The health promoting potential of nature experiences in virtual reality

ISRCTN ISRCTN14275608
DOI https://doi.org/10.1186/ISRCTN14275608
Secondary identifying numbers Cristin-Project-ID: 624906
Submission date
11/08/2020
Registration date
28/08/2020
Last edited
06/09/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims.
Green exercise (any physical activity in the presence of nature) is proposed as a key cost-effective nature-based solution to promote health and well-being. However, green exercise is often subjected to a number of barriers, such as weather conditions and accessibility to quality natural environments. Virtual Reality (VR), a computer-generated virtual environment, can in this context provide a valuable supplement to integrate nature exposure and green exercise.
The specific purposes of this project are:
1. To establish how to best develop a high-quality GreenVR;
2. To study how healthy adults perceive and respond to different GreenVRs, in order to establish which type of GreenVR provides the best mental health outcomes;
3. To evaluate the risk of our GreenVR to induce cyber-sickness, identifying factors that can cause and prevent it.
4. To evaluate the potential of GreenVR technology as a strategy to promote more participation in real green exercise.

Who can participate?
Healthy adults with normal or corrected to normal vision and limited experience with virtual reality (less than monthly use).

What does the study involve?
Participants will be required to meet at the sport-physiology laboratory at INN University and watch a short video clip validated to induce feelings of sadness. The participant will then be randomly assigned to either walk on a treadmill while watching a virtual walk in nature or walk on a treadmill without the virtual experience. Two virtual scenarios will be tested, both showing the exact same environment, but developed using different techniques: one will be developed using commercial 360' video-camera, while the other will be developed using video-games technology. To avoid 'placebo effects', the participants won't be told what condition they will undergo. Questionnaires and measures of heart rate and blood pressure will be administered before, during, and after the treadmill walk.

What are the possible benefits and risks of participating?
All participants will receive a gift certificate of 100 NKR. Some may experience improved mood and increased motivation to exercise outdoors. On the other hand, some may experience minor negative side effects associated with cyber-sickness, such as dizziness and general discomfort.

Where is the study run from?
INN University, Elverum, Norway.

When is the study starting and how long is it expected to run for?
April 2020 to December 2020

Who is funding the study?
Inland Norway University of Applied Sciences and RFF Innlandet

Who is the main contact?
Prof Giovanna Calogiuri, giovanna.calogiuri@inn.no)

Study website

Contact information

Prof Giovanna Calogiuri
Scientific

Inland Norway University of Applied Sciences (INN University)
Postboks 400
Elverum
2418
Norway

ORCiD logoORCID ID 0000-0003-1289-1026
Phone +47 62430245
Email giovanna.calogiuri@inn.no
Ms Sigbjørn Litleskare
Scientific

Inland Norway University of Applied Sciences (INN University)
Postboks 400
Elverum
2418
Norway

ORCiD logoORCID ID 0000-0001-8322-2837
Phone +47 62 43 02 18
Email sigbjorn.litleskare@inn.no

Study information

Study designSingle-blinded randomized controlled trial with parallel groups and repeated measurements
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleGreenVR - Developing and validating health-promoting VR systems
Study acronymGreenVR 2020
Study objectivesH1 – virtual green exercise will be characterized by lower effort relative to exercise intensity compared to regular indoor exercise, with no difference between a 360˚ video and a 3D-model
H2 – virtual green exercise will be perceived as a more positive experience compared to regular indoor exercise, with no difference between a 360˚ video and a 3D-model
H3 – virtual green exercise will have a more positive impact on measures of psychophysiological health compared to regular indoor exercise, with a superior effect for 3D-model compared to 360˚ video for affective responses
H4: Virtual green exercise will lead to increased ratings of connectedness with nature and future green exercise intention, with no difference between a 360˚ video and a 3D-model
H5: The increased ratings of future green exercise intention will be associated with the participants’ changes in connectedness with nature, affective responses (enjoyment and changes in positive affect, tranquillity, negative affect, and fatigue) and perceived environmental restorativeness (fascination, being away, extent, and compatibility)
Ethics approval(s)Approved 13/08/2020, Regional committee for medical and health-related research (REK) (Gullhaugveien 1-3, 0484 Oslo, Norway; +47 22 84 55 11; rek-sorost@medisin.uio.no), ref:134663
Health condition(s) or problem(s) studiedWellbeing
InterventionTreatment conditions:
The participants will undergo a 10-minutes self-paced walk on a manually driven treadmill whilst being exposed to either a 360˚ video or a 3D-model representing a natural environment.
The exposure to the treatments and control conditions will be preceded by a preliminary elicitation of sadness using a short-film.
1. Treatment 1: Treadmill walk, in combination with exposure to a 3D model IVE
2. Treatment 2: Treadmill walk, in combination with exposure to a 360' video IVE
3. Control: Treadmill walk only with no exposure to any IVE
IVE= Immersive Virtual Environments

Measurements will be taken at three time-points:
1. Baseline, i.e. right before starting the experimentation
2. After watching the short-video (pre-exposure)
3. After exposure to the treatments or control conditions
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Immersive Virtual Environments
Primary outcome measureAffect (Physical activity affect scale, PAAS) measured at pre-exposure and post-exposure
Secondary outcome measures1. LTEQ: Leisure time exercise questionnaire measured at baseline
2. GE-INT: Future green exercise intention measured at baseline and post-exposure
3. N-connect: Connectedness with nature scale measured at baseline and post-exposure
4. PAAS: Physical activity affect scale measured at baseline, pre-exposure and post-exposure
5. Blood pressure (BP, measured using a semi-automatic sphygmomanometer) for 5 min at baseline, pre-exposure and post-exposure
6. Enjoyment (Single-item scale) measured at post-exposure
7. Perceived exertion (Ratings of perceived exertion, RPE) measured at post-exposure
8. Cyber sickness (Simulator-sickness questionnaire) measured at post-exposure
9. Presence (Presence see scale) measured at post-exposure
10. Perceived environmental restorativeness (Perceived restorativeness scale, PRS) measured at post-exposure
11. Walking speed (measured by the treadmill) for a 10 min period during exposure
12. Heart rate (continuous monitoring during walking) for a 10 min period during exposure
Overall study start date01/04/2020
Completion date04/12/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants60 participants
Total final enrolment60
Key inclusion criteria1. Age >18 years old
2. Normal or corrected to normal vision
3. Limited experience with VR (less than monthly use)
4. No previous diagnosis of balance impairments
Key exclusion criteriaLimited understanding of Norwegian language
Date of first enrolment01/09/2020
Date of final enrolment30/12/2020

Locations

Countries of recruitment

  • Norway

Study participating centre

Inland Norway University of Applied Sciences
Postboks 400
2418 Elverum
Norway
Elverum
2418
Norway

Sponsor information

Inland Norway University of Applied Sciences
University/education

Faculty of Social and Health Sciences
INN University
Postboks 400
2418 Elverum
Norway
Elverum
2418
Norway

Phone +47 62 43 00 00
Email postmottak@inn.no
Website https://eng.inn.no
ROR logo "ROR" https://ror.org/02dx4dc92

Funders

Funder type

Government

Regional Research Fund Inland Norway (RFF - innlandet) - Project code: 292761

No information available

Results and Publications

Intention to publish date30/06/2022
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planCurrent publication and dissemination plan asof 17/12/2021:
The plan is to publish two articles. One for H1-H3 (study 1) and one for H4 with focus on Connectedness with Natute (study 2). A third study with focus on Future green exercise intention (H4) will be written as a "multi-study" article along with data from previous studies.
Findings relative to H5 will not be published in journal articles, but presented at conferences and internal meetings and used as an explorative foundation for future studies. Preliminary results will be presented at various research conferences, at national and
international level.

Previous publication and dissemination plan:
The plan is to publish two articles. One for H1-H3 (study 1) and one for H4-H5 (study 2). Study 2 will be written as a "multi-study" article along with data from previous studies.
Preliminary results will be presented at various research conferences, at national and international level.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to consent not being given. Sample-level data (e.g. means and standard deviations) will be made available upon request from Giovanna Calogiuri (giovanna.calogiuri@usn.no) or Sigbjørn Litleskare (sigbjorn.litleskare@inn.no)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 26/01/2022 26/01/2022 No No
Results article 06/07/2022 06/09/2022 Yes No
Results article 05/04/2022 06/09/2022 Yes No

Additional files

ISRCTN14275608_BasicResults_26Jan22.pdf

Editorial Notes

06/09/2022: Publication references added.
26/01/2022: The basic results of this trial have been uploaded as an additional file.
17/12/2021: The following changes were made to the trial record:
1. The publication and dissemination plan was updated.
2. The intention to publish date was changed from 30/12/2021 to 30/06/2022.
16/06/2021: The intention to publish date has been changed from 30/06/2021 to 30/12/2021.
11/12/2020: The following changes were made to the trial record:
1. The overall end date was changed from 30/12/2020 to 04/12/2020.
2. The total final enrolment was added.
19/08/2020: Trial’s existence confirmed by Regional committee for medical and health-related research