ClinicalTrials.gg
CompletedNCT06282757Updated Sep 16, 2025

Physiotherapists' Placebo or Nocebo Communication Regarding VR in CMP

An interventional study of Video placebo communication and Video nocebo communication in Communication and Chronic Pain, sponsored by HAN University of Applied Sciences. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-16.

Sponsored by HAN University of Applied Sciences · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
115
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Rationale: Chronic musculoskeletal pain (CMP) is a common and disabling condition. Physiotherapy is the most frequently administered non-pharmacological treatment option for patients with CMP and recently virtual reality (VR) was introduced in physiotherapy care as a novel treatment modality. Proper communication about physiotherapy treatment (modalities) is important to improve treatment outcomes, by applying placebo effects enhancing communication and avoiding nocebo effects enhancing communication. However, yet is still unknown to what extent this applies to communication of physiotherapists about VR in patients with CMP.

Objective: To determine the effect of physiotherapists' placebo or nocebo therapeutic communication about VR, on treatment credibility and expectation in patients with CMP

Study design: Web-based randomized controlled trial.

Study population: 100 participants

Intervention: The placebo intervention group will be shown an educational video about VR, containing placebo effects enhancing verbal language. The nocebo intervention group will be shown an educational video about VR, containing nocebo effects enhancing verbal language.

Primary study parameters: The primary study parameters are treatment credibility and treatment expectation. Treatment credibility and treatment expectations will be measured using the Dutch credibility and expectancy questionnaire (CEQ).

02

Conditions studied

  • Communication
  • Chronic Pain
03

In context

Communication

719 studies on the registry are indexed under Communication; 159 are open to participants now.

This study's enrollment of 115 is below the median of 144 across 571 interventional studies indexed under Communication.

Browse Communication studies →

Lead sponsor

HAN University of Applied Sciences is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • aged ≥ 18
  • access to the internet
  • provide
  • suffers from CMP

Exclusion criteria

Exclusion Criteria:

  • lacked comprehension of the Dutch language
  • had experience with therapeutic VR
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
115 participants (actual)

Study arms

  • Experimental
    Placebo group

    The placebo intervention group will be shown an online educational VR video.

    Other: Video placebo communication

  • Active comparator
    Nocebo group

    The nocebo intervention group will be shown an online educational VR video.

    Other: Video nocebo communication

Interventions

  • OtherVideo placebo communication

    The placebo communication video comprises of an educational VR video containing placebo enhancing verbal language.

  • OtherVideo nocebo communication

    The nocebo communication video comprises of an educational VR video containing nocebo stimulating verbal language.

06

What researchers measure

Primary outcomes

  1. Change in treatment expectancy measured using the Credibility and Expectancy Questionnaire (CEQ)

    This questionnaire on treatment expectancy scores from 6 (lowest expectancy) to 54 (highest expectancy)

    Time frame: Baseline and immediately after the intervention

  2. Change in treatment credibility measured using the Credibility and Expectancy Questionnaire (CEQ)

    This questionnaire on treatment credibility scores from 5 (lowest credibility) to 45 (highest credibility)

    Time frame: Baseline and immediately after the intervention

Secondary outcomes

  1. Change in openness to VR measured using a single question

    The question "would you be open to treatment with therapeutic VR" was scored with a yes/no

    Time frame: Baseline and immediately after the intervention

  2. Change in pain intensity measured using the Numeric Pain Rating Scale (NPRS)

    This questionnaire on pain intensity scores from 0 (no pain) to 10 (maximal pain)

    Time frame: Baseline and immediately after the intervention

07

Study locations

1 site
  • HAN University of Applied Sciences
    Nijmegen, Overijssel 6525EN, Netherlands
08

References and documents

Individual participant data

Plan to share: No — Not planned to share IPD

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06282757
Lead sponsor
HAN University of Applied Sciences
Responsible party
Bart Staal (Professor (lector), HAN University of Applied Sciences) — Principal investigator
First posted
Feb 28, 2024
Start date
Apr 1, 2024
Primary completion
Jun 30, 2024
Completion
Jun 30, 2024
Last update
Sep 16, 2025

Study contacts

Bart Staal, PhD
principal investigator · HAN University of Applied Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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