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Virtual Reality and User Experience: Current Trends and Future Challenges

2025 , Avilés-Castillo, Fátima , Buele, Jorge , Guillermo Palacios-Navarro

Virtual reality is an emerging and versatile technology that is gaining increasing interest from the scientific community, particularly regarding user experience. A review of the literature highlights the need for updated analyses that comprehensively address current trends in this field. The objective of this study is to analyze the evolution of scientific publications related to virtual reality and user experience, identifying trends, the most influential authors, relevant journals, and international collaborations, to provide a comprehensive overview. A bibliometric analysis was conducted using the Web of Science Core Collection database, identifying a total of 1,848 relevant publications. Network analysis techniques and Bradford’s law were applied, allowing for the examination of the distribution and impact of publications, as well as collaboration between authors and institutions. The results show an exponential growth in scientific output, particularly since 2019. While the United States leads in the number of publications, most of the influential authors are from Europe, with notable scientific output in Spain and Portugal. Current research hotspots include virtual reality applications in education and healthcare (over 70% of the analyzed publications), which align with Sustainable Development Goals, particularly 3 and 4. Trends indicate a shift towards integrating virtual reality with artificial intelligence, adaptive systems, and multisensory interaction to enhance immersion and usability. Challenges include a lack of standardized methodologies to assess immersion, presence, and cognitive load, which limits comparisons across studies and hinders the development of best practices. Future research should focus on refining interaction paradigms, improving accessibility, and developing ethical frameworks that respect data privacy and protect the user from cybersickness and the psychological effects of prolonged virtual reality exposure.

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Ethical and Social Challenges in Virtual Reality: A Bibliometric Analysis

2024 , Buele, Jorge , Homero J. Velastegui , Avilés-Castillo, Fátima , Hugo Paz-León , Guillermo Palacios-Navarro

Virtual reality has revolutionized human interaction with digital environments, creating immersive simulations that have significantly impacted sectors such as education, urban planning, and mental health. Along with its transformative potential, VR presents ethical and societal challenges. This study analyzes trends in research addressing these challenges, focusing on articles published through 2023 in the Web of Science database. Visual and statistical analyses reveal a sustained increase in publications since 2013. Patterns in authorship and collaboration networks emphasize the global and interdisciplinary nature of VR research. Dominant themes include the metaverse and therapeutic applications, as well as concerns about data privacy, virtual identity representation, and psychological effects such as cybersickness. Research highlights temporary symptoms such as nausea and eye strain associated with immersive systems, demonstrating the need for ergonomic design and age-specific usage guidelines. Furthermore, active video games using VR have shown promise in promoting physical activity, offering innovative solutions to combat sedentary lifestyles. Looking ahead, efforts must prioritize equitable access, user safety, and robust ethical frameworks to ensure the responsible and sustainable integration of VR technologies.

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User Experience in Virtual Reality (VR) Applications for Elderly People with Cognitive Impairment and Dementia: A Scoping Review

2024 , Buele, Jorge , Avilés-Castillo, Fátima , Guillermo Palacios-Navarro

Background: In recent years, Virtual Reality (VR) has emerged as a promising tool to improve the well-being and functional capabilities of older adults. Although VR applications have shown positive results, their impact on user experience and therapeutic outcomes still needs to be evaluated. Objective: This scoping review aims to analyze existing studies on VR use in older adults with neurodegenerative disorders, focusing on the factors that influence usability, satisfaction, and immersion, as well as the effects on emotional and cognitive well-being. Materials and Methods: Empirical studies in English were included on VR applications applied to older adults with cognitive impairment without study design restrictions. The search was conducted in IEEE Xplore, PubMed, Scopus, and Web of Science, identifying a total of 650 initial results. After screening, 14 studies met the inclusion criteria. Results: Immersive VR tends to generate a greater sense of presence, which contributes to improving emotional well-being and reducing neuropsychiatric symptoms, such as apathy and depression. However, its impact on cognitive functions, including memory and executive skills, varied depending on the level of immersion and participant characteristics. Despite these positive findings, significant heterogeneity was evident in study designs, measurement instruments, and user experience indicators. Conclusion: Virtual environments have great potential as a therapeutic tool for older adults, but their success depends on the personalization of applications and the adaptation of technology to the specific needs of this population. Future research should focus on developing standardized protocols, incorporating adaptive technologies such as artificial intelligence, and evaluating the long-term effects of VR to maximize its benefits and minimize its risks. This review was registered in Open Science Framework (OSF). Registration Number: 10.17605/OSF.IO/PNU36

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Effects of a dual intervention (motor and virtual reality-based cognitive) on cognition in patients with mild cognitive impairment: a single-blind, randomized controlled trial

2024 , Buele, Jorge , Avilés-Castillo, Fátima , Carolina Del-Valle-Soto , Varela Aldas, José , Guillermo Palacios-Navarro

Abstract Background The increase in cases of mild cognitive impairment (MCI) underlines the urgency of finding effective methods to slow its progression. Given the limited effectiveness of current pharmacological options to prevent or treat the early stages of this deterioration, non-pharmacological alternatives are especially relevant. Objective To assess the effectiveness of a cognitive-motor intervention based on immersive virtual reality (VR) that simulates an activity of daily living (ADL) on cognitive functions and its impact on depression and the ability to perform such activities in patients with MCI. Methods Thirty-four older adults (men, women) with MCI were randomized to the experimental group (n = 17; 75.41 ± 5.76) or control (n = 17; 77.35 ± 6.75) group. Both groups received motor training, through aerobic, balance and resistance activities in group. Subsequently, the experimental group received cognitive training based on VR, while the control group received traditional cognitive training. Cognitive functions, depression, and the ability to perform activities of daily living (ADLs) were assessed using the Spanish versions of the Montreal Cognitive Assessment (MoCA-S), the Short Geriatric Depression Scale (SGDS-S), and the of Instrumental Activities of Daily Living (IADL-S) before and after 6-week intervention (a total of twelve 40-minutes sessions). Results Between groups comparison did not reveal significant differences in either cognitive function or geriatric depression. The intragroup effect of cognitive function and geriatric depression was significant in both groups (p < 0.001), with large effect sizes. There was no statistically significant improvement in any of the groups when evaluating their performance in ADLs (control, p = 0.28; experimental, p = 0.46) as expected. The completion rate in the experimental group was higher (82.35%) compared to the control group (70.59%). Likewise, participants in the experimental group reached a higher level of difficulty in the application and needed less time to complete the task at each level. Conclusions The application of a dual intervention, through motor training prior to a cognitive task based on Immersive VR was shown to be a beneficial non-pharmacological strategy to improve cognitive functions and reduce depression in patients with MCI. Similarly, the control group benefited from such dual intervention with statistically significant improvements. Trial registration ClinicalTrials.gov NCT06313931; https://clinicaltrials.gov/study/NCT06313931.