Abstract

Mindfulness practice involves bringing one’s attention to the present moment and noticing events as they unfold with a non-judgmental attitude of acceptance. Although mindfulness has been shown to reduce stress and improve mental health, it can be challenging to learn mindfulness techniques. Recent years have seen an interest in using virtual reality (VR) to help people learn mindfulness by immersing users in virtual settings that support an external focus of attention and reduce everyday environmental distraction. However, the literature currently lacks an understanding of how VR should be designed to support mindfulness. In this paper we describe the iterative design and evaluation of Place, a VR app that supports mindfulness practice by situating the user in a virtual forest environment. We present findings from our design process in which prospective users trialled Place and provided feedback on the design in focus groups. Our findings draw attention to factors that influenced the user experience and acceptance of VR for mindfulness, and we describe how the design was altered to address these factors. We end by discussing key design choices that designers should consider when creating VR for mindfulness. Our contributions include insight into the importance of following an iterative design process when creating a VR mindfulness app, and a framework that can be used to inform the design of future VR apps for mindfulness practice.

Highlights

  • Mindfulness meditation is an empirically supported practice for reducing stress and improving mental health

  • We suggest that design guidance would be useful in the context of evidence-informed virtual reality (VR) intervention design for mental health, as this would help designers to more precisely target the mechanisms of change likely to result in the desired mental health or behavioural outcomes

  • Our analysis suggested that the iterative design process successfully ensured that Place provided a high quality user experience

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Summary

Introduction

Mindfulness meditation is an empirically supported practice for reducing stress and improving mental health. Whilst there are varying conceptualisations of mindfulness across Buddhist and Western perspectives, a commonly recognised definition was brought into Western psychology by John Kabat-Zinn (Kabat-Zinn et al, 1985). He states that mindfulness involves two key elements: intentional focus of one’s attention on present-moment events, and learning to approach those events with an attitude of acceptance (Kabat-Zinn, 2003). There is growing evidence that mindfulness-based interventions can successfully reduce depression and anxiety (Bohlmeijer et al, 2010), and improve psychological well-being in the general population (Bränström et al, 2011; Demarzo et al, 2017; Freudenthaler et al, 2017) and in populations

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