AUTHOR=De Luca Vincenzo , Qbilat Malak , Cuomo Alessandra , Bianco Antonio , Cesaroni Francesca , Lanari Chiara , van Berlo Ad , Mota Telma , Pannese Lucia , Brandstötter Michael , Arendse Matthieu , Mota Vania , van Staalduinen Willeke , Paredes Hugo , Iaccarino Guido , Illario Maddalena 

TITLE=Virtual reality solution to promote adapted physical activity in older adults: outcomes from VR2Care project exploratory study

JOURNAL=Frontiers in Public Health

VOLUME=Volume 13 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1584406

DOI=10.3389/fpubh.2025.1584406

ISSN=2296-2565

ABSTRACT=BackgroundInsufficient physical activity is one of the leading risk factors for death worldwide. Regular exercise can improve physical performance and quality of life, reduce the risks of falls and depressive symptoms, and reduce the likelihood of cognitive decline in older adults. Virtual reality (VR) and serious games (SG) are promising tools to improve physical and cognitive functioning. As part of the VR2Care project activities, four pilot sites explored the capabilities of the VR environment in a remote psychomotor training with SG and a hybrid approach with local groups of older adults performing physical activity.ObjectiveThe present study aimed to explore and measure the impact on older adults’ quality of life and physical activity of using VR2Care solution and the level of usability, satisfaction and acceptance.MethodsThe study is a mixed method study, using qualitative and quantitative surveys to evaluate quality of life and physical activity of older users, and usability, satisfaction and acceptance of the solution. The data collection is a mix of investigator site data entry and users’ self-reported data through the solutions or through online and paper-based means. Data were collected at baseline and after a follow-up of 6 weeks. Data are expressed as mean ± standard deviation (SD) unless otherwise stated. Within the group, baseline to end of observation differences were assessed by paired sample t-test. A p = 0.05 was considered significant.ResultsNo significant improvements in quality of life and physical activity were found. Little improvement, although not significant, in physical activity was found, comparing the Total MET average value of users who participated in phase I and II, therefore using SmartAL and Rehability. Little improvement, although not significant, in physical activity applies in ≥76 population. Users’ feedback on usability, satisfaction and acceptance of VR2Care is generally positive. VR2Care was appreciated mostly for its usefulness in managing physical activity and the capacity to influence the consistency of attending physical activity sessions as prescribed by doctors.ConclusionOur results suggest that randomized controlled trial will be needed to assess correlations between specific features of the solution and health outcomes.