represents a critical developmental period characterized by heightened emotional reactivity, ongoing neurobiological maturation, and increased sensitivity to environmental influences. Individuals who display stable patterns of violent and antisocial behavior in adulthood often begin exhibiting aggressive conduct during adolescence. Consequently, early identification and intervention with young offenders are essential to prevent the consolidation and chronicity of aggressive behaviors. Interventions targeting this population have the potential not only to improve individual outcomes but also to reduce recidivism and enhance public safety.
To date, a range of psychosocial interventions aimed at reducing aggression in adolescents has demonstrated some degree of effectiveness. Programs focusing on cognitive-behavioral strategies, emotional regulation, social skills training, and problem-solving have yielded positive outcomes, particularly when delivered in a targeted and time-limited manner to high-risk youth. However, meta-analytic evidence suggests that the magnitude of these effects is generally small to moderate, highlighting important limitations in current treatment approaches. Factors such as low treatment adherence, reduced motivation, difficulties in generalizing learned skills to real-life situations, and limited engagement with traditional therapeutic formats may partially account for these modest outcomes, especially in adolescents involved in the juvenile justice system.
In response to these challenges, there is growing interest in the integration of innovative technological tools to enhance the effectiveness of psychosocial interventions. Virtual Reality (VR) has emerged as a promising therapeutic modality due to its capacity to generate immersive, interactive, and ecologically valid environments that simulate real-world situations. VR facilitates experiential learning by allowing users to engage in realistic scenarios while maintaining a high level of experimental and clinical control. This technology has demonstrated effectiveness as an adjunctive tool in psychological treatments, particularly for anxiety disorders, phobias, post-traumatic stress disorder, and substance use disorders. More recently, VR-based interventions have been developed to address aggression-related processes, including emotional awareness, physiological arousal regulation, empathy enhancement, and assertive interpersonal skills.
Despite these promising developments, the empirical evidence supporting the use of VR in the treatment of juvenile violence remains limited. Existing VR-based programs often focus on specific components (e.g., empathy induction or anger management), are not fully integrated into structured therapeutic protocols, or have not been specifically designed for adolescent populations. Moreover, few studies have evaluated the added value of VR when embedded within multicomponent interventions, and even fewer have been conducted within secure or semi-secure juvenile justice settings or adapted to the Spanish sociocultural context. As a result, there is a clear need for rigorous, well-controlled studies that assess the effectiveness of VR-enhanced interventions for aggressive behavior in youth offenders.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •12-18 years old at the moment of recruitment and allocation.
- •Minimum facility stay of 6 months since the begining of the study.
- •Documented records of recent aggresive behavior.
排除标准
- •Neurological disorder, brain injury, or psyquiatric pathology that affects cognitive functions or advises against use of virtual reality.
- •Not being fluent in Spanish.
结局指标
主要结局
Overall aggression measured with the Aggression Questionnaire (AQ)
时间窗: Baseline, post-intervention (4 weeks), and 3-month follow-up
The Aggression Questionnaire (AQ) is a 29-item self-report instrument assessing aggression. Each item is rated on a 5-point Likert scale (1-5). Total scores range from 29 to 145, with higher scores indicating higher levels of aggression. The questionnaire includes four subscales: physical aggression, verbal aggression, anger, and hostility.
Proactive aggression measured with the Reactive-Proactive Questionnaire (RPQ)
时间窗: Baseline, post-intervention (4 weeks), and 3-month follow-up
The proactive aggression subscale consists of 12 items rated on a 3-point scale (0-2), with scores ranging from 0 to 24. Higher scores indicate higher levels of proactive aggression.
Reactive aggression measured with the Reactive-Proactive Aggression Questionnaire (RPQ)
时间窗: Baseline, post-intervention (4 weeks), and 3-month follow-up
The reactive aggression subscale consists of 11 items rated on a 3-point scale (0-2), with scores ranging from 0 to 22. Higher scores indicate higher levels of reactive aggression.
Observed aggressive behavior recorded through disciplinary incidents in residential centers
时间窗: Baseline (3 months prior to intervention), during the intervention (up to 4 weeks), and post-intervention (up to 3 months after intervention)
Aggressive behavior will be assessed using institutional disciplinary records documented by educators in the residential centers where participants reside. The outcome will be calculated as the mean number of disciplinary incidents involving aggressive behavior per week. Incidents are recorded as part of the routine disciplinary procedures of the centers. The average weekly number of incidents will be examined across three time periods: three months before the intervention (baseline), during the intervention, and three months after the intervention.
次要结局
- Trait anger measured with the State-Trait Anger Expression Inventory-2 (STAXI-2)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Anger expression and control measured with the State-Trait Anger Expression Inventory-2 (STAXI-2)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- State anger measured with the State-Trait Anger Expression Inventory-2 (STAXI-2)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Hostile attribution bias measured with the Social Information Processing-Attribution and Emotional Response Questionnaire (SIP-AEQ)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Emotion regulation difficulties measured with the Difficulties in Emotion Regulation Scale - Short Form (DERS-28)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Impulsivity measured with the Barratt Impulsiveness Scale (BIS-11)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Alcohol use measured with the Alcohol Use Disorders Identification Test (AUDIT)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up.)
- Cannabis use measured with the Cannabis Abuse Screening Test (CAST)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up.)
- Emotion recognition measured with the FACES Test (Baron-Cohen)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Emotion recognition measured with the FACE Test(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Readiness to change measured with the University of Rhode Island Change Assessment (URICA)(Baseline (pre-intervention), post-intervention (4 weeks), and 3-month follow-up)
- Participant satisfaction measured with the Client Satisfaction Questionnaire (CSQ-8)(Post-intervention (4 weeks) and 3-month follow-up)
- Salivary cortisol levels(Baseline assessment (pre-task, immediately post-task, and 15 minutes post-task), final assessment (pre-task, immediately post-task, and 15 minutes post-task) and 3-month follow-up (pre-task, immediately post-task, and 15 minutes post-task).)
- Salivary alpha-amylase activity(Baseline assessment (pre-task, immediately post-task, and 15 minutes post-task), final assessment (pre-task, immediately post-task, and 15 minutes post-task) and 3-month follow-up (pre-task, immediately post-task, and 15 minutes post-task).)
- Salivary testosterone levels(Baseline assessment (pre-task, immediately post-task, and 15 minutes post-task), final assessment (pre-task, immediately post-task, and 15 minutes post-task) and 3-month follow-up (pre-task, immediately post-task, and 15 minutes post-task).)
- REsting heart rate.(Baseline assessment (5-minute resting recording), post-intervention assessment (5-minute resting recording) and 3-month follow-up (5-minute resting recording))
- Heart rate variability (RMSSD and SDNN)(Baseline assessment (5-minute resting recording), post-intervention assessment (5-minute resting recording) and 3-month follow-up (5-minute resting recording))
- Frontal and temporal cortical activity measured with EEG(Baseline assessment (5-minute resting recording), post-intervention assessment (5-minute resting recording) and 3-month follow-up (5 minute resting recording))
研究者
David Roncero Villarreal
Associate Professor
Universidad Francisco de Vitoria
