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Related Experiment Video

Updated: Jul 13, 2025

Development of a Virtual Reality Assessment of Everyday Living Skills
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Virtual Reality Meditation for Fatigue in Persons With Rheumatoid Arthritis: Mixed Methods Pilot Study.

Nathan J Dreesmann1,2, Diana Buchanan3, Hsin-Yi Jean Tang3

  • 1Virtual Therapeutics, Kirkland, WA, United States.

JMIR Formative Research
|October 17, 2023
PubMed
Summary
This summary is machine-generated.

Virtual reality meditation (VRM) is a feasible intervention for managing fatigue in rheumatoid arthritis (RA). While acceptable to most patients, overcoming barriers is key for successful VRM deployment in RA symptom management.

Keywords:
VRanxietychronic paindepressionfatiguefeasibilityfeasibility studyhead-mounted displaymeditationmixed methodmoodpainrheumatoid arthritissymptomvirtual reality

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Area of Science:

  • Rheumatology
  • Digital Health
  • Mind-Body Medicine

Background:

  • Effective symptom management is crucial for individuals with chronic diseases like rheumatoid arthritis (RA).
  • While pharmacologic advances have reduced RA inflammation, fatigue remains a prevalent issue for up to 70% of patients.
  • Virtual reality (VR) technologies offer new avenues for health interventions, yet VR-delivered meditation (VRM) for RA fatigue is understudied.

Purpose of the Study:

  • To assess the feasibility of a study protocol utilizing VRM for RA fatigue management.
  • To determine the acceptability of VRM among outpatients with RA.
  • To identify barriers and contextual factors influencing VRM use in RA patients.

Main Methods:

  • A convergent, mixed methods design was employed with adult RA patients.
  • Patient-Reported Outcome Measurement Information System (PROMIS) measures for fatigue, depression, anxiety, pain, and function were assessed over 4 weeks.
  • Semistructured interviews explored participant experiences with RA, fatigue, and VRM.

Main Results:

  • 13 participants completed the study, with high adherence to surveys and interviews.
  • Participants used VRM an average of 8.9 times; 92% found it enjoyable or recommended it.
  • Significant decreases were observed in PROMIS fatigue, depression, anxiety, and pain behavior, with improvements in physical function and mood.

Conclusions:

  • The VRM study protocol demonstrated feasibility and acceptability among RA outpatients.
  • Addressing identified barriers and contextual factors is essential for successful VRM intervention deployment.
  • VRM shows promise as an adjunctive therapy for managing fatigue and other symptoms in rheumatoid arthritis.