Virtual reality for older people: effectiveness of a training program for accident prevention

BackgroundAs people age, physical and cognitive limitations increasingly affect the daily mobility of older adults. Virtual reality (VR) applications offer novel opportunities for senior citizens to enhance their functional abilities. Routine activities, like crossing a street, can be simulated and...

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Main Authors: Alina Napetschnig, Wolfgang Deiters, Klara Brixius
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Virtual Reality
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Online Access:https://www.frontiersin.org/articles/10.3389/frvir.2025.1553318/full
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author Alina Napetschnig
Wolfgang Deiters
Klara Brixius
author_facet Alina Napetschnig
Wolfgang Deiters
Klara Brixius
author_sort Alina Napetschnig
collection DOAJ
description BackgroundAs people age, physical and cognitive limitations increasingly affect the daily mobility of older adults. Virtual reality (VR) applications offer novel opportunities for senior citizens to enhance their functional abilities. Routine activities, like crossing a street, can be simulated and practiced within a virtual environment.ObjectiveThis intervention study investigated the impact of a VR training application (‘Wegfest’) on physical function, fall-related confidence, and cognitive status in senior citizens. It was hypothesized that participation in the VR-based training program would lead to improvements in functional mobility, fall-related self-confidence, and cognitive performance.MethodFor this study, the VR application ‘Wegfest’ was developed to simulate various road scenarios. Over a 4-week training period, senior citizens practiced navigating diverse road-crossing situations. The effectiveness of the application was evaluated through measures of physical and cognitive performance, including the Timed Up and Go (TUG) Test, the Falls Efficacy Scale-International (FES-I), and the Montreal Cognitive Assessment (MoCA). In total, 29 senior citizens (M = 74.95 years) were recruited, with 20 participants included in the final analysis. Data collection and statistical analyses were performed using a database specifically created for Wegfest.ResultsThe VR application “Wegfest” received positive feedback from participants. Significant improvements were found between pre- and post-intervention measurements for TUG, t (19) = 3.50, p = 0.002, and for FES-I, z = −2.82, p = 0.005. No significant differences were observed in MoCA scores, z = 0.58, p = 0.564.ConclusionVirtual reality (VR) shows promise as an effective tool for supporting older adults in their daily activities. As a pilot (exploratory) study with a small sample size and a relatively high dropout rate, the results should be interpreted as preliminary and indicative rather than conclusive. The lack of behavioral outcome measures further underscores the exploratory nature of this investigation. Further research with larger samples and more comprehensive outcome measures is needed to evaluate the effectiveness and generalizability of ‘Wegfest’ and similar VR applications for enhancing everyday mobility.
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spelling doaj-art-364bf78439024f4384e2bfc0c0eeb89f2025-08-20T03:44:28ZengFrontiers Media S.A.Frontiers in Virtual Reality2673-41922025-08-01610.3389/frvir.2025.15533181553318Virtual reality for older people: effectiveness of a training program for accident preventionAlina Napetschnig0Wolfgang Deiters1Klara Brixius2Department of Health Sciences, Hochschule Bochum - Gesundheitscampus, Bochum, GermanyDepartment of Health Sciences, Hochschule Bochum - Gesundheitscampus, Bochum, GermanyInstitute for Circulatory Research and Sports Medicine, German Sport University Cologne, Cologne, North RhineWestphalia, GermanyBackgroundAs people age, physical and cognitive limitations increasingly affect the daily mobility of older adults. Virtual reality (VR) applications offer novel opportunities for senior citizens to enhance their functional abilities. Routine activities, like crossing a street, can be simulated and practiced within a virtual environment.ObjectiveThis intervention study investigated the impact of a VR training application (‘Wegfest’) on physical function, fall-related confidence, and cognitive status in senior citizens. It was hypothesized that participation in the VR-based training program would lead to improvements in functional mobility, fall-related self-confidence, and cognitive performance.MethodFor this study, the VR application ‘Wegfest’ was developed to simulate various road scenarios. Over a 4-week training period, senior citizens practiced navigating diverse road-crossing situations. The effectiveness of the application was evaluated through measures of physical and cognitive performance, including the Timed Up and Go (TUG) Test, the Falls Efficacy Scale-International (FES-I), and the Montreal Cognitive Assessment (MoCA). In total, 29 senior citizens (M = 74.95 years) were recruited, with 20 participants included in the final analysis. Data collection and statistical analyses were performed using a database specifically created for Wegfest.ResultsThe VR application “Wegfest” received positive feedback from participants. Significant improvements were found between pre- and post-intervention measurements for TUG, t (19) = 3.50, p = 0.002, and for FES-I, z = −2.82, p = 0.005. No significant differences were observed in MoCA scores, z = 0.58, p = 0.564.ConclusionVirtual reality (VR) shows promise as an effective tool for supporting older adults in their daily activities. As a pilot (exploratory) study with a small sample size and a relatively high dropout rate, the results should be interpreted as preliminary and indicative rather than conclusive. The lack of behavioral outcome measures further underscores the exploratory nature of this investigation. Further research with larger samples and more comprehensive outcome measures is needed to evaluate the effectiveness and generalizability of ‘Wegfest’ and similar VR applications for enhancing everyday mobility.https://www.frontiersin.org/articles/10.3389/frvir.2025.1553318/fullvirtual realitysenior citizentraining applicationcrossing the roadhealthy ageing
spellingShingle Alina Napetschnig
Wolfgang Deiters
Klara Brixius
Virtual reality for older people: effectiveness of a training program for accident prevention
Frontiers in Virtual Reality
virtual reality
senior citizen
training application
crossing the road
healthy ageing
title Virtual reality for older people: effectiveness of a training program for accident prevention
title_full Virtual reality for older people: effectiveness of a training program for accident prevention
title_fullStr Virtual reality for older people: effectiveness of a training program for accident prevention
title_full_unstemmed Virtual reality for older people: effectiveness of a training program for accident prevention
title_short Virtual reality for older people: effectiveness of a training program for accident prevention
title_sort virtual reality for older people effectiveness of a training program for accident prevention
topic virtual reality
senior citizen
training application
crossing the road
healthy ageing
url https://www.frontiersin.org/articles/10.3389/frvir.2025.1553318/full
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