National Acceptance and Determinants of Immersive Extended Reality in Health Care in China: Cross-Sectional Study - Summary - MDSpire

National Acceptance and Determinants of Immersive Extended Reality in Health Care in China: Cross-Sectional Study

  • By

  • Jiaying Li

  • Patricia M Davidson

  • Helen YL Chan

  • Cho Lee Wong

  • Xiang Qi

  • Zengjie Ye

  • Ankie Tan Cheung

  • Daniel YT Fong

  • Yibo Wu

  • Junxin Li

  • June 26, 2026

  • 0 min

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Objective:

To estimate national levels of immersive XR acceptance in China and evaluate determinants influencing acceptance across demographic and health-related factors.

Approach:
  • Study Design: Nationwide, population-based, cross-sectional survey conducted in China from June to September 2024.
  • Participants: Chinese nationals aged 18 years or older, residing in China for at least 11 months per year, able to complete the online questionnaire, and provided informed consent.
  • Sampling Procedures: Used a 5-stage geographic sampling framework across 33 provincial regions to ensure national coverage.
Key Findings:
  • Immersive XR acceptance varies significantly by geography, age, and disease cohort.
  • 139 determinants spanning socioeconomics, childhood adversity, lifestyle, health literacy, and psychosocial factors were evaluated.
  • A streamlined classification tree was developed to identify profiles of immersive XR nonacceptors.
Interpretation:

Understanding acceptance and its determinants is essential for designing accessible XR interventions and guiding equitable implementation in healthcare.

Limitations:
  • Current evidence on XR acceptance remains fragmented and drawn from small or specific cohorts.
  • The study may not fully capture broader public attitudes due to its focus on specific demographic factors.
Conclusion:

The study aims to provide insights into XR acceptance in healthcare, highlighting the need for a broader biopsychosocial understanding of user profiles.

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