VR-based nature interventions for health promotion in long-term care facilities (Nature Boost)—a mixed-methods feasibility study protocol - Report - MDSpire

VR-based nature interventions for health promotion in long-term care facilities (Nature Boost)—a mixed-methods feasibility study protocol

  • By

  • Nele Sieverding

  • Judith Czakert

  • Steven Ngandeu Schepanski

  • Wiebke Stritter

  • Georg Seifert

  • July 16, 2026

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Feasibility Study Protocol for a Virtual Reality Nature Intervention

Overview

This feasibility study aims to evaluate the acceptability of a virtual reality nature intervention in long-term care settings, assessing qualitative outcomes through interviews and quantitative outcomes related to sleep quality, anxiety, depressive symptoms, well-being, loneliness, and trust in nursing staff.

Background

The increasing global elderly population and the projected shortage of nursing staff highlight the need for innovative interventions in long-term care. Residents often face challenges such as loneliness and cognitive decline, exacerbated by limited social interactions.

Data Highlights

This study will involve ten residents and ten nursing staff members participating in twelve 15-minute virtual reality sessions over four weeks. Primary outcomes will be assessed qualitatively through interviews, while secondary outcomes will include sleep quality, anxiety, depressive symptoms, well-being, loneliness, and trust in nursing staff, analyzed quantitatively.

Key Findings

  • The study will qualitatively assess the feasibility of a virtual reality nature intervention in long-term care.
  • Residents will engage in three virtual reality sessions each week for four weeks.
  • Nursing staff will support residents during one session each week.
  • Secondary outcomes will be quantitatively analyzed, including measures of sleep quality and emotional well-being.

Clinical Implications

Understanding the psychosocial effects of such interventions can guide the development of supportive care strategies.

Conclusion

This feasibility study will provide insights into the implementation of virtual reality interventions in long-term care.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Impact of a virtual reality program on the cognitive and psycho-emotional state of seniors with mild cognitive impairment
  2. Frontiers in Digital Health, 2026 -- A pilot feasibility study of a tablet-based virtual community application with shared avatars for promoting health behavior change in older adult care facilities
  3. Journal of Neuro-Oncology, 2023 -- Evaluation of a virtual reality approach for alleviating anxiety and distress in individuals with primary brain tumors: Interim findings from a phase 2 clinical study
  4. Risk reduction of cognitive decline and dementia: WHO guidelines, second edition, 2026
  5. Journal of Medical Internet Research (JMIR) — Improving Home Care Safety Among Informal Caregivers Through Immersive Digital Simulation: Secondary Analysis of 3 Coordinated Intervention Studies
  6. Clinical Trials - Virtual Nature as a Health-promoting Intervention for Nursing Home Residents With Dementia
  7. Risk reduction of cognitive decline and dementia: WHO guidelines, second edition
  8. Immersive virtual reality for older adults with mild cognitive impairment, dementia, or cognitive frailty: a systematic review and narrative synthesis (2019–2025) - PMC

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