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Virtual Reality-Based Treatment Targeting Aggression in Children: A Pilot Randomised Controlled Trial

Last registered on April 11, 2026

Pre-Trial

Trial Information

General Information

Title
Virtual Reality-Based Treatment Targeting Aggression in Children: A Pilot Randomised Controlled Trial
RCT ID
AEARCTR-0014121
Initial registration date
August 14, 2024

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
August 14, 2024, 3:56 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Last updated
April 11, 2026, 10:22 AM EDT

Last updated is the most recent time when changes to the trial's registration were published.

Locations

Region

Primary Investigator

Affiliation
Bahria University Islamabad Campus

Other Primary Investigator(s)

Additional Trial Information

Status
Completed
Start date
2025-03-03
End date
2025-05-26
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
Aggression is a persistent challenge among school-aged children, undermining academic performance, social interaction and psychological well-being. Conventional behavioral interventions often fail to engage this generation effectively, particularly Generation Alpha, growing up in an immersive/digital environment. In this generation, aggression can be addressed by utilizing technology enabled solutions, i.e., virtual reality, that can be both engaging and accessible. The objectives of the present study are (i) to evaluate the efficacy of virtual reality-assisted cognitive behavioral therapy in reducing aggression, (ii) to assess the impact of virtual reality-assisted cognitive behavior therapy to improve emotion regulation, problem solving and social skills, and (iii) to examine the feasibility of virtual reality-assisted cognitive behavior therapy in school-aged children. The expected contribution of the current study is to provide empirical evidence for integrating technology-driven virtual reality assisted cognitive behavior therapy in schools to improve their skills acquisition. Moreover, the study will generate practical insight for the scalability of technology-based intervention to reduce aggression among children in schools.

Keywords: aggression, cognitive behavior therapy, virtual reality, children, pilot randomized controlled trial, Pakistan
External Link(s)

Registration Citation

Citation
kiran, Iqra. 2026. "Virtual Reality-Based Treatment Targeting Aggression in Children: A Pilot Randomised Controlled Trial." AEA RCT Registry. April 11. https://doi.org/10.1257/rct.14121-1.1
Experimental Details

Interventions

Intervention(s)
The intervention will be based on Virtual Reality-Based treatment to reduce aggression in children.
Intervention Start Date
2025-03-17
Intervention End Date
2025-05-26

Primary Outcomes

Primary Outcomes (end points)
To check the effectiveness of Virtual-Reality Based Treatment to reduce aggression in children.
Primary Outcomes (explanation)
The outcome will be constructed by comparing the scores on the aggression scale at three-time points: baseline (before the intervention), immediately after the intervention, and during follow-up periods (e.g., 3 and 6 months post-intervention).

Secondary Outcomes

Secondary Outcomes (end points)
Improvement in Skill Acquisition and emotion-regulation
Secondary Outcomes (explanation)
this outcome will assess how effectively children acquire and apply new skills in anger-arousing situations, as practised in the VR sessions. Observations and feedback from therapists, parents, and teachers will be used to measure this.

Experimental Design

Experimental Design
Randomized Controlled Trial
Experimental Design Details
Not available
Randomization Method
Computer-based Randomization method will be done
Randomization Unit
individual
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
3-4 schools
Sample size: planned number of observations
128 students
Sample size (or number of clusters) by treatment arms
3-4 schools both treatment
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
Effect Size= 0.5
IRB

Institutional Review Boards (IRBs)

IRB Name
IRB Approval Date
IRB Approval Number