Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial
Introduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/9/e070566.full |
| _version_ | 1826844304371351552 |
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| author | Julie Midtgaard Lars Clemmensen Louise Birkedal Glenthøj Gry Jørgensen Kristina Ballestad Gundersen Lisa Charlotte Smith Stephane Bouchard Christina Plambøck Thomsen Louise Turgut |
| author_facet | Julie Midtgaard Lars Clemmensen Louise Birkedal Glenthøj Gry Jørgensen Kristina Ballestad Gundersen Lisa Charlotte Smith Stephane Bouchard Christina Plambøck Thomsen Louise Turgut |
| author_sort | Julie Midtgaard |
| collection | DOAJ |
| description | Introduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate these challenges, recreational and entertaining interventions are recommended. The tested interventions have, however, shown varying effects and demand a high degree of planning and staff involvement while being difficult to adapt to individual needs. Virtual reality (VR) may help overcome these challenges.Methods and analysis The study is a mixed-methods clinical trial with a target sample of 124 patients hospitalised at a closed psychiatric ward in the capital region of Denmark. Outcomes (eg, coercion, need-based medication and perceived stress) for a 12-month period where all patients are offered VR-based recreational experiences during their hospitalisation will be compared with outcomes for a 12-month period where VR is not offered. Feasibility and acceptability will be explored with qualitative interviews supplemented with non-participant observations and focus groups. The study began on 1 January 2023, and we expect to complete data collection by 31 December 2024.Ethics and dissemination The study is registered at Danish Data Protection Agency (j.no P-2022-466) and is approved by the Committee on Health Research Ethics of the capital region of Denmark (j.no 22013313). All patients will be required to provide informed consent. Results from this study will be disseminated via peer-reviewed journals and congress/consortium presentations.Trial registration number NCT05654740. |
| first_indexed | 2024-03-11T19:06:45Z |
| format | Article |
| id | doaj.art-e007dbcc5a484945876eef8329e6a180 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-16T14:04:50Z |
| publishDate | 2023-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-e007dbcc5a484945876eef8329e6a1802025-02-02T04:30:09ZengBMJ Publishing GroupBMJ Open2044-60552023-09-0113910.1136/bmjopen-2022-070566Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trialJulie Midtgaard0Lars Clemmensen1Louise Birkedal Glenthøj2Gry Jørgensen3Kristina Ballestad Gundersen4Lisa Charlotte Smith5Stephane Bouchard6Christina Plambøck Thomsen7Louise Turgut83 Department of Public Health, University of Copenhagen, Kobenhavn, DenmarkVIRTU Research Group, Copenhagen Research Centre of Mental Health (CORE), Psychiatric Centre Copenhagen, Hellerup, DenmarkDepartment of Psychology, University of Copenhagen, Copenhagen, DenmarkVIRTU Research Group, Copenhagen Research Centre of Mental Health (CORE), Psychiatric Centre Copenhagen, Hellerup, DenmarkVIRTU research group, Copenhagen Research Centre for Mental Health, Hellerup, DenmarkVIRTU Research Group, Copenhagen Research Centre of Mental Health (CORE), Psychiatric Centre Copenhagen, Hellerup, DenmarkUniversity of Quebec, Quebec City, Quebec, CanadaMental Health Center Glostrup, Copenhagen, DenmarkMental Health Center Glostrup, Copenhagen, DenmarkIntroduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate these challenges, recreational and entertaining interventions are recommended. The tested interventions have, however, shown varying effects and demand a high degree of planning and staff involvement while being difficult to adapt to individual needs. Virtual reality (VR) may help overcome these challenges.Methods and analysis The study is a mixed-methods clinical trial with a target sample of 124 patients hospitalised at a closed psychiatric ward in the capital region of Denmark. Outcomes (eg, coercion, need-based medication and perceived stress) for a 12-month period where all patients are offered VR-based recreational experiences during their hospitalisation will be compared with outcomes for a 12-month period where VR is not offered. Feasibility and acceptability will be explored with qualitative interviews supplemented with non-participant observations and focus groups. The study began on 1 January 2023, and we expect to complete data collection by 31 December 2024.Ethics and dissemination The study is registered at Danish Data Protection Agency (j.no P-2022-466) and is approved by the Committee on Health Research Ethics of the capital region of Denmark (j.no 22013313). All patients will be required to provide informed consent. Results from this study will be disseminated via peer-reviewed journals and congress/consortium presentations.Trial registration number NCT05654740.https://bmjopen.bmj.com/content/13/9/e070566.full |
| spellingShingle | Julie Midtgaard Lars Clemmensen Louise Birkedal Glenthøj Gry Jørgensen Kristina Ballestad Gundersen Lisa Charlotte Smith Stephane Bouchard Christina Plambøck Thomsen Louise Turgut Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial BMJ Open |
| title | Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial |
| title_full | Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial |
| title_fullStr | Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial |
| title_full_unstemmed | Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial |
| title_short | Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - a mixed-methods pilot clinical trial |
| title_sort | study protocol for virtual leisure investigating the effect of virtual reality delivered stress reduction entertainment and distraction on the use of coercion and need based medication and patient satisfaction at a closed psychiatric intensive care unit a mixed methods pilot clinical trial |
| url | https://bmjopen.bmj.com/content/13/9/e070566.full |
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