About this trial
The goal of this pilot RCT is to develop, implement and evaluate an Intervention Program based on Acceptance and Commitment Therapy using virtual reality as one of the components, in a sample of individuals aged 65 or older with anxiety symptoms enrolled in Portuguese day centers, with the aim of evaluating the feasibility, acceptability and preliminary evidence of efficacy of the intervention program and exploring the attitudes, behaviors and perceived barriers on the part of the participants towards the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants aged 65 or older;
Participants with mild, moderate, or severe anxiety symptoms;
Participants who attend day centers.
Disqualifiers
Participants with a medical diagnosis of neurocognitive disorder or with significant cognitive deficits (measured with Mini-Mental State Examination);
Participants with illiteracy or with linguistic difficulties that hinder communication and the comprehension of instructions;
Participants with reduced visual acuity.
Trial design
Parallel
Treatments tested in this trial
Intervention program based on Acceptance and Commitment Therapy
BehavioralAn intervention program based on Acceptance and Commitment Therapy, consisting of 12 group sessions, with virtual reality being used in selected sessions.
Treatment groups
Trial outcomes
Primary outcomes
Intervention adherence
Proportion of participants who complete all intervention sessions. Adherence will be considered acceptable if at least 70% of participants complete the programme
Acceptability and feasibility of the intervention assessed by TFA
Acceptability and feasibility assessed with the theoretical framework of acceptability questionnaire (TFA). Items are rated on a 5-point Likert scale ranging from 1 to 5. Scores range from 7 to 35, and a higher score corresponds to greater acceptability and feasibility.
Acceptability and perceived barriers (semi-structured interviews)
Individual semi-structured interviews conducted after intervention completion to explore participants' experiences, satisfaction, perceived benefits, barriers to engagement, and suggestions for improvement
Secondary outcomes
Anxiety symptoms
Changes in the Geriatric Anxiety Inventory (GAI). Scores range from 0 do 20, and higher scores indicate higher levels of anxiety symptoms.
Psychological flexibility
Changes in the MindFlex Scale. Scores range from 27 to 189, and higher scores indicate higher levels of psychological flexibility.
Self-compassion
Changes in the Self-Compassion Scale - Short Form (SCS-SF). Scores range from 12 to 60, and higher scores indicate higher levels of self-compassion.
Locations
Sponsors and contacts
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Grupo Lusófona
Lead sponsor
Fundação para a Ciência e a Tecnologia
Collaborator
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