Addiction
Conditions
Interventions
 
The intervention consists of using VR scenarios in different parts of the 
treatment to support the patient in their understanding of- and coping with 
their SUD. For this purpose the hard- and software of CleVR will be used as an 
intervention tool. CleVR is CE-certified as a medical device and is specialised 
in developing evidence-based VR environments for the treatment of mental health 
disorders. CleVR offers several VR environments identified as possible risk 
situations for people with SUD, such as a supermarket, a living room or a pub.
In this SCED, participants in condition 1 will explore potential triggers and 
risk situations in VR. Together with the client and based on the individual 
needs of the client, the virtual environments will be personalised by the 
therapist to resemble risk situations recognizable by the client (e.g. adding 
specific triggers related to the substance used or the gambling behaviour by the client). The focus will 
be on identifying personalized risk factors that are relevant for an individual 
patient*s substance use or gambling behaviour (*triggers*, including e.g. situations and social 
interactions). To support the therapist flashcards will be available with 
guidelines on how to personalize VR environments together with their client. 
Also example questions are given on how the therapist can help the client in 
gaining more insight into their triggers and risk situations in VR. It is 
emphasized that the number of triggers and the degree of stress in risk 
situations for the client should be gradually increased, in order to let the 
Sponsors
Universiteit Twente
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Participants will be included in the study when: - They voluntary want to participate in the study and can give informed consent - They are 18 years or older - Follow a CBT program, such as *Minder Drank of Drugs*, for individuals with mild Intellectual Disability (MID) or Borderline Intellectual Functioning (BIF), and Substance-related and addictive disorders (SAD; e.g. substance use disorder, gambling disorder). - They have a sufficient understanding of the Dutch language and are able to answer simple questionnaires, whether or not with some extra help of the researcher / therapist - They are in possession of a smartphone on which they can (either independently or with some help) download the experience sampling app
Exclusion criteria
Exclusion criteria: - If there are any conditions that precludes potential participants from participating in an outpatient CBT+ program (e.g. severe current psychiatric co-morbidities) - If clients have a known history of epilepsy or severe motion sickness, or show signs of severe motion sickness during the VR try-out. - If clients are under the supervision of a legal custodian or mentor and are unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Virtual Reality can potentially lead to a better understanding of one's risk situations and triggers, and the generalization of coping strategies to daily life. This is assumed to increase client's self-efficacy in coping with their substance-related and addictive disorder. Therefore, self-efficacy is measured as the primary outcome measure. | — |
Secondary
| Measure | Time frame |
|---|---|
| As secondary outcome measures self-insight into triggers for SAD and adopted coping strategies for SAD are measured. Both primary and secondary outcome measures could potentially explain the added value of VR for clients. Other secondary outcomes of the study are: - To gain insight in experienced benefits, barriers, points of improvements and suggestions from therapists on working with VR in addiction treatment. - To gain insight in clients* experienced benefits, barriers, points of improvements and suggestions on using VR during their addiction treatment. - Investigate if there is a positive increase over time in self-reported insight and self-efficacy levels by clients after the introduction of VR in their treatment. - Investigate whether the level of detail in describing and adopting coping strategies by participants increases over time and can potentially be attributed to the VR sessions. | — |
Countries
Netherlands
Contacts
Public ContactH Kip
Universiteit Twente
Outcome results
None listed