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Virtual Reality Exposure for Public Speaking Anxiety

Virtual Reality Based Cognitive Behavioral Therapy for Public Speaking Anxiety

Status
Terminated
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06214039
Acronym
VRanx
Enrollment
37
Registered
2024-01-19
Start date
2024-02-14
Completion date
2026-04-01
Last updated
2026-07-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Public Speaking Anxiety

Keywords

public speaking anxiety, virtual reality, social anxiety, psychological intervention, exposure

Brief summary

This study aims to examine the efficacy of exposure using virtual reality (VR) for public speaking anxiety in young adults in two treatment arms: a one-session VR exposure therapy with a 4-week online transition intervention versus a three-session VR exposure therapy with a 4-week online transition intervention. Previous studies have demonstrated that one-session therapy (OST) is comparable to prolonged exposure-based therapies in terms of effectively reducing public speaking anxiety. Moreover, VR offers many benefits compared to in-person exposure, namely the ability to produce anxiety-evoking stimuli without having to leave the therapist's room. However, OST VR exposure has not been directly compared to prolonged VR exposure and not for public speaking anxiety.

Interventions

BEHAVIORALExposure in virtual reality and text based cognitive behavioral therapy (CBT) for public speaking anxiety

A 3-hour one session exposure therapy for public speaking anxiety

Sponsors

Vilnius University
Lead SponsorOTHER
Linkoeping University
CollaboratorOTHER_GOV
Stockholm University
CollaboratorOTHER
Thomas More University of Applied Sciences
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* aged 18-30 and pursuing higher education; * experiencing a significant level of public speaking anxiety (60+ on PSAS); * able to use a computer and have access to the internet for the duration of the study; * able to understand, write and speak in Lithuanian; * available to participate in one or three in-person intervention sessions and can devote the time to participate in a 4-week online program following the intervention sessions.

Exclusion criteria

* a history of seizures or a history of epilepsy; * other significant medical conditions that would prevent them from participating in the program; * high levels of depression (Patient Health Questionnaire-9 rating of 15 and above and mentions of suicidal ideation) or other significant psychiatric conditions that would interfere with participation in the program; * a tendency to have extreme seasickness reactions or a history of adverse physical reactions to virtual reality experiences or difficulty with or lack of stereoscopic vision; * current involvement in other psychological interventions such as psychological counseling or psychotherapy; * use of psychoactive drugs, unless stable for three months; * current participation in other programs aimed at reducing public speaking anxiety.

Design outcomes

Primary

MeasureTime frameDescription
Public Speaking Anxiety Scale (PSAS).Pre-treatment, mid-treatment, immediately after the intervention, 3 and 12 months post-treatmentCanonical total score will be used. Measure is self-rated, online. The scale consists of 17 self-report statements measured on a Likert-type scale ranging from 1 "not at all", to 5 "extremely". A higher score indicates higher levels of experienced public speaking anxiety.

Secondary

MeasureTime frameDescription
Liebowitz Social Anxiety Scale - Self-Report (LSAS-SR)Pre-treatment, mid-treatment, immediately after the intervention, 3 and 12 months post-treatmentCanonical total score will be used. Measure is self-rated, online. Items are rated using 4-point Likert scales ranging from 0 to 3. A higher score indicates more severe symptoms.
Brief Fear of Negative Evaluation Scale (BFNE)Pre-treatment, mid-treatment, immediately after the intervention, 3 and 12 months post-treatmentCanonical total score will be used. Measure is self-rated, online. The BFNE is a 12-item, 5-point Likert-type scale, ranging from 1 "not at all" to 5 "extremely". Higher scores indicate higher fear. In Lithuanian version of the BFNE the scores range from 0 "not at all" to 4 "extremely".
Igroup Presence Questionnaire (IPQ)Pre-treatment, mid-treatment, immediately after the intervention, 3 and 12 months post-treatmentCanonical total score will be used. Measure is self-rated, online. Each of the 14 items is rated on a 7-point Likert scale and the score is calculated by summing the ratings for each item.

Countries

Lithuania

Contacts

STUDY_CHAIRJonas Eimontas, PhD

Vilnius University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 18, 2026