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Updated: Jan 9, 2026

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Virtual Reality Experiments with Physiological Measures
Published on: August 29, 2018
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Bridging game metrics and user perception in remote virtual reality exergames: Lessons from a COVID-19 home-based
John E Muñoz1,2, Emily A Bicknell1, Samira Mehrabi3
1Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada.
Digital Health
|December 10, 2025
Summary
Virtual reality (VR) exergames show promise for older adults
Area of Science:
- Gerontology
- Human-Computer Interaction
- Exercise Science
Background:
- Virtual reality (VR) technology is becoming more affordable.
- VR exergames offer potential for promoting physical activity and engagement in older adults.
- Limited understanding exists on how VR game metrics and user experience data influence long-term adherence.
Purpose of the Study:
- To examine the feasibility of a custom VR exergame, "Seas the Day," for at-home use by older adults.
- To assess the evolution of VR-generated game metrics and user experience over time.
- To understand factors influencing long-term adherence to VR exergames in older adults.
Main Methods:
- Thirteen community-dwelling older adults participated in 18 seated VR sessions over 6 weeks.
- Activities included Tai Chi, rowing, and fishing simulations.
- In-game metrics (e.g., repetitions, response times, errors) and a difficulty-adjusted performance index (DAPI) were recorded. A Game User Experience Scale was administered at weeks 3 and 6.
Main Results:
- Most participants demonstrated improving or stable performance, with notable gains in Tai Chi completion time, rowing efficiency, and fishing response times.
- The difficulty-adjusted performance index (DAPI) indicated overall upward performance trends.
- Game User Experience ratings remained high, particularly for enjoyment and ease of use, suggesting sustained engagement.
Conclusions:
- Custom VR exergames are feasible for promoting physical activity and engagement among older adults in home settings, even during social restrictions.
- Game metrics and user experience data provide valuable insights into feasibility, adaptability, and individualized progress.
- VR exergaming holds potential for promoting well-being, highlighting the need for personalized engagement strategies.

