About this trial
Supporting people with psychosis to manage their emotions using virtual reality
Many people who have experienced psychosis feel overwhelmed by their emotions. Emotions get in the way of doing what matters to them. They want support to manage emotions differently. There is evidence that people with psychosis find talking therapies that teach skills for managing emotions helpful. People said it helped them to understand and manage their emotions. However, they also wanted more help to apply skills they learned to their lives.
It is hard to help people to use therapy skills in real-life situations. Therapists cannot be present when the skills are needed. One solution is to use virtual reality (VR) to bridge the gap between the clinic and real-life. VR involves using a headset to see and hear a very life-like computer-generated simulation of everyday life situations. People with psychosis find VR therapies engaging and helpful. It can feel safer to try things out in VR.
Guided by the feedback of people with psychosis, this research will evaluate a novel therapy to help people with psychosis manage their emotions. Face-to- face therapy will be combined with VR so that people can practice emotion regulation skills safely with "live" coaching from a therapist. This should support people to use these skills when they need them.
Fifteen people with psychosis will be offered the therapy. Everyone will be asked what they think of it and complete questionnaires before and after therapy to see what impact it had on their lives.
A lived experience advisory group will support all aspects of the research process.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Currently under the care of South London and Maudsley (SLaM) National Health Service (NHS) outpatient services.
Clinical diagnosis of psychosis (schizophrenia spectrum disorder) (as assessed by their clinical team)
Willing to have the interview audio recorded (if taking part in post therapy interview)
Willing and able to provide informed consent to participate in the study (as assessed by their clinical team)
Disqualifiers
Clinical presentation (e.g., immediate serious risk to self) (as assessed by their clinical team)
History of photosensitive epilepsy
Trial design
Single group
Treatments tested in this trial
MANOEUVRE therapy
Other interventionVirtual reality assisted psychological therapy for emotion regulation difficulties
Treatment groups
Trial outcomes
Primary outcomes
Difficulties in Emotion Regulation Scale 16 item version (DERS-16)
Self reported emotion regulation difficulties
Other outcomes
DBT Ways of Coping Checklist - DBT Skills Subscale
Adaptive use of emotion regulation skills
Clinical Outcomes in Routine Evaluation-10 item version (CORE-10)
Psychological distress
Goal Attainment Scaling (GAS)
Personal recovery goal achievement
Recovering Quality of Life (ReQoL-10)
Quality of life
Sponsors and contacts
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King's College London
Lead sponsor
South London and Maudsley NHS Foundation Trust
Collaborator
This trial is not recruiting at the moment. You can still explore other options: