VR Therapy for Psychosis Negative Symptoms (V-NeST)

NCT ID: NCT03995420

Last Updated: 2019-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-15

Study Completion Date

2021-04-30

Brief Summary

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Background: Negative symptoms are typically observed in people with schizophrenia and indicate a loss or reduction of a normal function (e.g. reduced motivation and affect display). Despite being important predictors of people's recovery the development of interventions for negative symptoms received only very limited attention. There are currently no evidenced based therapies for these symptoms.

Aims: To test the feasibility and acceptability of a novel virtual reality assisted therapy, called Virtual Reality Supported Therapy for the Negative Symptoms of Psychosis (V-NeST).

Methods: This is a single (rater) blind randomised study with two conditions; V-NeST plus treatment-as-usual (TAU) vs. TAU alone. The study will recruit people with psychosis from NHS community care teams (in England). Assessments will be at baseline and 3-month post-randomisation. A nested qualitative study to identify the key themes associated with the acceptability of the overall study and intervention will be conducted. The study will assess key feasibility parameters such as: consent and availability for screening; eligibility; availability for assessment, randomisation and treatment retention. Acceptability will be assessed by considering: therapy session attendance and drop-out; in-depth feedback from service users interviews; acceptability of the research procedures and measures.

Participants will be assessed with measures of functioning levels and, negative symptoms . Analyses will evaluate the feasibility and analyses of clinical outcomes will be focused on descriptive statistics and confidence intervals for treatment effects. Population variances of the main outcomes will be estimated for future power calculations. A semi-structured interview will explore participants' experience of being recruited to the study, receiving V-NeST and identify barriers (and potential solutions) to treatment engagement.

Detailed Description

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Conditions

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Psychosis Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Assessors will be blind to treatment allocation (single blind)

Study Groups

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Virtual Reality Therapy (V-NeST)

Participants in this arm will receive Virtual Reality Therapy (V-NeST) plus treatment as usual (TAU).

Group Type EXPERIMENTAL

Virtual Reality Therapy (V-NeST)

Intervention Type BEHAVIORAL

V-NeST is a 12-session therapy using psychological intervention principles based on Cognitive Remediation and CBT partly based in Virtual Reality.

Treatment as Usual

Intervention Type OTHER

multi-modal treatment consisting of different therapies defined by the treating team. These will include regular contact with a care coordinator and medication management by a psychiatrist.

Treatment as Usual

Participants in this arm will receive treatment as usual (TAU) only.

Group Type OTHER

Treatment as Usual

Intervention Type OTHER

multi-modal treatment consisting of different therapies defined by the treating team. These will include regular contact with a care coordinator and medication management by a psychiatrist.

Interventions

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Virtual Reality Therapy (V-NeST)

V-NeST is a 12-session therapy using psychological intervention principles based on Cognitive Remediation and CBT partly based in Virtual Reality.

Intervention Type BEHAVIORAL

Treatment as Usual

multi-modal treatment consisting of different therapies defined by the treating team. These will include regular contact with a care coordinator and medication management by a psychiatrist.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Service users currently under the care of NHS psychosis services;
* Aged over 18;
* in a stable clinical condition (as judged by primary clinician)
* with a documented episode of psychosis and/or a diagnosis of schizophrenia.

Exclusion Criteria

* Recent antipsychotic medication change (i.e. in the last 3 weeks);
* Moderate to severe learning disability
* Insufficient English for therapy
* Organic impairment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Psychiatry, London

OTHER

Sponsor Role lead

Responsible Party

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Matteo Cella

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Institute of Psychiatry, King's College London

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Matteo Cella, PhD

Role: primary

Other Identifiers

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260511

Identifier Type: -

Identifier Source: org_study_id