Restorative Effects of Virtual Nature on the Emotional Well-being of Community-dwelling Older Adults

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Date

2024

Authors

Kenan Eren Sansal
AYSE CANDAN SIMSEK
Selin Aktan
Fulya Ozbey
AYÇA PAKSOY

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GOLD

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No

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Average
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Top 10%

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Abstract

Objective: Given the loss of direct nature contact due to urbanisation and demonstrated psychological benefits of nature the question arises as to whether direct nature contact can be virtually substituted or supplemented in the elderly living in isolation from nature. Although a number of studies have demonstrated the restorative effects of virtual nature in old age their results are inconclusive and complicated by the novelty of virtual reality (VR) experience participants’ nature connectedness and their previous nature contact. Therefore a study was conducted for increasing our limited understanding of the subject. Materials and Methods: Community-dwelling older adults living in highly urbanised areas of Turkey volunteered for the study. After excluding the ineligible volunteers and collecting information on sample characteristics 60 participants who were assigned to two study groups watched 6-minute 360° videos of nature and urban settings on two separate occasions. On these occasions they reported on their affective states the restorativeness of the environments in those videos and their nature visit frequency. Results: VR experience was new and tolerable for the majority of the participants. Unlike the urban video the nature video significantly improved participants’ affective states and was reported to be more restorative and favourable. Neither participants’ nature connectedness nor their nature visit frequency which was found to be generally low did not have a moderating effect on the results. Conclusion: Virtual indirect contact with nature can be effectively used especially for those living in heavily urbanised areas to maintain or improve psychological well-being in old age.

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1. Bratman GN Anderson CB Berman MG Cochran B de Vries S Flanders J Folke C Frumkin H Gross JJ Hartig T Kahn Jr. PH Kuo M Lawler JJ Levin PS Lindahl T Meyer-Lindenberg A Mitchell R Ouyang Z Roe J Scarlett L Smith JR van den Bosch M Wheeler BW White MP Zheng H Daily GC. Nature and mental health: An ecosystem service perspective. Sci Adv 2019,5:eaax0903.2. Frumkin H Bratman GN Breslow SJ Cochran B Kahn PH Jr Lawler JJ Levin PS Tandon PS Varanasi U Wolf KL Wood SA. Nature Contact and Human Health: A Research Agenda. Environ Health Perspect 2017,125:075001.3. Jimenez MP DeVille NV Elliott EG Schiff JE Wilt GE Hart JE James P. Associations between Nature Exposure and Health: A Review of the Evidence. Int J Environ Res Public Health 2021,18:4790.4. Kondo MC Fluehr JM McKeon T Branas CC. Urban green space and its impact on human health. Int J Environ Res Public Health 2018,15:445.5. McMahan EA Estes D. The effect of contact with natural environments on positive and negative affect: A meta-analysis. J Posit Psychol 2015,10:507- 519.6. United Nations. World urbanization prospects: The 2018 revision. New York United Nations 2019. https://population.un.org/wup/Publications/Files/ WUP2018-Report.pdf.7. Miller JR. Biodiversity conservation and the extinction of experience. Trends Ecol Evol 2005,20:430-434.8. Turner WR Nakamura T Dinetti M. Global urbanization and the separation of humans from nature. BioScience 2004,54:585-590.9. Zhang W Goodale E Chen J. How contact with nature affects children’s biophilia and conservation attitude in China. Biol Conserv 2014,177:109- 116.10. Anderson AP Mayer MD Fellows AM Cowan DR Hegel MT Buckley JC. Relaxation with immersive natural scenes presented using virtual reality. Aerosp Med Hum Perform 2017,88:520-526.11. Browning MHEM Mimnaugh KJ van Riper CJ Laurent HK LaValle SM. Can simulated nature support mental health? Comparing short single-doses of 360-degree nature videos in virtual reality with the outdoors. Front Psychol 2020,10:2667.12. Mostajeran F Krzikawski J Steinicke F Kühn S. Effects of exposure to immersive videos and photo slideshows of forest and urban environments. Sci Rep 2021,11:3994.13. Yu C Lee H Luo X. The effect of virtual reality forest and urban environments on physiological and psychological responses. Urban For Urban Green 2018,35:106-114.14. Boyd F White MP Bell SL Burt J. Who doesn’t visit natural environments for recreation and why: A population representative analysis of spatial individual and temporal factors among adults in England. Landsc Urban Plan 2018,175:102-113.15. Natural England. Monitor of engagement with the natural environment: The national survey on people and the natural environment. York Natural England 2019. https://assets.publishing.service.gov.uk/ media/5d6cd601e5274a170c435365/Monitor_Engagement_Natural_ Environment_2018_2019_v2.pdf.16. Scottish Natural Heritage. Scotland’s people and nature survey participation in outdoor recreation. Inverness Scotish Natural Heritage 2018. https:// www.nature.scot/sites/default/files/2018-12/SPANS%20-%202017-18%20 Participation%20in%20outdoor%20recreation.pdf.17. Brimelow RE Dawe B Dissanayaka N. Preliminary research: Virtual reality in residential aged care to reduce apathy and improve mood. Cyberpsychology Behav Soc Netw 2020,23:165-170.18. Liu Q Wang Y Yao MZ Tang Q Yang Y. Effects of viewing an uplifting 360-degree video on emotional well-being among elderly adults and college students under immersive virtual reality and smartphone conditions. Cyberpsychology Behav Soc Netw 2020,23:157-164.19. Appel L Appel E Bogler O Wiseman M Cohen L Ein N Abrams HB Campos JL. Older Adults With Cognitive and/or Physical Impairments Can Benefit From Immersive Virtual Reality Experiences: A Feasibility Study. Front Med (Lausanne) 2020,6:329.20. Appel L Appel E Kisonas E Lewis S Sheng LQ. Virtual reality for veteran relaxation: Can VR theraphy help veterans living with dementia who exhibit responsive behaviors? Front Virtual Real 2022,2.21. Mosso JL Gorini A de la Cerda G Obrador T Almazan A Mosso D Nieto JJ Riva G. Virtual reality on mobile phones to reduce anxiety in outpatient surgery. Stud Health Technol Inform 2009,142:195-200.22. Scates D Dickson JI. Sullivan K Cline H Balaraman R. Using nature-inspired virtual reality as a distraction to reduce stress and pain among cancer patients. Environ Behav 2020,52:895-918.23. McMahan EA Estes D Murfin JS Bryan CM. Nature connectedness moderates the effect of nature exposure on explicit and implicit measures of emotion. J Posit Psychol Wellbeing 2018,2:128-148.24. Cox DT Shanahan DF Hudson HL Fuller RA Anderson K Hancock S Gaston KJ. Doses of nearby nature simultaneously associated with multiple health benefits. Int J Environ Res Public Health 2017,14:172.25. Molloy DW Alemayehu E Roberts R. Reliability of a Standardized Mini- Mental Examination with the traditional Mini-Mental State Examination. Am J Psychiatry 1991,148:102-105.26. Güngen C Ertan T Eker E Yaşar R Engin F. Reliability and validity of the Standardised Mini-Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Derg 2002,13:273-281.27. Akiduki H Nishiik S Watanabe H Matsuoka K Kubo T Takeda N. Visualvestibular conflict induced by virtual reality in humans. Neurosci Lett 2003,340:197-200.28. Dahlquist LM Herbert LJ Weiss KE Jimeno M. Visual-reality distraction and cold-pressor pain tolerance: Does avatar point of view matter? Cyberpsychology Behav Soc Netw 2010,13:587-591.29. Watson D Clark LA Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Per Soc Psychol 1988,54:1063-1070.30. Gençöz T. Positive and Negative Affect Schedule: A study of validity and reliability. Turkish Journal of Psychology 2000,15:19-28.31. Hartig T Korpela K Evans GW Garling T. A measure of restorative quality in environments. Hous Theory Soc 1997,14:175-194.32. Hartig T Kaiser FG Bowler PA. Further development of a measure of perceived environmental restorativeness. Gavle Uppsala University 1997.33. Özçifçi I Kaymaz I Tazebay I Elmali F. Measurement of environmental restorativeness quality: Adaptation of Perceived Restorativeness Scale into Turkish. Eur J Sci Technol 2021,23:288-295.34. Nisbet EK Zelenski JM Murphy SA. The Nature Relatedness Scale: Linking individuals’ connection with nature to environmental concern and behaviour. Environ Behav 2009,41:715-740.35. Çakir B Karaarslan G Şahin E Ertepinar H. Adaptation of Nature Relatedness Scale to Turkish. Elementary Educ Online 2015,14:1370-1383.36. Bless H. The consequences of mood on the processing of social information. In: Abraham Tesser Norbert Schwarz (Eds.). Blackwell Handbook of Social Psychology: Intraindividual Processes. Malden Blackwell Publishing USA 2001:391-412.37. Tam K. Concepts and measures related to connection to nature: Similarities and differences. J Environ Psychol 2013,34:64-78.38. Arai Y Linuma T Takayama M Takayama M Abe Y Fukuda R Ando J Ohta K Hanabusa H Asakura K Nishiwaki Y Gondo Y Akiyama H Komiyama K Gionhaku N Hirose N. The Tokyo Oldest Old Survey on Total Health (TOOTH): A longitudinal cohort study of multidimensional components of health and well-being. BMC Geriatr 2010,10:35.39. Chou L Chi I. Prevalence and correlates of depression in Chinese oldest-old. Int J Geriatr Psychiatry 2005,20:41-50.40. Şansal KE Balci LA Çinar F Çoşkunsu DK Tanriöver SH Uluengin MB. Relationship of daily time spent outdoors with sleep quality and emotional well-being among community-dwelling older adults during COVID-19 restrictions. Turk Geriatri Derg 2021,24:424-432.41. Obayashi K Saeki K Iwamoto J Ikada Y Kurumatani N.Exposure to light at night and risk of depression in the elderly. J Affect Disord 2013,151:331- 336.42. Noi A Roe J Gow A McNair D Aspinall P. Seasonal differences in light exposure and associations with health and well-being in older adults: An exploratory study. HERD 2017,10:64-79.

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European Journal of Geriatrics and Gerontology

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6

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12

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18
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