{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T17:05:14Z","timestamp":1773680714965,"version":"3.50.1"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Virtual Real."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Virtual Reality (VR) holds much promise for online offering of arts and psychomotor therapies. As these therapies use bodily experiences, expressive\/artistic media, materials, movement, music, and (role) play, VR is more suitable than online\/video consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study was set up to improve VR possibilities for arts and psychomotor therapies, with the primary aim of redeveloping and rebuilding a VR application.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using Lewin\u2019s paradigm of Action Research in conjunction with the Lean Start up Method to develop Minimal Viable Products, we developed and built the Virtual Reality Health Experience (VRhExp), a full body multiplayer VR space providing online arts and psychomotor therapies. The Action Research concerned a one-year co-creation project involving 17 arts and psychomotor therapists (Mean age 44.1 years, SD 11.3) together with input from media designers in education and technical VR developers. The Action Research consisted of five cycles. All cycles were held in groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We redeveloped an initial multiplayer full body VRhExp application based on users\u2019 preferences, and ideas. Our participants reported becoming more proficient in using VR than at the start. Training and workshops held with arts and psychomotor therapists enhanced their knowledge of and skills in using the VRhExp. They provided input for the patient journey which was then used to develop a roadmap with the prerequisites for the implementation of the VRhExp in clinical practice. All participants indicated that the current version of VRhExp is not yet ready for use in clinical practice but appreciated that a great step forward had been made. Of the arts and psychomotor therapists who participated in the workshops, four out of five acknowledged the potential of acting and experiencing with the VRhExp (79%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The VRhExp is a promising tool for patients with psychological disorders as it enables the continuity of care provision by therapists. The VRhExp is a first step towards developing a broader landscape for offering online experiential arts and psychomotor therapies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/frvir.2025.1462775","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T07:11:13Z","timestamp":1737529873000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Developing a virtual reality application for online arts and psychomotor therapies using action research"],"prefix":"10.3389","volume":"6","author":[{"given":"Nathalie","family":"Jans","sequence":"first","affiliation":[]},{"given":"Hans","family":"Wouters","sequence":"additional","affiliation":[]},{"given":"Joep","family":"Kolijn","sequence":"additional","affiliation":[]},{"given":"Suzanne","family":"Haeyen","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"B1","volume-title":"Basisboek enqu\u00eateren: handleiding voor het maken van een vragenlijst en het voorbereiden en afnemen van enqu\u00eates, Vierde druk","author":"Baarda","year":"2016"},{"key":"B2","volume-title":"Self-efficacy: the exercise of control","author":"Bandura","year":"1997"},{"key":"B3","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1037\/int0000214","article-title":"Psychotherapists\u2019 attitudes toward online therapy during the COVID-19 pandemic","volume":"30","author":"B\u00e9k\u00e9s","year":"2020","journal-title":"J. Psychother. Integr."},{"key":"B4","article-title":"Advances in Creative Forces\u00ae clinical research and applications of the creative arts therapies for treating PTSD and TBI in military-connected populations","author":"Betts","year":"2020","journal-title":"Creat. Forces Natl. Resour. Cent"},{"key":"B5","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.janxdis.2018.08.003","article-title":"Virtual reality exposure therapy for anxiety and related disorders: a meta-analysis of randomized controlled trials","volume":"61","author":"Carl","year":"2019","journal-title":"J. Anxiety Disord."},{"key":"B6","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/j.jad.2019.07.086","article-title":"The efficacy of virtual reality exposure therapy for PTSD symptoms: a systematic review and meta-analysis","volume":"257","author":"Deng","year":"2019","journal-title":"J. Affect. Disord."},{"key":"B7","volume-title":"Alexithymia in borderline personality pathology: from theory to a biosensor application","author":"Derks","year":"2022"},{"key":"B8","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1016\/S2215-0366(18)30226-8","article-title":"Automated psychological therapy using immersive virtual reality for treatment of fear of heights: a single-blind, parallel-group, randomised controlled trial","volume":"5","author":"Freeman","year":"2018","journal-title":"Lancet Psychiatry"},{"key":"B9","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1007\/s00127-007-0173-4","article-title":"Virtual reality in mental health: a review of the literature","volume":"42","author":"Gregg","year":"2007","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"101745","DOI":"10.1016\/j.aip.2020.101745","article-title":"Artistic creation in virtual reality for art therapy: a qualitative study with expert art therapists","volume":"72","author":"Hacmun","year":"2021","journal-title":"Arts Psychother."},{"key":"B11","doi-asserted-by":"publisher","first-page":"2082","DOI":"10.3389\/fpsyg.2018.02082","article-title":"The principles of art therapy in virtual reality","volume":"9","author":"Hacmun","year":"2018","journal-title":"Front. Psychol."},{"key":"B12","first-page":"18","article-title":"Vaktherapie online: Het perspectief van vaktherapeuten: Resultaten van de enqu\u00eate over online vaktherapie [Arts and psychomotor therapies online: The perspective of arts therapists: Results of the survey on arts and psychomotor therapies online]","author":"Haeyen","year":"2020","journal-title":"Tijdschr. Voor Vaktherapie"},{"key":"B13","doi-asserted-by":"publisher","first-page":"704613","DOI":"10.3389\/fpsyg.2021.704613","article-title":"VR health experience: a virtual space for arts and psychomotor therapy","volume":"12","author":"Haeyen","year":"","journal-title":"Front. Psychol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"101855","DOI":"10.1016\/j.aip.2021.101855","article-title":"The use of VR tilt brush in art and psychomotor therapy: an innovative perspective","volume":"76","author":"Haeyen","year":"","journal-title":"Arts Psychother."},{"key":"B15","first-page":"1","article-title":"Vaktherapie in coronatijd: Uitbraak van innovatie? Over online werken en de inzet van digitale middelen [Arts and psychomotor therapies during COVID: Outbreak of innovation? On working online and using digital resources]","author":"Haeyen","year":"2020","journal-title":"Tijdschr. Voor Vaktherapie"},{"key":"B16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1145\/3373625.3418009","article-title":"CLEVR: a customizable interactive learning environment for users with low vision in virtual reality","volume-title":"The 22nd international ACM SIGACCESS conference on computers and accessibility","author":"Hoppe","year":"2020"},{"key":"B17","doi-asserted-by":"publisher","first-page":"109720","DOI":"10.1016\/j.paid.2019.109720","article-title":"Anxiety and threat magnification in subjective and physiological responses of fear of heights induced by virtual reality","volume":"169","author":"Krupi\u0107","year":"2021","journal-title":"Personal. Individ. Differ."},{"key":"B18","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1111\/j.1540-4560.1946.tb02295.x","article-title":"Action research and minority problems","volume":"2","author":"Lewin","year":"1946","journal-title":"J. Soc. Issues"},{"key":"B19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2022\/7358597","article-title":"The psychological recovery of patients in the Context of virtual reality application by a complementary medicine scheme based on visual art","volume":"2022","author":"Li","year":"2022","journal-title":"Evid. Based Complement. Altern. Med."},{"key":"B20","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1089\/g4h.2018.0145","article-title":"Changing stress mindset through stressjam: a virtual reality game using biofeedback","volume":"8","author":"Maarsingh","year":"2019","journal-title":"Games Health J."},{"key":"B21","first-page":"99","article-title":"Step into my (virtual) world: an exploration of virtual reality drawing applications for arts therapy","volume":"1","author":"Marks","year":"2017","journal-title":"J. Creative Arts Ther."},{"key":"B22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1145\/3334480.3375219","article-title":"Iterative participatory design for VRET domain transfer: from combat exposure to military sexual trauma","volume-title":"Extended abstracts of the 2020 CHI conference on human factors in computing systems","author":"Mozgai","year":"2020"},{"key":"B23","first-page":"95","article-title":"Lean startups: using the business model canvas","author":"Onken","year":"2016","journal-title":"J. Case Stud."},{"key":"B24","volume-title":"Virtual reality for research and treatment of psychosis","author":"Pot-Kolder","year":"2021"},{"key":"B25","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1089\/cpb.2005.8.220","article-title":"Virtual reality in psychotherapy: review","volume":"8","author":"Riva","year":"2005","journal-title":"Cyberpsychol. Behav."},{"key":"B26","doi-asserted-by":"publisher","first-page":"584943","DOI":"10.3389\/fpsyg.2021.584943","article-title":"Making art therapy virtual: integrating virtual reality into art therapy with adolescents","volume":"12","author":"Shamri Zeevi","year":"2021","journal-title":"Front. Psychol."},{"key":"B27","unstructured":"VR body Lab. iXperium\n          \n          \n            \n              van den Berg\n              J.\n            \n          \n          \n          2019"}],"container-title":["Frontiers in Virtual Reality"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frvir.2025.1462775\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T07:11:21Z","timestamp":1737529881000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frvir.2025.1462775\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,22]]},"references-count":27,"alternative-id":["10.3389\/frvir.2025.1462775"],"URL":"https:\/\/doi.org\/10.3389\/frvir.2025.1462775","relation":{},"ISSN":["2673-4192"],"issn-type":[{"value":"2673-4192","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,22]]},"article-number":"1462775"}}