T1 | T2 | T3 | T4 | T5 | |
---|---|---|---|---|---|
Objective 1: Efficacy | |||||
Primary outcomes | |||||
Social Phobia Anxiety Inventory – brief (SPAI-18) | x | x | x | x | x |
Liebowitz Social Anxiety Scale – Children & Adolescents (LSAS-CA) – Avoidance subscale | x | x | x | x | x |
BAT – Peak anxiety (SUDs) | x | - | x | - | - |
Secondary outcomes | |||||
Liebowitz Social Anxiety Scale – Children & Adolescents (LSAS-CA) – Fear subscale | x | x | x | x | x |
Social Phobia Weekly Summary Scale (SPWSS) | x | x (weekly sessions) | x | x | x |
Brief resilience scale (BRS) | x | - | x | x | x |
Multidimensional Adolescent Functioning Scale (MAFS) | x | - | x | x | x |
Revised children’s anxiety and depression scale (RCADS) | x | - | x | x | x |
Self-efficacy questionnaire for children (SEQ-C) – social subscale | x | x | x | x | x |
Adolescent social cognitions questionnaire (ASCQ) | x | - | x | x | x |
Exploratory outcomes | |||||
BAT – Anticipatory anxiety (SUDs), heart rate mean & variability, and skin conductance | x | - | x | - | - |
Objective 2: Mechanisms | (weekly sessions) | ||||
Threat expectancy likelihood, threat occurrence, surprise, relief, pleasantness of relief, adjusted threat expectancy likelihood (VASs; to measure expectancy violation and change) | x | ||||
SUDs to measure within and between session habituation | x | ||||
Self-efficacy (VAS) | x | ||||
Objective 3: Predictors | |||||
Behavioral inhibition system / behavioral activation system (BIS/BAS) | x | ||||
Experiences in Close Relationship Scale – Relationship Structures (ECR-RS) | x | ||||
Immersive Tendency Questionnaire (ITQ) – subscale Involvement | x | ||||
Unified Theory of Acceptance and Use of Technology (UTAUT) - Subscales: Attitude & expectancies towards VR | x | ||||
Preference to treatment (TP) – binary | x | ||||
Experience with VR & games, motivation, need for relatedness/connection, openness to experience (VASs) | x | ||||
Working Alliance Inventory–Short Form (WAI-S) | x (Session 2 & 6) | ||||
Credibility and Expectancy Questionnaire (CEQ) | x (Session 1) | ||||
Objective 4: Acceptability | |||||
Client Satisfaction Questionnaire (CSQ-8) | x | ||||
Difficulty, usefulness/relevance, safety behaviors related to exposure, and motivation to participate in the next session (VASs) | x (weekly sessions) | ||||
Semi-structured interview | x |