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Table 1 Study protocol for the experimental group

From: Interreality for the management and training of psychological stress: study protocol for a randomized controlled trial

Intake session

Introduction of the training

Clinical interview (MINI)

Give STAI Y2 and SWLS

Questionnaire about participant’s expectations and motivations

Exposition to a neutral virtual environment

Explanation of how to use the PDA, Second Life and the PMS

Session I

Introduction

Physiological assessment

Give STAI Y1 and VAS-A (baseline)

Exposition to stressful virtual environment n1

Give STAI Y1 and VAS-A (after each scenario)

Repeated for all the 7 stressful environments + neutral one + cognitive task

Exposition to a relaxing virtual environment

Final debriefing

Assessment session

Session II

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Exposition to a relaxing virtual environment

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session III

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Biofeedback in virtual reality

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session IV

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Exposition to a relaxing virtual environment

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session V

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Biofeedback in virtual reality

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session VI

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Exposition to a relaxing virtual environment

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session VII

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Biofeedback in virtual reality

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session VIII

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Exposition to a relaxing virtual environment

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session IX

Preliminary phase

Pre-training

Training

Post-training

Final phase

Training session

Introduction

Give STAI Y1 and VAS-A

Physiological assessment

Exposition to stressful virtual environment

Cognitive restructuring

Biofeedback in virtual reality

Give STAI Y1 and VAS-A

Delivery of homework and debriefing

Session X

Follow up of questionnaires used in the evaluation phase

Physiological assessment

Give STAI Y1 and VAS-A

Exposition to stressful virtual environment n1

Give STAI Y1 and VAS-A

Repeated for all the 7 stressful environments + neutral one + cognitive task

Exposition to a relaxing Virtual Environment

Final debriefing

Final session

  1. MINI, mini-international neuropsychiatric interview; STAI, state-trait anxiety inventory; SWLS, satisfaction with life scale; PDA, personal digital assistant; PMS, patient management system; VAS-A, visual analog scale for anxiety.