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Development of a Virtual Reality Assessment of Everyday Living Skills

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The Home Health Virtual Simulation Training System Facilitates Home Hazard Identification and Mitigation Strategies.

Barbara J Polivka, Carolyn M Sommerich, Steven A Lavender

Home Healthcare Now

|July 6, 2026

Summary

Home healthcare virtual simulation training (HH-VSTS) effectively improved hazard identification and mitigation strategies for home healthcare workers (HHWs). This training translates to real-world settings, enhancing safety for both workers and clients.

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Area of Science:

Occupational Safety and Health
Virtual Simulation Training
Home Healthcare Education

Background:

Home healthcare workers (HHWs) face diverse occupational safety hazards, including "Electric, Fire and Burn," "Environmental," and "Slip, Trip, and Lift" risks.
A home healthcare virtual simulation training system (HH-VSTS) was developed to address these safety concerns.
Previous research confirmed the usability and desirability of the HH-VSTS, but its real-world knowledge generalization remained unassessed.

Purpose of the Study:

To evaluate the effectiveness of the HH-VSTS in generalizing hazard identification and mitigation knowledge to a simulated real-world environment.
To determine if training in specific hazard categories within the HH-VSTS leads to improved recognition and management of those hazards in a practical setting.

Main Methods:

Sixteen participants completed one of three HH-VSTS modules focusing on specific hazard categories.
Participants then navigated a simulated one-bedroom apartment containing 15 hazards (5 per category).
Hazard identification and proposed mitigation strategies were recorded and categorized as successful, partially successful, or failed.

Main Results:

Participants identified 85% of hazards related to their trained module versus 46% for untrained categories.
Trained hazards were more likely to be met with successful mitigation strategies compared to untrained hazards.
The HH-VSTS demonstrated effectiveness in enhancing hazard recognition and mitigation in a non-virtual, simulated home environment.

Conclusions:

The HH-VSTS training successfully facilitated hazard identification and mitigation strategies in a simulated home setting.
The findings suggest the HH-VSTS training approach is effective and should translate to real home care settings, improving occupational safety.
Virtual simulation training offers a viable method for enhancing the practical safety skills of home healthcare workers.