Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline

Recent technological advances have introduced novel therapeutic interventions for Alzheimer’s disease (AD). This study introduces a novel virtual reality (VR) intervention consisting of aesthetically pleasing and relaxing immersive videos paired with evocative music for patients with or without cogn...

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Main Authors: Francesco Carlomagno, Vitoantonio Bevilacqua, Antonio Brunetti, Elena Sibilano, Marianna Delussi, Mariangela Lippolis, Raffaele Diomede, Elvira Brattico
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/9/4627
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author Francesco Carlomagno
Vitoantonio Bevilacqua
Antonio Brunetti
Elena Sibilano
Marianna Delussi
Mariangela Lippolis
Raffaele Diomede
Elvira Brattico
author_facet Francesco Carlomagno
Vitoantonio Bevilacqua
Antonio Brunetti
Elena Sibilano
Marianna Delussi
Mariangela Lippolis
Raffaele Diomede
Elvira Brattico
author_sort Francesco Carlomagno
collection DOAJ
description Recent technological advances have introduced novel therapeutic interventions for Alzheimer’s disease (AD). This study introduces a novel virtual reality (VR) intervention consisting of aesthetically pleasing and relaxing immersive videos paired with evocative music for patients with or without cognitive decline. The goal of this intervention is to improve the mood, evoke autobiographical memories in, and enhance the overall well-being of elderly individuals, across stages of cognitive decline (from absent to severe). Twenty-one elderly participants (5 cognitively healthy, 13 with a mild cognitive decline, 2 with a moderate decline, and 1 with a severe decline) were exposed to immersive 360-degree videos depicting both familiar and unfamiliar, pleasant and calming environments, accompanied by emotionally evocative, pleasant, and soothing music. The results demonstrated high levels of immersion and predominantly positive emotional responses, with several participants reporting autobiographical memory recall triggered by the VR stimulation. Statistical analysis revealed a significant improvement in mood over time, regardless of cognitive status, supporting the effectiveness of the intervention. While there were some side effects of fatigue or transient anxiety, the experience was generally perceived as engaging and meaningful. This feasibility study adds to the acceptability and potential clinical utility of VR interventions and provides a justification for future larger trials aimed at the integration of immersive technologies into cognitive rehabilitation interventions for individuals at different stages of cognitive decline.
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spelling doaj-art-ca39fbf92a004491895ea2d738816c7a2025-08-20T03:49:22ZengMDPI AGApplied Sciences2076-34172025-04-01159462710.3390/app15094627Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive DeclineFrancesco Carlomagno0Vitoantonio Bevilacqua1Antonio Brunetti2Elena Sibilano3Marianna Delussi4Mariangela Lippolis5Raffaele Diomede6Elvira Brattico7Department of Education, Psychology, Communication, University of Bari, 70121 Bari, ItalyDepartment of Electrical and Information Engineering, Polytechnic University of Bari, 70126 Bari, ItalyDepartment of Electrical and Information Engineering, Polytechnic University of Bari, 70126 Bari, ItalyDepartment of Electrical and Information Engineering, Polytechnic University of Bari, 70126 Bari, ItalyDepartment of Education, Psychology, Communication, University of Bari, 70121 Bari, ItalyDepartment of Education, Psychology, Communication, University of Bari, 70121 Bari, ItalyCentro Servizi per la Famiglia “Libertà”, 70123 Bari, ItalyDepartment of Education, Psychology, Communication, University of Bari, 70121 Bari, ItalyRecent technological advances have introduced novel therapeutic interventions for Alzheimer’s disease (AD). This study introduces a novel virtual reality (VR) intervention consisting of aesthetically pleasing and relaxing immersive videos paired with evocative music for patients with or without cognitive decline. The goal of this intervention is to improve the mood, evoke autobiographical memories in, and enhance the overall well-being of elderly individuals, across stages of cognitive decline (from absent to severe). Twenty-one elderly participants (5 cognitively healthy, 13 with a mild cognitive decline, 2 with a moderate decline, and 1 with a severe decline) were exposed to immersive 360-degree videos depicting both familiar and unfamiliar, pleasant and calming environments, accompanied by emotionally evocative, pleasant, and soothing music. The results demonstrated high levels of immersion and predominantly positive emotional responses, with several participants reporting autobiographical memory recall triggered by the VR stimulation. Statistical analysis revealed a significant improvement in mood over time, regardless of cognitive status, supporting the effectiveness of the intervention. While there were some side effects of fatigue or transient anxiety, the experience was generally perceived as engaging and meaningful. This feasibility study adds to the acceptability and potential clinical utility of VR interventions and provides a justification for future larger trials aimed at the integration of immersive technologies into cognitive rehabilitation interventions for individuals at different stages of cognitive decline.https://www.mdpi.com/2076-3417/15/9/4627virtual realitymild cognitive impairmentcognitive rehabilitationmusic therapyautobiographical memorymultisensory stimulation
spellingShingle Francesco Carlomagno
Vitoantonio Bevilacqua
Antonio Brunetti
Elena Sibilano
Marianna Delussi
Mariangela Lippolis
Raffaele Diomede
Elvira Brattico
Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
Applied Sciences
virtual reality
mild cognitive impairment
cognitive rehabilitation
music therapy
autobiographical memory
multisensory stimulation
title Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
title_full Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
title_fullStr Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
title_full_unstemmed Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
title_short Proof-of-Concept Study on the Use of Virtual Reality with Evocative and Aesthetic Content for Elderly Individuals with Cognitive Decline
title_sort proof of concept study on the use of virtual reality with evocative and aesthetic content for elderly individuals with cognitive decline
topic virtual reality
mild cognitive impairment
cognitive rehabilitation
music therapy
autobiographical memory
multisensory stimulation
url https://www.mdpi.com/2076-3417/15/9/4627
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