ArticleFrontiers in medicine2026
Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Medical and nursing students experience high stress that can impair well-being and training. Immersive technologies may offer brief, scalable relaxation. MK360 combines short guided mindfulness with immersive 360° projection in a shared multisensory room environment without wearables. Objective: To assess feasibility and explore short-term changes in perceived stress and immediate autonomic arousal following a brief, predominantly group-based immersive 360° mindfulness program in medical and nursing students. Methods: Single-site pre-post pilot at the University of Lleida. Students attended four ~20-min MK360 sessions over 4 weeks. Heart rate (HR) and blood pressure (SBP/DBP) were recorded immediately before and after each session. The Perceived Stress Scale (PSS-14), the Goldberg Anxiety and Depression Scale-anxiety subscale (GADS/EADG), and the Maslach Burnout Inventory-Student Survey (MBI-SS) were administered at baseline and endline. Pre-post changes were tested using Wilcoxon signed-rank tests ( Results: Twenty-six students initiated the study (mean age 21.0 years; 88.9% female; 83.3% medical students), and 18 completed all assessments (completion 69.2%). Perceived stress decreased from baseline to endline (PSS-14 median [IQR] 29.5 [26.0-33.5] to 26.5 [19.5-33.8]; Conclusion: MK360 was feasible and well tolerated, with signals consistent with reduced perceived stress over 4 weeks and transient reductions in cardiovascular arousal within sessions. Given the uncontrolled design and small sample, causal inference is not warranted; controlled studies should confirm effectiveness, examine dose-response, and compare delivery formats.
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