Skip to main content

Virtual Reality to Support Healthcare Workers in Managing Stress and Anxiety During the COVID-19 Pandemic: An Online Survey

  • Conference paper
  • First Online:
Book cover HCI International 2022 – Late Breaking Papers: Interacting with eXtended Reality and Artificial Intelligence (HCII 2022)

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cucinotta, D., Vanelli, M.: WHO declares COVID-19 a pandemic. Acta Biomed. 91(1), 157–160 (2020)

    Google Scholar 

  2. Di Renzo, L., et al.: Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J. Transl. Med. 18(1), 229 (2020)

    Google Scholar 

  3. Giuntella, O., Hyde, K., Saccardo, S., Sadoff, S.: Lifestyle and mental health disruptions during COVID-19. Proc. Natl. Acad. Sci. 118(9), e2016632118 (2021)

    Google Scholar 

  4. 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)

    Google Scholar 

  5. 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)

    Google Scholar 

  6. 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)

    Google Scholar 

  7. Spoorthy, M.S.: Mental health problems faced by healthcare workers due to the COVID-19 pandemic–a review. Asian J. Psychiatr. 51, 102119 (2020)

    Google Scholar 

  8. Kar, N., Kar, B., Kar, S.: Stress and coping during COVID-19 pandemic: result of an online survey. Psychiatry Res. 295, 113598 (2021)

    Google Scholar 

  9. 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)

    Google Scholar 

  10. 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)

    Google Scholar 

  11. 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)

    Google Scholar 

  12. 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)

    Google Scholar 

  13. 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)

    Google Scholar 

  14. Du, J., et al.: Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen. Hosp. Psychiatry. 67, 144–145 (2020)

    Google Scholar 

  15. 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

    Article  Google Scholar 

  16. 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)

    Google Scholar 

  17. 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)

    Google Scholar 

  18. 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)

    Google Scholar 

  19. 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)

    Google Scholar 

  20. 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)

    Google Scholar 

  21. 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)

    Google Scholar 

  22. 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)

    Google Scholar 

  23. 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)

    Google Scholar 

  24. 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)

    Google Scholar 

  25. 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)

    Google Scholar 

  26. Krystal, J.H., McNeil, R.L.: Responding to the hidden pandemic for healthcare workers: stress. Nat. Med. 26, 639 (2020)

    Google Scholar 

  27. 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)

    Google Scholar 

  28. 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)

    Google Scholar 

  29. 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)

    Google Scholar 

  30. 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)

    Google Scholar 

  31. 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)

    Google Scholar 

  32. 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)

    Google Scholar 

  33. Freeman, D., et al.: Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol. Med. 47(14), 2393–2400 (2017)

    Google Scholar 

  34. Kim, S., Kim, E.: The use of virtual reality in psychiatry: a review. J. Korean Acad. Child Adolesc. Psychiatry. 31(1), 26–32 (2020)

    Google Scholar 

  35. 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)

    Google Scholar 

  36. Oing, T., Prescott, J.: Implementations of virtual reality for anxiety-related disorders: systematic review. JMIR Serious Games 6, e10965 (2018)

    Google Scholar 

  37. 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)

    Google Scholar 

  38. 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)

    Google Scholar 

  39. 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)

    Google Scholar 

  40. 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)

    Google Scholar 

  41. 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)

    Google Scholar 

  42. 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)

    Google Scholar 

  43. 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)

    Google Scholar 

  44. Seabrook, E., et al.: Understanding how virtual reality can support mindfulness practice: mixed methods study. J. Med. Internet Res. 22(3), e16106 (2020)

    Google Scholar 

  45. 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)

    Google Scholar 

  46. 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)

    Google Scholar 

  47. 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)

    Google Scholar 

  48. 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

    Article  Google Scholar 

  49. 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)

    Google Scholar 

  50. 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)

    Google Scholar 

  51. 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)

    Google Scholar 

  52. 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)

    Google Scholar 

  53. Beverly, E., et al.: A tranquil virtual reality experience to reduce subjective stress among COVID-19 frontline healthcare workers. PLoS ONE 17, e0262703 (2022)

    Google Scholar 

  54. 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)

    Google Scholar 

  55. 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)

    Google Scholar 

  56. Cohen, S., Kamarck, T., Mermelstein, R.: A global measure of perceived stress. J. Health Soc. Behav. 24, 385–396 (1983)

    Google Scholar 

  57. 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)

    Google Scholar 

  58. 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)

    Google Scholar 

  59. 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)

    Google Scholar 

  60. 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)

    Google Scholar 

  61. 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)

    Google Scholar 

  62. 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)

    Google Scholar 

  63. 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)

    Google Scholar 

  64. 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)

    Google Scholar 

  65. 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)

    Google Scholar 

  66. 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)

    Google Scholar 

  67. 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)

    Google Scholar 

  68. 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)

    Google Scholar 

  69. International Data Corporation (IDC): AR & VR Headsets Market Share (2022)

    Google Scholar 

  70. 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)

    Google Scholar 

  71. 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)

    Google Scholar 

  72. 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)

    Google Scholar 

  73. 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

    Article  Google Scholar 

  74. Donker, T., Griffiths, K.M., Cuijpers, P., Christensen, H.: Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC Med. 7, 79 (2009)

    Google Scholar 

  75. 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)

    Google Scholar 

  76. Stanney, K., Fidopiastis, C., Foster, L.: Virtual reality is sexist: but it does not have to be. Front. Robot. AI. 7, 4 (2020)

    Google Scholar 

  77. 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)

    Google Scholar 

  78. 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)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Federica Pallavicini .

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

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

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)

Publish with us

Policies and ethics