Institut des Sciences du Sport-Santé de Paris (URP3625 - I3SP), Université Paris Cité, Paris, France.
Laboratoire Complexité, Innovations, Activités Motrices et Sportives (CIAMS, EA4532), Université Paris-Saclay, Orsay, France.
Front Public Health. 2023 Jul 19;11:1163484. doi: 10.3389/fpubh.2023.1163484. eCollection 2023.
Virtual Reality (VR) is a tool that is increasingly used in the aging population. Head-Mounted Displays (HMDs) are stereoscopic vision devices used for immersive VR. Cybersickness is sometimes reported after head-mounted display (HMD) VR exposure. Cybersickness severity and anxiety state reflect VR low tolerance. We aimed to evaluate HMD VR tolerance among older nursing home residents through cybersickness and anxiety state.
A total of 36 participants were included in this preliminary study, 33 of whom (mean age: 89.33 ± 5.48) underwent three individual HMD VR sessions with three different contents. Cybersickness occurrence and severity were scored by the Simulator Sickness Questionnaire (SSQ) after each session. Anxiety state was assessed by the State-Trait Anxiety Inventory form Y-A before and after each session. Anxiety trait (using State-Trait Anxiety Inventory form Y-B) was also evaluated before and after the experiment. In total, 92% (33/36) of patients completed all three sessions, of which 61% (20/33) did not report any cybersickness symptoms (SSQ = 0). Six participants reported significant cybersickness (defined by an SSQ score ⩾10) in at least one session.
Only two participants stopped the study after the first exposure because of cybersickness. Age, cognitive function, anxiety trait, and well-being were not associated with cybersickness. The mean anxiety state decreased significantly from pre- to post-session. This immersive HMD VR experience was well tolerated among nursing home dwellers. Further larger studies in this population aiming to identify CS determinants are needed in order to use HMD VR on a standard basis.
虚拟现实（VR）是一种在老年人群体中越来越常用的工具。头戴式显示器（HMD）是用于沉浸式 VR 的立体视觉设备。使用头戴式显示器（HMD）进行 VR 后有时会出现晕动症。晕动症的严重程度和焦虑状态反映了 VR 的低耐受性。我们旨在通过晕动症和焦虑状态来评估养老院居民对 HMD VR 的耐受性。
共有 36 名参与者参与了这项初步研究，其中 33 名（平均年龄：89.33±5.48）接受了三个单独的 HMD VR 课程，每个课程都有不同的内容。每次课程后，通过模拟器晕动症问卷（SSQ）对晕动症的发生和严重程度进行评分。在每次课程前后，通过状态-特质焦虑量表（Y-A）评估焦虑状态。在实验前后，还评估了焦虑特质（使用状态-特质焦虑量表 Y-B）。共有 92%（33/36）的患者完成了所有三个课程，其中 61%（20/33）没有报告任何晕动症症状（SSQ=0）。在至少一个课程中，有 6 名参与者报告了明显的晕动症（定义为 SSQ 评分 ⩾10）。
只有两名参与者因晕动症在第一次暴露后停止了研究。年龄、认知功能、焦虑特质和幸福感与晕动症无关。从课前到课后，焦虑状态显著降低。这种沉浸式 HMD VR 体验在养老院居民中得到了很好的耐受。为了在标准基础上使用 HMD VR，需要在这一人群中进行进一步的更大规模的研究，以确定 CS 的决定因素。
