[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652667":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":30,"locations":40,"responsibleParty":74,"collaborators":26,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":84,"eligibilityCriteria":85,"healthyVolunteers":80,"sex":86,"minAge":87,"maxAge":88,"enrollmentInfo":89,"targetDuration":26,"studyType":92,"phases":93,"briefSummary":95,"conditions":96,"keywords":99,"overallStatus":103,"whyStopped":26,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"University of California, Irvine","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"CBT Prehabilitation with Virtual Reality Exposure","EXPERIMENTAL","Participants receive a spine-focused CBT prehabilitation program delivered using a virtual reality platform (VR-CBT) in addition to usual perioperative clinical care. The 8-week preoperative program includes home-based VR sessions targeting psychoeducation about surgery and recovery, cognitive restructuring, relaxation and mindfulness, and graded exposure to movement and pain-related cues in immersive VR environments",[13],"Behavioral: Virtual Reality-Based CBT Prehabilitation (VR-CBT)",{"label":15,"type":16,"description":17,"interventionNames":18},"CBT Prehabilitation without Virtual Reality","ACTIVE_COMPARATOR","Participants receive the same spine-focused CBT prehabilitation content delivered without VR (standard CBT sessions\u002Fmaterials) in addition to usual perioperative clinical care. The 8-week preoperative program uses non-VR delivery methods (e.g., in-person or video-based sessions and written\u002Fonline materials) covering psychoeducation, cognitive restructuring, relaxation and mindfulness, and graded exposure to movement and pain-related cues without VR technology.",[19],"Behavioral: CBT Prehabilitation without Virtual Reality",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Virtual Reality-Based CBT Prehabilitation (VR-CBT)","A spine-focused cognitive behavioral therapy (CBT) prehabilitation program delivered using a virtual reality platform. Over 8 weeks before surgery, participants complete home-based VR sessions via a headset and software that provide psychoeducation about surgery and recovery, cognitive restructuring exercises, relaxation and mindfulness training, and graded exposure to movement and pain-related cues in immersive virtual environments. This intervention is administered in addition to usual perioperative clinical care.",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"A spine-focused CBT prehabilitation program delivered without VR. Over 8 weeks before surgery, participants receive the same CBT content using non-VR methods covering psychoeducation about surgery and recovery, cognitive restructuring, relaxation and mindfulness, and graded exposure to movement and pain-related cues. This intervention is administered in addition to usual perioperative clinical care.",[15],[31,36],{"name":32,"role":33,"phone":34,"phoneExt":26,"email":35},"Micheal Y Oh, MD","CONTACT","714-456-7012","ohm2@hs.uci.edu",{"name":37,"role":33,"phone":38,"phoneExt":26,"email":39},"George H Habib, BS","9096965362","ghabib0379@gmail.com",[41,62],{"facility":42,"status":26,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"UCI Health - Orthopaedic Spine Center (Wen Center for Advanced Care)","Irvine","California","92617","United States","US",{"type":49,"coordinates":50},"Point",[51,52],-117.82311,33.66946,{"lat":52,"lon":51},[55,58],{"name":56,"role":33,"phone":38,"phoneExt":26,"email":57},"George Habib, BS","habibg@hs.uci.edu",{"name":59,"role":33,"phone":60,"phoneExt":26,"email":61},"Paritash Tahmasebpour, MD, MBA","6262166014","paritash.tah@gmail.com",{"facility":63,"status":26,"city":64,"state":44,"zip":65,"country":46,"countryCode":47,"cosmosGeoPoint":66,"geoPoint":70,"contacts":71},"Hoag Memorial Hospital Presbyterian (Hoag Hospital Newport Beach)","Newport Beach","92663",{"type":49,"coordinates":67},[68,69],-117.92895,33.61891,{"lat":69,"lon":68},[72,73],{"name":59,"role":33,"phone":60,"phoneExt":26,"email":61},{"name":37,"role":33,"phone":38,"phoneExt":26,"email":57},{"type":75,"investigatorFullName":76,"investigatorTitle":77,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Michael Oh","MD","100652667","vr-cognitive-behavioral-therapy-prehabilitation-for-spinal-deformity-surgery-100652667",false,"NCT07777679","VR-Cognitive Behavioral Therapy Prehabilitation for Spinal Deformity Surgery","A Randomized Controlled Pilot Trial Evaluating Virtual Reality-Based Cognitive Behavioral Therapy (VR-CBT) as a Prehabilitation Intervention for Adult Spinal Deformity Surgery","VR-CBT","Inclusion Criteria:\n\n* Adults between 18 and 75 years old.\n\nDiagnosis of thoracolumbar adult spinal deformity (ASD), including but not limited to adult scoliosis, kyphosis, or spondylolisthesis, confirmed radiographically using SRS-Schwab classification criteria.\n\nScheduled for elective spinal surgery involving fusion of more than four spinal levels.\n\nModerate to severe chronic pain, assessed using the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS).\n\nAbility to participate in an 8-week preoperative prehabilitation program.\n\nAdequate cognitive functioning and English language skills to engage in CBT or VR-CBT treatments.\n\nAbility to provide written informed consent and adhere to study procedures and follow-up visits.\n\nExclusion Criteria:\n\n* Neurological conditions that significantly impact cognition or mobility.\n\nActive spinal infection, malignancy, or significant spinal trauma.\n\nUnmanaged medical conditions that could affect participation in the study.\n\nPregnancy or plans to become pregnant during the study period.\n\nSevere visual impairment, claustrophobia, or other conditions that prevent safe use of VR technology.\n\nCognitive impairment preventing adherence to study procedures.\n\nHistory of non-compliance with medical treatment or failure to adhere to study visits and follow-up.","ALL","18 Years","75 Years",{"count":90,"type":91},80,"ESTIMATED","INTERVENTIONAL",[94],"NA","The goal of this clinical trial is to learn whether a virtual reality-based cognitive behavioral therapy (VR-CBT) prehabilitation program can improve recovery and quality of life for adults undergoing elective spine surgery. The main questions it aims to answer are:\n\nDoes participating in an 8-week VR-CBT prehabilitation program before surgery improve physical function and pain-related outcomes at 12 months after surgery?\n\nDoes VR-CBT prehabilitation reduce postoperative anxiety, depression, and pain interference compared with usual preoperative care?\n\nResearchers will compare participants who receive the VR-CBT prehabilitation program plus usual care to participants who receive usual preoperative care alone to see if the VR-CBT program leads to better recovery and patient-reported outcomes.\n\nParticipants will:\n\nUse a VR headset at home to complete structured CBT-based prehabilitation sessions over 8 weeks before surgery.\n\nAttend routine clinic visits and complete questionnaires about pain, function, mood, and quality of life before surgery and through 12 months after surgery.\n\nAllow the research team to review their medical records for information about surgery, complications, and postoperative recovery.",[97,98],"Degenerative Spine Disease","Spinal Stenosis Lumbar",[100,101,102],"Virtual reality-based cognitive behavioral therapy","Patient-reported outcomes","Spine surgery prehabilitation","NOT_YET_RECRUITING","2026-08-17",{"date":106,"type":107},"2026-08-20","ACTUAL",{"date":109,"type":91},"2026-09-01",{"date":111,"type":91},"2028-11-28",{"name":5,"class":6},2]