Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis

Growing research has found that exposing patients to forest landscapes through technology improves their health. However, studies on the effects of nature therapy sessions on particularly vulnerable groups that require frequent regular treatment such as patients of chronic kidney disease (CKD) is la...

Full description

Bibliographic Details
Main Authors: Chung-Heng Hsieh, Dongying Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1007396/full
_version_ 1811295462235308032
author Chung-Heng Hsieh
Dongying Li
author_facet Chung-Heng Hsieh
Dongying Li
author_sort Chung-Heng Hsieh
collection DOAJ
description Growing research has found that exposing patients to forest landscapes through technology improves their health. However, studies on the effects of nature therapy sessions on particularly vulnerable groups that require frequent regular treatment such as patients of chronic kidney disease (CKD) is lacking. This study aims to understand the effects of watching panoramic videos of forest walks through virtual reality (VR) headsets on patients. We also examine the effects of the frequency of virtual exposure to forests on the physiological and psychological parameters of patients undergoing dialysis. Twenty-four dialysis patients with a mean age of 65.11 year underwent a virtual nature intervention over the course of 3 weeks. The intervention consists of 3 numbers of 6-min 360-degree nature videos delivered using VR headsets. We measured heart rate variability (HRV) and heart rate (HR) using continuous electrocardiographic (ECG) monitoring and assessed their emotional states using a questionnaire survey and in-depth interviews. The results showed that the initial 6 min of watching of the panoramic videos through VR headsets resulted in significantly reduced HR and sympathetic nerve activity and increased positive emotional responses. However, repeated VR exposure did not further improve the physiological health of the respondents. Considering these results, the use of VR headsets to watch 6-min nature videos indoors can be used to enhance the positive psychological responses among dialysis and bed-ridden patients. As this study is preliminary, future random controlled trials are needed to compare and determine the best dose, content, and delivery methods of such an intervention.
first_indexed 2024-04-13T05:32:59Z
format Article
id doaj.art-412cb03189fa4d529d8753f3ede1f95c
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-13T05:32:59Z
publishDate 2022-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-412cb03189fa4d529d8753f3ede1f95c2022-12-22T03:00:22ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-12-011310.3389/fpsyt.2022.10073961007396Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysisChung-Heng Hsieh0Dongying Li1Department of Landscape Architecture, College of Art, Fu Jen Catholic University, New Taipei City, TaiwanDepartment of Landscape Architecture and Urban Planning, School of Architecture, Texas A&M University, College Station, TX, United StatesGrowing research has found that exposing patients to forest landscapes through technology improves their health. However, studies on the effects of nature therapy sessions on particularly vulnerable groups that require frequent regular treatment such as patients of chronic kidney disease (CKD) is lacking. This study aims to understand the effects of watching panoramic videos of forest walks through virtual reality (VR) headsets on patients. We also examine the effects of the frequency of virtual exposure to forests on the physiological and psychological parameters of patients undergoing dialysis. Twenty-four dialysis patients with a mean age of 65.11 year underwent a virtual nature intervention over the course of 3 weeks. The intervention consists of 3 numbers of 6-min 360-degree nature videos delivered using VR headsets. We measured heart rate variability (HRV) and heart rate (HR) using continuous electrocardiographic (ECG) monitoring and assessed their emotional states using a questionnaire survey and in-depth interviews. The results showed that the initial 6 min of watching of the panoramic videos through VR headsets resulted in significantly reduced HR and sympathetic nerve activity and increased positive emotional responses. However, repeated VR exposure did not further improve the physiological health of the respondents. Considering these results, the use of VR headsets to watch 6-min nature videos indoors can be used to enhance the positive psychological responses among dialysis and bed-ridden patients. As this study is preliminary, future random controlled trials are needed to compare and determine the best dose, content, and delivery methods of such an intervention.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1007396/fullnature360-degree nature videovirtual realityheart rate variabilitydialysis
spellingShingle Chung-Heng Hsieh
Dongying Li
Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
Frontiers in Psychiatry
nature
360-degree nature video
virtual reality
heart rate variability
dialysis
title Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
title_full Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
title_fullStr Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
title_full_unstemmed Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
title_short Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
title_sort understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis
topic nature
360-degree nature video
virtual reality
heart rate variability
dialysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1007396/full
work_keys_str_mv AT chunghenghsieh understandinghowvirtualrealityforestexperiencepromotephysiologicalandpsychologicalhealthforpatientsundergoinghemodialysis
AT dongyingli understandinghowvirtualrealityforestexperiencepromotephysiologicalandpsychologicalhealthforpatientsundergoinghemodialysis