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Meta-analysis suggests VR interventions reduce stress and anxiety in healthcare workers

Meta-analysis suggests VR interventions reduce stress and anxiety in healthcare workers
Photo by Vitaly Gariev / Unsplash
Key Takeaway
Consider VR as a possible short-term adjunct for stress and anxiety in healthcare workers, pending larger randomized trials.

Investigators conducted a systematic review and meta-analysis (PROSPERO: CRD42024558009) to evaluate virtual reality (VR) interventions targeting stress, anxiety, burnout, or fatigue in healthcare workers. PubMed, The Cochrane Library, Embase, Web of Science, CNKI, China Wanfang Database, and China Biology Medicine disk were searched from inception to May 21, 2025. The review followed PRISMA guidelines, applied the EPHPP tool for methodological quality, and used RevMan 5.4 for meta-analysis.

From 2,133 records identified, ten studies published between 2021 and 2023 were included, enrolling 493 participants. Three were randomized cross-over trials and seven were one-group pretest-posttest trials. Studies not in English or Chinese, duplicates, and those lacking full texts or required data were excluded.

Pre- versus post-intervention comparisons showed statistically significant reductions in both stress (SMD = -0.64, 95% CI -1.17 to -0.11, p = 0.02) and anxiety (SMD = -0.51, 95% CI -0.76 to -0.27). Results for burnout and fatigue were not reported in the available abstract text. The direction and magnitude of effects are consistent with a potentially meaningful psychological benefit, though the small pooled sample limits precision.

Several caveats temper these findings. Most included studies were single-arm pretest-posttest designs rather than randomized comparisons, the total sample is modest, and the evidence base spans only 2021-2023. Adverse events, dropouts, and long-term tolerability were not reported in the abstract, so the safety profile of VR exposure in this workforce is not characterized.

Clinicians and wellness program leads can view VR as a plausible adjunct for short-term stress and anxiety relief in healthcare workers, but should weight these conclusions against the methodological heterogeneity and absence of safety data before broader deployment.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
PurposeSystematic evaluation of the effectiveness of virtual reality technology in intervening in mental health problems of healthcare workers (PROSPERO: CRD42024558009).MethodsPubMed, The Cochrane Library, Embase, Web of Science, CNKI, China Wanfang Database, and China Biology Medicine disk were systematically searched from inception to May 21, 2025. We included experimental and quasi-experimental studies that examined the effects of VR interventions on mental health outcomes (stress, anxiety, burnout, or fatigue) in healthcare workers. Studies were excluded if they were not published in English or Chinese, if full texts or required data were unavailable, or if they were duplicate publications. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Methodological quality was assessed using the Effective Public Health Practice Project (EPHPP) tool, and meta-analyses were performed using RevMan 5.4 software.Results2,133 articles were identified through database searching. Ten studies published between 2021 and 2023, with 493 participants, were included in the review. Of these, there were three randomized cross-over trials, and seven were one-group pretest-posttest trials. The findings showed that both the stress and anxiety scores before and after the VR intervention were statistically significant [SMD = −0.64, 95% CI (−1.17, −0.11), p = 0.02], and [SMD = −0.51, 95% CI (−0.76, −0.27), p 
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