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There is potential for the adoption of tailored virtual reality interventions for a complementary diagnostic tool using heart rate monitoring as a response indicator. This study examined the feasibility and acceptability of this concept by exposing healthy individuals, aged 18\u201325, to developed 360\u00b0 immersive films while collecting heart rate sensor data. Two immersive scenarios were designed with a participatory advisory youth group. A clinical consultant nurse mapped scenario events against validated routine assessment subscales in child and adolescent services. The films were shown to seven participants through a VR headset while monitoring heart rate. They provided qualitative feedback on their quality, acceptability and usability. The study indicated that this approach has the potential to enhance assessments in child and adolescent mental health services. The study has several limitations which are discussed with recommendations for consideration if this concept is taken further. The intervention could act as a potential portable, user\u2010friendly complementary diagnostic tool for clinicians in practice. However, further research is needed to examine its validity.<\/jats:p>","DOI":"10.1111\/inm.13499","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:35:45Z","timestamp":1736555745000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the Feasibility and Acceptability of Identifying Signs of Social Anxiety, in University Students Aged 18\u201325, While Watching 360\u00b0 Immersive Films"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9186-3925","authenticated-orcid":false,"given":"Jessica Eve","family":"Jackson","sequence":"first","affiliation":[{"name":"Centre for Children and Young People's Research, School of Health Sciences University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8399-8050","authenticated-orcid":false,"given":"Ann","family":"Cox","sequence":"additional","affiliation":[{"name":"Derbyshire Healthcare NHS Foundation Trust and Keele University  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Windmill","sequence":"additional","affiliation":[{"name":"College of Science and Engineering University of Derby  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Safari","sequence":"additional","affiliation":[{"name":"College of Health, Psychology, Health and Social Care University of Derby  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856214568214"},{"key":"e_1_2_13_3_1","volume-title":"Diagnostic and Statistical Manual V","author":"American Psychiatric Association","year":"2024"},{"key":"e_1_2_13_4_1","unstructured":"American Psychiatric Association.2024b.\u201cWhat Are Anxiety Disorders?\u201dhttps:\/\/www.psychiatry.org\/patients\u2010families\/anxiety\u2010disorders\/what\u2010are\u2010anxiety\u2010disorders."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-15-9054-2_97"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.21307\/sjcapp-2020-014"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2020.2965099"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2019.02.006"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1109\/TMM.2022.3201397"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.842460"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.4.379"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10055-023-00850-8"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01156-1"},{"key":"e_1_2_13_14_1","unstructured":"Gallon R.2021.\u201cLights Camera Interaction! Interactive Film and Its Transformative.\u201dPotential University of York."},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591045231201195"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720003785"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239133"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1109\/MCG.2021.3064688"},{"key":"e_1_2_13_19_1","unstructured":"NHS.2024.\u201cSocial Anxiety (Social Phobia).\u201dhttps:\/\/www.nhs.uk\/mental\u2010health\/conditions\/social\u2010anxiety\/."},{"key":"e_1_2_13_20_1","unstructured":"NHS Digital.2023.\u201cMental Health Services Monthly Statistics Performance December 2023.\u201dhttps:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/mental\u2010health\u2010services\u2010monthly\u2010statistics\/performance\u2010december\u20102023."},{"key":"e_1_2_13_21_1","volume-title":"Social Anxiety Disorder: Recognition, Assessment and Treatment","author":"NICE","year":"2013"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-019-01428-z"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2020.134974"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737159.2024.2333277"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-021-00817-w"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/s22176536"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.22744"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/s23063077"},{"key":"e_1_2_13_29_1","unstructured":"Williams J. 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T.Murphy.2022.\u201cUnderstanding Immersion in the Context of Films With Spatial Audio.\u201dAES 2022 International Audio for Virtual and Augmented Reality Conference."},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613211039673"}],"container-title":["International Journal of Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.13499","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/inm.13499","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.13499","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:32:27Z","timestamp":1772962347000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inm.13499"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,10]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/inm.13499"],"URL":"https:\/\/doi.org\/10.1111\/inm.13499","archive":["Portico"],"relation":{},"ISSN":["1445-8330","1447-0349"],"issn-type":[{"value":"1445-8330","type":"print"},{"value":"1447-0349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,10]]},"assertion":[{"value":"2024-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13499"}}