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Alcohol Use DisorderNCT07413458

Virtual Reality (VR) NATURE - Alcohol Use Disorder (AUD)

A study testing Virtual Reality (VR) -nature treatment and Survey completion in people with Alcohol Use Disorder, run by University of Michigan at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This pilot randomized clinical trial will evaluate the feasibility, acceptability, and preliminary effectiveness of immersive Virtual Reality (VR) nature intervention among adults with at least moderate depression symptoms enrolled in an intensive outpatient Program (IOP) for Alcohol Use Disorder (AUD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Alcohol Use Disorder
What is being tested?
Virtual Reality (VR) -nature treatment and Survey completion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
16 Feb 2026to Feb 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individuals with a documented AUD diagnosis
  • Individuals enrolled in an Intensive Outpatient Program (IOP) (First week enrollment or planned enrollment in Michigan Medicine's Addiction Treatment Services (UMATS) IOP)
  • Individuals with a Patient Health Questionnaire (PHQ-9) score (≥10, moderate or greater depression symptoms)

Who cannot join

  • Severe motion sickness or sensitivity to VR-induced nausea or dizziness (anticipated <10%), medical contraindications to VR use (e.g., seizure disorders, vestibular disorders, agoraphobia, claustrophobia, psychosis).
  • Significant cognitive impairments that prevent provision of informed consent
  • Suicidal ideation or plan after consultation with treating clinician
  • Participants who require vision correction with glasses, unless vision correction is mild (±1), or the participant does not have prescription contact lenses.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • University of Michigan

    Ann Arbor, Michigan, 48109

    Zee Petrie, 734-647-3357, petrieli@med.umich.edu

    Hala Darwish, PhD

    Recruiting

Other trials in United States

About this study

Official title: Virtual Reality Nature Immersion to Reduce Depression in People Engaged in Intensive Outpatient Alcohol Treatment

This pilot randomized clinical trial will evaluate the feasibility, acceptability, and preliminary effectiveness of immersive Virtual Reality (VR) nature intervention among adults with at least moderate depression symptoms enrolled in an intensive outpatient Program (IOP) for Alcohol Use Disorder (AUD).

The study hypotheses:

  • VR-based nature immersion will be feasible, acceptable, and positively evaluated by participants
  • Participants receiving the VR intervention will report greater reductions in symptoms of depression, anxiety, and stress compared to those receiving standard care alone
Being tested
Virtual Reality (VR) -nature treatment, Survey completion
Keywords
Virtual Reality, Surveys
Medical subject headings
Alcoholism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Virtual Reality (VR) -nature treatmentDevice

    Participants assigned to the VR intervention will engage in 5 to 30-minute (gradual increase in duration as tolerated to prevent motion sickness) -3 times per week, immersive VR nature sessions over 4 weeks, using the Apple Vision Pro and Explore POV app, alongside standardintensive outpatient program (IOP) care or other treatments they are receiving (e.g., additional counseling, psychiatry, etc.).

  • Survey completionBehavioural

    All participants will complete surveys at various time-points (baseline - 9 weeks).

Study groups in NCT07413458
Study groupRoleWhat they receive
Virtual Reality- (VR) nature treatmentExperimentalWill use VR for 4 weeks.
Receives: Device: Virtual Reality (VR) -nature treatment; Behavioral: Survey completion
No VR - standard treatment - control groupOtherParticipants will receive bi-weekly email reminders about participation in this study. Participants will be offered to try the VR headsets once participation is over for the randomized period (baseline to 8 weeks).
Receives: Behavioral: Survey completion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Enrollment rates

    Recruitment will be quantified by enrollment rates relative to eligibility screenings.

    Measured: Recruitment period (approximately 18 months)

  2. Attendance at scheduled VR sessions

    Engagement will be assessed through attendance at scheduled VR sessions

    Measured: 4 weeks of VR

  3. Adherence to VR

    Adherence will be measured based on participants meeting the 12-session target.

    Measured: 4 weeks of VR

  4. Percentage of participants that complete the entire study duration -VR

    Retention will be evaluated through the percentage of participants who complete the entire study duration, targeting a benchmark of at least 8 of the 12 sessions.

    Measured: 4 weeks of VR

  5. Number of participants with documentation of informed consent completion

    Measured: Recruitment period (Approximately 18 months)

  6. The Virtual Reality Neuroscience Questionnaire (VRNQ)

    The modified scale for this project uses 10 questions that participants will answer about the VR experience, rated from 1 (extremely low or extremely difficult) to 7 (extremely high or extremely easy). The scores range from 10 to 70, with higher scores indicating greater experience.

    Measured: 4 weeks of VR

  7. Changes in depression measured by Patient Health Questionnaire-9 (PHQ-9)

    This is a 9-item self-report measure developed to assess the presence and severity of depression symptoms aligned with the diagnostic criteria for major depressive disorder (MDD). Each item on the PHQ-9 reflects a specific depression symptom experienced over the past two weeks, including anhedonia, mood disturbances, fatigue, and suicidal ideation. Participants rate items on a 4-point Likert scale ranging from 0 ("not at all") to 3 ("nearly every day"), resulting in a total score range of 0 to 27. Clinical severity classifications include minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), and severe (20-27). A score of ≥10 is generally used as a cutoff for moderate depression, demonstrating optimal sensitivity and specificity.

    Measured: Baseline, 4 weeks, 8 weeks

  8. Changes in anxiety measured by the Generalized Anxiety Disorder-7 (GAD-7)

    This is a self-administered 7-item screening tool specifically designed to assess the frequency and severity of symptoms characteristic of generalized anxiety disorder (GAD) over the preceding two weeks. Symptoms measured include nervousness, worry, restlessness, irritability, and fearfulness, which are rated by respondents using a 4-point Likert scale ranging from 0 ("not at all") to 3 ("nearly every day"). Scores range from 0 to 21, with severity categories typically classified as minimal anxiety (0-4), mild anxiety (5-9), moderate anxiety (10-14), and severe anxiety (≥15). A cutoff score of ≥10 is commonly used to identify clinically significant anxiety.

    Measured: Baseline, 4 weeks, 8 weeks

  9. Change on the Perceived stress scale (PSS-10)

    This is a widely used psychological instrument for measuring the perception of stress. It comprises 10 items that assess how unpredictable, uncontrollable, and overloaded respondents find their lives. Each item is rated on a 5-point Likert scale ranging from "Never" (0) to "Very Often" (4). Items 4, 5, 7, and 8 are positively stated and are reverse scored. The total score ranges from 0 to 40, with higher scores indicating greater perceived stress. While there are no established cut-off scores, higher scores suggest higher levels of perceived stress.

    Measured: Baseline, 4 weeks, 8 weeks

  10. Change on the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v1.0 - Positive Affect

    This is a psychometrically robust, 15-item measure specifically developed to assess positive emotional experiences or affective states over the past seven days. This PROMIS instrument focuses on capturing positive psychological constructs such as feelings of happiness, contentment, enthusiasm, and engagement with life. Participants rate each item using a 5-point Likert scale from 1 ("Not at All") to 5 ("Very Much"), with higher scores indicating greater levels of positive affect.

    Measured: Baseline, 4 weeks, 8 weeks

  11. Change on the PROMIS Applied Cognition Short form v.1.0

    This is a concise, validated 8-item measure designed to assess participants' perceived cognitive deficits, regardless of disease type. This PROMIS instrument focuses on participants' perceptions of their mental acuity, concentration, verbal and nonverbal memory, verbal fluency, and perceived changes in their cognitive functions. Participants rate each item on a 5-point Likert scale from 1 ("Not At All") to 5 ("Very Much"), with higher scores indicating greater cognitive dysfunction.

    Measured: Baseline, 4 weeks, 8 weeks

  12. Change on the Ruminative Responses Scale

    This is a validated and reliable 10-item scale that measures a participant's way of coping with repetitive and self-reflective moods. This is a shortened version of the Response Style Questionnaire and has been shortened to focus more on reflection and brooding, as compared to general depression. Participants rate each item from 1 ("Almost Never") to 4 ("Almost Always"), with higher scores indicating a greater level of rumination.

    Measured: Baseline, 4 weeks, 8 weeks

  13. Change on the alcohol use disorders identification test (AUDIT)

    This is a well-validated, standardized instrument developed by the World Health Organization for screening hazardous alcohol consumption, harmful drinking patterns, and potential alcohol dependence. This tool consists of 10 items assessing alcohol consumption frequency, quantity, binge drinking behaviors, dependence symptoms, and related negative consequences. Scores range from 0 to 40, with higher scores indicating greater alcohol use severity: scores of 8 or higher suggest hazardous drinking patterns, while scores of 20 or more indicate probable dependence.

    Measured: Baseline, 4 weeks, 8 weeks

  14. Hardware and software-related issues

    The technical feasibility will be measured by tracking hardware and software-related issues, with acceptability ratings of ≥75%.

    Measured: 4 weeks of VR

  15. Change on the Drug Abuse Screening Test-10 (DAST-10)

    This is a brief, validated self-report measure designed to identify problematic use of substances other than alcohol. It consists of 10 items assessing drug use frequency, associated consequences, interpersonal difficulties, and impairment resulting from substance use behaviors. Total scores range from 0 to 10, with higher scores indicating a greater severity of drug-related problems: scores of 3-5 suggest moderate risk, and scores of 6 or higher indicate substantial drug abuse risk warranting further clinical evaluation.

    Measured: Baseline, 4 weeks, 8 weeks

  16. Qualitative interviews

    Semi-structured qualitative interviews will be conducted individually with 10 randomly selected participants at 4 weeks to explore subjective experiences with the VR intervention. Each interview is anticipated to take approximately 30-40 minutes.

    Measured: 4 weeks

  17. Study Dropout rates calculated as the proportion of enrolled participants that do not complete the Week 8 assessment visit (or the final planned study assessment)

    Dropout rate will be calculated as the proportion of enrolled participants who do not complete the Week 8 assessment visit (or the final planned study assessment) for any reason. The numerator is the number of participants who withdraw, are lost to follow-up, are discontinued by the study team, or otherwise fail to complete the Week 8 assessment. The denominator is the total number of participants enrolled and consented at baseline. Dropout will also be summarized by randomized arm. Higher values indicate worse retention (higher attrition).

    Measured: Baseline - 8 weeks

  18. Reasons for dropouts will be summarized as count and percentaged by overall by arm

    Drop-out reasons will be collected at the time of withdrawal, if possible, using a brief standardized exit reason will be coded into predefined categories and summarized as count and percentaged overall by arm [ VR- tolerability, time demands, other treatment factors, technology issues, safety concerns, cybersickness, lost to follow up, other] If multiple reasons are provided, the study team will identify a primary reason.

    Measured: Baseline - 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Feb 2026
  2. Study start16 Feb 2026
  3. Primary completionFeb 2028 (estimated)
  4. Study completionFeb 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized to one of the two arms/groups (N=25 in each group).
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07413458
Sponsor's protocol ID
HUM00283019
Status last verified
Mar 2026
First submitted
29 Jan 2026
Last updated
27 Mar 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Virtual Reality (VR) -nature treatment and Survey completion in people with Alcohol Use Disorder, run by University of Michigan at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Zee Petrie (734-647-3357, petrieli@med.umich.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Enrollment rates (time frame: Recruitment period (approximately 18 months)). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.

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Clinical Trial NCT07413458 | AzTrials