Effectiveness of self-training program using the virtual reality exposure therapy in college students with social anxiety

ISRCTN ISRCTN14301295
DOI https://doi.org/10.1186/ISRCTN14301295
Secondary identifying numbers 31900767, 20dz2260300
Submission date
05/05/2023
Registration date
10/05/2023
Last edited
18/03/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The lifetime prevalence of social anxiety disorder (SAD) ranges from 2.3% to 12.1%. According to the current survey of college students in China, the prevalence rate is above 8.8%. Exposure therapy is a classic intervention method for social anxiety disorder. With the advancement of technology, the application of virtual reality (VR) has led to the birth of virtual reality exposure therapy (VRET).

Who can participate?
This study plans to recruit 60 participants with high levels of social anxiety, and the sources of the participants are students in the colleges of Shanghai. They were randomly divided into an intervention group and a waiting group, with 30 participants in both groups.

What does the study involve?
To explore the self-training intervention effect of VRET on social anxiety of subclinical college students. Specifically, a single-factor inter-participant design was adopted, the independent variable was exposure therapy intervention (intervention, no intervention), and the dependent variable included the following items: 1. Social anxiety level, 2. Global distress, 3. Affect, 4. Heart rate, 5. Blood pressure.

What are the possible benefits and risks of participating?
Participating in this study, the participants can get a free 14-day self-training intervention program, which may alleviate the social anxiety symptoms of the participants after extensive research abroad.

Where is the study run from?
The pre-test and post-test will be arranged at the laboratory of East China Normal University Zhongbei Campus (No. 3663 Zhongshan North Road, Putuo District, Shanghai). The other self-training program will be exerted by the subjects themselves at home.

When is the study starting and how long is it expected to run for?
The Enrollment was started on 12/05/2023. The intervention will be started on 23/05/2023 and expected to run for 1 year.

Who is funding the study?
The funders are the National Natural Science Foundation of China (31900767), the Research Project of Shanghai Science and Technology Commission(20dz2260300), and Fundamental Research Funds for the Central Universities.

Who is the main contact?
Examiner: Kan Chinghsiang (Address: School of Psychology and Cognitive Science, East China Normal University, No. 3663 Zhongshan North Road, Putuo District, Shanghai, WeChat ID: animalfarmkang, E-mail: animalfarmkang@msn.com, Tel: +86 13585700546).

Contact information

Mr Chinghsiang Kan
Public

School of Psychology and Cognitive Science
East China Normal University
No. 3663 Zhongshan North Road
Putuo District
Shanghai
200062
China

ORCiD logoORCID ID 0009-0009-8989-2159
Phone +86 13585700546
Email yzhang@psy.ecnu.edu.cn

Study information

Study designSingle-center single-blind randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home, University/medical school/dental school
Study typeTreatment
Participant information sheet 43595 PIS.pdf
Scientific titleRecharge for Social Anxlien: VRET Self-training Program
Study acronymSTPVRET
Study objectivesThe study aims to examine the self-training intervention program is effective to alleviate the anxiety level of college students with high social anxiety.
Ethics approval(s)Approved 26/02/2023, East China Normal University Committee on Human Research Protection (3663 Zhongshan Road North, Shanghai 200062, China; +86 21 6223 3333; ask.irb@admin.ecnu.edu.cn), ref: HR2-0008-2023
Health condition(s) or problem(s) studiedHigh level of social anxiety
InterventionIntervention: self-training program of virtual reality exprosure therapy
Total duration of treatment: 14 days
Dose: 8 video courses, each about 15 minutes, the participants used the WeChat mini-program at home to watch social scene videos with gradually increasing anxiety levels through VR glasses.
Pre-test and post-test: The experimenter personally administers the test in the school laboratory.
Follow-up practice and follow-up test: On the 44th to 45th day, the participants will complete by themselves after receiving the VR glasses from the experimenter, and then send the VR glasses back.
Randomisation: 60 participants were randomly divided into an intervention group and a waiting group using the function of "Data-Case Selection-Random Case Sample" in SPSS, with 30 participants in both groups.
Intervention typeBehavioural
Primary outcome measureAnxiety is measured using the Social Phobia Inventory (SPIN) and the Liebowitz Social Anxiety Scale (LSAS) at 1, 14, and 45 d.
Secondary outcome measures1. Global distress is measured using the Clinical Outcome in Routine Evaluation-Outcome Measure (CORE‐OM) and the Clinical Outcome in Routine Evaluation-10 (CORE-10) at 1, 3, 6, 9, 12, 14, and 45 d.
2. Affect is measured using the Positive and Negative Affect Schedule or (PANAS) at 1, 3, 6, 9, 12, 14, and 45 d.
3. Heart rate is measured using the commercially available conventional heart rate monitor at 1, 14, and 45 d.
4. Blood pressure is measured using the commercially available conventional blood pressure monitor at 1, 14, and 45 d.
5. Simulator is measured using the Simulator Sickness Questionnaire (SSQ) at 1 d.
6. Competence of task, satisfication of performance, and change of behavior are measure using the Likert 4-point Scale at 1, 2, 4, 5, 7, 8, 10, 11, 13, 14, 44, 45 d.
Overall study start date20/04/2022
Completion date15/11/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants60
Total final enrolment61
Key inclusion criteriaCurrent inclusion criteria as of 18/05/2023:
1. Age: 18+ years
2. Status: College students in colleges and universities in Shanghai (undergraduate to doctoral students)
3. Anxiety level: a total score of 31 or more on the SPIN scale or a total score of 35 or more on the LSAS scale

_____

Previous inclusion criteria:
1. Age: 18+ years
2. Status: College students in colleges and universities in Shanghai (undergraduate to doctoral students)
3. Anxiety level: a total score of 31 or more on the SPIN scale or a total score of 30 or more on the LSAS scale
Key exclusion criteriaCurrent exclusion criteria as of 18/05/2023:
1. Diagnosed mental disorders other than social anxiety disorder or a total score of 29 or more on the BDI-II scale.
2. Suicide and self-injury high-risk groups (CORE-10).
3. People who are strongly uncomfortable with VR videos (SSQ).

____

Previous exclusion criteria:
1. Diagnosed mental disorders other than social anxiety disorder.
2. Suicide and self-injury high-risk groups (CORE-10).
3. People who are strongly uncomfortable with VR videos (SSQ).
Date of first enrolment10/05/2023
Date of final enrolment10/06/2023

Locations

Countries of recruitment

  • China

Study participating centre

School of Psychological and Cognitive Sciences, East China Normal University
No. 3663, Zhongshan North Road, Putuo District
Shanghai
200062
China

Sponsor information

East China Normal University
University/education

School of Psychological and Cognitive Sciences
No. 3663
Zhongshan North Road
Putuo District
Shanghai
200062
China

Phone +86 2162230090
Email yzhang@psy.ecnu.edu.cn
Website http://www.ecnu.edu.cn/
ROR logo "ROR" https://ror.org/02n96ep67

Funders

Funder type

Government

National Natural Science Foundation of China
Government organisation / National government
Alternative name(s)
Chinese National Science Foundation, Natural Science Foundation of China, National Science Foundation of China, NNSF of China, NSF of China, 国家自然科学基金委员会, National Nature Science Foundation of China, Guójiā Zìrán Kēxué Jījīn Wěiyuánhuì, NSFC, NNSF, NNSFC
Location
China
Research Project of Shanghai Science and Technology Commission

No information available

Fundamental Research Funds for the Central Universities
Government organisation / Local government
Alternative name(s)
Fundamental Research Funds for the Central Universities of China, Fundamental Research Fund for the Central Universities
Location
China

Results and Publications

Intention to publish date01/04/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from.
Name: Kan Chinghsiang
Email address: animalfarmkang@msn.com
Type of data that will be shared: All data except participant's private information
When the data will become available and for how long: Available after publication and for permanence
By what access criteria data will be shared including with whom: Research with public registration
For what types of analyses: All
By what mechanism: Email
Whether consent from participants was obtained: Consent in advance with Participant Statement
Comments on data anonymisation: No providing of participant's private information
Ethical or legal restrictions: Abiding by the law and ethics guidelines of China

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 09/05/2023 No Yes

Additional files

43595 PIS.pdf

Editorial Notes

18/03/2024: The following changes were made to the study record:
1. The overall study end date was changed from 31/03/2024 to 15/11/2023.
2. The intention to publish date was changed from 31/12/2024 to 01/04/2024.
3. Total final enrolment added.
19/05/2023: Internal review.
18/05/2023: The following changes were made to the trial record:
1. The inclusion criteria were changed.
2. The exclusion criteria were changed.
17/05/2023: The plain English summary was updated.
09/05/2023: Trial's existence confirmed by East China Normal University Committee on Human Research Protection