Virtual Reality Therapy for Specific Phobias

MJ
Overseen ByMaureen Jacobs Plaisimond
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 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.12345

Why 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?

BE

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

Scoring 89 ≥ on the FSQ OR 24 ≥ on the SNAQ OR 147 ≥ on the DPQ
Having access to the internet AND a computer OR smartphone with video conferencing capabilities
I am 18 or older and afraid of dogs, snakes, or spiders.

Exclusion Criteria

Reporting an unstable housing situation (eg., eviction or homelessness)
Reporting active auditory, visual, and/or tactile hallucinations via the DART Psychosis Module screening question
Reporting active legal proceedings that might lead to incarceration during the study period
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive exposure therapy using either telemedicine-based Virtual Reality or standard telemedicine with photos/videos

7 weeks
Weekly virtual sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

21 weeks
Monthly virtual check-ins

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

Group I: Telemedicine-based Virtual Reality Exposure TherapyExperimental Treatment1 Intervention
Group II: Standard Telemedicine-Based Exposure TherapyActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of South Florida

Lead Sponsor

Trials
433
Recruited
198,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40209221/

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 ...

Exposure 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 ...