Clinical trial NCT06410794: Virtual Reality Training in Occupational Rehabilitation
Official title: Work-related Attention Bias Modification Training and Virtual Reality Training in Occupational Rehabilitation: A Multisite Pilot Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Musculoskeletal Diseases
Mental Health Disorder
Back Pain, Low
Anxiety Disorders
Depression
Keywords: Virtual reality
gaming
occupational rehabilitation
patient experience
quanitative study
qualitative study
Lead sponsor: Molde University College
Sponsor class: OTHER
Collaborators: name: Norwegian National Advisory Unit on Occupational Rehabilitation
First posted: 2024-05-13
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 67
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: This is a non-randomised controlled experiment where we aim to recruit 20 patients from each of the six clinics involved in ABM training and up 100 from each of the clinics involved in VR. That is, 10 receiving ABM training and 10 in the control group, and 60 receiving VR and 40 in the control group. The participants will complete the questionnaires and cognitive measures one the day of arrival and on the penultimate or ultimate day of the rehabilitation/treatment. The measures will take approximately one hour to complete at each measurement point and will not interfere with the participation in the rehabilitation/treatment.

In the qualitative part of this pilot, it is aimed to recruit 15 patients, five at each of the three clinics.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Work-related attention bias modification training and virtual reality training in occupational rehabilitation is a multisite pilot study.

The quantitative aim of this pilot study is to compared virtual reality (VR) training and attention bias modication (ABM) training to investigate whether the different training forms result in different results measured with work-related outcomes and cognitive outcomes. The qualitative aim of this pilot study is to investigate the patients' experiences with the usage of VR.

Three rehabilitation insitutions will be recruiting patients participating in occupational rehabilitation, and the study will compare the outcomes of work-related interventions with and without the addition of ABM or VR training.

The study seeks to determine if these interventions can improve work ability, reduce symptoms of depression and anxiety, and change attentional bias from negative to positive stimuli.


Eligibility criteria: Inclusion Criteria:

* Age between 18 - 67 years
* Must be on sick leave, work assessment allowance or on disability pension
* Receiving work-related rehabilitation or treatment at clinics with either an International Classification of Primary Care, Second edition (ICPC-2) within the musculoskeletal (L), psychiatric (P) or unspecific disorders (A) categories or International Classification Disorders-10 diagnosis within the mental and behavioral disorders (F), Diseases of the musculoskeletal system and connective tissue (M) or other diagnoses.

Exclusion Criteria:

* Applying for a full disability pension;
* Unable to complete the measures and receive instructions in Norwegian.

Primary outcomes:
measure: Increase work ability
timeFrame: Baseline and discharge (four weeks), and 6 and 12 months after discharge
measure: Reduced depression and anxiety
timeFrame: Baseline and discharge (four weeks)
measure: Increase expectations to return to work
timeFrame: Baseline and discharge (four weeks), and 6 and 12 months after discharge
Secondary outcomes:
measure: Increased cognitive performance and attention
timeFrame: Baseline and discharge (four weeks)
measure: Increased cognitive performance and memory
timeFrame: Baseline and discharge (four weeks)
measure: Increased cognitive performance
timeFrame: Baseline and discharge (four weeks)
measure: Patients's experiences in using VR
timeFrame: From discharge up to 5 month after discharge.
Other outcomes:
Locations:
city: Rauland
country: Norway
facility: Norwegian National Advisory Unit on Occupational Rehabilitation
Study officials:
affiliation: Norwegian National Advisory Unit on Occupational Rehabilitation
name: Chris Jensen, PhD
role: STUDY_DIRECTOR
References: