Impact of Repeated Virtual Reality Training on Markers of Stress

August 13, 2026 updated by: Matt McAllister, Texas State University

Impact of Repeated Virtual Reality Based Law Enforcement Training on Stress Reactivity and Tactical Decision Making

The purpose of this study is to examine whether repeated exposure to an active shooter or target practice virtual reality (VR) scenario alters physiological and psychological stress responses over time. Specifically, this study will determine whether the pattern and magnitude of stress habituation differ between the two VR conditions.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

This study examines the effects of repeated virtual reality (VR) exposure on physiological and psychological stress responses by comparing an active shooter scenario with a target practice scenario. Repeated exposure to a stressor may result in changes in physiological and psychological responses over time, a process known as stress habituation. Therefore, the goal of this study is to determine whether repeated exposure to these two VR scenarios results in different patterns of stress habituation. Heart rate, salivary stress biomarkers, and self-reported anxiety will be assessed across repeated VR exposures to evaluate changes in stress responses over time. The findings from this research may provide insight into how stress responses change with repeated exposure to different types of VR scenarios and may inform the development of training approaches for individuals in high-stress occupations.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
50

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Texas
      • San Marcos, Texas, United States, 78666
        • Texas State University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Generally healthy
  • Between the ages of 18-39
  • Student at texas state

Exclusion Criteria:

  • No known cardiovascular or metabolic diseases
  • Free from a major stressor in the last 30 days (recent divorce, birth of child, miscarriage, etc.)
  • Not currently taking medication that can impact results (e.g., psychiatric medication typically prescribed for psychological disorders such as depression, anxiety, etc.)
  • Must also be free from any known psychiatric or physical illness (e.g., diabetes, myocardial infarction, stroke, Alzheimer's disease, alcoholism, epilepsy, severe motion sickness, etc.).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Active Shooter
Group assigned to active shooter scenarios only
Other: Active Shooter
Participants experienced a virtual reality simulation lasting ~3 minutes. Participants took on the roll of a law enforcement officer responding to an active shooter situation in a gas station (trial 1), home (trial 2), and school (trial 3).
Experimental: Target Practice
Group assigned to two target practice scenarios and one active shooter scenario for the third trial only.
Other: Target Practice
Participants experienced a virtual reality simulation lasting ~3 minutes. Participants had two trials of target practice training and one trial of an active shooter scenario where they responded as a law enforcement officer in a school.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
State Anxiety Inventory (SAI)
Time Frame: Timepoint 1-4 were 20 minutes pre, immediately pre, immediately post, and 15 minutes post
The SAI is a 6 question survey on a 24 point scale, asking the subject to record how they feel. Questions asked were "I am calm," I am tense," "I am worried," "I am relaxed," etc. Subjects were asked to fill this out 4 times throughout the study, alongside HR and saliva samples.
Timepoint 1-4 were 20 minutes pre, immediately pre, immediately post, and 15 minutes post
Heart Rate
Time Frame: HR was recorded 4 times, before each saliva sample period
Heart rate was recorded immediately prior to each saliva sample using a Polar Verity Sense heart rate wrist/arm strap.
HR was recorded 4 times, before each saliva sample period
Secretory Immunoglobulin-A
Time Frame: Measured using the saliva samples taken at timepoints 1-4 (20 min pre, immediately pre, immediately post, 15 min post)
SIgA is a marker of immune function and salivary SIgA concentrations tend to increase when exposed to stress
Measured using the saliva samples taken at timepoints 1-4 (20 min pre, immediately pre, immediately post, 15 min post)
Salivary Alpha Amylase
Time Frame: Measured using the saliva samples taken at timepoints 1-4 (20 min pre, immediately pre, immediately post, 15 min post)
sAA is an enzyme involved in digestive processes. Amylase concentrations in saliva have been shown to reflect sympathetic stress. Thus, as sympathetic stress increases, salivary amylase concentrations tend to increase.
Measured using the saliva samples taken at timepoints 1-4 (20 min pre, immediately pre, immediately post, 15 min post)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Texas State University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
October 1, 2025

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
May 1, 2026

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
May 1, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
August 13, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
August 13, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
August 18, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
August 18, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
August 13, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
August 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • IRB #10320

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IRB at Texas State does not allow the sharing of individual data, and all data has already been made unidentifiable for this study.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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