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Harnessing VR to prevent substance use relapse

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Substance use recovery is a lifelong process, but environmental triggers, such as alcohol at social gatherings or pain medication advertisements, can put individuals in recovery at risk of relapse. 

Research by 麻豆视频 social work professor , with colleagues from the College of Science and College of Engineering and Computing, and their Brightline Interactive Industry partner, examined how positive stimuli, what they call "recovery cues," can counteract drug cravings and lower relapse risk. 

The team equipped individuals in recovery with virtual reality (VR) technology to see how relaxing sensory experiences can regulate their emotional and physical reactions to triggers to ultimately improve behavioral decision-making.  

Participants were offered customized recovery cues embedded in a variety of VR scenarios aimed at reducing their bodies鈥 reactions to drug triggers. Comfort and familiarity were key to recovery cues, Matto emphasized.  

鈥淚f we can identify an individual鈥檚 own set of personally meaningful recovery cues, we have the unique opportunity to present these cues to the individual as a real-time personalized intervention at the time of drug cue exposure and at the onset of craving escalation to help the person stabilize back to a regulated state,鈥 she said. 

Recovery cues, such as visualizing a beloved pet or audio messaging with inspirational affirmations, reorient the individual onto the recovery path when faced with something that potentially ignites a drug craving. The most important cue for participants seemed to be the 鈥12-step chip and pamphlet鈥 when presented in the VR scenarios. The 鈥12-steps鈥 refer to the milestones that those overcoming addiction aspire to achieve in their recovery journey. This cue was highly effective, likely due to the recognizability it may elicit in the recovery community. 

Developing a 鈥渄igital best self鈥  

Matto and colleagues are now working on two new research projects, building upon the findings of this study. The team is working on simulations that train individuals to implement their recovery cues so they can control their own reactions to drug cues. The goal is to help them develop a 鈥渄igital best self鈥 that represents the person they aspire to be in recovery. 

鈥淩ecovery is a process which requires learning opportunities that create change in the ways an individual engages their thoughts and feelings to motivate behavior in environments that present challenges to their recovery. VR offers an immersive space where that learning can occur and where relapse triggers can be presented in ways that require implementation of learned recovery strategies,鈥 said Matto. 

was published in Families in Society: The Journal of Contemporary Social Services in June 2025. 

The George 麻豆视频 research team includes Professor from the College of Science and Associate Professor from the Volgenau School of Engineering, and Bioengineering PhD candidate Bryce Dunn.