Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06740487

Advanced Wireless Augmented Reality-Enhanced Exposure Therapy for Posttraumatic Stress Disorder

Led by Wayne State University · Updated on 2026-01-29

40

Participants Needed

1

Research Sites

30 weeks

Total Duration

On this page

Sponsors

W

Wayne State University

Lead Sponsor

R

Ralph H. Johnson VA Medical Center

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate how augmented reality exposure therapy (ARET) might enhance traditional exposure therapy (ET) for U.S. military personnel diagnosed with post-traumatic stress disorder (PTSD). The study focuses on comparing clinical and psychosocial outcomes as well as treatment acceptance and satisfaction between veterans and active-duty members who receive ARET combined with traditional ET versus those who receive traditional ET alone. The trial involves 40 adult participants, both male and female, all with a current PTSD diagnosis and military service history. Participants will be randomly assigned to one of two groups: one group will receive 10 sessions of traditional ET over 5 to 10 weeks, delivered in 60-minute sessions two to three times per week; the other group will receive 10 sessions of in-person ARET plus traditional ET as needed. The ARET group wears augmented reality goggles during therapy, engaging with virtual social scenarios like crowded gatherings and grocery stores, while therapists guide exposure using the ExpandXR system. Patients who meet specific improvement criteria after ARET may end treatment early, while others continue with additional traditional ET sessions. Both groups are encouraged to practice real-life exposure assignments between sessions. Throughout the trial, participants will attend therapy sessions and be assessed using various measures, including the Clinician Administered PTSD Scale-5 Revised (CAPS-5 R), PTSD Checklist (PCL5), Liebowitz Social Anxiety Scale, and other questionnaires evaluating social functioning and avoidance behaviors. The study tracks symptom changes immediately after treatment, and at 3 and 6 months post-treatment. Researchers will monitor treatment adherence, participant distress levels during exposure, and overall treatment satisfaction. The entire participation period spans the duration of the therapy sessions and follow-up assessments.

CONDITIONS

Brief Title

Advanced Wireless Augmented Reality-Enhanced Exposure Therapy for Posttraumatic Stress Disorder

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult male or female over the age of 18 who has served or is currently serving in the military
  • Current diagnosis of PTSD confirmed by Clinician Administered PTSD Scale for DSM-5 (CAPS-5) interview
Not Eligible

You will not qualify if you...

  • Active psychosis or dementia at screening
  • Suicidal ideation with clear intent
  • Concurrent enrollment in another clinical trial for PTSD or depression
  • Substance use disorders
  • Visual impairments preventing use of augmented reality goggles unless correctable with contact lenses or with vision correction no stronger than -2.00 diopters

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or via telephone)

Treatment

Duration - 5 to 20 weeks depending on response to treatment

Participants receive 10 sessions of exposure therapy over 5 to 10 weeks, with 2 to 3 sessions per week and weekends off. One group receives traditional exposure therapy alone, and the other group receives augmented reality-enhanced exposure therapy (ARET). Participants in the ARET group wear augmented reality goggles during sessions and engage in interactive scenarios. Those in the ARET group who do not show sufficient improvement after 10 sessions continue with 10 additional sessions of traditional exposure therapy.

2 to 3 sessions per week (in-person or via home telehealth), up to 20 sessions

Follow-up

Duration - 6 months post treatment

Participants are assessed for changes in PTSD symptoms and social functioning at 3 and 6 months after completing their treatment sessions.

2 follow-up visits (in-person or remote) at 3 and 6 months after last treatment session

Trial Site Locations

Total: 1 location

1

Ralph H. Johnson VA Health Care System

Charleston, South Carolina, United States, 29403

Actively Recruiting

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Research Team

A

Arash Javanbakht, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

The prevalence of posttraumatic stress disorder in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans: a meta-analysis.

Jessica J Fulton, Patrick S Calhoun, H Ryan Wagner...

https://pubmed.ncbi.nlm.nih.gov/25768399

Documented combat exposure of US veterans seeking treatment for combat-related post-traumatic stress disorder.

B Christopher Frueh, Jon D Elhai, Anouk L Grubaugh...

https://pubmed.ncbi.nlm.nih.gov/15928355

Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan.

Charles W Hoge, Jennifer L Auchterlonie, Charles S Milliken

https://pubmed.ncbi.nlm.nih.gov/16507803

Treatment initiation and dropout from prolonged exposure and cognitive processing therapy in a VA outpatient clinic.

Shannon M Kehle-Forbes, Laura A Meis, Michele R Spoont...

https://pubmed.ncbi.nlm.nih.gov/26121175

Real-life contextualization of exposure therapy using augmented reality: A pilot clinical trial of a novel treatment method.

Arash Javanbakht, Shantanu Madaboosi, Lana Ruvolo Grasser

https://pubmed.ncbi.nlm.nih.gov/34672925