Evidence map›Paper›PMID 40970046›Full record

ArticleCureus2025

Acute Effects of a Five-Minute Virtual Reality Nature Microbreak on Autonomic Function and Mood in Healthcare Workers.

Yasumasa Oka, Takumi Jiroumaru, Kenji Mori, Shun Nomura, Hikaru Kitagawa, Takamitsu Fujikawa

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yasumasa OkaRehabilitation, Kanazawa Orthopaedic and Sports Medicine Clinic, Ritto, JPN.
Takumi JiroumaruPhysical Therapy, Bukkyo University, Kyoto, JPN.
Kenji MoriRehabilitation, Kanazawa Orthopaedic and Sports Medicine Clinic, Ritto, JPN.
Shun NomuraRehabilitation, Kanazawa Orthopaedic and Sports Medicine Clinic, Ritto, JPN.
Hikaru KitagawaRehabilitation, Kanazawa Orthopaedic and Sports Medicine Clinic, Ritto, JPN.
Takamitsu FujikawaPhysical Therapy, Bukkyo University, Kyoto, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The objective of this study is to investigate the acute effects of a five-minute virtual reality (VR) nature microbreak on autonomic function and mood in healthcare workers (HCWs). Methods Seventeen HCWs from an orthopedic outpatient clinic (mean ± SD age, 30.9 ± 7.9 years) completed a single-group crossover pilot study. Participants performed (i) a VR-guided paced breathing session displaying 360° natural scenery (VR condition) and (ii) an eyes-closed (EC) paced breathing session using an eye mask (EC condition) on separate days, at least 24 hours apart, during the same time slot (15:00-16:00). Breathing tempo was fixed at six breaths · min⁻¹ (four-second inhalation and six-second exhalation) using an auditory metronome. Five-minute photoplethysmographic heart rate variability (lnRMSSD, lnHF, lnTP, and lnLF/HF) and the short form of the Two-Dimensional Mood Scale (TDMS ST: Vitality, Stability, Pleasure, and Arousal) were recorded pre- and post-intervention. Post-pre differences were compared between conditions using paired t-tests. Effect sizes are expressed as Hedges' g or Wilcoxon's r. Results VR produced small, nonsignificant increases in autonomic indices (HF 0.17 ± 0.67 vs -0.05 ± 0.71 log ms²; t(16) = 1.35, p = 0.20, g = 0.31). Significant improvements were observed in the following TDMS subscales: Vitality (0.88 ± 3.22 vs -1.88 ± 3.98; p = 0.015, g = 0.63), Stability (4.53 ± 3.59 vs 2.12 ± 1.83; p = 0.025, g = 0.57), and Pleasure (5.41 ± 5.11 vs 0.24 ± 3.65; p = 0.005, g = 0.75). Arousal showed no significant difference (Z = -0.20, p = 0.84, r = 0.05). Conclusions A brief VR nature microbreak with paced breathing elicited medium-to-large improvements in subjective vitality, stability, and pleasure compared to conventional EC breathing, while producing only small, nonsignificant enhancements in parasympathetic HRV. VR microbreaks represent a feasible, low-cost, low-time intervention to boost immediate well-being in HCWs; however, larger and longer-term trials are warranted to confirm their physiological benefits and sustainability.

Indexed as

healthcare workersheart rate variability (hrv)microbreakmoodvirtual reality (vr)

Identifiers

PMID40970046
PMCPMC12441472

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.