Effectiveness of a virtual reality courtroom to support survivors of sexual violence

ISRCTN ISRCTN15612284
DOI https://doi.org/10.1186/ISRCTN15612284
Secondary identifying numbers Icelandic Research Fund number 2106-0502
Submission date
28/05/2024
Registration date
28/05/2024
Last edited
06/12/2024
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Research shows that survivors of sexual violence often experience distress when testifying in court, which can have an impact on their well-being and testimony in court. The purpose of this study is examine whether a virtual reality courtroom intervention is effective in alleviating distress that survivors associate with a courtroom.

Who can participate?
The study participants will be victims of sexual violence who are 18 years of age or older today, but the offense may have occurred at any time during their lifetime. We are looking for participants who have not testified in a court case where they themselves are the victims of a crime, but could possibly consider doing so in the future.

What does the study involve?
Participation in the study involves three aspects, attending twice at Reykjavík University at Menntaveg 1, 102 Reykjavík, and answering questionnaires via e-mail once. The first visit to Reykjavík University will probably take about 2 hours and the second about 45 minutes. On both of these occasions, participants will be asked to take a blood test within 24 hours. Answering the email questionnaire will take about 15 minutes. The participants will be divided into two groups, the second group will start by answering the questionnaires by e-mail and then will come to the place twice.

What are the possible benefits and risks of participating?
Participants will benefit from the study by getting a payment of 10 thousand ISK, in addition to contributing to increasing knowledge of the use of virtual reality to inform victims of sexual violence, reduce their anxiety and hopefully encourage them to seek justice. The most significant risk will be distress that participants may experience while in the virtual environment. Participants may take a break or stop participating at any time, and participants may withdraw their consent and request that their data be deleted, if it is not non-personally identifiable or has already become part of the results of the study. If participants become upset, they will be offered a session with a clinical psychologist, free of charge.

Where is the study run from?
The study is run from Reykjavik University in Iceland.

When is the study starting and how long is it expected to run for?
June 2021 to December 2025

Who is funding the study?
The study has been funded by the Icelandic Research Fund.

Who is the main contact?
The main contact person for the study is Dr. Rannveig Sigurvinsdóttir, associate professor of Psychology at Reykjavík University. To get in contact with her, please email rannveigs@ru.is

Study website

Contact information

Dr Rannveig Sigurvinsdottir
Public, Scientific, Principal Investigator

Menntavegur 1
Reykjavik
105
Iceland

ORCiD logoORCID ID 0000-0001-5953-0696
Phone +354 5996200
Email rannveigs@ru.is

Study information

Study designSingle-center interventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Participant information sheet 45535 PIS.pdf
Scientific titleEffectiveness of a virtual reality courtroom intervention among survivors of sexual violence to impact their distress, physiological stress responses, sense of control and attitudes towards going to court in real life
Study objectives1. Among sexual violence survivors, feelings of perceived control, empowerment and attitudes towards going to court will improve as a result of the virtual courtroom intervention.
2. A waitlist control group will receive the virtual courtroom intervention 2 months after the experimental group, and then feelings of perceived control, empowerment and attitudes towards going to court will improve (but not beforehand).
3. The virtual reality courtroom will evoke stress reactions (distress and physiological stress responses) among survivors of sexual violence that then decrease over the course of one session.
4. At a follow-up session 2 months after the virtual courtroom intervention, participants will show a lower stress reaction and improved feelings of perceived control, empowerment and attitudes towards going to court.
Ethics approval(s)

Approved 21/02/2024, Icelandic Bioethics Committee (Borgartun 21, Reykjavik, 105, Iceland; +354 551 7100; vsn@vsn.is), ref: VSN-20-061

Health condition(s) or problem(s) studiedDistress associated with going to court for sexual violence survivors
InterventionThe experimental group will take part in a one-session virtual reality courtroom intervention, where distress, physiological stress reactions, feelings of empowerment and control and attitudes towards going to court will be measured. Two months later, participants will return for a follow-up session to examine the same variables. Two months after that, participants will complete an online survey assessing their feelings of empowerment and control and attitudes towards going to court.

Participants will be randomized to an intervention or control group, where the control group will begin by answering the online survey, then followed by the virtual reality intervention two months later, and then the follow-up virtual reality session 2 months after that.

We will use an online randomization tool to form the experimental and control groups. We google random number generator and use that to give us either the number 1 or 2, and participants who get the number 1 will be part of the experimental group and those with the number 2 will be part of the control group.
Intervention typeBehavioural
Primary outcome measure1. Perceived control, empowerment and attitudes towards going to court will be measured using questionnaires developed by the researchers based on the current literature at baseline, 2 months later, and then 2 months after that.
2. Distress will be measured with the Subjective Units of Distress Scale at baseline, 2 months later, and then 2 months after that.
3. Physiological stress reactions measured will be heart rate, eye movements and skin conductance, measured directly by technology worn by participants at the virtual reality courtroom intervention and follow-up sessions.
Secondary outcome measures1. Depression, Anxiety and Stress measured using the Depression, Anxiety and Stress Scales at baseline, two months later and then two months after that.
2. Post-traumatic stress disorder measured using the PTSD Checklist for DSM-5 at baseline, two months later and then two months after that.
Overall study start date15/06/2021
Completion date31/12/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit100 Years
SexBoth
Target number of participants60
Key inclusion criteria1. Being a survivor of sexual violence
2. Being at least 18 years of age
3. Having not gone to court in real life in a case where they were the victim of a sexual crime
Key exclusion criteria1. Being under the age of 18 years
2. Not having experienced sexual violence
3. Having been to court in real life when testifying in a case where they were victimized
Date of first enrolment30/05/2024
Date of final enrolment30/05/2025

Locations

Countries of recruitment

  • Iceland

Study participating centre

Reykjavik University
Menntavegur 1
Reykjavik
105
Iceland

Sponsor information

Reykjavík University
University/education

Menntavegur 1
Reykjavik
105
Iceland

Phone +354 5996200
Email ru@ru.is
Website www.ru.is
ROR logo "ROR" https://ror.org/05d2kyx68

Funders

Funder type

Government

Icelandic Research Fund

No information available

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planWe plan to publish the results in peer-reviewed journals.
IPD sharing planWe do not intend to make the data publicly available in order to protect survivor identity and experiences.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 28/05/2024 No Yes

Additional files

45535 PIS.pdf

Editorial Notes

06/12/2024: The intention to publish date was changed from 31/12/2024 to 31/12/2025.
28/05/2024: Trial's existence confirmed by Icelandic Bioethics Committee