Evidence map›Paper›PMID 32605614›Full record

ArticleBMC psychiatry2020

A randomized controlled trial of a virtual reality based, approach-avoidance training program for alcohol use disorder: a study protocol.

Angelina Isabella Mellentin, Anette Søgaard Nielsen, Leonie Ascone, Janina Wirtz, Jerzy Samochowiec, Jolanta Kucharska-Mazur, Friedrich Schadow, Zofia Lebiecka, Tomasz Skoneczny, Nicolai Mistarz and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04283305 (A Randomized Controlled Trial of a Virtual Reality Based, Approach-avoidance Training Program for Alcohol Use Disorder), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04283305 naunknown statusnot on this map

A Randomized Controlled Trial of a Virtual Reality Based, Approach-avoidance Training Program for Alcohol Use Disorder

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2020 to 2021Enrolled135ConditionsAlcohol Use DisorderArmsVirtual reality approach avoidance training, Computer-based approach avoidance training
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Angelina Isabella MellentinUnit for Clinical Alcohol Research, Unit for Psychiatric Research, Department of Clinical Research, University of Southern Denmark, J. B. Winsløwsvej 18, 5000, Odense Center, Denmark. amellentin@health.sdu.dk.
Anette Søgaard NielsenUnit for Clinical Alcohol Research, Unit for Psychiatric Research, Department of Clinical Research, University of Southern Denmark, J. B. Winsløwsvej 18, 5000, Odense Center, Denmark.
Leonie AsconeNeuroplasticity Research Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Janina WirtzNeuroplasticity Research Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jerzy SamochowiecDepartment of Psychiatry Pomeranian Medical University in Szczecin Poland, Szczecin, Poland.
Jolanta Kucharska-MazurDepartment of Psychiatry Pomeranian Medical University in Szczecin Poland, Szczecin, Poland.
Friedrich SchadowNeuroplasticity Research Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Zofia LebieckaDepartment of Psychiatry Pomeranian Medical University in Szczecin Poland, Szczecin, Poland.
Tomasz SkonecznyDepartment of Psychiatry Pomeranian Medical University in Szczecin Poland, Szczecin, Poland.
Nicolai MistarzUnit for Clinical Alcohol Research, Unit for Psychiatric Research, Department of Clinical Research, University of Southern Denmark, J. B. Winsløwsvej 18, 5000, Odense Center, Denmark.
Thomas BremerNeuroplasticity Research Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Simone KühnNeuroplasticity Research Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Pomeranian Medical University · PLUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Southern Denmark · DKUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe approach-avoidance training program (AATP) has shown preliminary promise as an add-on to standard treatment for alcohol dependence. However, knowledge is lacking as to whether the effectiveness of AATP can be enhanced further when performed in a typical drinking situation. The main aim of this study is to investigate whether approach-avoidance training implemented in a virtual reality bar environment is superior to the classical joystick PC-version of the AATP.

methodsThe study will be implemented as a randomized controlled trial. A total of 204consecutively enrolled alcohol use disorder (AUD) patients, recruited from alcohol inpatient clinics in Germany, Poland and Denmark, will be randomized into one of three groups at the start of standard alcohol treatment: group A) stimuli-relevant AATP + treatment as usual (TAU); group B) stimuli-relevant AATP in virtual reality + TAU, and group C) TAU only (control group). Treatment outcomes will be assessed at pre-treatment, post-treatment and 3-month follow-up. Repeated-measures ANOVA will be applied to compare the trajectories of the groups over time on drinking, craving and impulsiveness outcomes. It is hypothesized that the two experimental groups will achieve better treatment outcomes compared to group C and that group B will achieve better outcomes than group A. DISCUSSION: This study is the first trial examining the effectiveness of stimuli-relevant AATP delivered in a VR environment. The use of VR has shown promise in enhancing the effectiveness of other psychological treatments and since AATP has already been shown effective as add-on treatment, it is of interest to investigate whether these effects can be further enhanced by implementing the program in more ecologically valid environments. If proven effective, the AATP-VR can, like the AATP, be implemented easily and cheaply as add-on treatment or continued care to enhance the effectiveness of current evidence-based treatment.

trial registrationClinicalTrials.gov ID: NCT04283305 Registration date: 24.02.20.

Indexed as

Virtual RealityAlcoholismCravingDenmarkGermanyHumansPolandRandomized Controlled Trials as TopicTreatment OutcomeAlcohol use disorderApproach-avoidance training programVirtual reality

Identifiers

PMID32605614
PMCPMC7324964
OpenAlexW3038454621

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.