Abstract
Virtual reality appears an interesting technology to offer healthcare workers innovative programs for managing stress and anxiety during the COVID-19 pandemic and when the crisis will be over. However, the unfamiliarity and the cost of virtual reality could represent significant technical and socioeconomic obstacles in its adoption in the mental health panorama. Therefore, this study aimed to explore in a sample of doctors and nurses the use of virtual reality, their interest in this technology, and the availability to spend for purchasing a virtual reality system. Forty-four doctors and nurses completed an online survey (72.2% female; mean age 41.5 ± 10.7). Results showed that: (a) most healthcare practitioners have never tried virtual reality and have a low level of knowledge of this technology, regardless of profession, gender, and age group; (b) healthcare workers showed medium interest in using virtual reality-based programs for stress and anxiety management, both at home and in the hospital, with differences between men and women (p < .01); (c) the cost of virtual reality systems represents for many doctors and nurses a critical barrier to the use of this technology for psychological support.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cucinotta, D., Vanelli, M.: WHO declares COVID-19 a pandemic. Acta Biomed. 91(1), 157–160 (2020)
Di Renzo, L., et al.: Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J. Transl. Med. 18(1), 229 (2020)
Giuntella, O., Hyde, K., Saccardo, S., Sadoff, S.: Lifestyle and mental health disruptions during COVID-19. Proc. Natl. Acad. Sci. 118(9), e2016632118 (2021)
Park, K.H., Kim, A.R., Yang, M.A., Lim, S.J., Park, J.H.: Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PLoS ONE 16(2), e0247970 (2021)
Gómez-Ochoa, S.A., et al.: COVID-19 in health-care workers: a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. Am. J. Epidemiol. 190(1), 161–175 (2021)
Nguyen, L.H., et al.: Risk of COVID-19 among front-line healthcare workers and the general community: a prospective cohort study. Lancet Public Heal. 5(9), e475–e483 (2020)
Spoorthy, M.S.: Mental health problems faced by healthcare workers due to the COVID-19 pandemic–a review. Asian J. Psychiatr. 51, 102119 (2020)
Kar, N., Kar, B., Kar, S.: Stress and coping during COVID-19 pandemic: result of an online survey. Psychiatry Res. 295, 113598 (2021)
Li, Y., Scherer, N., Felix, L., Kuper, H.: Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. PLoS ONE 16(3), e0246454 (2021)
Marvaldi, M., Mallet, J., Dubertret, C., Moro, M.R., Guessoum, S.B.: Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci. Biobehav. Rev. 126, 252–264 (2021)
Bassi, M., Negri, L., Delle Fave, A., Accardi, R.: The relationship between post-traumatic stress and positive mental health symptoms among health workers during COVID-19 pandemic in Lombardy, Italy. J. Affect. Disord. 280(Pt B), 1–6 (2021)
Di Tella, M., Romeo, A., Benfante, A., Castelli, L.: Mental health of healthcare workers during the COVID-19 pandemic in Italy. J. Eval. Clin. Pract. 26, 1583–1587 (2020)
Vagni, M., Maiorano, T., Giostra, V., Pajardi, D.: Hardiness, stress and secondary trauma in italian healthcare and emergency workers during the COVID-19 pandemic. Sustainability. 12(14), 5592 (2020)
Du, J., et al.: Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen. Hosp. Psychiatry. 67, 144–145 (2020)
Vizheh, M., Qorbani, M., Arzaghi, S.M., Muhidin, S., Javanmard, Z., Esmaeili, M.: The mental health of healthcare workers in the COVID-19 pandemic: a systematic review. J. Diabetes Metab. Disord. 19(2), 1967–1978 (2020). https://doi.org/10.1007/s40200-020-00643-9
Hennein, R., Mew, E.J., Lowe, S.R.: Socio-ecological predictors of mental health outcomes among healthcare workers during the COVID-19 pandemic in the United States. PLoS ONE 16(2), e0246602 (2021)
Shechter, A., et al.: Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen. Hosp. Psychiatry. 66, 1–8 (2020)
Gupta, S., Sahoo, S.: Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19. Gen. Psychiatry. 33(5), e100284 (2020)
Wilson, W., et al.: Prevalence and predictors of stress, anxiety, and depression among healthcare workers managing COVID-19 pandemic in India: a nationwide observational study. Indian J. Psychol. Med. 42(4), 353–358 (2020)
Gandi, J.C., Wai, P.S., Karick, H., Dagona, Z.K.: The role of stress and level of burnout in job performance among nurses. Ment. Health Fam. Med. 8(3), 181–194 (2011)
Dellve, L., Hadzibajramovic, E., Ahlborg, G.: Work attendance among healthcare workers: prevalence, incentives, and long-term consequences for health and performance. J. Adv. Nurs. 67(9), 1918–1929 (2011)
Müller, M.P., et al.: Excellence in performance and stress reduction during two different full scale simulator training courses: a pilot study. Resuscitation 80(8), 919–924 (2009)
Conway, P.M., Campanini, P., Sartori, S., Dotti, R., Costa, G.: Main and interactive effects of shiftwork, age and work stress on health in an Italian sample of healthcare workers. Appl. Ergon. 39(5), 630–639 (2008)
Vinstrup, J., Jakobsen, M.D., Andersen, L.L.: Perceived stress and low-back pain among healthcare workers: a multi-center prospective cohort study. Front. Public Heal. 8, 297 (2020)
Søvold, L.E., et al.: Prioritizing the mental health and well-being of healthcare workers: an urgent global public health priority. Front. Public Heal. 9, 679397 (2021)
Krystal, J.H., McNeil, R.L.: Responding to the hidden pandemic for healthcare workers: stress. Nat. Med. 26, 639 (2020)
Miller, H.L., Bugnariu, N.L.: Level of immersion in virtual environments impacts the ability to assess and teach social skills in autism spectrum disorder. Cyberpsychol. Behav. Soc. Netw. 19(4), 246–256 (2016)
Kardong-Edgren, S.S., Farra, S.L., Alinier, G., Young, H.M.: A call to unify definitions of virtual reality. Clin. Simul. Nurs. 31, 28–34 (2019)
Rebelo, F., Noriega, P., Duarte, E., Soares, M.: Using virtual reality to assess user experience. In: Human Factors, pp. 964–982. SAGE Publications, Los Angeles, CA (2012)
Parsons, T.D.: Virtual reality for enhanced ecological validity and experimental control in the clinical, affective and social neurosciences. Front. Hum. Neurosci. 9, 1–19 (2015)
Jerdan, S.W., Grindle, M., Van Woerden, H.C., Kamel Boulos, M.N.: Head-mounted virtual reality and mental health: critical review of current research. JMIR Serious Games 6(3), e14 (2018)
Valmaggia, L.R., Latif, L., Kempton, M.J., Rus-Calafell, M.: Virtual reality in the psychological treatment for mental health problems: an systematic review of recent evidence. Psychiatry Res. 236, 189–195 (2016)
Freeman, D., et al.: Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol. Med. 47(14), 2393–2400 (2017)
Kim, S., Kim, E.: The use of virtual reality in psychiatry: a review. J. Korean Acad. Child Adolesc. Psychiatry. 31(1), 26–32 (2020)
Maples-Keller, J.L., Bunnell, B.E., Kim, S.-J., Rothbaum, B.O.: The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harv. Rev. Psychiatry. 25(3), 103–113 (2017)
Oing, T., Prescott, J.: Implementations of virtual reality for anxiety-related disorders: systematic review. JMIR Serious Games 6, e10965 (2018)
Wechsler, T.F., Kümpers, F., Mühlberger, A.: Inferiority or even superiority of virtual reality exposure therapy in phobias?—a systematic review and quantitative meta-analysis on randomized controlled trials specifically comparing the efficacy of virtual reality exposure to gold standard in vivo. Exp. Front. Psychol. 10, 1758 (2019)
Anderson-Hanley, C., Maloney, M., Barcelos, N., Striegnitz, K., Kramer, A.: Neuropsychological benefits of neuro-exergaming for older adults: a pilot study of an interactive physical and cognitive exercise system (iPACES). J. Aging Phys. Act. 25, 73–83 (2017)
Lindner, P., Miloff, A., Hamilton, W., Carlbring, P.: The potential of consumer-targeted virtual reality relaxation applications: descriptive usage, uptake and application performance statistics for a first-generation application. Front. Psychol. 10, 132 (2019)
Pallavicini, F., Pepe, A.: Virtual reality games and the role of body involvement in enhancing positive emotions and decreasing anxiety: within-subjects pilot study. JMIR Serious Games 8, e15635 (2020)
Gradl, S., Wirth, M., Zillig, T., Eskofier, B.M.: Visualization of heart activity in virtual reality: a biofeedback application using wearable sensors. In: 2018 IEEE 15th International Conference on Wearable and Implantable Body Sensor Networks (BSN). pp. 152–155. IEEE (2018)
Pallavicini, F., Algeri, D., Repetto, C., Gorini, A., Riva, G.: Biofeedback, virtual reality and mobile phones in the treatment of generalized anxiety disorder (gad): a phase-2 controlled clinical trial. J. Cyber Ther. Rehabil. 2(4), 315–327 (2009)
Navarro-Haro, M.V., et al.: Meditation experts try virtual reality mindfulness: a pilot study evaluation of the feasibility and acceptability of virtual reality to facilitate mindfulness practice in people attending a mindfulness conference. PLoS ONE 12, e0187777 (2017)
Seabrook, E., et al.: Understanding how virtual reality can support mindfulness practice: mixed methods study. J. Med. Internet Res. 22(3), e16106 (2020)
Pallavicini, F., et al.: MIND-VR: design and evaluation protocol of a virtual reality psychoeducational experience on stress and anxiety for the psychological support of healthcare workers involved in the COVID-19 pandemic. Front. Virtual Real. 2, 620225 (2021)
Vlake, J.H., van Bommel, J., Hellemons, M.E., Wils, E.J., Gommers, D., van Genderen, M.E.: Intensive care unit-specific virtual reality for psychological recovery after ICU treatment for COVID-19; a brief case report. Front. Med. 7, 629086 (2021)
Riva, G., et al.: A Virtual reality-based self-help intervention for dealing with the psychological distress associated with the COVID-19 lockdown: an effectiveness study with a two-week follow-up. Int. J. Environ. Res. Public Heal. 18, 8188 (2021)
Waller, M., Mistry, D., Jetly, R., Frewen, P.: Meditating in virtual reality 3: 360° video of perceptual presence of instructor. Mindfulness 12(6), 1424–1437 (2021). https://doi.org/10.1007/s12671-021-01612-w
Zhang, W., et al.: Virtual reality exposure therapy (Vret) for anxiety due to fear of covid-19 infection: a case series. Neuropsychiatr. Dis. Treat. 16, 2669–2675 (2020)
Yahara, M., et al.: Remote reminiscence using immersive virtual reality may be efficacious for reducing anxiety in patients with mild cognitive impairment even in covid-19 pandemic: a case report. Biol. Pharm. Bull. 44(7), 1019–1023 (2021)
Yang, T., Lai, I.K.W., Fan, Z.B., Mo, Q.M.: The impact of a 360° virtual tour on the reduction of psychological stress caused by COVID-19. Technol. Soc. 64, 101514 (2021)
Nijland, J.W.H.M., Veling, W., Lestestuiver, B.P., Van Driel, C.M.G.: Virtual reality relaxation for reducing perceived stress of intensive care nurses during the COVID-19 pandemic. Front. Psychol. 12, 4257 (2021)
Beverly, E., et al.: A tranquil virtual reality experience to reduce subjective stress among COVID-19 frontline healthcare workers. PLoS ONE 17, e0262703 (2022)
Pimentel, D., Foxman, M., Davis, D.Z., Markowitz, D.M.: Virtually real, but not quite there: social and economic barriers to meeting virtual reality’s true potential for mental health. Front. Virtual Real. 2, 627059 (2021)
Imperatori, C., Dakanalis, A., Farina, B., Pallavicini, F., Colmegna, F., Mantovani, F., Clerici, M.: Global storm of stress-related psychopathological symptoms: a brief overview on the usefulness of virtual reality in facing the mental health impact of COVID-19. Cyberpsychol. Behav. Soc. Netw. 23(11), 782–788 (2020)
Cohen, S., Kamarck, T., Mermelstein, R.: A global measure of perceived stress. J. Health Soc. Behav. 24, 385–396 (1983)
Cohen, S., Janicki-Deverts, D.: Who’s stressed? distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. J. Appl. Soc. Psychol. 42(6), 1320–1334 (2012)
Lovibond, P.F., Lovibond, S.H.: The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety Inventories. Behav. Res. Ther. 33(3), 335–343 (1995)
Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., Engelhard, I.M.: Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. J. Anxiety Disord. 74, 102258 (2020)
Shinan-Altman, S., Werner, P.: Subjective age and its correlates among middle-aged and older adults. Int. J. Aging Hum. Dev. 88(1), 3–21 (2019)
Trumello, C., et al.: Psychological adjustment of healthcare workers in italy during the COVID-19 pandemic: differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. Int. J. Environ. Res. Public Heal. 17(22), 8358 (2020)
Lasalvia, A., et al.: Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy. Epidemiol. Psychiatr. Sci. 30, e1 (2021)
Pisanu, E., Di Benedetto, A., Infurna, M.R., Rumiati, R.I.: Psychological impact in healthcare workers during emergencies: the italian experience with COVID-19 first wave. Front. Psychiatry. 13, 450 (2022)
Salari, N., et al.: Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health 16, 57 (2020)
Mehta, S.S., Matthew, B.A., Edwards, L.: Suffering in silence: mental health stigma and physicians’ licensing fears. Amer. Journ. of Psych. Res. Journ. 13(11), 2–4 (2018)
Knaak, S., Mantler, E., Szeto, A.: Mental illness-related stigma in healthcare: barriers to access and care and evidence-based solutions. Healthc. Manag. forum. 30(2), 111–116 (2017)
Pallavicini, F., Pepe, A., Mantovani, F.: Commercial off-the-shelf video games for reducing stress and anxiety: systematic review. JMIR Ment. Heal. 8, e28150 (2021)
Carras, M.C., et al.: Commercial video games as therapy: a new research agenda to unlock the potential of a global pastime. Front. Psychiatry. 8, 0030 (2018)
International Data Corporation (IDC): AR & VR Headsets Market Share (2022)
Birckhead, B., et al.: Home-based virtual reality for chronic pain: protocol for an NIH-supported randomised-controlled trial. BMJ Open 11(6), e050545 (2021)
Pedram, S., Palmisano, S., Perez, P., Mursic, R., Farrelly, M.: Examining the potential of virtual reality to deliver remote rehabilitation. Comput. Human Behav. 105, 106223 (2020)
Sampaio, M., Haro, M.V.N., Wilks, C., Sousa, B.D., Garcia-Palacios, A., Hoffman, H.G.: Spanish-speaking therapists increasingly switch to telepsychology during COVID-19: networked virtual reality may be next. Telemedicine e-Health 27(8), 919–928 (2021)
Motlova, L.B., et al.: Psychoeducation as an opportunity for patients, psychiatrists, and psychiatric educators: why do we ignore it? Acad. Psychiatry 41(4), 447–451 (2017). https://doi.org/10.1007/s40596-017-0728-y
Donker, T., Griffiths, K.M., Cuijpers, P., Christensen, H.: Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC Med. 7, 79 (2009)
Grassini, S., Laumann, K.: Are modern head-mounted displays sexist? a systematic review on gender differences in HMD-mediated virtual reality. Front. Psychol. 11, 1604 (2020)
Stanney, K., Fidopiastis, C., Foster, L.: Virtual reality is sexist: but it does not have to be. Front. Robot. AI. 7, 4 (2020)
Felnhofer, A., Kothgassner, O.D., Beutl, L., Hlavacs, H., Kryspin-exner, I.: is virtual reality made for men only ? exploring gender differences in the sense of presence of psychology. In: Proceedings of the International Society Presence Research – ISPR 2012. Philadelphia, USA (2012)
Angelov, V., Petkov, E., Shipkovenski, G., Kalushkov, T.: Modern virtual reality headsets. In: HORA 2020 – 2nd International Congress Human-Computer Interaction Optimization Robotic Applications Proceedings IEEE (2020)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
Disclosure Statement
The authors declared no potential conflicts of interest concerning the research, authorship, and/or publication of this article.
Funding Information
All the authors worked on this project pro bono. This study was carried out within the MIND-VR project (www.mind-vr.com), born as a proposal selected within the crowdfunding call of the University of Milan-Bicocca in collaboration with the platform Produzioni dal Basso. The authors would like to thank Univale Onlus and the more than fifty supporters of the project.
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this paper
Cite this paper
Pallavicini, F. et al. (2022). Virtual Reality to Support Healthcare Workers in Managing Stress and Anxiety During the COVID-19 Pandemic: An Online Survey. In: Chen, J.Y.C., Fragomeni, G., Degen, H., Ntoa, S. (eds) HCI International 2022 – Late Breaking Papers: Interacting with eXtended Reality and Artificial Intelligence. HCII 2022. Lecture Notes in Computer Science, vol 13518. Springer, Cham. https://doi.org/10.1007/978-3-031-21707-4_12
Download citation
DOI: https://doi.org/10.1007/978-3-031-21707-4_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-21706-7
Online ISBN: 978-3-031-21707-4
eBook Packages: Computer ScienceComputer Science (R0)