Virtual Reality Therapy for Specific Phobias
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether virtual reality through a telemedicine platform can better assist adults with strong fears of dogs, spiders, or snakes compared to traditional online therapy using pictures and videos. The researchers aim to determine if the realistic experience of virtual reality enhances effectiveness. Participants will either confront their fears using virtual reality or engage in standard telemedicine with photos and videos. Adults who fear these animals, have internet access, and are not currently in therapy may be suitable for this study. As an unphased trial, this study provides a unique opportunity to investigate innovative therapy methods that could transform fear management.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications, but you cannot participate if you have changed psychiatric medication use within the past 6 weeks.
What prior data suggests that this virtual reality therapy is safe for treating phobias?
Research has shown that virtual reality exposure therapy (VRET) is generally safe for treating specific fears. Studies have found that participants find VRET comfortable and engaging. This therapy helps individuals face their fears in a controlled setting, enhancing their sense of safety during the process.
In past studies, participants using VRET reported a significant reduction in fear symptoms, indicating that the treatment is both effective and manageable. The virtual settings in these therapies are carefully designed to ensure emotional safety and build trust with users.
Overall, while researchers continue to study VRET for fears, current evidence suggests it is a safe option for many people with fears of dogs, spiders, and snakes.12345Why are researchers excited about this trial?
Researchers are excited about Virtual Reality Therapy for specific phobias because it offers a more immersive and interactive experience compared to traditional methods. Unlike standard exposure therapy, which typically uses static photos and videos, this approach uses virtual reality to simulate real-life scenarios with varying levels of intensity and activity. This method allows patients to confront their fears in a controlled, safe environment, potentially enhancing engagement and effectiveness. Additionally, delivering this therapy via telemedicine increases accessibility for individuals who might not be able to attend in-person sessions, making it a promising option for treating phobias.
What evidence suggests that this trial's treatments could be effective for phobias?
Research shows that virtual reality exposure therapy (VRET) effectively treats specific fears, such as those of dogs, spiders, and snakes. In this trial, one group will receive telemedicine-based VRET, which studies have found to be as effective as traditional face-to-face therapies. Another group will use standard telemedicine-based exposure therapy with photos and videos. Studies have found that combining VRET with cognitive behavioral therapy can significantly reduce symptoms. For instance, one review found VRET often matches the effectiveness of traditional face-to-face therapies. Another study found that most participants complete the treatment, indicating high adherence. Overall, virtual reality enhances the therapy's realism, helping people gradually confront and reduce their fears.34678
Who Is on the Research Team?
Brian E. Bunnell, PhD
Principal Investigator
University of South Florida
Are You a Good Fit for This Trial?
This trial is for adults (18+) who have a strong fear of dogs, snakes, or spiders and access to the internet with video conferencing. People can't join if they are homeless, have hallucinations, recent seizures from flashing lights, unstable health needing hospitalization soon, ongoing therapy elsewhere, recent medication changes, or legal issues.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive exposure therapy using either telemedicine-based Virtual Reality or standard telemedicine with photos/videos
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Telemedicine-Based Exposure Therapy Using Photos and Videos
- Telemedicine-Based Virtual Reality Exposure Therapy
Trial Overview
The study compares two telemedicine treatments for phobias: one uses virtual reality exposure therapy through an online clinic (Doxy.me VR), and the other uses traditional photo/video-based exposure therapy. Participants are randomly assigned to either group.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
This group will receive exposure therapy in a telemedicine-based Virtual Reality Clinic using virtual reality snakes, dogs, or spiders. The VR stimuli range from small to medium to large and have four activity levels: idle, calm, energetic, and aggressive.
This group will receive exposure therapy via Doxy.me telemedicine platform using photos and videos of snakes, dogs, or spiders. The photo/video stimuli range from small to medium to large and have four activity levels: idle, calm, energetic, and aggressive.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of South Florida
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
Citations
Examining a Telemedicine-Based Virtual Reality Clinic in ...
This is a feasibility randomized controlled efficacy trial comparing exposure therapy via a telemedicine-based VR clinic versus standard TMH with adults with ...
Examining a Telemedicine-Based Virtual Reality Clinic in ...
Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. J Behav Ther Exp Psychiatry. 2008 ...
A systematic review of randomized controlled trials on ...
Strong evidence for specific phobias: VRET combined with cognitive behavioural therapy has demonstrated substantial symptom reductions in specific phobias, ...
The Symbiosis of Virtual Reality Exposure Therapy and ... - PMC
While in-person IVET is the current gold standard treatment for phobias, clinic-based VRET has emerged as an equally effective and more flexible treatment ...
5.
yung-sidekick.com
yung-sidekick.com/blog/exposure-therapy-goes-digital-evidence-based-results-using-vr-and-telehealthExposure Therapy Goes Digital: Evidence-Based Results ...
Treatment completion rates remain high—only 6% terminated prematurely compared to 10% attrition in comparable in-person therapy [39]. Technology ...
Examining a Telemedicine-Based Virtual Reality Clinic ... - PMC
Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. J Behav Ther Exp Psychiatry. 2008;39(3):250–261 ...
A Randomized Controlled Efficacy Trial of a Telemedicine ...
The main questions it aims to answer are: Does Doxy.me VR decrease the severity of phobias better than traditional telemedicine-based treatment?
The Symbiosis of Virtual Reality Exposure Therapy and ...
TMH and VRET are clinical support tools that have proven effective in the treatment of phobias, anxiety, and mental health. Combining TMH and ...
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