ISRCTN ISRCTN53835117
DOI https://doi.org/10.1186/ISRCTN53835117
ClinicalTrials.gov (NCT) NCT06917456
Clinical Trials Information System (CTIS) Nil known
Integrated Research Application System (IRAS) 351569
Protocol serial number APP49548
Sponsor South West London and St George's Mental Health NHS Trust
Funders Medical Research Council, Phase Space
Submission date
06/10/2025
Registration date
10/11/2025
Last edited
10/10/2025
Recruitment status
Recruiting
Overall study status
Ongoing
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 current study aims to examine the feasibility and acceptability of a virtual reality (VR) app for use on inpatient psychiatric wards. The study will be completed in two stages. Stage One is a co-design stage, and Stage Two is the Pilot stage.

Who can participate?
Adult staff who are currently working on an inpatient ward at Springfield University Hospital, and adult inpatients at Springfield University Hospital.

What does the study involve?
A VR hypnotherapy app that has been developed in collaboration with the company Phase Space will be trialled with psychiatric inpatients.

Stage One
Sixteen patients and six staff members will be recruited at this stage. The first eight patients will test the headset and provide feedback. Based on this, the app will be modified by Phase Space and then trialled by an additional eight patients. Concurrently with the recruitment of the 16 patients, six staff members from the ward will be recruited to complete an interview about the feasibility and use of VR headsets on the ward. The total feedback will be taken back to Phase Space, which will further modify the app to be implemented in the pilot stage.

Stage Two
The VR app will be piloted on fifteen inpatient participants. The full design of the pilot stage will be driven by the feedback given in Stage one. Participants will complete baseline questionnaires before the use of the headset, which will then be repeated when they have finished trialling the software. The measures will include a demographics questionnaire, as well as questionnaires regarding stress and anxiety, as well as other psychiatric symptoms. Patient participants will also be asked to complete an interview after they have finished participation to provide feedback on the use of the VR software. A semi-structured questionnaire will be completed with six staff participants, where they will be asked to report any observations they made regarding those who used the VR headset, as well as any additional feedback they have regarding the implementation of the headsets on inpatient wards.

What are the possible benefits and risks of participating?
There are no guaranteed benefits to taking part in the study. The use of the VR headset may provide participants with feelings of reduced stress. Study involvement also benefits the future of the study, as feedback will be used to develop the software further so it can possibly be implemented in clinical settings. All participants will also receive a gift voucher as a thank you for participation (£20 for Stage One, £30 for Stage Two).

It is not anticipated that any significant risks will be involved in the study. It is possible to feel cybersickness when using a VR headset. If this occurs, participants can take off the headset to let the symptoms subside. Participants can also withdraw involvement in the study at any point. It is not anticipated that participants will feel distressed due to study involvement, but if they do, the researchers can alert their care team and participants. If there are any technological problems with the VR headset, the researcher present will be trained to work through the problems.

Where is the study run from?
Springfield University Hospital, UK.

When is the study starting and how long is it expected to run for?
February 2025 to January 2026

Who is funding the study?
1. Medical Research Council (MRC), UK
2. Phase Space Ltd, UK

Who is the main contact?
Megan Cartier, megan.cartier@swlstg.nhs.uk

Contact information

Dr Aileen O'Brien
Scientific, Principal investigator

South West London and St George's Mental Health NHS Trust
15 Springfield Drive
London
SW17 0YF
United Kingdom

Phone +44 (0)2035136491
Email aileen.o'brien@swlstg.nhs.uk
Miss Megan Cartier
Public

15 Springfield Drive
London
SW17 0YF
United Kingdom

Phone +44 (0)7933172185
Email megan.cartier@swlstg.nhs.uk

Study information

Primary study designInterventional
Study designSingle-site interventional pilot study
Secondary study designNon randomised study
Study type Participant information sheet
Scientific titleThe codesign and evaluation of a novel virtual reality intervention for use in psychiatric inpatient wards
Study objectivesStage One: Gain feedback and reactions of patients and staff on the use of the VR headset to refine the VR content and provide input on the design of the Pilot

Stage Two: Explore the feasibility of the use of VR in inpatient wards
Ethics approval(s)

Approved 16/07/2025, East of England - Cambridge Central Research Ethics Committee (2 Redman Place, Stratford, London, E20 1JQ, United Kingdom; +44 (0)2071048285; cambridgecentral.rec@hra.nhs.uk), ref: 25/EE/0097

Health condition(s) or problem(s) studiedMental health conditions
InterventionThis study examines the use of a virtual reality headset for mental health conditions.

There is no randomisation plan for the study as all participants will test out the virtual reality headset. They will use the headset to watch a seven-minute immersive experience, aimed at helping with feelings of stress and aiding in relaxation. Participants receive information on the programme before use and are aided in the use of the headset by two trained researchers. The study of the headset will be done in-person within the wards within the sensory or calm rooms, so participants have a quiet space to try out the headset.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Virtual reality hypnotherapy app and headset
Primary outcome measure(s)

1. Stage One: Gather feedback and reactions of both staff and patients on the use of the VR headset to refine the content and provide input on the design of the Pilot, measured using qualitative interviews with patients and staff at the end of study involvement
2. Stage Two: Explore the feasibility of the use of VR in inpatient wards, measured using qualitative interviews with patients and staff at the end of study involvement

Key secondary outcome measure(s)

1. Stage One: Produce an implementation model to be tested in a Pilot, identify any areas requiring further modification, learn how to prepare staff and patients for the VR experience, identify the best location for the VR experience, and understand the practicalities of the headsets, measured using qualitative interviews with staff and patients at the end of study involvement
2. Stage Two: Explore the impact of the VR on patients measured using the Simulator Sickness Questionnaire, Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder 7-item Scale (GAD-7), Dissociative Experiences Scale – II (DES-II), Brief Psychiatric Rating Scale (BPRS), Positive and Negative Syndrome Scale (PANSS) at baseline and at the end of study involvement

Completion date31/01/2026

Eligibility

Participant type(s)Patient, Health professional
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexAll
Target sample size at registration43
Key inclusion criteriaStaff:
1. Currently working on an inpatient ward at Springfield University Hospital
2. Able to provide informed consent

Patients:
1. Aged 18-65 years old
2. Current inpatient at Springfield University Hospital
3. Able to provide informed consent
Key exclusion criteriaStaff:
1. Not currently working on an inpatient ward at Springfield University Hospital
2.Unable to provide informed consent

Patients:
1. Unable to provide informed consent
2. Has a history of seizures
3. Has a pacemaker
Date of first enrolment13/08/2025
Date of final enrolment31/01/2026

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

South West London & St. George's Mental Health NHS Trust
Springfield University Hospital
Trinity Building
15 Springfield Drive
London
SW17 0YF
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to current ethical approval.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

06/10/2025: Study's existence confirmed by Health Research Authority (HRA) (UK)