Virtual-reality nature immersion for adults in outpatient alcohol treatment.
Official title: Virtual Reality Nature Immersion to Reduce Depression in People Engaged in Intensive Outpatient Alcohol Treatment
Run by University of Michigan · NCT07413458 · Data updated 2026-11-12
This pilot will try immersive virtual-reality nature sessions to see if they help adults with alcohol use disorder and moderate-or-worse depression symptoms who are enrolled in an intensive outpatient program.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University of Michigan Academic / other |
| Locations | 1 site (Ann Arbor, Michigan) |
| Status | Recruiting |
| Started | February 16, 2026 |
| Main results expected | February 2028 |
| Study ends | February 2028 |
| Registry record updated | March 27, 2026 |
| Trial ID | NCT07413458 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a documented alcohol use disorder who are enrolled in or planning to enroll in the UMATS intensive outpatient program and who have a PHQ-9 score of 10 or higher, and who can tolerate VR (no seizure disorder, severe motion sickness, or disqualifying psychiatric/cognitive conditions).
✕Probably not a fit
People with seizure disorders, severe VR-induced nausea/dizziness, vestibular disorders, psychosis, significant cognitive impairment, active suicidal plan, or who require strong prescription glasses that prevent safe VR use are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a pilot randomized clinical trial comparing immersive virtual-reality (VR) nature sessions plus standard intensive outpatient program (IOP) care versus standard care alone for adults with alcohol use disorder and at least moderate depressive symptoms. Participants recruited from the University of Michigan Addiction Treatment Services (UMATS) IOP will be randomized to receive repeated VR nature exposures during their IOP enrollment and will complete surveys measuring depression, anxiety, stress, acceptability, and feasibility. Key exclusions include seizure disorders, severe motion sickness or vestibular conditions, psychosis, significant cognitive impairment, active suicidal plan, or inability to use the VR headset due to vision correction needs. The study will collect preliminary effectiveness and implementation data to inform larger trials and is conducted in-person at the University of Michigan, Ann Arbor.
Why it matters
Potential benefit: If successful, this approach could offer a tolerable, nonpharmacologic adjunct to reduce depression, anxiety, and stress during outpatient treatment for alcohol use disorder.
How similar studies have gone: Small prior studies of VR nature exposure have shown reductions in stress and mood symptoms, but using immersive VR specifically within IOP care for alcohol use disorder is novel and not yet proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 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) Exclusion Criteria: * 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.
Where it's running
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University of Michigan
Ann Arbor, Michigan, United States Recruiting
Study contacts
- Principal investigator: Hala Darwish, PhD — University of Michigan
- Study coordinator: Zee Petrie
- Email: petrieli@med.umich.edu
- Phone: 734-647-3357
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.