Virtual Reality to Combat Weight-Based Implicit Bias: BWH Pilot Study

NCT ID: NCT07283523

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-19

Study Completion Date

2026-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The goal of this pilot implementation study is to evaluate the impact of a virtual reality (VR) intervention on implicit bias for resident physicians. The main question it aims to answer are:

Does watching VR experience of two clinical encounters reduce implicit bias association test scores? Is the VR experience an acceptable intervention tool for reducing implicit bias?

Researchers will compare weight-based VR experiences consisting of two observed clinical encounters to a neutral education VR encounter to see if our intervention significantly impacts implicit bias association scores.

Participants will be asked

1. Complete Implicit Association test for weight-based bias pre-intervention and post-intervention (immediately, at one week, and one month after the intervention) to assess their implicit bias
2. Watch either experimental clinical encounter videos or neutral education video using a VR headset
3. Participants will also complete an abbreviated IAT related to views on compliance

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Implicit Bias Implicit Association Test

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Clinical Encounters VR Videos

Group Type EXPERIMENTAL

360 Video on a Virtual Reality Headset

Intervention Type BEHAVIORAL

Two 360- videos watched via a VR headset where the study subject will witness a positive physician encounter with a compliant obese patient and a negative encounter with a non-compliant non-obese patient

Control Neutral VR Video

Group Type OTHER

360-Control Video

Intervention Type BEHAVIORAL

A neutral education video from the New England Journal of Medicine watched in a 360-theatre setting via a VR headset

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

360 Video on a Virtual Reality Headset

Two 360- videos watched via a VR headset where the study subject will witness a positive physician encounter with a compliant obese patient and a negative encounter with a non-compliant non-obese patient

Intervention Type BEHAVIORAL

360-Control Video

A neutral education video from the New England Journal of Medicine watched in a 360-theatre setting via a VR headset

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Resident physicians associated with Brigham and Women's Hospital
* Resident physicians providing informed consent to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Daniel Palazuelos

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Peck TC, Seinfeld S, Aglioti SM, Slater M. Putting yourself in the skin of a black avatar reduces implicit racial bias. Conscious Cogn. 2013 Sep;22(3):779-87. doi: 10.1016/j.concog.2013.04.016. Epub 2013 May 28.

Reference Type BACKGROUND
PMID: 23727712 (View on PubMed)

Marini M, Waterman PD, Breedlove E, Chen JT, Testa C, Reisner SL, Pardee DJ, Mayer KH, Krieger N. The target/perpetrator brief-implicit association test (B-IAT): an implicit instrument for efficiently measuring discrimination based on race/ethnicity, sex, gender identity, sexual orientation, weight, and age. BMC Public Health. 2021 Jan 19;21(1):158. doi: 10.1186/s12889-021-10171-7.

Reference Type BACKGROUND
PMID: 33468085 (View on PubMed)

Gonzalez-Liencres C, Zapata LE, Iruretagoyena G, Seinfeld S, Perez-Mendez L, Arroyo-Palacios J, Borland D, Slater M, Sanchez-Vives MV. Being the Victim of Intimate Partner Violence in Virtual Reality: First- Versus Third-Person Perspective. Front Psychol. 2020 May 8;11:820. doi: 10.3389/fpsyg.2020.00820. eCollection 2020.

Reference Type BACKGROUND
PMID: 32457681 (View on PubMed)

Banakou D, Slater M. Body ownership causes illusory self-attribution of speaking and influences subsequent real speaking. Proc Natl Acad Sci U S A. 2014 Dec 9;111(49):17678-83. doi: 10.1073/pnas.1414936111. Epub 2014 Nov 24.

Reference Type BACKGROUND
PMID: 25422444 (View on PubMed)

Salmanowitz N. The impact of virtual reality on implicit racial bias and mock legal decisions. J Law Biosci. 2018 Apr 19;5(1):174-203. doi: 10.1093/jlb/lsy005. eCollection 2018 May.

Reference Type BACKGROUND
PMID: 29707220 (View on PubMed)

Banakou D, Kishore S, Slater M. Virtually Being Einstein Results in an Improvement in Cognitive Task Performance and a Decrease in Age Bias. Front Psychol. 2018 Jun 11;9:917. doi: 10.3389/fpsyg.2018.00917. eCollection 2018.

Reference Type BACKGROUND
PMID: 29942270 (View on PubMed)

Bertrand P, Guegan J, Robieux L, McCall CA, Zenasni F. Learning Empathy Through Virtual Reality: Multiple Strategies for Training Empathy-Related Abilities Using Body Ownership Illusions in Embodied Virtual Reality. Front Robot AI. 2018 Mar 22;5:26. doi: 10.3389/frobt.2018.00026. eCollection 2018.

Reference Type BACKGROUND
PMID: 33500913 (View on PubMed)

Marini M, Rubichi S, Sartori G. The role of self-involvement in shifting IAT effects. Exp Psychol. 2012;59(6):348-54. doi: 10.1027/1618-3169/a000163.

Reference Type BACKGROUND
PMID: 22750742 (View on PubMed)

Lai CK, Marini M, Lehr SA, Cerruti C, Shin JE, Joy-Gaba JA, Ho AK, Teachman BA, Wojcik SP, Koleva SP, Frazier RS, Heiphetz L, Chen EE, Turner RN, Haidt J, Kesebir S, Hawkins CB, Schaefer HS, Rubichi S, Sartori G, Dial CM, Sriram N, Banaji MR, Nosek BA. Reducing implicit racial preferences: I. A comparative investigation of 17 interventions. J Exp Psychol Gen. 2014 Aug;143(4):1765-85. doi: 10.1037/a0036260. Epub 2014 Mar 24.

Reference Type BACKGROUND
PMID: 24661055 (View on PubMed)

Tappolet C, Teroni, F, Ziv, AK. Shadows of the Soul: Philosophical Perspectives on Negative Emotions. 2018

Reference Type BACKGROUND

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2022P001287

Identifier Type: -

Identifier Source: org_study_id