40 Participants Needed

Virtual Reality for Depression in Multiple Sclerosis

ZP
Overseen ByZee Petrie
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Michigan
Must be taking: SSRIs, SNRIs, Psychotherapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether virtual reality (VR) nature experiences can reduce depression, stress, and anxiety in people with progressive multiple sclerosis (MS). Participants will use the Apple Vision Pro headset to enjoy virtual nature walks at home, either alongside their current depression treatments or independently. The study will compare the effects of combining VR with standard care to determine if it improves symptoms more than standard care alone. Individuals diagnosed with progressive MS who experience depression, especially those already receiving treatment, might be a good fit for this trial. As an unphased trial, this study offers a unique opportunity to explore innovative treatment options that could enhance quality of life.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, it mentions that some participants can continue using antidepressants or psychotherapy treatments.

What prior data suggests that this virtual reality device is safe for individuals with multiple sclerosis?

Studies have shown that virtual reality (VR) treatments are safe and well-tolerated for people with multiple sclerosis (MS). Research indicates that VR can effectively improve mood and emotional well-being in these patients. These studies report no major side effects, suggesting that VR is a safe option to explore.

One study found that using VR for depression can support various therapy methods, such as encouraging positive activities and helping change negative thinking patterns. The technology used in VR treatments has also improved, with devices like the Apple Vision Pro offering better experiences. This advancement can make VR sessions more enjoyable and easier to use.

Overall, the evidence supports the safety of VR for treating depression in people with MS. It might be a promising option for those seeking new approaches alongside their usual treatments.12345

Why are researchers excited about this trial?

Researchers are excited about virtual reality nature walks for treating depression in multiple sclerosis because they offer a non-traditional, immersive therapeutic experience that differs from standard antidepressant medications and psychotherapy. Unlike conventional treatments, which often rely on pharmaceuticals or talk therapy, virtual reality provides an engaging sensory experience that can potentially uplift mood and reduce stress without medication. Additionally, this approach might offer a novel way to enhance the effects of existing treatments when combined, providing a more holistic approach to managing depression in those with multiple sclerosis.

What evidence suggests that virtual reality nature-based experiences could be effective for depression in multiple sclerosis?

Research has shown that virtual reality (VR) experiences simulating nature can reduce depression symptoms, particularly in individuals with long-term conditions like multiple sclerosis (MS). One study found that these VR experiences significantly reduced anxiety. Another study revealed that people using VR for therapy felt happier and less stressed. In this trial, participants will experience VR nature walks either alone or alongside their regular depression treatments. Combining VR with standard depression treatments can improve sleep and reduce insomnia. These findings suggest that VR nature walks might be a valuable tool for enhancing mental health in people with MS.12678

Who Is on the Research Team?

HD

Hala Darwish, PhD

Principal Investigator

University of Michigan

Are You a Good Fit for This Trial?

This trial is for individuals with progressive multiple sclerosis (MS) who are experiencing depression. Participants should be able to use the Apple Vision Pro VR system at home and must currently receive standard care for MS.

Inclusion Criteria

My MS is getting worse, as confirmed by a neurologist.
Patient-Reported Outcomes Measurement Information System (PROMIS) Depression T-scores >55 at baseline
Ability to provide informed consent and participate in VR sessions at home
See 1 more

Exclusion Criteria

I do not have any neurological or autoimmune diseases.
Participants that require vision correction, unless that vision correction is mild (± 1), or the participant has prescription contact lenses.
Severe cognitive impairments or visual deficits that may interfere with VR use, including contraindications like agoraphobia, claustrophobia, or motion sickness
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Virtual Reality Intervention

Participants receive VR nature sessions for 8 weeks

8 weeks
At-home sessions 3 times per week

Washout Period

A 1-week washout period where no VR sessions are conducted

1 week

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks
Midpoint and end of intervention assessments

What Are the Treatments Tested in This Trial?

Interventions

  • Virtual Nature Walks

Trial Overview

The study tests if adding virtual reality nature walks to regular treatment helps reduce depression in MS patients more than standard care alone. It uses a high-quality VR device, the Apple Vision Pro, and measures changes in mood, stress, sleep quality, and fatigue.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Group I: Virtual reality plus standard care (SC) then SC alone - randomized groupExperimental Treatment2 Interventions
Group II: Virtual Reality - non-randomized groupExperimental Treatment1 Intervention
Group III: Standard care alone then Virtual reality plus SC- randomized groupExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

Apple Inc.

Industry Sponsor

Trials
24
Recruited
1,792,000+

The International Organization of Multiple Sclerosis Nurses Inc

Collaborator

Citations

Bringing the Outdoors In: Virtual Nature Walks for ...

The integration of VR nature-based experiences with standard care will result in greater reductions in stress and anxiety, better sleep, less ...

The effectiveness of virtual reality to improve depression - PMC

Overall, the findings indicate that VR intervention has yielded positive outcomes in improving depressive symptoms among people with chronic ...

Virtual Nature Walks for Depression in Multiple Sclerosis (MS ...

The integration of VR nature-based experiences with standard care will result in greater reductions in stress and anxiety, better sleep, less ...

how exposure to virtual natural environments reduces ...

The results indicate that exposure to virtual natural environments effectively reduces anxiety levels (SMD = 0.82, p < 0.001, large effect), ...

Mind nature: a virtual reality nature therapy for reducing ...

This study explored the effectiveness of Virtual Reality (VR)-based nature therapy in reducing anxiety, negative mood, and stress while enhancing mindfulness ...

Virtual reality is a feasible intervention platform in multiple ...

VR interventions are feasible, safe, and tolerable for individuals living with MS and may improve affect.

Virtual Reality in the treatment of depression

Current VR interventions for depression target the following therapeutic strategies: psychoeducation, behavioral activation, cognitive restructuring, enhancing ...

Comparative effects of sensory motor and virtual reality ...

This study aimed to compare the effectiveness of sensory-motor and virtual reality training on the functional status and quality of life of MS patients.