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Virtual reality (VR) offers an immersive platform to make enjoyable and interactive exercise available in the home. However, there is a need to understand the acceptability, feasibility, and initial efficacy of engaging in VR exercise across extended durations within different real-world settings. In this mixed-methods study, 20 young adult participants (male\u2009=\u200910, female\u2009=\u200910), completed an eight-week VR exercise programme that included four weeks of autonomous training at home and a matched four weeks of organized sessions in a counterbalanced crossover design. To establish initial efficacy, measures of psychological and physical well-being were taken before, at the mid-point, and post VR exercise. To assess acceptability and feasibility, adherence was measured throughout, and ten participants completed follow-up interviews about their experiences. Results showed higher session completion rates in organised sessions (79%) compared to at home (51%) and likely positive effects on physical fitness and psychological wellbeing early in the intervention. Gamification and immersion were discussed as key positives for engagement, with space identified as a key barrier for use at home. In conclusion, VR may offer an alternative gateway into exercise that is feasible and acceptable for use in the home and organised exercise settings.<\/jats:p>","DOI":"10.1007\/s10055-025-01270-6","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T12:14:40Z","timestamp":1765196080000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Acceptability, feasibility, and initial efficacy of virtual reality as a home-based exercise modality for young adults"],"prefix":"10.1007","volume":"30","author":[{"given":"Oliver R.","family":"Runswick","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"Rowland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi","family":"Mahendru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simran","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Valmaggia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon","family":"Stubbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean G.","family":"Figgins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Bruce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"issue":"6","key":"1270_CR1","doi-asserted-by":"publisher","first-page":"e0253114","DOI":"10.1371\/journal.pone.0253114","volume":"16","author":"A Baillot","year":"2021","unstructured":"Baillot A, Chenail S, Barros Polita N, Simoneau M, Libourel M, Nazon E, Riesco E, Bond DS, Romain AJ (2021) Physical activity motives, barriers, and preferences in people with obesity: a systematic review. 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