Tolerance of immersive head-mounted virtual reality among older nursing home residents

IntroductionVirtual Reality (VR) is a tool that is increasingly used in the aging population. Head-Mounted Displays (HMDs) are stereoscopic vision devices used for immersive VR. Cybersickness is sometimes reported after head-mounted display (HMD) VR exposure. Cybersickness severity and anxiety state...

Full description

Bibliographic Details
Main Authors: Hajer Rmadi, Pauline Maillot, Romain Artico, Edouard Baudouin, Sylvain Hanneton, Gilles Dietrich, Emmanuelle Duron
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1163484/full
_version_ 1827898409783132160
author Hajer Rmadi
Pauline Maillot
Romain Artico
Edouard Baudouin
Edouard Baudouin
Sylvain Hanneton
Gilles Dietrich
Emmanuelle Duron
Emmanuelle Duron
author_facet Hajer Rmadi
Pauline Maillot
Romain Artico
Edouard Baudouin
Edouard Baudouin
Sylvain Hanneton
Gilles Dietrich
Emmanuelle Duron
Emmanuelle Duron
author_sort Hajer Rmadi
collection DOAJ
description IntroductionVirtual Reality (VR) is a tool that is increasingly used in the aging population. Head-Mounted Displays (HMDs) are stereoscopic vision devices used for immersive VR. Cybersickness is sometimes reported after head-mounted display (HMD) VR exposure. Cybersickness severity and anxiety state reflect VR low tolerance. We aimed to evaluate HMD VR tolerance among older nursing home residents through cybersickness and anxiety state.MethodsA total of 36 participants were included in this preliminary study, 33 of whom (mean age: 89.33 ± 5.48) underwent three individual HMD VR sessions with three different contents. Cybersickness occurrence and severity were scored by the Simulator Sickness Questionnaire (SSQ) after each session. Anxiety state was assessed by the State–Trait Anxiety Inventory form Y-A before and after each session. Anxiety trait (using State–Trait Anxiety Inventory form Y-B) was also evaluated before and after the experiment. In total, 92% (33/36) of patients completed all three sessions, of which 61% (20/33) did not report any cybersickness symptoms (SSQ = 0). Six participants reported significant cybersickness (defined by an SSQ score ⩾10) in at least one session.DiscussionOnly two participants stopped the study after the first exposure because of cybersickness. Age, cognitive function, anxiety trait, and well-being were not associated with cybersickness. The mean anxiety state decreased significantly from pre- to post-session. This immersive HMD VR experience was well tolerated among nursing home dwellers. Further larger studies in this population aiming to identify CS determinants are needed in order to use HMD VR on a standard basis.
first_indexed 2024-03-12T23:02:48Z
format Article
id doaj.art-740d78a5f1694228bbd96d320e3ae6fa
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-12T23:02:48Z
publishDate 2023-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-740d78a5f1694228bbd96d320e3ae6fa2023-07-19T07:55:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11634841163484Tolerance of immersive head-mounted virtual reality among older nursing home residentsHajer Rmadi0Pauline Maillot1Romain Artico2Edouard Baudouin3Edouard Baudouin4Sylvain Hanneton5Gilles Dietrich6Emmanuelle Duron7Emmanuelle Duron8Institut des Sciences du Sport-Santé de Paris (URP3625 – I3SP), Université Paris Cité, Paris, FranceInstitut des Sciences du Sport-Santé de Paris (URP3625 – I3SP), Université Paris Cité, Paris, FranceLaboratoire Complexité, Innovations, Activités Motrices et Sportives (CIAMS, EA4532), Université Paris-Saclay, Orsay, FranceInserm, CESP, Team MOODS, Université Paris-Saclay, Le Kremlin-Bicêtre, FranceAssistance Publique - Hôpitaux de Paris, Department of Geriatric, Paul Brousse Hospital, Villejuif, FranceInstitut des Sciences du Sport-Santé de Paris (URP3625 – I3SP), Université Paris Cité, Paris, FranceInstitut des Sciences du Sport-Santé de Paris (URP3625 – I3SP), Université Paris Cité, Paris, FranceInserm, CESP, Team MOODS, Université Paris-Saclay, Le Kremlin-Bicêtre, FranceAssistance Publique - Hôpitaux de Paris, Department of Geriatric, Paul Brousse Hospital, Villejuif, FranceIntroductionVirtual Reality (VR) is a tool that is increasingly used in the aging population. Head-Mounted Displays (HMDs) are stereoscopic vision devices used for immersive VR. Cybersickness is sometimes reported after head-mounted display (HMD) VR exposure. Cybersickness severity and anxiety state reflect VR low tolerance. We aimed to evaluate HMD VR tolerance among older nursing home residents through cybersickness and anxiety state.MethodsA total of 36 participants were included in this preliminary study, 33 of whom (mean age: 89.33 ± 5.48) underwent three individual HMD VR sessions with three different contents. Cybersickness occurrence and severity were scored by the Simulator Sickness Questionnaire (SSQ) after each session. Anxiety state was assessed by the State–Trait Anxiety Inventory form Y-A before and after each session. Anxiety trait (using State–Trait Anxiety Inventory form Y-B) was also evaluated before and after the experiment. In total, 92% (33/36) of patients completed all three sessions, of which 61% (20/33) did not report any cybersickness symptoms (SSQ = 0). Six participants reported significant cybersickness (defined by an SSQ score ⩾10) in at least one session.DiscussionOnly two participants stopped the study after the first exposure because of cybersickness. Age, cognitive function, anxiety trait, and well-being were not associated with cybersickness. The mean anxiety state decreased significantly from pre- to post-session. This immersive HMD VR experience was well tolerated among nursing home dwellers. Further larger studies in this population aiming to identify CS determinants are needed in order to use HMD VR on a standard basis.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1163484/fullolder adultsvirtual realitytolerancecybersicknessanxiety
spellingShingle Hajer Rmadi
Pauline Maillot
Romain Artico
Edouard Baudouin
Edouard Baudouin
Sylvain Hanneton
Gilles Dietrich
Emmanuelle Duron
Emmanuelle Duron
Tolerance of immersive head-mounted virtual reality among older nursing home residents
Frontiers in Public Health
older adults
virtual reality
tolerance
cybersickness
anxiety
title Tolerance of immersive head-mounted virtual reality among older nursing home residents
title_full Tolerance of immersive head-mounted virtual reality among older nursing home residents
title_fullStr Tolerance of immersive head-mounted virtual reality among older nursing home residents
title_full_unstemmed Tolerance of immersive head-mounted virtual reality among older nursing home residents
title_short Tolerance of immersive head-mounted virtual reality among older nursing home residents
title_sort tolerance of immersive head mounted virtual reality among older nursing home residents
topic older adults
virtual reality
tolerance
cybersickness
anxiety
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1163484/full
work_keys_str_mv AT hajerrmadi toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT paulinemaillot toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT romainartico toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT edouardbaudouin toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT edouardbaudouin toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT sylvainhanneton toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT gillesdietrich toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT emmanuelleduron toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents
AT emmanuelleduron toleranceofimmersiveheadmountedvirtualrealityamongoldernursinghomeresidents