Disability Physical
Conditions
Keywords
virtual reality
Brief summary
COVID-19 has had a negative impact on the mental health of many children with physical disabilities. This project aims to test the potential effects of an online multiplayer virtual reality group-based, active video game program on social isolation and depression and will include a total of 12 children with physical disabilities.
Detailed description
This pilot feasibility study will investigate the potential effects of a revised multiplayer virtual reality exergaming program on depression, socialization, and loneliness among children with physical disabilities. This proposed study will use both quantitative and qualitative research methods, to gain a deep understanding of program benefits and implementation procedures that can be refined for a large clinical trial. The active video game program will last 1-month and include 2 supervised 1-hour sessions per week of group-based gaming. Game sessions will be supervised by 2 research staff who will act as gaming and mindfulness coaches. Outcomes will be measured by self-report questionnaires before and after the program. The program will be completed in two waves (6 people per wave). After the program, participants will undergo a one-on-one semi-structured interview, where they can describe their perceptions of the program.
Interventions
BEHAVIORALIntervention
Participants will utilize low-cost, consumer available head-mounted displays to meet with peers and coaches online. The program will last 4 weeks and include 2 x 1-hour sessions per week of supervised peer-to-peer gaming. The coaches will utilize behavioral change and mindfulness techniques to promote autonomy, competence, and relatedness through a respectful, cohesive, and positive atmosphere. These strategies will be framed by the Self-Determination Theory and learned from the National Center on Health, Physical Activity, and Disability (NCHPAD) mindfulness coaching workshops. Some of the mindfulness-based strategies will include guided breathing focused exercises, body scanning, meditation, and acceptance of social anxiety and shyness
Sponsors
University of Alabama at Birmingham
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Single group pre-to-post design trial that will last 1-year and include 2 waves (n=6 per wave)
Eligibility
Sex/Gender
ALL
Age
13 Years to 19 Years
Healthy volunteers
Yes
Inclusion criteria
* self-reported mobility disability (e.g., use of a mobility device or presence of a mobility impairment) * access to a Wi-Fi internet connection in the home * a caregiver to support the child if \<18 years of age * a Facebook account to link to the virtual reality head-mounted display
Exclusion criteria
* physically active (defined as \>150 minutes/week of moderate-to-vigorous intensity exercise) * cannot use the arms for exercise or operate the controller buttons using their fingers * prone to seizures * complete blindness or deafness * unable to communicate verbally in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Depression | Changes from baseline (week 0) to post-intervention (week 5) | Changes in self-reported feelings of depression measured by the Children's Depression Inventory 2 Short Form (CDI-S 2). |
| Changes in Social Isolation / Loneliness | Changes from baseline (week 0) to post-intervention (week 5) | Measured by the version 3 of the UCLA Loneliness Scale 20 items (UCLA-20). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of social interactions | Week 5 | A scale measure of how participants felt about the quality of social interactions they had during online virtual reality gameplay. The scale ranges from 1-5, where 5 indicates a very high quality of social interactions and a 1 indicates a very low quality of social interactions. |
| Perceived enjoyment of the group classes | Week 5 | A scale measure of how enjoyable online group gameplay was. The scale ranges from 1-5, where 5 indicates a very high level of perceived enjoyment with the group classes and a 1 indicates a very low perceived enjoyment with the group classes. |
| Class attendance | Weeks 1 - 4 | Percent of classes attended divided by the total |
| Multiplayer feedback survey | Week 5 | A questionnaire measuring multiplayer playtime (self-reported times played per week), friendship creation (yes/no), and friendship strength (assessed via Likert scale). |
| Participants Perceptions of Completing the Program | Week 5 | Semi-structured interviews evaluating their perceptions of completing the program, with specific attention to providing more in-depth responses (i.e.,explanations) for each of the 8 outcomes. |
| Satisfaction with program delivery | Week 5 | A scale measure of participants' satisfaction with how the classes were conducted. The scale ranges from 1-5, where 5 indicates a very high perceived satisfaction of the program delivery and a 1 indicates a very low perceived satisfaction with the program delivery. |
| Exercise volume | Week 0 and Week 5 | Self-reported minutes of exercise per week completed. Measured by the Godin Leisure-Time Exercise Questionnaire (GLTEQ). |
Countries
United States
Outcome results
None listed