Pre–Post Changes Associated with Virtual Reality-Based Mindfulness in Reducing Work-Related Stress Among Corporate Employees
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design and Procedural Framework
2.2. Study Setting and Session Procedure
- Step 1: Arrival and preparation
- 1.
- Upon arrival, participants reviewed the study procedures and confirmed eligibility. Informed consent had been obtained prior to data collection. Participants were seated comfortably in an upright but relaxed position.
- Step 2: Pre-intervention baseline recording
- 2.
- Physiological monitoring equipment, a biometric bracelet (E4 wristband model), was placed on the wrist. Participants then underwent a 5 min baseline resting phase during which they remained seated quietly. They were instructed to avoid speaking, avoid unnecessary movement, and refrain from using digital devices. No guided relaxation instructions were provided during this phase. EDA and BVP were recorded continuously throughout this baseline period.
- Step 3: VR Familiarization
- 3.
- Participants were fitted with the VR headset and received brief standardized instructions regarding the session. They were instructed to remain seated, minimize head and hand movements, and focus on the guided content. They were also informed that they could request discontinuation of the session at any time if discomfort occurred. No practice session was conducted in order to preserve natural baseline stress levels.
- Step 4: VR-based mindfulness intervention
- 4.
- The VR-based mindfulness session lasted approximately 25 to 30 min and followed a predefined structure. The immersive content included natural landscapes such as forests, beaches, and mountains, combined with calm auditory guidance. The session incorporated guided breathing exercises and verbal instructions encouraging diaphragmatic breathing, body awareness, and present moment focus. Participants were instructed to follow the breathing rhythm and remain passively engaged with the environment without performing cognitive tasks. Physiological signals were monitored continuously during the entire VR exposure to ensure safety.
- Step 5: Post-intervention assessment
- 5.
- Immediately after completion of the VR session, the headset was removed, and participants remained seated. A short stabilization period of approximately 2 to 3 min was observed. Post-intervention physiological measurements were then recorded under the same conditions as the baseline assessment. This procedure ensured that pre-post measurements were comparable and attributable to the VR-based mindfulness exposure. Participants were also asked about possible discomfort, including dizziness or nausea. No adverse events were reported. The sessions concluded with a short debriefing.
- 6.
- This structured procedural sequence ensured uniform exposure to the intervention and minimized potential confounding influences.
2.3. Physiological Measures
- Electrodermal Activity (EDA): reflects changes in skin conductance resulting from sweat gland activity, which is primarily regulated by the sympathetic branch of the autonomic nervous system. Increases in EDA are associated with heightened emotional arousal and stress, whereas decreases indicate reduced sympathetic activation and a shift toward relaxation. In this study, EDA served as a direct physiological marker of acute stress response and was used to quantify changes in sympathetic nervous system activity before and after the VR-based mindfulness session.
- Blood Volume Pulse (BVP): was used to assess cardiovascular dynamics and autonomic regulation. BVP reflects changes in peripheral blood flow and pulse amplitude and is influenced by both sympathetic and parasympathetic nervous system activity. Variations in BVP are interpreted in relation to cardiovascular arousal and autonomic balance. In the present study, changes in BVP were used to evaluate physiological relaxation and modulation of autonomic activity following exposure to the immersive VR-based mindfulness environment. Physiological data were recorded at baseline and immediately after the intervention. Continuous monitoring during the VR session ensured stable signal acquisition and allowed identification of sustained physiological modulation rather than transient fluctuations.
2.4. Participants and Ethical Considerations
- Age 18 years or older.
- Full-time employment in a corporate setting.
- Self-reported moderate or high work-related stress (assessed through a screening question in which participants rated their current work-related stress on a Likert scale 1–5, with inclusion restricted to those reporting values in the upper range).
- Completion of both physiological assessments.
- Cardiovascular conditions that could interfere with autonomic measurements.
- Severe psychiatric disorders.
- Known susceptibility to motion sickness.
- Inability to remain seated during data collection.
2.5. Limitations
- The use of a within-subjects pre-post design without a control group limits the ability to draw causal inferences. Although the observed reductions in physiological stress markers are associated with the VR-based mindfulness intervention, alternative explanations such as the passage of time, passive rest, or contextual factors cannot be fully excluded. Future research employing randomized controlled designs and comparison conditions (e.g., passive relaxation, conventional mindfulness interventions, or waitlist controls) is necessary to establish causal relationships.
- The intervention consisted of a single VR-based mindfulness session, which allows for the assessment of immediate, short-term effects but does not provide information regarding the sustainability or long-term impact of repeated exposure. As such, the findings should be interpreted as preliminary evidence of acute physiological modulation rather than long-term effectiveness. Longitudinal studies are required to evaluate the persistence of these effects and their relevance for ongoing workplace stress management programs.
- The study focused exclusively on physiological indicators of stress (electrodermal activity and blood volume pulse) and did not include standardized self-report measures of perceived stress or psychological well-being. While objective measures provide valuable insights into autonomic responses, the absence of validated subjective instruments (e.g., perceived stress scales) limits the ability to directly relate physiological changes to participants’ subjective experience. Future studies should adopt a multimodal assessment approach combining physiological and psychological measures.
- Participants were recruited using a convenience sampling approach, which may limit the generalizability of the findings. Additionally, detailed organizational variables such as industry sector, job role, work modality (e.g., remote or on-site), and hierarchical level were not systematically collected. These factors may influence stress levels and responsiveness to interventions and should be considered in future research.
- Although the VR intervention was standardized, the study did not directly compare VR-based mindfulness with other established stress management approaches. Therefore, it remains unclear whether the observed effects are specific to the immersive VR component, the mindfulness techniques, or their combination. Comparative studies are needed to disentangle these effects and to determine the added value of VR in occupational stress reduction.
- In addition, several methodological factors may have influenced the observed physiological responses:
- 6.
- The use of convenience sampling may introduce selection bias, as participants who voluntarily agreed to take part in a VR-based mindfulness session may be more receptive to such interventions compared to the general population of corporate employees. Similarly, the potential influence of social desirability cannot be excluded, as participants may have been inclined to respond positively to the intervention context.
- 7.
- The study did not include measures assessing the quality of the VR experience, such as sense of presence, immersion, or user satisfaction, which are known to moderate the effectiveness of VR-based interventions.
- 8.
- A Hawthorne effect may have occurred, as participants’ awareness of being monitored in a research setting, including physiological recording, could itself have contributed to changes in autonomic activity independent of the intervention.
- 9.
- Pre-session factors such as recent physical activity, caffeine or alcohol consumption, and sleep quality were not systematically controlled or assessed. The absence of a standardized washout period may therefore have introduced variability in physiological baseline measures.
- Future research should address these factors through more controlled protocols and the inclusion of additional assessment measures.
2.6. Data Preprocessing and Quality Control
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| VR | Virtual Reality |
| EDA | Electrodermal Activity |
| BVP | Blood Volume Pulse |
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| EDA Pre | BVP Pre | EDA Post | BVP Post | |
|---|---|---|---|---|
| N | 134 | 134 | 134 | 134 |
| Missing | 0 | 0 | 0 | 0 |
| Mean | 8.91 | 124 | 3.32 | 56.1 |
| Median | 9.00 | 120 | 3.00 | 57.5 |
| Standard deviation | 1.90 | 32.9 | 1.64 | 27.3 |
| Minimum | 6 | 70 | 1 | 10 |
| Maximum | 20 | 210 | 9 | 120 |
| Variable | Time Point | Shapiro-Wilk W | p Value |
|---|---|---|---|
| EDA | Pre-intervention | 0.867 | <0.001 |
| EDA | Post-intervention | 0.895 | <0.001 |
| BVP | Pre-intervention | 0.935 | <0.001 |
| BVP | Post-intervention | 0.943 | <0.001 |
| Variable | Comparison | Test | Statistic (W) | p Value | Effect Size |
|---|---|---|---|---|---|
| EDA | Pre vs. Post intervention | Wilcoxon signed-rank | 9045 | <0.001 | Large |
| BVP | Pre vs. Post intervention | Wilcoxon signed-rank | 9045 | <0.001 | Large |
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Trusculescu, L.-M.; Kiș, A.M.; Popovici, R.A.; Salcudean, A.; Pititc, D.E.; Feher, A.; Enache, A.; Olariu, I. Pre–Post Changes Associated with Virtual Reality-Based Mindfulness in Reducing Work-Related Stress Among Corporate Employees. Digital 2026, 6, 34. https://doi.org/10.3390/digital6020034
Trusculescu L-M, Kiș AM, Popovici RA, Salcudean A, Pititc DE, Feher A, Enache A, Olariu I. Pre–Post Changes Associated with Virtual Reality-Based Mindfulness in Reducing Work-Related Stress Among Corporate Employees. Digital. 2026; 6(2):34. https://doi.org/10.3390/digital6020034
Chicago/Turabian StyleTrusculescu, Laria-Maria, Andreea Mihaela Kiș, Ramona Amina Popovici, Andreea Salcudean, Dana Emanuela Pititc, Adina Feher, Alexandra Enache, and Iustin Olariu. 2026. "Pre–Post Changes Associated with Virtual Reality-Based Mindfulness in Reducing Work-Related Stress Among Corporate Employees" Digital 6, no. 2: 34. https://doi.org/10.3390/digital6020034
APA StyleTrusculescu, L.-M., Kiș, A. M., Popovici, R. A., Salcudean, A., Pititc, D. E., Feher, A., Enache, A., & Olariu, I. (2026). Pre–Post Changes Associated with Virtual Reality-Based Mindfulness in Reducing Work-Related Stress Among Corporate Employees. Digital, 6(2), 34. https://doi.org/10.3390/digital6020034

