{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:34:55Z","timestamp":1787495695425,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Oconee Memorial Hospital Foundation"},{"name":"Prisma Health Seed Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2026,10]]},"abstract":"\n Background<\/jats:title>\n Virtual reality (VR) can improve patient well-being in palliative care. However, little is known about VR\u2019s impacts on hospice patients & caregivers, personalized VR experiences, and shared VR experiences.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n This pilot study uses Tandem VR\n TM<\/jats:sup>\n \u2014shared, synchronized and personalized VR experiences\u2014to test impacts on well-being and fear of death and dying.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Pre-post pilot study with a one-time VR experience using personalized 360\u00b0 videos.<\/jats:p>\n <\/jats:sec>\n \n Setting\/Participants<\/jats:title>\n 11 patient-caregiver dyads were recruited in a home-based Hospice care setting in a rural area of the U.S. South.<\/jats:p>\n <\/jats:sec>\n \n Measurement<\/jats:title>\n Patients and caregivers completed the McGill Quality of Life Questionnaire-Expanded (MQOL-E) and Revised Collett-Lester Fear of Death (CL-FODS) before and after the VR intervention. Due to the small sample size and exploratory pilot nature of the study, formal statistical testing was not conducted. Interpretation focused on the direction and magnitude of change, with an emphasis on clinically meaningful shifts in MQOL-E and CL-FODS subscales.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Patients and caregivers reported improvements in the MQOL-E Single Item Scale (+1.35 for patients; +1.27 for caregivers on a 10-point scale). Caregivers showed improvements in the CL-FODS Fear of Other\u2019s Death subscale (\u22120.49 on a 5-point scale), but patients showed exacerbated scores for the CL-FODS Fear of Own Dying (+0.50 on a 5-point scale).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Tandem VR\n TM<\/jats:sup>\n showed potential to support quality of life in patient-caregiver dyads and fear of other\u2019s dying for caregivers. Further research is needed on supporting patients nearing the end of life to process missed opportunities available in VR.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10499091261433182","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T16:59:42Z","timestamp":1773939582000},"page":"1110-1118","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Tandem VR\n TM<\/sup>\n in Hospice Care: Exploring Pilot Data for Patient-Caregiver Dyads"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1321-078X","authenticated-orcid":false,"given":"O.","family":"McAnirlin","sequence":"first","affiliation":[{"name":"Clemson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Thrift","sequence":"additional","affiliation":[{"name":"Clemson University"},{"name":"Clemson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Li","sequence":"additional","affiliation":[{"name":"Clemson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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M.","family":"Evatt","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine Greenville"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Fasolino","sequence":"additional","affiliation":[{"name":"Clemson University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/njh.0000000000000983"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951525000161"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2022.28.3.132"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-331"},{"key":"e_1_3_8_6_2","doi-asserted-by":"crossref","unstructured":"Chen Y Ngo V Park SY. Caring for caregivers: designing for integrality. In: Proceedings of the 2013 conference on computer supported cooperative work San Antonio Texas 23\u201327 February 2013 pp. 91-102.","DOI":"10.1145\/2441776.2441789"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.29011\/2688-9501.101298"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1348470"},{"issue":"1","key":"e_1_3_8_9_2","first-page":"5449955","article-title":"Effectiveness of virtual reality on the caregiving competence and empathy of caregivers for elderly with chronic diseases: a systematic review and meta\u2010analysis","volume":"2023","author":"Wang J","year":"2023","unstructured":"Wang J, Li Q, Cui J, et al. Effectiveness of virtual reality on the caregiving competence and empathy of caregivers for elderly with chronic diseases: a systematic review and meta\u2010analysis. J Nurs Manag. 2023;2023(1):5449955.","journal-title":"J Nurs Manag"},{"key":"e_1_3_8_10_2","unstructured":"Virtual Reality & Nature Lab. 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