Background

Flying Phobia (FP) is a prevalent disorder that can cause serious interference in a person's life. ICBT interventions have already shown their efficacy in several studies, but studies in the field of specific phobias are still scarce. Moreover, few studies have investigated the feasibility of using different types of images in exposure scenarios in ICBTs and no studies have been carried out on the role of sense of presence and reality judgement. The aim of the present study is to explore the feasibility of an ICBT for FP (NO-FEAR Airlines) using two types of images with different levels of immersion (still and navigable images). A secondary aim is to explore the potential effectiveness of the two experimental conditions using two types of images compared to a waiting list control group. Finally, the role of navigable images compared to the still images in the level of anxiety, sense of presence, and reality judgement will also be explored. This paper presents the study protocol.

Methods

This study is a three-armed feasibility pilot study with the following conditions: NO-FEAR Airlines with navigable images, NO-FEAR Airlines with still images, and a waiting list group. A minimum of 60 participants will be recruited. The intervention will have a maximum duration of 6 weeks. Measurements will be taken at four different moments: baseline, post-intervention, and two follow-ups (3- and 12-month). Participants' opinions, preference, satisfaction and acceptance regarding the images used in the exposure scenarios will be assessed. FP symptomatology outcomes will also be considered for secondary analyses. The anxiety, sense of presence, and reality judgement in the exposure scenarios will also be analysed.

Discussion

This study will conduct a pilot study on the feasibility of an ICBT for FP and it is the first one to explore the evaluation of patients of the two type of images (still and navigable) and the role of presence and reality judgement in exposure scenarios delivered through the Internet. Research in this field can have an impact on the way these scenarios are designed and developed, as well as helping to explore whether they have any effect on adherence.

Trial registration

NCT03900559. Trial Registration date 3 April 2019, retrospectively registered.

中文翻译：

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使用 360° 图像基于互联网治疗飞行恐惧症：可行性试点研究的研究方案

背景

飞行恐惧症 (FP) 是一种普遍存在的疾病，会对人的生活造成严重干扰。ICBT 干预措施已经在多项研究中显示出其功效，但针对特定恐惧症领域的研究仍然很少。此外，很少有研究探讨在 ICBT 暴露场景中使用不同类型图像的可行性，也没有研究存在感和现实判断的作用。本研究的目的是探索使用两种不同沉浸程度的图像（静止图像和可导航图像）进行 FP（NO-FEAR Airlines）ICBT 的可行性。第二个目的是与等候名单对照组相比，使用两种类型的图像探索两种实验条件的潜在有效性。最后，还将探讨可导航图像与静止图像相比在焦虑程度、存在感和现实判断方面的作用。本文介绍了研究方案。

方法

本研究是一项三臂可行性试点研究，具有以下条件：NO-FEAR 航空公司具有可导航图像、NO-FEAR 航空公司具有静态图像以及候补名单组。将招募至少 60 名参与者。干预的最长持续时间为 6 周。将在四个不同时刻进行测量：基线、干预后和两次随访（3 个月和 12 个月）。将评估参与者对曝光场景中使用的图像的意见、偏好、满意度和接受度。FP 症状学结果也将被考虑进行二次分析。暴露场景中的焦虑、存在感和现实判断也会被分析。

讨论

本研究将对 ICBT 用于 FP 的可行性进行试点研究，并且是第一个探索患者对两种类型图像（静止图像和可导航图像）的评估以及在交付的暴露场景中存在和现实判断的作用的研究通过互联网。该领域的研究可以对这些场景的设计和开发方式产生影响，并有助于探索它们是否对依从性有任何影响。

试用注册

NCT03900559。试用注册日期2019年4月3日，追溯注册。