ClinicalTrials.gg
RecruitingNCT04756245VESPAUpdated Jul 16, 2025

The VESPA Pilot Study

An interventional study of Virtual Reality and Video Conference in Exercise, Behavior and Loneliness, sponsored by Wake Forest University. Recruiting at 1 site in United States. Open to participants aged 45 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-16.

Primary conditionSocial IsolationRegistry: Motor ActivityReclassifiedWhy we changed it
Registry
Motor Activity — the first condition term the registry derived for this study.
ClinicalTrials.gg
Social Isolation
Why
  1. Motor Activity is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Social Isolation.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Wake Forest University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Dec 2020; still recruiting 5 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
45 Years to 80 Years
Sex
All
01

Study summary

Physical activity has been described by the US federal government as a 'best buy' for public health. Unfortunately, most adults in the United States are not sufficiently active, and this worsens with age. Low levels of participation are driven by many challenging barriers, including lack of access, few opportunities for enjoyable activity, and few supportive social relationships, which is especially important given the central role of social connection for lasting behavior change.

A half-century of research in behavioral sciences has generated effective group-based physical activity programs, but these are inaccessible to most as they are often delivered in a few select research centers. Recent advances in telehealth have offered media for extending these interventions more broadly, but the experience of such programs is often hampered by technology that does not allow for a sense of physical and social presence. Fortunately, uptake of virtual reality (VR) is increasing rapidly, and the medium has a high level of potential for advancing the delivery of immersive evidence-based group interventions to those that most need it. Thus our specific aims are:

Specific aim 1: To test the feasibility and acceptability of a group-mediated physical activity intervention delivered fully via modern VR to older adults.

Specific aim 2: To examine the impact of this program on overall physical activity among older adults compared to the current standard-of-care for telehealth: the video conference meeting platform.

02

Conditions studied

  • Exercise
  • Behavior
  • Loneliness
  • Social Isolation

Browse trials for

Keywords

  • Telehealth
  • Virtual Reality
  • Physical Activity
03

In context

Social Isolation Reclassified

236 studies on the registry are indexed under Social Isolation; 61 are open to participants now.

This study's planned enrollment of 30 is below the median of 80 across 198 interventional studies indexed under Social Isolation.

Browse Social Isolation studies →

Lead sponsor

Wake Forest University is the lead sponsor of 118 studies on the registry; 7 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 27 (87%) have results posted.

Compared within Social Isolation, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Motor Activity. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
45 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age of 45-80 years
  • between 30-45 kg/m2
  • Low-active (30 or more minutes of moderate intensity physical activity on 2 or fewer days per week)
  • Have access to home Wi-Fi
  • Have regular access to a computer, tablet, or smartphone to receive teleconferencing calls
  • Have a clear "VR space" (7'x7' object-free space)
  • Have an "Activity buddy" (spouse, child, caregiver, etc.)
  • Modified Telephone Interview for Cognitive Status (TICS-M) score of 32 or greater
  • Consent from a physician for study participation
  • Proficient in the English language
  • Willingness to create or use existing personal Facebook account for virtual reality activities.

Exclusion criteria

Exclusion Criteria:

  • Current involvement in other physical activity research studies
  • Hearing or sight impairments (significant visual or hearing impairment that cannot be corrected and results in the inability to use the telephone or hear normal conversation, colorblindness)
  • Dependence on a cane or walker
  • More than 1 fall in the past year
  • to exercise
  • Current or recent history within the last 6 months of: symptomatic coronary heart disease, cancer, liver or renal disease, severe pulmonary disease, gross physical impairment, or uncontrolled hypertension; myocardial infarction or cardiovascular procedure within the last 3 months
  • History of or diagnosis of photosensitive epilepsy
  • Score of "severe" on any question in the Virtual Reality Sickness Questionnaire;
  • Unwillingness to use a head-mounted virtual reality system
  • Current severe or untreated depression
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Virtual Reality

    Participants engage in intervention procedures using virtual reality software.

    Behavioral: Virtual Reality

  • Active comparator
    Video Conference

    Participants engage in intervention procedures using video conference software.

    Behavioral: Video Conference

Interventions

  • BehavioralVirtual Reality

    Participants in this arm participate in 4 group-based behavioral counseling sessions plus 8 one-on-one coaching session within virtual reality software. Participants aim to engage in approximately 150 minutes per week of moderate-to-vigorous activity, with options including both virtual reality and real-world physical activities.

  • BehavioralVideo Conference

    Participants in this arm participate in 4 group-based behavioral counseling sessions plus 8 one-on-one coaching session within video conference software. Participants aim to engage in approximately 150 minutes per week of moderate-to-vigorous activity, with options including both streaming video and real-world physical activities.

06

What researchers measure

Primary outcomes

  1. The percentage of individuals attending all one-on-one and group calls

    Feasibility will be assessed based on percentage of individuals attending all one-on-one and group calls

    Time frame: Weeks 0 through 4

  2. Acceptability

    Percentage of individuals reporting no severe symptoms in response to virtual reality on the virtual reality sickness questionnaire

    Time frame: Baseline

Secondary outcomes

  1. Physical Activity

    Average daily steps over one week as recorded via Garmin VivoSmart 4

    Time frame: Baseline, Week 4

  2. Social Relatedness

    Score on the social relatedness subscale of the Brief Psychological Needs Satisfaction and Frustration Scale

    Time frame: Baseline, Week 4

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Kershner K, Morton D, Robison J, N'dah KW, Fanning J. Assessing the Feasibility and Acceptability of Virtual Reality for Remote Group-Mediated Physical Activity in Older Adults: Pilot Randomized Controlled Trial. JMIR Form Res. 2024 Nov 8;8:e53156. doi: 10.2196/53156. PubMed 39514256 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04756245
Collaborators
Wells Fargo Faculty Scholar Endowment
Responsible party
Jason Fanning (Assistant Professor, Wake Forest University) — Principal investigator
First posted
Feb 16, 2021
Start date
Dec 17, 2020
Primary completion
Aug 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Jul 16, 2025

Study contacts

Kyle Kershner, BS
Contact
kerski19@wfu.edu
336-758-3728
Jason Fanning, PhD
principal investigator · Wake Forest University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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