Using virtual reality (VR) to reduce fear of heights

ISRCTN ISRCTN11898283
DOI https://doi.org/10.1186/ISRCTN11898283
Secondary identifying numbers R52909/RE001
Submission date
01/10/2017
Registration date
04/10/2017
Last edited
17/07/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Cognitive behavioural therapy (CBT) or exposure therapy delivered by virtual reality (VR) has been shown in a number of studies to be a safe and effective way of reducing anxieties. A state-of-the-art VR cognitive behavioural treatment has been developed for fear of heights that is automated, engaging, and deliverable via the latest consumer equipment. The aim of this study is to test whether the VR treatment reduces fear of heights at the end of treatment, and whether the treatment gains are maintained at follow-up.

Who can participate?
People aged over 18 who report a fear of heights

What does the study involve?
Participants are randomly allocated to receive the VR treatment or no treatment. The VR treatment is provided in six sessions over about a fortnight. Fear of heights is assessed using questionnaires at the start of the study, after treatment, and two weeks after the end of treatment.

What are the possible benefits and risks of participating?
The potential benefits for participants are a reduction in their fear of heights. There are unlikely to be any risks in participating although sometimes people get short-term motion sickness with VR (though this has not been found to occur with this VR set-up).

Where is the study run from?
University of Oxford (UK)

When is the study starting and how long is it expected to run for?
May 2017 to May 2018

Who is funding the study?
Oxford VR/Nowican (UK)

Who is the main contact?
1. Polly Haselton
phaselton@oxfordvr.org
2. Prof. Daniel Freeman

Contact information

Ms Polly Haselton
Public

King Charles House
Park End Street
Oxford
OX1 1JD
United Kingdom

Phone +44 (0)7388 872 383
Email phaselton@oxfordvr.org
Prof Daniel Freeman
Scientific

Department of Psychiatry
Warneford Hospital
University of Oxford
Oxford
OX3 7JX
United Kingdom

Study information

Study designParallel-group randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleUsing virtual reality (VR) to reduce fear of heights: a parallel-group, randomised controlled trial of a virtual reality cognitive behavioural therapy based programme for fear of heights
Study hypothesisThe primary hypothesis is that the VR treatment, compared to a non-intervention control group, will reduce fear of heights at the end of treatment.
The secondary hypothesis is that the treatment gains will be maintained at follow-up.
Ethics approval(s)University of Oxford Medical Sciences Inter-Divisional Research Ethics Committee, ref: R52909/RE001
ConditionFear of heights
InterventionParticipants will be randomly allocated, stratified by fear of height severity and using randomised permuted blocks, to VR treatment or control (no treatment). The VR cognitive behavioural treatment for fear of heights is automated and is delivered in six sessions, typically lasting 20-30 minutes, over approximately a fortnight.

The outcomes are self-report assessments of fear of heights, with neither participant nor researcher blind to randomisation allocation, conducted at 0, 2 (post-treatment), and 4 weeks (a fortnight after treatment ends).

Updated 18/10/2017:
The outcomes are self-report assessments of fear of heights, with the researcher administrating the assessments blind to randomisation allocation, conducted at 0, 2 (post-treatment), and 4 weeks (a fortnight after treatment ends).
Intervention typeBehavioural
Primary outcome measureFear of heights, assessed using the Heights Interpretation Questionnaire (Steinman and Teachman, 2011) at 0, 2 (post-treatment), and 4 weeks (a fortnight after treatment ends)
Secondary outcome measuresFear of heights, assessed using the Acrophobia Questionnaire (AQ) (Cohen, 1977); Phobia Avoidance item 3 (IAPT, 2008) at 0, 2 (post-treatment), and 4 weeks (a fortnight after treatment ends)
Overall study start date01/05/2017
Overall study end date01/05/2018

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants100
Participant inclusion criteria1. Adults (18+ years old)
2. Fear of heights (Heights Interpretation Questionnaire score of 30 or greater)
Participant exclusion criteria1. Current psychological treatment for fear of heights
2. Unable to travel to research appointments
3. Photosensitive epilepsy
4. Lack of stereoscopic vision or balance problems
Recruitment start date01/11/2017
Recruitment end date27/02/2018

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Oxford VR/Nowican
King Charles House
Park End Street
Oxford
OX1 1JD
United Kingdom

Sponsor information

University of Oxford
University/education

Clinical Trials Research Governance
Joint Research Office
Block 60
Churchill Hospital
Oxford
OX3 7LE
England
United Kingdom

ROR logo "ROR" https://ror.org/052gg0110

Funders

Funder type

Industry

Oxford VR/Nowican

No information available

Results and Publications

Intention to publish date01/05/2018
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planSubmission of a paper to a peer-reviewed psychiatric/mental health journal in May 2018.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available. The data will be held by Oxford VR.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/08/2018 Yes No

Editorial Notes

17/07/2018: Publication reference added.
19/03/2018: The following changes were made to the trial record:
1. The recruitment end date was changed from 01/02/2018 to 27/02/2018.
2. The overall trial end date and intention to publish date were changed from 01/04/2018 to 01/05/2018.
18/10/2017: Interventions field updated.