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Accepted for/Published in: JMIR Formative Research

Date Submitted: May 8, 2025
Date Accepted: Oct 3, 2025

The final, peer-reviewed published version of this preprint can be found here:

Feasibility of a Virtual Reality Intervention Protocol to Improve Cognitive and Behavioral Skills in Older Adults at Increased Risk of Developing Dementia

Jayakody O, Ceide M, Verghese J, Carrera R, Doriwala H, Agrawal S, Pa J, Blumen H

Feasibility of a Virtual Reality Intervention Protocol to Improve Cognitive and Behavioral Skills in Older Adults at Increased Risk of Developing Dementia

JMIR Form Res 2025;9:e77111

DOI: 10.2196/77111

PMID: 41379535

PMCID: 12741656

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Feasibility of a virtual reality intervention protocol to improve cognitive and behavioral skills in older adults

  • Oshadi Jayakody; 
  • Mirnova Ceide; 
  • Joe Verghese; 
  • Robert Carrera; 
  • Hussain Doriwala; 
  • Sunil Agrawal; 
  • Judy Pa; 
  • Helena Blumen

ABSTRACT

Background:

Virtual reality (VR) is an innovative tool to improve daily functioning in older adults at risk for developing Alzheimer’s disease and dementias. We examined feasibility, safety and acceptability of a proposed VR intervention that aims to improve cognitive and behavioral skills in older adults, using a two-pronged approach.

Objective:

We examined feasibility, safety and acceptability of a proposed VR intervention that aims to improve cognitive and behavioral skills in older adults, using a two-pronged approach

Methods:

In a single session we piloted a virtual meal-preparing task to compare task performance, safety and acceptability between 8 older (M age 76.3, SD 7.9) and 8 young adults (M age 25, SD, 2.6) using two-sample t-tests. Simultaneously, we conducted a community engagement studio (CES) to obtain feedback on the proposed VR intervention from 16 Black and Hispanic older adults.

Results:

Older adults took a longer time than younger adults to complete the task (235 vs. 75 seconds; p<0.001) and made more errors (1.2 vs. 0.1; p=0.04). There were no adverse events (i.e., falls) or simulator sickness (i.e., dizziness, headache). All participants reported high self-efficacy in performing similar virtual tasks. In the CES, the stakeholders provided valuable insights to enhance recruitment (i.e., health fairs) and retention (i.e., free transportation) for the proposed intervention.

Conclusions:

Older adults required more instructions to effectively use VR technology, however, they were able to complete a simple virtual task within an average of <4 minutes. They reported high acceptability (i.e., self-efficacy, level of enjoyment) and a willingness to engage in future VR interventions. These preliminary data support the feasibility, safety and acceptability of a novel VR task, and provide feedback on the design of a future intervention. Clinical Trial: N/A


 Citation

Please cite as:

Jayakody O, Ceide M, Verghese J, Carrera R, Doriwala H, Agrawal S, Pa J, Blumen H

Feasibility of a Virtual Reality Intervention Protocol to Improve Cognitive and Behavioral Skills in Older Adults at Increased Risk of Developing Dementia

JMIR Form Res 2025;9:e77111

DOI: 10.2196/77111

PMID: 41379535

PMCID: 12741656

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