The goal of this clinical trial is to evaluate the effects of an extended reality (XR)-enhanced occupational therapy leisure intervention on motivation, emotional engagement, and therapeutic participation among inpatients with chronic psychiatric conditions. The main questions it aims to answer are:
Can the XR intervention improve leisure motivation, leisure-related attitudes, and emotional coping strategies in long-term hospitalized individuals with mental illness?
Does the XR intervention promote improvements in psychological health, volition, and occupational performance?
Researchers will compare an XR-based leisure therapy group to a usual care group engaged in standard hospital leisure activities such as art, music, or reading. Participants will take part in weekly 40-minute sessions for 6 weeks. The XR group will use a custom-designed mobile VR program featuring immersive 360° leisure scenarios aligned with participants' interests and functional goals. Data collection includes standardized assessments (e.g., Interest Checklist, Volitional Questionnaire, COPM, PANSS) and semi-structured interviews to explore changes in motivation, coping, and perceived benefits.
Adults aged 20 to 65 years
Diagnosed with chronic schizophrenia or schizoaffective disorder (ICD-10 F20.x or F25.x)
Hospitalized continuously for at least 6 months
Clinically stable with no acute psychiatric symptoms
History of epilepsy, severe motion sickness, or other seizure-related conditions
Significant visual or auditory impairments that may interfere with XR experience
Physical conditions that limit participation in leisure activities
Current diagnosis of substance abuse or major organic brain disorder
Chia-Hui Hung
Lead sponsor
Chung Shan Medical University
Sponsor institution