System Constellations in Virtual Reality (VR)

Study Overview
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Brief Summary
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The purpose of this study is to investigate the efficacy of system constellations in Virtual Reality (VR) in a monocentric, single-masked randomized controlled trial. The method of system constellations refers to an approach which integrates ideas from organizational and family systems counseling with elements from psychodrama. The constellations are conducted in a group based VR-seminar, each VR-seminar lasting two to three days. Based on the model of a general mental health, the effects of system constellations in VR on psychological and systems functioning are explored. It is predicted that participation in a system constellation VR-seminar changes the level of psychological and systems functioning at 4 months.

Official Title
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Efficacy and Experience of System Constellations in Virtual Reality (VR): A Randomized Control Feasibility Study

Conditions
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Psychological and Systems Functioning

Intervention / Treatment
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* Behavioral: System Constellation VR-Seminar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: agreement to participate in a 2 to 3-day system constellations VR-seminar agreement to be randomized into treatment group or control group (waiting condition) agreement not to participate in another system constellation VR-seminar or seminar until completion of study Exclusion Criteria: acute suicidal tendency acute psychotic episode acute drug or alcohol intoxication

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: System Constellation VR-Seminar (exp. group)<br>By externalising significant elements, systemic constellations render the inner image someone has of a personally important social system in a visible and tangible way to get more clarity about psycho-social conflicts to make goal-oriented changes. In this study, the method System Constellation will be applied in a Virtual Reality (VR) setting during two to three day seminars. | Behavioral: System Constellation VR-Seminar<br>* individual-centered intervention in a group VR-setting, duration 2 to 3 days<br>|
| Experimental: System Constellation VR-Seminar (control group)<br>By externalising significant elements, systemic constellations render the inner image someone has of a personally important social system in a visible and tangible way to get more clarity about psycho-social conflicts to make goal-oriented changes. In this study, the method System Constellation will be applied in a Virtual Reality (VR) setting during two to three day seminars. Study participants randomized to this group receive the intervention (system constellations VR-seminar) 4 months after the experimental group. | Behavioral: System Constellation VR-Seminar<br>* individual-centered intervention in a group VR-setting, duration 2 to 3 days<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline EB-45 Score within 4 months | Changes in psychological well-being will be assessed using the 'Outcome Questionnaire' in its German version (EB-45). The EB-45 is a brief 45-item self report outcome/tracking instrument designed for repeated measurement of client progress through the course of psychotherapy and following termination. The scales of the EB-45 measure symptom distress, interpersonal functioning, and social role. | Baseline, 2 weeks after treatment, 4 months after treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Experience in Social Systems Questionnaire (EXIS) | The subjective quality of family and organizational systems will be assessed by the EXIS (Questionnaire on experiences in systems), a self-constructed questionnaire comprising 24 items. | Baseline, 2 weeks after treatment, 4 months after treatment | 
| Questionnaire for the Evaluation of Treatment Progress (FEP-2) | The FEP-2, 40-item self report questionnaire, measures psychological distress according to the phase model of therapeutic change as well as the interpersonal model of psychological distress. | Baseline, 2 weeks after treatment, 4 months after treatment | 
| Bern Inventory of Psychotherapy Goals (BIT-C) | Goal achievement will be assessed using Goal Attainment Scaling as a method for the assimilation of achievement in a number of individually set goals into a single aggregated 'goal attainment score', providing a person-centred outcome, focused on that individual's priorities. Goal attainment scaling is operationalized by an open-ended question, in which study participants descriobe their individual goals. In a second step these goals will be coded according to the Bern inventory of psychotherapy goals (BIT-C) | Baseline, 2 weeks after treatment, 4 months after treatment | 
| Incongruence Questionnaire (K-INK) | Motivational incongruence is defined as the unsatisfactory realization of motivational goals and is based on the concept of General Psychotherapy by Klaus Grawe. The Incongruence Questionnaire (INK) is an instrument that assesses motivational incongruence, defined as the discrepancy between a person's motivational goals and his/her perception of reality. The short version of this questionnaire that will be used in our study (K-INK) comprises 23 items. | Baseline, 2 weeks after treatment, 4 months after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Systems Constellation, Virtual Reality (VR), Feasibility Study