NCT07620639

Brief Summary

The objective of the study is to evaluate whether a virtual reality (VR) based intervention combining binaural beats, photic stimulation, and real-time biofeedback reduces stress and improves physiological markers compared to non-VR interventions and usual care in patients that go to cardiology clinic.

Trial Health

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Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
24mo left

Started Oct 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

May 26, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 2, 2026

Completed
4 months until next milestone

Study Start

First participant enrolled

October 1, 2026

Expected
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2028

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2028

Last Updated

June 2, 2026

Status Verified

May 1, 2026

Enrollment Period

2 years

First QC Date

May 26, 2026

Last Update Submit

May 26, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Self-Reported Stress

    Change in self-reported perceived stress using a validated stress assessment tool PSS-10 (Perceived Stress Scale). This scale is a widely used 10-item questionnaire that measures the degree to which situations in life are appraised as stressful over the past month. It evaluates how unpredictable, uncontrollable, and overloaded respondents find their lives over the previous month, with scores from 0-40 (higher = more stress).

    Baseline (Day 1), mid-intervention session (Day 1), and immediately after intervention session (Day 1)

Secondary Outcomes (3)

  • Change in Heart Rate Variability (HRV)

    Baseline (Day 1), mid-intervention session (Day 1), and immediately after intervention session (Day 1)

  • Change in Galvanic Skin Response (GSR)

    Baseline (Day 1), mid-intervention session (Day 1), and immediately after intervention session (Day 1)

  • Change in Electroencephalogram (EEG)-Derived Neural Activity

    Baseline (Day 1), mid-intervention session (Day 1), and immediately after intervention session (Day 1)

Study Arms (4)

Virtual Reality Relaxation Group

EXPERIMENTAL

Participants assigned to this arm will complete one relaxation session during a single cardiology clinic visit. The session will last approximately 8-12 minutes, with one-time exposure only. Total participation time is approximately 30 minutes

Behavioral: Virtual Reality Relaxation

Video Meditation Group

EXPERIMENTAL

Participants assigned to this arm will complete one guided meditation session during a single cardiology clinic visit. The session will last approximately 8-12 minutes, with a one-time exposure. Total participation time is approximately 30 minutes

Behavioral: Video Meditation

Live Guided Relaxation Group

EXPERIMENTAL

Participants assigned to this arm will complete one live relaxation session during a single clinic visit. The session lasts approximately 8-12 minutes, with one-time exposure only. Total participation time is approximately 30 minutes.

Behavioral: Live Guided

Quiet Waiting Group

NO INTERVENTION

Participants assigned to this arm will remain seated quietly in the clinic room without exposure to any active intervention during a single clinic visit. Total participation time is approximately 30 minutes.

Interventions

Participants will wear a virtual reality headset delivering a guided relaxation experience. The VR program includes: immersive visual environments designed to induce calmness, binaural audio beats engineered to promote relaxation, and photic (light) stimulation synchronized with audio and breath cues. The intervention is designed to support autonomic down-regulation and enhance the participant's relaxation response.

Virtual Reality Relaxation Group

Participants will view a guided meditation video displayed on a screen. The video includes: soothing visual imagery, gentle narration guiding breath and awareness, calming background music. This intervention is intended to facilitate psychological relaxation through traditional audiovisual meditation techniques.

Video Meditation Group
Live GuidedBEHAVIORAL

Participants will receive a live, instructor-led relaxation session conducted by a trained study team member. The facilitator will guide the participant through: controlled breathing exercises, progressive muscle relaxation, calming verbal prompts, and mindfulness-based awareness techniques. The goal is to induce relaxation through direct interpersonal guidance.

Live Guided Relaxation Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 and older
  • Able to provide informed consent (English only for pilot)
  • Chronic Selective Serotonin Reuptake Inhibitors/ Serotonin-norepinephrine reuptake inhibitors (SSRI/SNRI) or Attention Deficit/ Hyperactivity Disorder (ADHD) meds allowed (recorded)
  • Normal vision and hearing
  • Stable vitals (HR 55-100 bpm, Systolic Blood Pressure (SBP) 90-160mmHg (millimeters of mercury, afebrile)
  • Willing to abstain 6 hours pre-session from caffeine, nicotine, heavy exercise
  • Willing to tolerate electroencephalogram (EEG) headband, Galvanic Skin Response (GSR) electrodes are small sensors placed on the skin (usually fingers or palm) and virtual reality (VR) headset

You may not qualify if:

  • History of seizure disorder or photosensitive epilepsy
  • Migraine with visual aura
  • Retinal disease sensitive to flicker
  • Unstable cardiac disease
  • Dysautonomia
  • Recent sedative use (benzodiazepines, opioids)
  • Beta blocker dose changes within last 7 days
  • Alcohol or recreational drugs within 12 hours
  • Active panic disorder
  • Severe motion sickness
  • Scalp conditions preventing EEG contact
  • Severe visual or hearing impairment Cognitive impairment
  • Non-English speakers (pilot in English only)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Miami

Miami, Florida, 33136, United States

Location

Study Officials

  • Claudia Martinez, MD

    University of Miami

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Priscilla Valls

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
Professor of Clinical Medicine

Study Record Dates

First Submitted

May 26, 2026

First Posted

June 2, 2026

Study Start (Estimated)

October 1, 2026

Primary Completion (Estimated)

October 1, 2028

Study Completion (Estimated)

October 1, 2028

Last Updated

June 2, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations