Effect of virtual reality aggression prevention training for forensic psychiatric patients (VRAPT): study protocol of a multi-center RCT.
Effect of virtual reality aggression prevention training for forensic psychiatric patients (VRAPT): study protocol of a multi-center RCT.
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DOI：
10.1186/s12888-018-1830-8
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发表时间：
2018-08-06
期刊：
影响因子：
4.4
通讯作者：
Veling W
中科院分区：
文献类型：
--
作者：
Klein Tuente S;Bogaerts S;van IJzendoorn S;Veling W
许多住在法医精神病中心的病人很难以适当的方式调节他们的攻击性。因此，他们经常卷入冲突。在司法精神病学中，基于证据的攻击性治疗是稀缺的，由于高度安全的环境，很难实践现实生活中的挑衅。我们开发了虚拟现实攻击预防训练（VRAPT），提供安全的虚拟环境，患者可以在其中练习以适当的方式控制他们的攻击行为。本研究的主要目的是探讨VRAPT是否能有效减少法医精神科住院患者的攻击行为。荷兰的四个法医精神病学中心正在参与这项研究。参与者将被随机分配到VRAPT或等待名单。将在几个不同的时间点对两组进行比较：基线（干预前12周）、干预前、干预后和12周随访。完成随访测量后，等待名单中的参与者也将接受VRAPT。主要结果是攻击行为的水平，包括工作人员报告和自我报告的措施。次要结果是自我报告问卷，例如，愤怒冲动和攻击性据我们所知，这是第一个研究在法医精神病中心检查VR攻击预防培训的有效性。本文将进一步详细讨论方法问题。荷兰试验登记处（NTR，TC = 6340）。2017年4月14日登记了Retroperoxidase。
Many patients residing in forensic psychiatric centers have difficulties regulating their aggression in an adequate manner. Therefore, they are frequently involved in conflicts. Evidenced-based aggression therapies in forensic psychiatry are scarce, and due to the highly secured environment, it is hard to practice real-life provocations. We have developed a Virtual Reality aggression prevention training (VRAPT), providing safe virtual environments, in which patients can practice controlling their aggressive behaviors in an adequate way. The main objective of this study is to examine whether VRAPT is effective in reducing aggression among forensic psychiatric inpatients. Four forensic psychiatric centers in the Netherlands are participating in this study. Participants will be randomly assigned to either VRAPT or a waiting list. The two groups will be compared at several different time points: baseline (12 weeks before intervention), pre-intervention, post-intervention and at 12 weeks follow-up. After follow-up measurements are completed, participants from the waiting list will also receive VRAPT. The primary outcome is level of aggressive behavior, consisting of staff-reported and self-reported measures. Secondary outcomes are self-report questionnaires on e.g., anger, impulsivity and aggression. To the best of our knowledge this is the first study to examine the effectiveness of a VR aggression prevention training in forensic psychiatric centers. Further details on the methodological issues are discussed in this paper. Dutch Trial Register (NTR, TC = 6340). Retrospectively registered 14–04-2017.