Virtual Reality Experience Research Articles

Is Video Gaming a Cure for Cybersickness? Gamers Experience Less Cybersickness Than Non-Gamers in a VR Self-Motion Task.

Cybersickness remains a major drawback of Virtual Reality (VR) headsets, as a breadth of stationary experiences with visual self-motion can result in visually-induced motion sickness. However, not everybody experiences the same intensity or type of adverse symptoms. Here we propose that prior experience with virtual environments can predict ones degree of cybersickness. Video gaming can enhance visuospatial abilities, which in-turn relate negatively to cybersickness - meaning that consistently engaging in virtual environments can result in protective habituation effects. In a controlled stationary VR experiment, we found that 'VR-naive' video gamers experienced significantly less cybersickness in a virtual tunnel-travel task and outperformed 'VR-naive' non-video gamers on a visual attention task. These findings strongly motivate the use of non-VR games for training VR cybersickness resilience, with future research needed to further understand the mechanism(s) by which gamers become cybersickness resilient - potentially expanding access to VR for even the most susceptible participants.

The presence of an avatar can reduce cybersickness in Virtual Reality

Virtual Reality (VR) applications are increasingly being utilized for research, healthcare, and education. Despite their benefits, many VR users report motion sickness-like sensations (cybersickness), such as headache, disorientation, or nausea. Previous studies suggest that the sense of presence (“being there”) in the virtual world may contribute to the severity of cybersickness; however, results have been contradictory, with some studies reporting a negative and some reporting a positive relationship between the two. The goal of the current study was to further investigate how presence and cybersickness are related. Participants (N = 54) were exposed to a VR scene presented on a head-mounted display showing a 15-minute-long passive movement through space. The level of presence was manipulated by including an avatar (astronaut suit with hand-tracking) or no avatar in the virtual environment. Results showed that the avatar group reported significantly less severe cybersickness compared to the no-avatar group. We also found significant, negative correlations between some of the presence metrics (immersion, sensory fidelity) and cybersickness, indicating that cybersickness severity decreased as the level of presence increased. These findings suggest that more immersive VR experiences using an avatar may potentially reduce the risk of experiencing cybersickness.

Enhancing patient education and engagement through digital intelligence tools in dermatology

This comprehensive digital health review examines the expanding landscape of digital intelligence tools within dermatology, specifically examining the innovative role of AI-powered applications aimed at educating and engaging patients in managing their skin health. Drawing upon a wide array of existing research, this review scrutinizes the evolution and impact of various digital tools. These include interactive apps that leverage AI algorithms to deliver tailored skincare guidance, considering factors such as skin type, concerns, and environmental factors. Additionally, the review explores the emerging use of immersive virtual reality experiences to deepen patients’ understanding of skin conditions, offering vivid simulations and educational content. These innovative approaches showcase significant promise in not only improving patient outcomes but also fostering greater treatment adherence and overall satisfaction with dermatological care. Looking ahead, future research should prioritize fine-tuning AI algorithms to further personalize patient recommendations, exploring the integration of wearable technology for real-time monitoring, and conducting longitudinal studies to evaluate the sustained effectiveness and scalability of digital intelligence tools in promoting patient education and engagement. Moreover, innovative strategies such as gamification techniques and social support platforms hold considerable potential for enhancing patient empowerment and involvement in managing their skin health. Leveraging digital intelligence tools will eventually redefine the landscape of dermatological care, empowering patients and optimizing treatment outcomes through enhanced education and engagement.

Exploring the effectiveness of virtual reality in combating misinformation on climate change

AbstractOur research examines the potential of immersive virtual reality (VR) in countering climate change misinformation. By creating VR simulations of future climate scenarios, we visually depict the potential impacts of rising temperatures and sea level rise on communities and ecosystems. Our objective is to determine whether immersive VR can achieve more effective correction outcomes compared to social media. We employ a mixed experimental design, manipulating the provision of correction through either VR or social media. We measure the impact of these interventions on belief in and skepticism toward climate change, and on inferential reasoning at three different points over a month. Furthermore, we explore the effectiveness of human actors and the level of presence in the VR experience as strategies to combat climate change misinformation. We find that VR conditions might lead to increased certainty in the belief that climate change is really happening and lowered skepticism toward the clarity of the effects of climate change. Moreover, we find significant differences in the heart rate (HR) of the participants in the VR conditions. The use of avatars in VR environments may contribute to heightened HR variability during misinformation correction, potentially due to increased emotional engagement and cognitive load.

Digital interventions to prevent smoking habit among children. Is there evidence?

Abstract Smoking remains one of the foremost preventable causes of death and disease on a global scale, with its roots often traced back to early childhood. The habit typically begins at a young age, setting a pattern that becomes increasingly difficult to break over time. This enduring issue highlights the critical need for effective preventive measures. Traditional approaches to curbing smoking among the youth-such as public health campaigns, school-based education, and legislative measures like age restrictions on tobacco purchases-have had limited success. In this context, digital interventions (DIs) have begun to emerge as a promising new frontier for tobacco prevention. Leveraging the pervasive influence of technology in young people’s lives, these interventions include gamified educational programs, which transform learning about the dangers of smoking into interactive and engaging activities; social media campaigns, which can spread powerful anti-smoking messages quickly and broadly; and virtual reality experiences, which immerse users in scenarios that vividly illustrate the impact of smoking on health. These digital strategies not only offer fresh avenues for conveying important health information but also engage young audiences in a medium they find relatable and compelling. In this context, the presentation will discuss results of a systematic review aims to assess the efficacy of DI in preventing smoking, and improving knowledge and awareness about smoking damages, among children. This review is part of the PRIN project, titled: “Leo&Giulia standing for public health”, whose goal is to evaluate the effectiveness of a DI aimed at school-aged children, intended to increase knowledge about the negative effects of smoking and prevent its use. Grasping the impact of DI in smoking prevention can greatly benefit public health by offering practical alternatives.

Optimizing data transmission in 6G software defined networks using deep reinforcement learning for next generation of virtual environments

Data transmission of Virtual Reality (VR) plays an important role in delivering a powerful VR experience. This increasing demand on both high bandwidth and low latency. 6G emerging technologies like Software Defined Network (SDN) and resource slicing are acting as promising technologies for addressing the transmission requirements of VR users. Efficient resource management becomes dominant to ensure a satisfactory user experience. The integration of Deep Reinforcement Learning (DRL) allows for dynamic network resource balancing, minimizing communication latency and maximizing data transmission rates wirelessly. Employing slicing techniques further aids in managing distributed resources across the network for different services as enhanced Mobile Broadband (eMBB) and Ultra-Reliable and Low Latency Communications (URLLC). The proposed VR-based SDN system model for 6G cellular networks facilitates centralized administration of resources, enhancing communication between VR users. This innovative solution seeks to contribute to the effective and streamlined resource management essential for VR video transmission in 6G cellular networks. The utilization of Deep Reinforcement Learning (DRL) approaches, is presented as an alternative solution, showcasing significant performance and feature distinctions through comparative results. Our results show that implementing strategies based on DRL leads to a considerable improvement in the resource management process as well as in the achievable data rate and a reduction in the necessary latency in dynamic and large scale networks.

Social threat avoidance depends on action-outcome predictability

Avoiding threatening individuals is pivotal for adaptation to our social environment. Yet, it remains unclear whether social threat avoidance is subtended by goal-directed processes, in addition to stimulus-response associations. To test this, we manipulated outcome predictability during spontaneous approach/avoidance decisions from avatars displaying angry facial expressions. Across three virtual reality experiments, we showed that participants avoided more often when they could predict the outcome of their actions, indicating goal-directed processes. However, above-chance avoidance rate when facing unpredictable outcomes suggested that stimulus-response associations also played a role. We identified two latent classes of participants: the “goal-directed class” showed above-chance avoidance only in the predictable condition, while the “stimulus-response class” showed no credible difference between conditions but had a higher overall avoidance rate. The goal-directed class exhibited greater cardiac deceleration in the predictable condition, associated with better value integration in decision-making. Computationally, this class had an increased drift-rate in the predictable condition, reflecting increased value estimation of threat avoidance. In contrast, the stimulus-response class showed higher responsiveness to threat, indicated by increased drift-rate for avoidance and increased muscular activity at response time. These results support the central role of goal-directed processes in social threat avoidance and reveal its physiological and computational correlates.

Survey on haptic technologies for virtual reality applications during COVID-19

<p>This paper presents a comprehensive survey on the advancements and applications of haptic technologies, which are methods that facilitate the sense of touch and movement, in virtual reality (VR) during the COVID-19 pandemic. It aims to identify and classify the various domains in which haptic technologies have been utilized or can be adapted to combat the unique challenges posed by the pandemic or public health emergencies in general. Existing reviews and surveys that concentrate on the applications of haptic technologies during the Covid-19 pandemic are often limited to specific domains; this survey strives to identify and consolidate all application domains discussed in the literature, including healthcare, medical training, education, social communication, and fashion and retail. Original research and review articles were collected from the Web of Science Core Collection as the main source, using a combination of keywords (like ‘haptic’, ‘haptics’, ‘touch interface’, ‘tactile’, ‘virtual reality’, ‘augmented reality’, 'Covid-19', and ‘pandemic’) and Boolean operators to refine the search and yield relevant results. The paper reviews various haptic devices and systems and discusses the technological advancements that have been made to offer more realistic and immersive VR experiences. It also addresses challenges in haptic technology in VR, including fidelity, ethical, and privacy considerations, and cost and accessibility issues.</p>

Group virtual reality simulation in the adult nursing curriculum: student and lecturer experiences.

Virtual reality (VR) simulation technology was rapidly integrated into pre-registration adult nursing programmes in response to the pandemic and a reduction in clinical placements. The UK's regulatory body for nursing has recognised its value in nursing education by increasing the possible number of simulated practice hours that can replace clinical placements to 600 hours. This article reports on an evaluation study of a novel approach using screen-based VR simulations for groups of students in a classroom setting. This study aims to evaluate student and lecturer experiences of screen-based VR with the aim of informing and sharing insights from this approach. Students and lecturers responded to an evaluation survey comprising both closed- and open-ended questions. A large approved education institute in the East of England. Pre-registration adult nursing master's students and adult nursing lecturers who had experience of screen-based VR with groups. Quantitative data were analysed using descriptive methods, and qualitative data using thematic analysis. Student and lecturer experiences of screen-based VR were overwhelmingly positive, overcoming many challenges of simulation documented in the literature. The group-working approach promoted development of non-technical or essential 'soft' skills such as communication, decision-making and teamwork. Screen-based VR for classroombased learning offers an effective, engaging and cost-effective method of incorporating VR simulation scenarios in adult nursing education. Thoughtful consideration of pedagogical aspects are key to its successful and effective integration into the pre-registration adult nursing curriculum.

Planar or Spatial: Exploring Design Aspects and Challenges for Presentations in Virtual Reality with No-coding Interface

The proliferation of virtual reality (VR) has led to its increasing adoption as an immersive medium for delivering presentations, distinct from other VR experiences like games and 360-degree videos by sharing information in richly interactive environments. However, creating engaging VR presentations remains a challenging and time-consuming task for users, hindering the full realization of VR presentation's capabilities. This research aims to explore the potential of VR presentation, analyze users' opinions, and investigate these via providing a user-friendly no-coding authoring tool. Through an examination of popular presentation software and interviews with seven professionals, we identified five design aspects and four design challenges for VR presentations. Based on the findings, we developed VRStory, a prototype for presentation authoring without coding to explore the design aspects and strategies for addressing the challenges. VRStory offers a variety of predefined and customizable VR elements, as well as modules for layout design, navigation control, and asset generation. A user study was then conducted with 12 participants to investigate their opinions and authoring experience with VRStory. Our results demonstrated that, while acknowledging the advantages of immersive and spatial features in VR, users often have a consistent mental model for traditional 2D presentations and may still prefer planar and static formats in VR for better accessibility and efficient communication. We finally shared our learned design considerations for future development of VR presentation tools, emphasizing the importance of balancing of promoting immersive features and ensuring accessibility.

Measuring and Explaining Situational Fear of Crime: An Experimental Study Into the Effects of Disorder, Using Virtual Reality and Multimodal Measurement

Abstract The current study combines an experimental research design, Virtual Reality (VR) and multimodal (survey and physiological) measurements to measure and explain situational fear of crime. 159 participants completed our VR experiment in which we focused on the role of physical and social disorder in engendering situational fear of crime. Drawing on our survey measures, we find significant effects of disorder on a variety of outcome variables: situationally experienced safety, fear of theft, fear of verbal aggression, fear and physical aggression and fear of sexually transgressive behaviour. Most of our physiological measures rendered null findings. Hence, we also conclude that the results from our two data sources (survey measures vs. physiological measures) diverge in important ways.

My virtual escape from patient life: a feasibility study on the experiences and benefits of individualized virtual reality for inpatients in palliative cancer care

BackgroundCancer patients benefit from Virtual Reality (VR) in burdensome situations, but evidence is scarce for palliative situations. Based on earlier work in palliative care, individualized VR interventions like seeing the patient’s home may address a patient’s wish to be at home and thus have a greater effect compared to standard VR content. Yet, some patients and relatives may be concerned about their privacy. Also, patient stakeholders raised concerns about triggering depressed mood or homesickness.AimTo test the feasibility and safety of individualized vs. standard 360°video VR interventions in palliative cancer inpatients.MethodsProspective observational study with patient-reported outcome measurement using validated instruments of well-being (MDBF), symptoms and psychosocial burden (IPOS), cybersickness (SSQ), presence experience (SPES), subjective benefit (2 items), content analysis of interviews, and field notes. Individualized VR content was recorded with action camcorder-technology to protect the patients’ privacy.ResultsSeventeen patients participated, median age 65 years (range 20–82), 9 women (53%), 8 single or widowed (47%), 4 childless (23.5%), 4 academics (23.5%), with a median length of stay of 9 days (1–75) in the hematology (10), palliative care (3), or radiotherapy (2) unit of a German university hospital. Eight patients (53.3%) chose their own home environments or family for individualized VR-content. All participants enjoyed the intervention. Compared to standard VR content the individualized VR tended to have a stronger effect on well-being and emotional touch. It was not inferior in terms of psychosocial burden and cybersickness. No subjective and relevant side effects occurred. The patients well tolerated the assessments. However, most patients demanded a lighter headset and a desire for more interactivity.ConclusionsIndividualization of VR content shows potential for enhancement of immersion, which improves the VR experience and does not harm in terms of depressed mood or worsening of symptoms. The patients’ and family desire for privacy is feasible with the support of family members who recorded the individualized videos, which is easily manageable today. We suggest a pragmatic randomized clinical trial to compare the effects of individualized vs. standard VR-content.Trial registrationRegistered at German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS); registration number: DRKS00032172; registration date: 11/07/2023.

Integrating Virtual Reality Tools into Secondary School Classrooms to Address Gender Gap in STEM Education: An Action Plan

This action plan addresses the gender gap in STEM education by integrating Virtual Reality (VR) tools into secondary school classrooms. Despite various strategies to increase female participation in STEM fields, women remain underrepresented in these areas. The action plan proposes the use of immersive and interactive VR experiences to create more engaging learning environments that may attract a diverse student body, particularly female students. By leveraging the potential of VR to simulate science experiments and other STEM-related activities, this project aims to enhance students' interest and confidence in STEM subjects. A pilot will be conducted in a secondary school, with approximately 50-100 students and a dedicated STEM teaching team. Key strategies include virtual reality technology training for teachers, the design of inclusive STEM curricula, and continuous evaluation through both formative and summative assessments. The expected outcome is that female students will show increased willingness to pursue further study and careers in STEM fields, contributing to long-term reductions in the gender gap in STEM education.

Developing a Workflow for Transforming BIM Models into Immersive Virtual Reality Experiences

Abstract. The integration of Extended Reality (XR) and Building Information Modelling (BIM) has emerged as a promising approach for enhancing interaction with spatial data in the built environment. While the potential of BIM for advanced visualization has been recognized, there remains a need for standardized workflows that facilitate the transformation of BIM models into immersive virtual reality (VR) experiences. This research contributes to the ongoing development of BIM-VR integration by presenting a workflow that leverages Revit, Twinmotion, and Datasmith to create visually rich and interactive VR environments. The established process focuses on enhancing textures, incorporating dynamic lighting and weather simulations, and populating the virtual space with realistic elements. The workflow also addresses the integration of interactable objects to elevate user engagement and the use of cutting-edge VR headsets for an immersive experience. By providing a structured approach to bridging complex BIM data with VR, this research aims to support architects, engineers, construction professionals, and clients in design collaboration, project review, and decision-making across the building lifecycle. The workflow's potential for facilities management and training applications is also explored. Through a case study, the research demonstrates the workflow's effectiveness in facilitating a deeper understanding of architectural spaces before construction, highlighting its potential for improving efficiency and reducing rework. The paper also discusses the challenges and opportunities associated with integrating BIM with GIS and sensor data to create comprehensive digital twins. This research contributes to the growing body of knowledge on BIM-VR integration and underscores the importance of continued development in this field to enhance the design, communication, and experience of the built environment.

Multisensory experiences of affective touch in virtual reality enhance engagement, body ownership, pleasantness, and arousal modulation

When engaging in physical contact, our emotional response hinges not only on the nuanced sensory details and the receptive properties of the skin but also on contextual cues related to the situation and interpersonal dynamics. The consensus is that the nature of the affective interactive experience in social touch is shaped by a combination of ascending, C-tactile (CT) afferents mediated somatosensory information, and modulatory, top-down information. The question we pose here is whether, in the absence of somatosensory input, multisensory cues alone can suffice to create a genuinely pleasant, authentic, and engaging experience in virtual reality. The study aims to explore how affective touch is perceived in immersive virtual environments, considering varied social norms in neutral settings or settings like a physiotherapy room where the touch provider is a healthcare professional. We conducted an experiment with 58 male and female healthy adults, where we employed a within-group counterbalanced design featuring two factors: (a) visuo-tactile affective touch, and (B) visual-only affective touch. Findings, drawn from questionnaires and collected physiological data, shed light on how contextual factors influence implicit engagement, self-reported embodiment, co-presence, as well as the perceived realism and pleasantness of the touch experience. Our findings, in line with the literature, indicate that to experience the advantages of touch in immersive virtual worlds, it is essential to incorporate haptic feedback, as depending solely on visual input may not be adequate for fully realising the optimal benefits of interpersonal touch. Furthermore, in contradiction with our hypothesis, a less ambiguous context (specifically, the physiotherapy room and touch from a physiotherapist) is not linked to heightened touch pleasantness.

Sex and Age Differences in Virtual Reality (VR) Sickness Susceptibility in Forklift Driving Simulation

Traditional forklift training methods are limited by their time-consuming nature and high costs. Virtual reality (VR) simulators have emerged as a cost-effective and safe alternative for forklift driving training. However, previous research revealed a substantial challenge associated with VR experiences, specifically concerning motion sickness during forklift training. Motion sickness poses a significant challenge to the effectiveness and user experience in VR forklift simulations. The primary objective of this research is to examine the influence of sex and age on motion sickness susceptibility within a virtual reality forklift simulation. Twenty individuals (nine females, eleven males) participated in the study and completed several driving tasks in a VR forklift simulator. Survival analysis (Kaplan-Meier) and Cox Proportional Hazards models examined sex and age differences in VR sickness. Age was the only significant predictor. The effects of age on motion sickness susceptibility highlight the need for tailored approaches in VR development and training.

The Impact of the Digital Transformation of Chinese Cultural Products on Marketing and Communication Strategies

In an era defined by globalization and rapid technological advancement, Chinas cultural industry is undergoing a significant transformation. This study investigates the profound effects of digital transformation on Chinas cultural industry, focusing on digital cultural innovation products such as digital art, virtual reality experiences, and online cultural creations. As globalization and technological advancements reshape cultural production, dissemination, and consumption, Chinas digital cultural sector has emerged as a significant global player. This research systematically reviews literature, industry reports, and case studies to analyze how Chinese digital cultural products are influencing marketing and communication strategies. The findings reveal that advancements in virtual reality, augmented reality, and artificial intelligence are leading to the creation of immersive and diverse cultural experiences, significantly enhancing consumer engagement and market reach. The study also highlights the transformative role of digital tools in marketing, including dynamic content creation and interactive experiences, while addressing challenges such as market saturation and the need for balanced engagement strategies. Future research should incorporate quantitative and qualitative data to further explore these dynamics.

Linking brain-heart interactions to emotional arousal in immersive virtual reality.

The subjective experience of emotions is linked to the contextualized perception and appraisal of changes in bodily (e.g., heart) activity. Increased emotional arousal has been related to attenuated high-frequency heart rate variability (HF-HRV), lower EEG parieto-occipital alpha power, and higher heartbeat-evoked potential (HEP) amplitudes. We studied emotional arousal-related brain-heart interactions using immersive virtual reality (VR) for naturalistic yet controlled emotion induction. Twenty-nine healthy adults (13 women, age: 26 ± 3) completed a VR experience that included rollercoasters while EEG and ECG were recorded. Continuous emotional arousal ratings were collected during a video replay immediately after. We analyzed emotional arousal-related changes in HF-HRV as well as in BHIs using HEPs. Additionally, we used the oscillatory information in the ECG and the EEG to model the directional information flows between the brain and heart activity. We found that higher emotional arousal was associated with lower HEP amplitudes in a left fronto-central electrode cluster. While parasympathetic modulation of the heart (HF-HRV) and parieto-occipital EEG alpha power were reduced during higher emotional arousal, there was no evidence for the hypothesized emotional arousal-related changes in bidirectional information flow between them. Whole-brain exploratory analyses in additional EEG (delta, theta, alpha, beta and gamma) and HRV (low-frequency, LF, and HF) frequency bands revealed a temporo-occipital cluster, in which higher emotional arousal was linked to decreased brain-to-heart (i.e., gamma→HF-HRV) and increased heart-to-brain (i.e., LF-HRV → gamma) information flow. Our results confirm previous findings from less naturalistic experiments and suggest a link between emotional arousal and brain-heart interactions in temporo-occipital gamma power.

Introducing Digitized Cultural Heritage to Wider Audiences by Employing Virtual and Augmented Reality Experiences: The Case of the v-Corfu Project

In recent years, cultural projects utilizing digital applications and immersive technologies (VR, AR, MR) have grown significantly, enhancing cultural heritage experiences. Research emphasizes the importance of usability, user experience, and accessibility, yet holistic approaches remain underexplored and many projects fail to reach their audience. This article aims to bridge this gap by presenting a complete workflow including systematic requirements analysis, design guidelines, and development solutions based on knowledge extracted from previous relevant projects. The article focuses on virtual museums covering key challenges including compatibility, accessibility, usability, navigation, interaction, computational performance and graphics quality, and provides a design schema for integrating virtual museums into such projects. Following this approach, a number of applications are presented. Their performance with respect to the aforementioned key challenges is evaluated. Users are invited to assess them, providing positive results. To assess the virtual museum’s ability to attract a broader audience beyond the usual target group, a group of underserved minorities are also invited to use and evaluate it, generating encouraging outcomes. Concluding, results show that the presented workflow succeeds in yielding high-quality applications for cultural heritage communication and attraction of wider audiences, and outlines directions for further improvements in digitized heritage applications.

Virtual Reality-Assisted Informed Consent for Anesthesia: A Prospective and Randomized Proof-of-Concept Study.

Background/Objectives: Informed consent for anesthesia poses both legal challenges and problems of understandable communication. Fulfilling all the requirements through anesthesiologists directly interacting with patients is a time- and staff-consuming strategy. Given today's smart technologies, notably including virtual reality (VR), we explored in a prospective randomized study whether 'VR-assisted informed consent' could improve this situation. Methods: Fifty patients scheduled for orthopedic surgery were randomized. In the control group, informed consent was obtained via patient-specialist dialogs only. The patients in the study group, wearing a head-mounted display, watched an 8 min immersive 3D movie with the standard explanations of general anesthesia, followed by a patient-specialist dialog to address open questions. The time spent on the dialogs in both groups was evaluated as the primary outcome variable. As secondary variables, we analyzed both a three-item Likert scale on patient satisfaction with the VR experience and cost differences between both groups. Results: Patient-specialist dialogs were carried on for median (IQR) durations of 93 (20-182) seconds in the study group versus 665 (261-829) seconds in the control group (p < 0.001). All the patients exposed to VR rated this experience as favorable (87.5%) or neutral (12.5%). Based on anesthesiologists' incomes in the US and UK, our approach would reduce the staff expenditure for each patient-specialist dialog by median amounts of USD ≈40 or ≈11, respectively (2 × p < 0.001). Conclusions: 'VR-assisted informed consent' for anesthesia is well accepted by patients and reduces the time requirements for patient-specialist dialogs, thus pointing out a potential avenue towards increasing the work-time efficiency of anesthesiologists.