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A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept

Quinta Seon1,2, Noor Mady1, Michelle Yang3

  • 1Department of Psychiatry, McGill University, Montreal, QC, Canada.

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Summary

This study will test a culturally adapted virtual reality cognitive behavioral therapy (VR-CBT) for Inuit, comparing its feasibility and benefits against a commercial VR program. The research aims to improve mental well-being and gather data for future large-scale trials.

Keywords:
IndigenousInuit healthbiofeedbackco-designcognitive behavioral therapycultural adaptationemotion regulationrandomized controlled trialvirtual reality

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Area of Science:

  • Indigenous Health Research
  • Mental Health Interventions
  • Virtual Reality Applications

Background:

  • Emotion regulation is crucial for psychological well-being; dysregulation is linked to psychiatric symptoms and maladaptive physiological responses.
  • Culturally adapting virtual reality-assisted cognitive behavioral therapy (VR-CBT) can enhance its sensitivity and effectiveness for diverse service users.
  • Co-designed VR-CBT environments with interactive components like heart rate biofeedback have been developed for the Inuit community.

Purpose of the Study:

  • To investigate the feasibility, benefits, and challenges of a culturally adapted VR-CBT intervention for Inuit in Québec.
  • To compare the adapted VR-CBT against a commercial VR self-management program.
  • To assess self-rated mental well-being, psychophysiological measures, and participant preferences for treatment delivery (on-site vs. at-home).

Main Methods:

  • A proof-of-concept, 2-arm randomized controlled trial (RCT) involving 40 Inuit participants aged 14-60 years.
  • Participants will be randomized to receive either therapist-guided, culturally adapted VR-CBT with biofeedback or a VR relaxation program over 10 weeks.
  • Primary outcomes measured by the Difficulties in Emotion Regulation Scale (DERS-16) and a psychophysiological reactivity paradigm; secondary outcomes include psychological symptoms and well-being.

Main Results:

  • This is a prospective registration of an RCT protocol; no trial results are available yet.
  • Funding was secured in January 2020; recruitment is scheduled from March 2023 to August 2025.
  • Expected results publication is planned for spring 2026.

Conclusions:

  • The study addresses the community's need for accessible and appropriate mental well-being resources, developed collaboratively with the Inuit community.
  • It will test the feasibility and acceptance of a culturally adapted VR-CBT, incorporating novel technology for Indigenous health.
  • The research aims to provide much-needed RCT evidence for culturally adapted psychotherapies in Canada.