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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000945426p
Ethics application status
Submitted, not yet approved
Date submitted
7/08/2025
Date registered
29/08/2025
Date last updated
29/08/2025
Date data sharing statement initially provided
29/08/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Exploring the functionality and feasibility of Spatialist VR gamified immersive virtual reality rehabilitation programme for patients with acquired brain injury and visuospatial neglect: Phase 2 a mixed-methods pilot study
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Scientific title
Exploring the functionality and feasibility of Spatialist VR gamified immersive virtual reality rehabilitation programme for patients with acquired brain injury and visuospatial neglect: Phase 2 a mixed-methods pilot study
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Secondary ID [1]
315084
0
none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
acquired brain injury
338480
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visuospatial neglect
338554
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Condition category
Condition code
Stroke
334780
334780
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0
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Haemorrhagic
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Stroke
334781
334781
0
0
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Ischaemic
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Neurological
334858
334858
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
For phase 2 the study will explore acceptability of Spatialist VR programme and feasibility of conducting a larger trail. Spatialist VR is an immersive gamified virtual reality programme that enables a comprehensive assessment and targeted rehabilitation for patients with an acquired brain injury and visuospatial neglect. Participants will sit in a chair, wear a virtual reality headset and interact with the immersive gamified programme and respond to prompts using a game controller to click on specific targets. The SVR program asks participants to navigate through dynamic environments where they scan their surrounds to locate these specific targets. An Occupational Therapist will administer the intervention and supervise from start to finish. The Spatialist VR will record participants participation. Participants will receive 5 sessions per week of 15 minutes of VR therapy for 3 weeks or until discharge.
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Intervention code [1]
331695
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Treatment: Other
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Intervention code [2]
331756
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Treatment: Devices
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Comparator / control treatment
Usual therapy which consists of Occupational therapy techniques of visual scanning training with functional tasks
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Control group
Active
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Outcomes
Primary outcome [1]
342416
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Acceptability of Spatialist VR
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Assessment method [1]
342416
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Semi-structured interviews, one on one face to face interview with a member of the research team.
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Timepoint [1]
342416
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After three weeks of VR therapy or just prior to discharge.
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Primary outcome [2]
342417
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Feasibility of conducting a larger RCT
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Assessment method [2]
342417
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Audit of study database to review retention rates, and adherence to intervention protocol. These methods will be assessed as a composite outcome
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Timepoint [2]
342417
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After the completion of the study
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Primary outcome [3]
342418
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Estimating sample size by reviewing the following outcomes measures to identify the most relevant and promising variables and associated MCID to calculate standard deviations: This will be assessed as a composite outcome
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Assessment method [3]
342418
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• Kessler Foundation Neglect Assessment Process (KF-NAP) • Catherine Bergego Scale (CBS) Anosognosia Questionnaire • SVR Outcomes (Raycast Attention Maps, Spatial Accuracy, Response Time, Headset Orientation, and Classification of Neglect). This data will be automated from the SVR programme • Bells Test
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Timepoint [3]
342418
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These will be completed prior to commencing the first session and after the last session within 72 hours of each timepoint.
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Secondary outcome [1]
450732
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Acceptability of Spatialist VR
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Assessment method [1]
450732
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Simulator sickness questionnaire
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Timepoint [1]
450732
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After first session with Spatialist VR and at any point participant shows any signs of feeling unwell, during the three week intervention period within 60 minutes of using the SVR. This will include verbal reporting, change in pallor or becoming clammy.
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Eligibility
Key inclusion criteria
Patients with an acquired brain injury aged equal to or older than 18 years, diagnosed visuospatial neglect.
Score of <18 on the Motion Sickness Susceptibility Questionnaire Short-form (MSSQ)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Reported history of conditions that may be exacerbated by VR use (e.g. epilepsy, vestibular disorders, or other health contraindications)
• Reported significant uncorrected visual impairments that would prevent use of VR
• Reported pregnancy to avoid unknown potential risks to pregnancy related to VR use
• Psychiatric or neurological conditions (e.g. psychosis or advanced dementia) that I-VR use may disrupt their sense of reality
• Severe aphasia or communication deficits as determined by research team
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sequentially numbered sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated sequence will be prepared by hospital staff outside of the study group
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2025
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Actual
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Date of last participant enrolment
Anticipated
2/03/2026
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Actual
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Date of last data collection
Anticipated
31/03/2026
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
319657
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Hospital
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Name [1]
319657
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Gold Coast Hospital and Health Service
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Address [1]
319657
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Country [1]
319657
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Australia
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Primary sponsor type
Hospital
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Name
Gold Coast Hospital and Health Service
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Address
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Country
Australia
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Secondary sponsor category [1]
322157
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None
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Name [1]
322157
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Address [1]
322157
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Country [1]
322157
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
318219
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Gold Coast Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
318219
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https://www.goldcoast.health.qld.gov.au/research/researchers/ethics/human-research-ethics-committee
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Ethics committee country [1]
318219
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Australia
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Date submitted for ethics approval [1]
318219
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16/07/2025
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Approval date [1]
318219
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Ethics approval number [1]
318219
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Summary
Brief summary
This study aims to explore the functionality and acceptability and feasibility of a novel immersive virtual reality gamified rehabilitation therapy programme, the Spatialist VR (SVR) for adult patients with an acquired brain injury and visuospatial neglect. The study will be completed in two phases. This phase will evaluate the acceptability of the SVR therapy programme and explore the feasibility of a future larger RCT, including sample size calculation by using a pilot RCT model.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
143474
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Dr Benjamin Chen
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Address
143474
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Gold Coast University Hospital 1 Hospital Blvd Southport QLD 4215
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Country
143474
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Australia
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Phone
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+61 1300 744 284
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Fax
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Email
143474
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[email protected]
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Contact person for public queries
Name
143475
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Annette McLaren-Kennedy
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Address
143475
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Robina Hospital 2 Bayberry lane Robina QLD 4226
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Country
143475
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Australia
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Phone
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+61 7 56291084
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Fax
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Email
143475
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[email protected]
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Contact person for scientific queries
Name
143476
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Annette McLaren-Kennedy
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Address
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Robina Hopital 2 Bayberry lane Robina QLD 4226
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Country
143476
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Australia
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Phone
143476
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+61 7 56291084
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Fax
143476
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Email
143476
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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