The Effect of Cognitive Behavioral Therapy and Virtual Reality Use in Inured Athletes (CBT+VR)

Hacettepe University

Status: Completed

Conditions: Re-injury Anxiety; Poor Rehabilitation Adherence; Kinesiophobia; Return to Sport; Poor Rehabilitation Self Efficacy

Treatments: Behavioral: Control (placebo) group; Other: CBT+VR (Cognitive behavioral therapy and virtual reality)

Study type: Interventional

Funder types: Other

Identifiers

NCT06150118

121K248

Details and patient eligibility

About

In this study, which aimed to develop a Cognitive Behavioral Therapy (CBT) protocol enriched with Virtual Reality (VR) to address the psychological responses that arise after ACL surgery, and to examine the effectiveness of this protocol. The effectiveness of the protocol was assessed using pre-test, post-test, and two follow-up measurements with the Re-Injury Anxiety Inventory (RIAI), the Sport Injury Rehabilitation Adherence Scale (SIRAS), the Tampa Scale for Kinesiophobia (TSK), the Athletic Injury Self-Efficacy Questionnaire (AISEQ), the Return to Sport After Serious Injury Questionnaire (RSSIQ), and the Anterior Cruciate Ligament Return to Sport Scale (ACL-RSI). Anxiety levels during VR exposure sessions were measured through biofeedback and the Subjective Units of Distress Scale (SUDS).

Full description

In this study, which aimed to develop a Cognitive Behavioral Therapy (CBT) protocol enriched with Virtual Reality (VR) to address the psychological responses that arise after ACL surgery, and to examine the effectiveness of this protocol. The protocol was developed in 5 stages and a randomized controlled trial was conducted with 36 athletes to test its effectiveness. The study consisted of 1 experimental and 2 control groups. One of the control group was a plasebo control group.The effectiveness of the protocol was assessed using pre-test, post-test, and follow-up measurements with the Re-Injury Anxiety Inventory (RIAI), the Sport Injury Rehabilitation Adherence Scale (SIRAS), the Tampa Scale for Kinesiophobia (TSK), the Athletic Injury Self-Efficacy Questionnaire (AISEQ), the Return to Sport After Serious Injury Questionnaire (RSSIQ), and the Anterior Cruciate Ligament Return to Sport Scale (ACL-RSI). Anxiety levels during VR exposure sessions were measured through biofeedback and the Subjective Units of Distress Scale (SUDS).

Enrollment: 36 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteering to participate in the study
• Have had an ACL injury operation
• Be between the ages of 18 and 45
• To be a professional athlete in Turkish leagues
• Being an athlete in football, volleyball, and basketball

Exclusion criteria

• Having a discomfort that prevents participants from participating in VR sessions (panic attack, epilepsy, etc.)
• Having Motion Sickness Susceptibility (The athlete's score from the " Motion Sickness Susceptibility Questionnaire" will be decisive.)
• Having decided to quit sports even if participants will continue rehabilitation after the operation

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 3 patient groups, including a placebo group

CBT+VR (Cognitive behavioral therapy and virtual reality)

Experimental group

Treatment:

Other: CBT+VR (Cognitive behavioral therapy and virtual reality)

Control

Placebo Comparator group

Treatment:

Behavioral: Control (placebo) group

Control Group

No Intervention group

Description:

This arm have no intervention during the research. They only had been followed up by researchers