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| Name | Class |
|---|---|
| TAL Community Foundation | UNKNOWN |
| University of Melbourne | OTHER |
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Unemployment is higher among young people who experience mental ill-health compared to the general population. This can have a lasting impact on young people, many of whom are highly motivated to gain employment and education. There are many challenges to seeking, gaining, and maintaining employment for young people. To address these challenges and help young people meet their employment and education goals, investigators have developed a VR intervention to support vocational skill building. The aim of the current study is to evaluate the feasibility, acceptability, and safety, of the Virtual Reality for Vocational Recovery (VR4VR) intervention. A small group of vocational specialists will support up to 20 young people with their vocational outcomes using VR4VR over a 3-6week period. Both young people and specialists will complete questionnaires related to acceptability of the intervention, including qualitative interviews. Data on feasibility and safety will also be collected. Results will inform whether VR is feasible, acceptable, and safe to support vocational outcomes within vocational services that support young people with mental health difficulties, potentially supporting further intervention development and larger trials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual reality for vocational recovery | Experimental | Within standard vocational care, young people will receive a three-session (optional 4th) virtual reality training intervention to address key challenges associated with educational and employment attainment and maintenance. Session 1: Approaching potential employers Session 2: Asking for reasonable adjustments Session 3: Managing customers |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual reality for vocational recovery | Behavioral | Intervention is an immersive virtual reality (VR) intervention, delivered through a VR headset, supported by a trained vocational specialist. Intervention content was co-designed with young people with mental health and vocational challenges, and vocational specialists with experiencing supporting this population. Content was guided by goals of vocational programs, including Individual Placement and Support. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility - recruitment rates | Rates of recruitment for the study (young people and vocational and service staff) based on an audit of study enrolment | 6 months post intervention commencement |
| Acceptability | Acceptability as measured by the Theoretical Framework of Acceptability Measure delivered to young people and vocational specialists. Total mean score across the 7 TFA items will be reported, on a scale of 1 to 5, with 5 indicating greater acceptability. | 6 weeks post intervention commencement |
| Safety - adverse events | The number of serious adverse events specifically related to the intervention or trial | 6 weeks post intervention commencement |
| Feasibility - consent rates | Rates of consent for the study (young people and vocational and service staff) based on an audit of consent logs | 6 months post intervention commencement |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility - attendance rates of assessments and sessions | Via audit of attendance logs | 6 weeks post intervention commencement |
| Feasibility - delivery of VR4VR | Proportion of trained vocational specialists who use the intervention during the trial period |
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A young person participant will be considered eligible for inclusion in this study if:
Exclusion Criteria:
A vocational specialist or staff participant will be considered eligible for inclusion in this study if:
No exclusion criteria
A staff participant will be considered eligible for inclusion in this study if:
No exclusion criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jennifer M Nicholas, PhD | Contact | +61399669235 | jennifer.nicholas@orygen.org.au | |
| James Whiting | Contact | +61399669173 | james.whiting@orygen.org.au |
| Name | Affiliation | Role |
|---|---|---|
| Jennifer Nicholas, PhD | University of Melbourne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Veritas House | Orange | New South Wales | 2800 | Australia |
Unable to share individual participant data due to restrictions from ethics approval and small exploratory nature of the current trial.
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| 6 months post intervention commencement |
| Feasibility - VR utilisation | Proportion of sessions within the intervention period in which VR was used within intervention sessions. | 6 months post intervention commencement |
| Acceptability - cybersickness | Cybersickness as measured by the Simulator Sickness Questionnaire. 16 items across three domains, nausea, Oculomotor and disorientation are summed to produce a total score. Items are scored on a scale from 0 to 3, with a higher score indicating greater cybersickness symptoms. | 6 weeks post intervention commencement |
| Acceptability - VR presence | Sense of 'being there' within the VR environment measured using the Igroup Presence Questionnaire. Total score is calculated by summing all items. Items are rated on a scale of -3 to 3, with a higher scoring indicating greater sense of presence. | 6 weeks post intervention commencement |
| Effectiveness - Social and occupational functioning | Young person functioning measured by the single item social and occupational functioning scale, ranging from 0 to 100, with lower scores indicating poorer functioning. | 6 weeks post intervention commencement |
| Effectiveness - Occupational self-efficacy | Young person self-efficacy around employment measured by occupational self-efficacy scale. Items rated on a scale tanging from 1 to 6, with higher vales reflecting higher occupational self-efficacy. | 6 weeks post intervention commencement |
| Effectiveness - General self-efficacy | Young person self-efficacy using the general self-efficacy scale, to assess an individual's perceived generalised capabilities to respond to a variety of challenges and situations. Scores range from 1-4 with highest scores indicating higher self-efficacy. The total score is calculated by finding the sum of the all items. | 6 weeks post intervention commencement |
| Feasibility - intervention implementation | Feasibility of Implementation Measure (completed by service leads and clinicians) | up to 6 months post intervention commencement |
| Vocational specialist confidence and competence | Purpose-built scale (no title or acronym) developed specifically for the current study capturing self-report vocational specialist confidence and competence using VR for vocational support. The scale is 8 items, scored of a scale of 1 to 4. Higher score indicates a greater degree of competence with VR4VR. | Immediately post-training |
| Implementation - perceived barriers and enablers to use in practice | Assessed through qualitative analysis of supervision meeting minutes with vocational specialists | Through study completion an average of 6 months |
| Implementation - perceived barriers and enablers to use in practice | Assessed through qualitative analysis of research meeting minutes | Through study completion an average of 6 months |
| Implementation - perceived barriers and enablers to use in practice | Assessed through qualitative analysis of post-intervention interviews focusing on participants' experiences of using the VR4VR intervention during vocational support. | Through study completion an average of 6 months |
| Feasibility - fidelity | Proportion of VR4VR sessions that are delivered per-protocol, assessed by the timing of sessions. | 6 months post intervention commencement |
| Orygen Specialist Services | Melbourne | Victoria | 3052 | Australia |
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| Youth Focus Burswood | Perth | Western Australia | 6056 | Australia |
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