NCT07473765

Brief Summary

Virtual Reality (VR) is gaining traction as a new and innovative leisure to augment healthcare services. Several benefits of the leisure experience, such as distraction and full sensory immersion, have demonstrated a potential to significantly impact the field of healthcare through pain reduction, anxiety reduction, and is seen as an innovative approach to motor learning. Persons with ALS (pwALS) have a high prevalence of anxiety over the course of their illness, which has a negative impact on their quality of life, and the quality of life of those closest to them. The use of VR for anxiety management and subsequent quality of life improvement has yet to be explored in the ALS population. For individuals with ALS, VR can be both (1) an escape from the reality of living day to day with a progressive fatal diagnosis; and (2) the opportunity to potentially improve anxiety, both of which are linked to the quality of life of individuals living with ALS. Our hypothesis is that a simple and accessible home VR-guided relaxation exercise program can improve subjective anxiety symptoms in a person living with ALS and subsequently improve quality of life.

Trial Health

65
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
13mo left

Started Apr 2026

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress11%
Apr 2026Jun 2027

First Submitted

Initial submission to the registry

March 11, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 16, 2026

Completed
16 days until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2027

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Last Updated

March 16, 2026

Status Verified

March 1, 2026

Enrollment Period

12 months

First QC Date

March 11, 2026

Last Update Submit

March 11, 2026

Conditions

Keywords

Amyotrophic Lateral Sclerosis (ALS)Virtual RealityAnxiety Management

Outcome Measures

Primary Outcomes (1)

  • State Trait Inventory for Cognitive and Somatic Anxiety (STICSA)

    The STICSA is a self-report questionnaire consisting of 42-items rated on a 4-point Likert scale from 1 (Almost never or Not at all) to 4 (Almost always or Very much so), where 21 items are rating how you feel in the present moment, and the same 21 items are rated based on how you feel in general

    At baseline and repeated at 4 weeks, 8 weeks and 12 weeks.

Secondary Outcomes (3)

  • ALS Functional Rating Scale - Revised (ALSFRS-R)

    Baseline and 12 weeks.

  • ALS-Specific Quality of Life Short Form (ALSSQOL-SF)

    Baseline, 4 weeks, 8 weeks and 12 weeks.

  • Patient Global Impression of Improvement Scale (PGI-I)

    Completed at 12 week assessment only.

Study Arms (2)

Virtual Reality relaxation therapy

EXPERIMENTAL

Home-based relaxation therapy using a Virtual Reality system with a via guided breathing exercise application.

Behavioral: Virtual Reality Guided Breathing Exercise

Control Group

NO INTERVENTION

Persons with ALS will be monitored with the same outcome measures as the intervention group, but no intervention will be provided.

Interventions

Home-based guided breathing exercise using a virtual reality system application.

Virtual Reality relaxation therapy

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with ALS (gold coast or El-Escorial), or ALS variants of flail limb, progressive muscle atrophy, UMN or LMN predominant
  • Able to use VR device with no negative effects (i.e. headaches, vision changes, dizziness, nausea, disorientation)

You may not qualify if:

  • \- Cognitive impairment that impacts ability to participate fully in assessments

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Amyotrophic Lateral Sclerosis

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesMotor Neuron DiseaseNeurodegenerative DiseasesTDP-43 ProteinopathiesNeuromuscular DiseasesProteostasis DeficienciesMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Colleen O'Connell, MD FRCPC

    Horizon Health Network

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Shane A McCullum, MScPT

CONTACT

Maia Reynolds, Bachelor of Engineering

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Research Manager

Study Record Dates

First Submitted

March 11, 2026

First Posted

March 16, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

June 30, 2027

Last Updated

March 16, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share