Ignite Creation Date:
2025-12-25 @ 3:46 AM
Ignite Modification Date:
2025-12-26 @ 2:33 AM
Study NCT ID:
NCT05909202
Status:
RECRUITING
Last Update Posted:
2025-12-24
First Post:
2023-06-16
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
A Nature-Based Virtual Reality (VR) Intervention in Family Caregivers of Allogeneic Hematopoietic Stem Cell Transplant (HSCT) Recipients
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D009369', 'term': 'Neoplasms'}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'SUPPORTIVE_CARE', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 218}}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2024-06-05', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-12-11', 'completionDateStruct': {'date': '2029-09-01', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-23', 'studyFirstSubmitDate': '2023-06-16', 'studyFirstSubmitQcDate': '2023-06-16', 'lastUpdatePostDateStruct': {'date': '2025-12-24', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2023-06-18', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2027-09-01', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Changes in perceived stress', 'timeFrame': '4 weeks', 'description': 'The outcome will be used to assess the effects of the Active VR compared to the Sham VR.'}], 'secondaryOutcomes': [{'measure': 'Changes in symptoms (fatigue, sleep disturbance, depression, anxiety, cognitive impairment), acceptability (satisfaction, usability), acceptability (safety) (Cross) (Cross) (Cross)', 'timeFrame': '4 weeks', 'description': 'The outcome will be used to assess the effects of the Active VR compared to the Sham VR.'}]}, 'oversightModule': {'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Hematopoietic Stem Cell Transplantation', 'Biobehavioral', 'Nature', 'Virtual Reality', 'Stress'], 'conditions': ['Neoplasm', 'Caregivers']}, 'referencesModule': {'references': [{'pmid': '38516258', 'type': 'DERIVED', 'citation': 'Lee LJ, Son EH, Farmer N, Gerrard C, Tuason RT, Yang L, Kohn-Godbout J, Stephens C, Nahm ES, Smith L, Risch S, Wallen GR. Nature-based virtual reality intervention to manage stress in family caregivers of allogeneic hematopoietic stem cell transplant recipients: a two-phase pilot study protocol. Front Psychiatry. 2024 Mar 7;15:1295097. doi: 10.3389/fpsyt.2024.1295097. eCollection 2024.'}], 'seeAlsoLinks': [{'url': 'https://clinicalstudies.info.nih.gov/cgi/detail.cgi?A_001636-CC.html', 'label': 'NIH Clinical Center Detailed Web Page'}]}, 'descriptionModule': {'briefSummary': 'Background:\n\nPeople who receive an allogeneic hematopoietic stem cell transplant (HSCT) require long-term care at home afterwards. Their caregivers often experience high levels of stress, which can lead to symptoms such as depression, anxiety, poor sleep, fatigue, and difficulties with concentration and memory.\n\nObjective: To explore whether a nature-based immersive virtual reality (VR) program helps reduce stress in people who care for HSCT patients.\n\nEligibility:\n\nPeople aged 18 and older who are primary caregivers of HSCT patients.\n\nDesign:\n\nThis is a two-phase study. Participants will be enrolled for 4 weeks. They will have 2 clinic visits.\n\nParticipants will have a physical exam at the beginning of the study. They will be asked to provide a saliva sample in Phase 1, and saliva and blood samples in Phase 2.\n\nParticipants will be given a VR headset. This is a device that looks like a pair of goggles worn over the eyes. They will be asked to wear the headset for 20 minutes per day. They will see 360 (Infinite) high-definition videos of nature and hear nature sounds.\n\nParticipants will record the time they spend using the VR headset in a daily diary. They will take surveys with questions about any stress and symptoms they feel once a week. This will take up to 5 minutes. Participants will have a short regular follow-up visit by phone one week after starting their participation.\n\nAt the end of the intervention study, participants will return for another physical exam. They will give saliva and/or blood samples again.\n\nResearchers will also look at the medical records of the HSCT patients; the HSCT patients must consent to this....', 'detailedDescription': 'Study Description:\n\nThis is an interventional protocol to decrease stress and symptoms with a four-week nature-based VR intervention in family caregivers of allogeneic HSCT recipients. This study is a two-phase study: Phase I will be a single-arm pre-post design focused on assessing the feasibility and acceptability of the four-week nature-based immersive VR program. Phase II will be a prospective randomized controlled group design to examine the effectiveness of the four-week nature-based immersive VR program (Active VR) on stress and symptoms compared to a four-week nature-based non-immersive VR program (Sham VR) in the target population.\n\nObjectives:\n\nPhase I\n\nPrimary Objective: To evaluate the feasibility and acceptability of the nature-based immersive VR program in HSCT caregivers.\n\nSecondary Objectives: To examine the level of perceived restorativeness, perceived stress, and symptoms (fatigue, sleep disturbance, depression, anxiety, cognitive impairment) in HSCT caregivers participating in the nature-based immersive VR program.\n\nExploratory Objectives: To examine relationships among variables including but not limited to perceived stress, symptoms, HSCT caregiver characteristics, HSCT recipient characteristics, and biomarkers.\n\nPhase II\n\nPrimary Objective: To examine whether HSCT caregivers participating in Active VR demonstrate improved levels of perceived stress compared to those participating in Sham VR.\n\nSecondary Objectives:\n\n1. To examine whether HSCT caregivers participating in Active VR demonstrate improved levels of symptoms (fatigue, sleep disturbance, depression, anxiety, cognitive impairment) compared to those participating in Sham VR.\n2. To examine the acceptability of Active and Sham VR programs in HSCT caregivers.\n\nExploratory Objectives: To examine relationships among variables including but not limited to perceived stress, symptoms, HSCT caregiver characteristics, HSCT recipient characteristics, and biomarkers.\n\nEndpoints: Phase I\n\nPrimary Endpoints: Feasibility (recruitment, retention, and adherence rates) and acceptability (satisfaction, usability) measured at Time 4 (Day 28); acceptability (safety) from Time 0 (Baseline; Day 0) to Time 4\n\nSecondary Endpoints: Perceived restorativeness measured at Time 4; changes in perceived stress from Time 0 to Time 4; changes in symptoms (fatigue, sleep disturbance, depression, anxiety, cognitive impairment) from Time 0 to Time 4\n\nPhase II\n\nPrimary Endpoint: Changes in perceived stress from Time 0 to Time 4\n\nSecondary Endpoints: Changes in symptoms (fatigue, sleep disturbance, depression, anxiety, cognitive impairment) from Time 0 to Time 4; acceptability (satisfaction, usability) measured at Time 4; acceptability (safety) from Time 0 to Time 4'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '100 Years', 'minimumAge': '18 Years', 'healthyVolunteers': True, 'eligibilityCriteria': '* INCLUSION CRITERIA:\n\nCaregiver subjects\n\nIn order to be eligible to participate in this study, an individual must meet all of the following criteria:\n\n1. Ability to understand and the willingness to sign a written informed consent document.\n2. Age 18 years and older.\n3. Serving as a primary caregiver\\* for an adult patient (18 years and older) planning to undergo their 1st allogeneic HSCT at the NIH Clinical Center during the four-week study period.\n4. Ability to read, speak and understand English.\n5. Access to necessary resources for participating in online survey (i.e., computer, laptop, tablet, smartphone, internet access).\n\n * If more than one caregiver is planned for the transplant recipient during the transplant phase, only one primary caregiver will be eligible to participate in the study. A primary caregiver is defined as someone who lives with or provides care regularly for the HSCT recipient during the 4-week study period. Caregivers will be categorized as to whether they are the sole caregiver versus one of the multiple caregivers.\n\nHSCT recipient subjects\n\nIn order to be eligible to participate in this study, an individual must meet all of the following criteria:\n\n1. Ability to understand and the willingness to sign a written informed consent document.\n2. Age 18 years and older.\n3. Planning to undergo their 1st allogeneic HSCT at the NIH Clinical Center during the four-week study period.\n4. Ability to read, speak and understand English\n\nEXCLUSION CRITERIA:\n\nCaregiver subjects\n\nAn individual who meets any of the following criteria will be excluded from participation in this study:\n\n1. Serving as a paid caregiver for the patient.\n2. Not agreeing to follow the study procedures.\n3. Recent use of immersive VR programs for stress relief and/or entertainment (more than 2 days/week within the past 3 months). \\*\n4. Participation in another stress-reduction type interventional study within the past 3 months.\n5. Having a medical condition that is prone to frequent nausea or dizziness.\n6. Current or past history of seizure, chronic migraines, epilepsy, claustrophobia, panic disorder, post-traumatic stress disorder, generalized anxiety disorder, major depressive disorder or other known severe neurological or mental health disorders.\n7. Being sensitive to flashing light or motion.\n8. Having a balance disorder such as vertigo and cybersickness.\n9. Having another medical condition or injury that may prevent use of VR headset and/or VR software (e.g., visual or hearing problems, open sores, wounds, skin rash on face, or active infection).\n10. Self-reported diagnosis of Opioid, Cocaine and/or Cannabis use disorder in the past year.\n\n * In Phase II, if a participant from Sham VR group personally uses immersive VR programs for stress relief and/or entertainment (more than 2 days/week) during the study period, the participant will be no longer eligible.\n\nHSCT recipient subjects:\n\n1\\. Not agreeing to follow the study procedures.'}, 'identificationModule': {'nctId': 'NCT05909202', 'briefTitle': 'A Nature-Based Virtual Reality (VR) Intervention in Family Caregivers of Allogeneic Hematopoietic Stem Cell Transplant (HSCT) Recipients', 'organization': {'class': 'NIH', 'fullName': 'National Institutes of Health Clinical Center (CC)'}, 'officialTitle': 'A Pilot Study of a Nature-Based Virtual Reality (VR) Intervention in Family Caregivers of Allogeneic Hematopoietic Stem Cell Transplant (HSCT) Recipients', 'orgStudyIdInfo': {'id': '10001636'}, 'secondaryIdInfos': [{'id': '001636-CC'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Active VR Group', 'description': 'Nature-based immersive VR program, completion of questionnaires, and saliva and blood sample submission.', 'interventionNames': ['Device: Active VR']}, {'type': 'SHAM_COMPARATOR', 'label': 'Sham VR Group', 'description': 'Nature-based non-immersive VR program, completion of questionnaires, and saliva and blood sample submission.', 'interventionNames': ['Device: Sham VR']}], 'interventions': [{'name': 'Sham VR', 'type': 'DEVICE', 'description': 'Nature-based non-immersive VR program', 'armGroupLabels': ['Sham VR Group']}, {'name': 'Active VR', 'type': 'DEVICE', 'description': 'Nature-based immersive VR program', 'armGroupLabels': ['Active VR Group']}]}, 'contactsLocationsModule': {'locations': [{'zip': '20892', 'city': 'Bethesda', 'state': 'Maryland', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'NIH Clinical Center Office of Patient Recruitment (OPR)', 'role': 'CONTACT', 'email': 'ccopr@nih.gov', 'phone': '800-411-1222', 'phoneExt': 'TTY dial 711'}], 'facility': 'National Institutes of Health Clinical Center', 'geoPoint': {'lat': 38.98067, 'lon': -77.10026}}], 'centralContacts': [{'name': 'Chantal M Gerrard', 'role': 'CONTACT', 'email': 'chantal.gerrard@nih.gov', 'phone': '(202) 839-7356'}, {'name': 'Lena J Lee, Ph.D.', 'role': 'CONTACT', 'email': 'jumin.park@nih.gov', 'phone': '(301) 451-1266'}], 'overallOfficials': [{'name': 'Lena J Lee, Ph.D.', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'National Institutes of Health Clinical Center (CC)'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Institutes of Health Clinical Center (CC)', 'class': 'NIH'}, 'responsibleParty': {'type': 'SPONSOR'}}}}