AUTHOR=Cinalioglu Karin , Lavín Paola , Bein Magnus , Lesage Myriam , Gruber Johanna , Se Jade , Bukhari Syeda , Sasi Neeti , Noble Helen , Andree-Bruneau Marie , Launay Cyrille , Sanders Justin , Gauthier Serge , Rosa Pedro , Lifshitz Michael , Battistini Bruno J. , Beauchet Olivier , Khoury Bassam , Bouchard Stephane , Fallavollita Pascal , Vahia Ipsit , Rej Soham , Sekhon Harmehr TITLE=Effects of virtual reality guided meditation in older adults: the protocol of a pilot randomized controlled trial JOURNAL=Frontiers in Psychology VOLUME=14 YEAR=2023 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1083219 DOI=10.3389/fpsyg.2023.1083219 ISSN=1664-1078 ABSTRACT=Background

Virtual reality (VR) based meditation has been shown to help increase relaxation and decrease anxiety and depression in younger adults. However, this has not been studied in Randomized Controlled Trials (RCT) in the older adult population. The aim of this RCT is to assess the feasibility and acceptability of a VR-guided meditation intervention for community-dwelling older adults and its effect on stress and mental health.

Methods

We will recruit 30 participants aged ≥ 60 years, whose perceived stress score (PSS) is > 14 (moderate stress), and randomize them 1:1 to the intervention or control waitlist group. The intervention will involve exposure to eight 15-min VR-guided meditation sessions distributed twice weekly for 4-weeks. Two modalities will be offered: in-home and at the hospital.

Data analysis

Baseline and post-intervention assessments will evaluate perceived stress, anxiety, depression, sleep quality, quality of life, and mindfulness skills. Analyses will employ mixed methods repeated ANOVA tests. Qualitative analyses through semi-structured interviews and participant observation will be used to assess participants’ experiences. Study outcomes include: (A) feasibility and acceptability compared to a waitlist control (B) stress, using the Perceived Stress Scale (PSS); (C) anxiety, and depression, using the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9); (D) insomnia, quality of life and mindfulness skills, using the Athens Insomnia Scale (AIS), Quality of Life Questionnaire (EQ-5D-5L) and Five Facets Mindfulness Questionnaire Short Forms (FFMQ-SF), respectively. We will also measure immersive tendencies, sickness and sense of presence using the Simulator Sickness Questionnaire (SSQ) and the Presence Questionnaire (PQ).

Discussion

Virtual reality-guided meditation could be an acceptable, feasible, safe, and cost-effective novel alternative health intervention for improving older adults’ mental health.

Clinical trial registration: NCT05315609 at https://clinicaltrials.gov.