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Cognitive ImpairmentVR-LTCNCT07658287

Immersive Virtual Reality for Older Adults in Long-Term Care Settings

A study testing Adapted Virtual Reality Mindfulness Meditation Program in people with Cognitive Impairment and Long-term Care Centres for Old Adults Users, run by Laval University at 2 sites in Canada.

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

The goal of this clinical trial is to learn if an immersive virtual reality mindfulness meditation program is feasible and acceptable for older adults living in long-term care settings in Quebec who have mild to moderate neurocognitive disorder. Read more about this study

Who is it for?
Ages 60 years and older
What is being tested?
Adapted Virtual Reality Mindfulness Meditation Program
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
2 sitesCanada
Study dates
14 Sep 2026to 15 Jun 2027
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 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For resident participants:
  • Resident of a participating long-term care facility, seniors' home, or alternative seniors' home in the Chaudière-Appalaches or Capitale-Nationale regions of Quebec
  • Aged 60 years or older
  • Able to understand French or English
  • Able to provide informed consent or assent, or have consent provided by a legally authorized representative or person authorized to consent
  • Mild to moderate cognitive impairment or neurocognitive disorder
Show all 10Show fewer
  • Normal or corrected vision and hearing
  • For staff participants:
  • Regularly works with at least one resident participating in Phase 3
  • Has completed the revised virtual reality training provided by Super Splendide and/or Martine Bordeleau

Who cannot join

  • For resident participants:
  • Recurrent migraines
  • Epilepsy
  • Traumatic brain injury during the past year
  • Glaucoma or recovery from eye surgery
  • Diagnosed uncontrolled epilepsy
Show all 11Show fewer
  • Diagnosed severe vertigo
  • Severe hearing impairment without a corrective hearing device
  • Significant visual impairment that would prevent use of a virtual reality headset
  • Motion sickness that would prevent use of a virtual reality headset
  • Any health condition that restricts movement or prevents safe participation, such as a significant reduction in neck or upper-limb range of motion

Trial locations and contacts

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

Martine Bordeleau, PhD contact

581-490-2626

martine.bordeleau@outlook.com

Canada2 sites, 2 recruiting
  • CIUSSS de la Capitale-Nationale

    Québec, Quebec

    Line D'Amours (coordinatrice du CEVQ), 4189067465, line.damours.ciussscn@ssss.gouv.qc.ca

    Recruiting
  • CISSS de Chaudière-Appalaches

    Sainte-Marie, Quebec

    Louis-Frédéric Lessard (conseiller en milieux de vie), 418-387-8181 ext. 48135, Louis-Frederic.Lessard.cisssca@ssss.gouv.qc.ca

    Recruiting

Other trials in Canada

About this study

Official title: Use of Immersive Virtual Reality in Long-Term Care Facilities and Seniors' Homes in Quebec

The goal of this clinical trial is to learn if an immersive virtual reality mindfulness meditation program is feasible and acceptable for older adults living in long-term care settings in Quebec who have mild to moderate neurocognitive disorder. It will also learn about the safety and potential effects of the program on well-being.

The main questions it aims to answer are:

Read more
  • Is the virtual reality mindfulness meditation program feasible and acceptable for residents and staff in long-term care settings?
  • Does the adapted version of the program show potential benefits for well-being, including depression, anxiety, quality of life, mindfulness, pain, and loneliness?
  • What practical challenges, user experiences, and side effects, such as cybersickness, occur during the program?

Researchers will compare the Toujours Dimanche virtual reality mindfulness meditation program designed for older adults with mild to moderate neurocognitive disorder, and standard care alone to see if the adapted program is feasible, acceptable, and potentially helpful.

Participants will:

  • Take part in up to 8 virtual reality mindfulness meditation sessions over 4 weeks, if assigned to a virtual reality group
  • Complete questionnaires before and after the 4-week study period
  • Share feedback about their experience, when possible
  • Be observed by staff or research team members to document feasibility, acceptability, user experience, and safety
Read the detailed description

This pilot feasibility trial will evaluate the use of a mindfulness meditation intervention delivered with or without the Toujours Dimanche immersive virtual reality application in long-term care settings in Quebec. The study will be conducted with older adults living in long-term care facilities, seniors' homes, and alternative seniors' homes in the Chaudière-Appalaches and Capitale-Nationale regions who have mild to moderate cognitive impairment or neurocognitive disorder.

The pilot phase will use a randomized experimental design. The purpose of this phase is to evaluate the feasibility, acceptability, safety, user experience, and preliminary effects of the intervention in real-world long-term care settings. This phase will also help identify practical issues related to time management, human resources, data collection, and intervention delivery before a future larger-scale effectiveness trial.

A total of 24 residents will be recruited. This sample size is based on recommendations for feasibility studies, with 12 participants per group. Staff members who regularly work with participating residents and who have completed virtual reality training will also be recruited. These staff members will deliver the intervention and provide feedback on its feasibility and acceptability.

Residents who meet the inclusion and exclusion criteria will be assigned to one of two groups. Group A will receive standard care and the adapted version of the Toujours Dimanche program, which includes guided mindfulness meditation sessions designed for people with cognitive impairment. Group B will receive standard care for four weeks.

Allocation to the groups will be performed using minimization, a method recognized as an acceptable alternative to randomization when the sample size is small. The allocation procedure will consider sex, gender, and age group. The study coordinator will have access to participants' group allocation. The long-term care team will plan the intervention sessions and inform the study coordinator of the selected dates and times.

Participants in Groups A will be invited to complete 8 mindfulness meditation sessions over 4 consecutive weeks, with approximately 2 sessions per week. Each session will last about 5 to 15 minutes, depending on the participant's preferences, comfort, and tolerance. The sessions will be delivered by trained staff members who know the participating residents well. Sessions will take place in the resident's room. Participants may stop a session at any time.

Data will be collected from residents and staff members when possible. If a resident has difficulty communicating verbally or through gestures, the staff member who knows the resident best may provide responses using observer-rated versions of the questionnaires. Sociodemographic information will be collected at baseline. Feedback on the program will be collected after the 4-week study period from residents, when possible, and from staff members.

Feasibility outcomes will include recruitment, adherence, attrition, intervention completion, and practical challenges encountered during implementation. Acceptability will be assessed from the perspectives of residents and staff using researcher-developed questions, including visual analogue scales and open-ended questions. User experience, perceived presence, potential risks, side effects, and other practical issues will also be documented.

Preliminary clinical outcomes will be assessed before the beginning of the intervention and after the end of the 4-week period. The primary clinical outcomes are depression and anxiety. Quality of life will be assessed as a secondary outcome. Mindfulness, pain, and loneliness will be assessed as tertiary or exploratory outcomes. Measures will be administered in a predefined order, beginning with depression and anxiety, followed by quality of life, and then the exploratory outcomes. If a participant shows signs of excessive fatigue or reduced motivation, data collection may be paused or stopped.

Because the study includes residents with cognitive impairment, consent and assent procedures will be adapted to protect residents' rights, comfort, and dignity. When residents are able to provide informed consent, consent will be obtained directly from them. When needed, consent will be obtained from a legal representative or from a person authorized to consent on behalf of the resident. Resident assent will also be sought verbally or behaviorally before participation. Before each visit, residents will be asked whether they are still interested in participating. If a resident refuses, shows distress, or no longer wishes to participate, study activities will stop.

The purpose of this pilot trial is not to determine definitive effectiveness. Rather, it will assess whether the intervention and study procedures are feasible, acceptable, and safe for older adults with mild to moderate cognitive impairment or neurocognitive disorder living in long-term care settings.

Being tested
Adapted Virtual Reality Mindfulness Meditation Program, Usual Care
Keywords
Virtual Reality, Mindfulness Meditation, Long-Term Care, Older Adults, Cognitive Impairment
Medical subject headings
Cognitive Dysfunction

What participants receive

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

  • Adapted Virtual Reality Mindfulness Meditation ProgramDevice

    Immersive Virtual Reality Mindfulness Meditation

  • Usual CareOther

    Standard Care

Study groups in NCT07658287
Study groupRoleWhat they receive
Adapted Toujours Dimanche Virtual Reality MeditationExperimentalParticipants in this group will receive standard care and the adapted Toujours Dimanche immersive virtual reality program. The intervention includes guided mindfulness meditation sessions designed for older adults with mild to moderate cognitive impairment or neurocognitive disorder. Participants will be invited to complete 8 sessions over 4 consecutive weeks, with approximately 2 sessions per week. Each session will last about 5 to 15 minutes.
Receives: Device: Adapted Virtual Reality Mindfulness Meditation Program; Other: Usual Care
Standard CareActive comparatorParticipants in this group will receive standard care alone for 4 weeks. They will not receive the guided mindfulness meditation intervention or the Toujours Dimanche virtual reality meditation program during the study period.
Receives: Other: Usual Care

What is being measured

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

  1. Recruitment, Retention, Adherence, Blinding, and Safety Feasibility Indicators

    Feasibility will be assessed descriptively using feasibility indicators recommended by Thabane et al. for pilot studies. These indicators will include recruitment feasibility, assessed by the recruitment rate; intervention completion, assessed through adherence to planned sessions and attrition/retention rates; blinding feasibility, assessed through the effectiveness of blinding procedures; potential risks, assessed through the number, type, frequency, and severity of adverse events; and practical implementation challenges requiring modification of the intervention or study procedures. Reference: Thabane L, Ma J, Chu R, et al. A tutorial on pilot studies: the what, why and how. BMC Medical Research Methodology. 2010;10(1):1-10.

    Measured: Up to 4 weeks

  2. Acceptability of the Intervention

    Acceptability will be assessed from the perspectives of residents and staff using a researcher-developed acceptability questionnaire designed specifically for this study. The questionnaire includes 1-to-7 visual analogue scales and open-ended questions about the virtual reality mindfulness meditation program. For the 1-to-7 scales, the minimum value is 1 and the maximum value is 7, with higher scores indicating greater acceptability of the intervention. Open-ended responses will be summarized descriptively to document participants' and staff members' perceptions, comments, and suggestions.

    Measured: At 4 weeks

  3. Change in Depression Symptoms

    Depression symptoms will be assessed using the Patient Health Questionnaire-9 (PHQ-9), completed by the resident when possible and/or by a staff member using an observer-rated version. Total scores range from 0 to 27. Higher scores indicate greater depression symptom severity.

    Measured: Baseline and 4 weeks

  4. Change in Anxiety Symptoms

    Anxiety symptoms will be assessed using the Generalized Anxiety Disorder-7 item scale (GAD-7), completed by the resident when possible and/or by a staff member using an observer-rated version. Total scores range from 0 to 21. Higher scores indicate greater anxiety symptom severit

    Measured: Baseline and 4 weeks

Secondary outcomes (1)
  1. Change in Quality of Life

    Quality of life will be assessed using the Quality of Life in Alzheimer's Disease Scale Nursing Home version (QoL-AD-NH), completed by the resident when possible and/or by a caregiver proxy. The QoL-AD-NH includes 13 items assessing key life domains, such as physical health, mood, memory, relationships, and finances. Each item is scored on a 4-point scale: 1 = poor, 2 = fair, 3 = good, and 4 = excellent. Total scores range from 13 to 52, with higher scores indicating better quality of life. Scores from 40 to 52 indicate high quality of life, scores from 27 to 39 indicate moderate quality of life, and scores from 13 to 26 indicate low quality of life.

    Measured: Baseline and 4 weeks

Timeline

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

  1. First posted18 Jun 2026
  2. Study start14 Sep 2026 (estimated)
  3. Primary completion15 Jun 2027 (estimated)
  4. Study completion15 Jun 2027 (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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be allocated to one of three parallel groups for a 4-week study period: standard care with the adapted Toujours Dimanche immersive virtual reality mindfulness meditation program, or standard care alone. Participants will remain in their assigned group throughout the study.
Masking
None (open label)
Enrolment
24 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07658287
Sponsor's protocol ID
MP-23-2024-1086
Acronym
VR-LTC
Status last verified
Sep 2026
First submitted
1 Jun 2026
Last updated
10 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Adapted Virtual Reality Mindfulness Meditation Program in people with Cognitive Impairment and Long-term Care Centres for Old Adults Users, run by Laval University at 2 sites in Canada.

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 10 inclusion and 11 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 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Canada. 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 Martine Bordeleau, PhD (581-490-2626, martine.bordeleau@outlook.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment, Retention, Adherence, Blinding, and Safety Feasibility Indicators (time frame: Up to 4 weeks). The study lists 4 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 10 Sep 2026.

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