The Effect of Virtual Reality Training on Mental Health Literacy and Stigma

Study Overview
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Brief Summary
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Purpose: This study will be conducted to examine the effect of virtual reality training on nurses' mental health literacy and stigma level towards mental illnesses. Design: The study is a randomized controlled experimental research. Method: The population of the research consists of 110 nurses working in a public hospital. Power analysis was performed with G* Power software to determine the number of nurses constituting the research sample. The sample size was determined as 25 people in each group. Considering that there may be data loss in the study, it is planned to include 30 people in the intervention group and 30 people in the control group. Nurses who volunteer to participate in the study and fill out the pre-test will be randomly assigned to the groups using the Statistical Analysis Software program to ensure random distribution to the intervention and control groups. Personal Information Form, Mental Health Literacy Scale (MHLS) and Opening Minds Stigma Scale for Healthcare Providers (OMS-HC) will be used in study data collection. Hypotheses: H1: The mental health literacy level of nurses who receive training with virtual reality is higher than nurses who receive classical training. H2: The level of stigmatization towards mental illnesses of nurses trained with virtual reality is lower than nurses who received classical training.

Official Title
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THE EFFECT OF TRAINING PROVIDED WITH VIRTUAL REALITY ON NURSES' MENTAL HEALTH LITERACY AND STIGMA LEVEL TOWARDS MENTAL DISEASES

Conditions
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Mental Health Disorder, Literacy, Stigma, Social

Intervention / Treatment
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* Other: Vırtual Realıty Traınıng On Mental Health Lıteracy And Stıgma
* Other: Classical Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being 18 years or older Becoming a nurse Being actively working in a public hospital in Istanbul Volunteering to participate in the study Not having worked in a psychiatric ward before Exclusion Criteria: Being under 18 years of age Not being a nurse Not actively working in the hospital where the study will be conducted Not volunteering to participate in the study Having worked in a psychiatric ward before

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MHLS<br> | Other: Vırtual Realıty Traınıng On Mental Health Lıteracy And Stıgma<br>* Nurses in the intervention group will be taken to a suitable room on the ward and virtual reality glasses will be worn. Mental health literacy training prepared by researchers by scanning the literature will be given using virtual reality glasses. Educational content; definition of mental health, definition of mental illness, definition and importance of mental health literacy, the most common mental illnesses in hospitals, Schizophrenia, Depression, Bipolar Disorder, Anxiety Disorders, Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Substance Use Disorder , Suicide-Self-Harm, Mental Health Literacy and Stigma, and where to find resources to obtain information about mental health. Information about the diagnostic criteria, risk factors, treatment methods, and what to pay attention to for the diseases discussed will be given. Animations will be prepared for each topic. The training is planned to last 45 minutes.<br>|
| Active Comparator: CONTROL GROUP<br> | Other: Classical Education<br>* Nurses in the control group will be given mental health literacy training using the classical method using brochures. Educational content; definition of mental health, definition of mental illness, definition and importance of mental health literacy, the most common mental illnesses in hospitals, Schizophrenia, Depression, Bipolar Disorder, Anxiety Disorders, Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Substance Use Disorder , Suicide-Self-Harm, Mental Health Literacy and Stigma, and where to find resources to obtain information about mental health. Information about the diagnostic criteria, risk factors, treatment methods, and what to pay attention to for the diseases discussed will be given. The training is planned to last 45 minutes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Personal Information Form | n the form prepared by the researchers in line with the literature, the nurses' introductory information; age, gender, marital status, education level, income level, unit of employment, working period, status of receiving psychiatric help, status of having a family member with a mental disorder, status of obtaining information about mental health, sources from which they obtained information about mental health and mental health. There are a total of 11 questions, including the status of receiving literacy education. | For 2 weeks | 
| Mental Health Literacy Scale | The scale, which was developed by O'Connor and Casey (2015) and whose Turkish validity and reliability study was conducted by Kesgin et al. (2020), consists of 35 items. The maximum score is 160, the minimum score is 35. For 4-point Likert scale answers: not at all possible (1 point), definitely possible (4 points); For 5-point Likert scale answers: strongly disagree (1 point), strongly agree (5 points). As the scale score increases, the RSO level increases. In the validity and reliability study of the scale, the Cronbach Alpha coefficient was found to be 0.89. | For 2 weeks | 
| Stigma Scale for Mental Illnesses for Health Care Workers | The scale, which was developed by Kassam et al. (2012) and whose Turkish validity and reliability study was conducted by Azazi (2021), consists of 20 items. It is a scale using a 5-point Likert type rating. These are: strongly disagree (1 point), disagree (2 points), neither agree nor disagree (3 points), agree (4 points), and strongly agree (5 points). The maximum score that can be obtained from the scale is 100 (most stigmatizing), the minimum score is 20 (least stigmatizing). As the scale score increases, the level of stigmatization increases. In the validity and reliability study of the scale, the Cronbach Alpha coefficient was found to be 0.79. | For 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mental Health Disorder, Mental Health Literacy, Stigma, Virtual Reality