Exploring the Use of Virtual Reality for the Delivery and Practice of Stress-Management Exercises.

Background: Mindfulness-based interventions may benefit healthcare professionals with burnout symptoms. Virtual reality (VR) may reduce initial difficulty of engaging in mindfulness exercises and increase participants' engagement through immersion and presence.

Aim: The aim was to investigate how VR affects participants' experience of engagement with mindfulness practice, and its impact on quality of practice and negative mood states.

Methods: Fifty-one healthcare professionals were randomized to receive either a visualization or non-visualization mindfulness practice, to compare the quality of practice through the use of audio only vs. with a virtual reality interface. Selected self-reported measures were collected during the session (immersion, quality and difficulty of practice, mood states and likelihood for future practice).

Results: Results showed that order instead of type of modality administered made a difference in quality of mindfulness practice. A greater sense of presence was reported with VR if administered after audio ( = 4.810, = 0.033, Partial η = 0.093). Further, participants described difficulty practicing with audio if administered after VR ( = 4.136, = 0.048, Partial η = 0.081). Additionally, lower mood disturbance was reported with VR if administered after audio ( = 8.116, = 0.006, Partial η = 0.147). Qualitative responses echoed a preference for VR to engage better, in addition to improved mood states after practice.

Conclusion: Findings suggest that VR has the potential to provide healthcare professionals with an alternative or a supplement to conventional mindfulness practice.