Search Results (1,095)

Interior built environments influence user behavior through more than deliberate rational evaluation. They shape attention, movement, affective comfort, perceived safety, wayfinding, and well-being through bounded cognition, affective appraisal, heuristics, embodied perception, and automatic approach–avoidance processes. The research gap addressed in this review concerns the fact that prior work on interior environments, wayfinding, indoor environmental quality, neuroarchitecture, atmospherics, and behavioral decision-making remains fragmented across separate studies, and existing reviews rarely explain how these mechanisms can be organized into a design-usable framework for interior built environments. This narrative review synthesizes foundational and recent literature across building design, environmental psychology, neuroarchitecture, virtual reality, indoor environmental quality, wayfinding, and behavioral decision-making to clarify how decision mechanisms translate into interior design variables such as lighting, color, spatial organization, materiality, form, sensory atmosphere, environmental legibility, thermal comfort, and controllability. The review distinguishes bounded rationality, heuristics and biases, dual-process accounts, affective and atmospheric processing, prospect–refuge dynamics, mere exposure, and room-effect research rather than treating them as a single “non-rational” category. It proposes an integrative framework in which interior cues are processed through perceptual and affective appraisal; moderated by individual, cultural, contextual, temporal, and ethical factors; and expressed through behavioral outcomes such as navigation, approach or withdrawal, dwell time, perceived quality, usability, stress regulation, and well-being. The paper contributes to human-centered building design by formalizing a mechanism-based account of how interior environments can support behavior without reducing users to passive recipients of environmental manipulation. It concludes with practical implications for design briefing, post-occupancy evaluation, VR-based testing, healthcare and workplace audits, safety-critical settings, and future longitudinal validation. Full article

The integration of collaborative robots into industrial environments requires rigorous safety validation under the Power and Force Limiting (PFL) regime. This review article systematically maps the technological and normative development of certified Pressure and Force Measurement Devices (PFMDs) and experimental biofidelic instruments for Physical Human–Robot Interaction (pHRI) between the years 2011 and 2026. A quantitative screening of 68 studies revealed a publication peak in impact metrology in 2021. This peak occurred with a five-year latency after the release of the ISO/TS 15066 technical specification. Although global interest in collaborative robotics steadily grows, the publication trend indicates a gradual shift in scientific focus from reactive testing toward proactive prevention. A methodological deconstruction of four Research Questions (RQs) identifies persistent limitations in safety evaluation. The findings demonstrate that the internal structure of conventional sensors induces nonlinear shock filtering and parasitic oscillations (RQ1). Furthermore, the rigid fixation of test stands generates unrealistic pressure spikes. This physical limitation forces a transition to flexible and pendulum-based configurations (RQ2). Commercial flat films physically fail due to sensor saturation and introduced stiffness. Such failures accelerate the development of conformable electronic skins (e-skins) and multimodal test manikins (RQ3). To ensure interlaboratory reproducibility within the current ISO 10218-2:2025 standard, the text defines imperative metrological parameters. These parameters strictly include frequency response, calibration protocols, and volumetric mapping of inertial masses (RQ4). Furthermore, the analysed publications were systematically stratified into distinct technological categories, strictly reflecting their primary engineering domains, ranging from empirical metrological evaluation and sensor hardware design to advanced numerical modeling. Finally, the vision for future research anticipates a definitive shift toward proactive anti-collision technologies, encompassing Artificial Intelligence (AI), machine vision, and Augmented Reality/Virtual Reality/Mixed reality (AR/VR/MR). Future methodologies must also consider demographic anisotropies and the cognitive fatigue of the human operator. Full article

Virtual reality can support the preparation and rehearsal of assembly tasks by providing a safe and repeatable digital representation of workstations. This study presents the development and laboratory feasibility validation of a geometry- and procedure-oriented VR simulation model for the assembly and disassembly of end-effectors on an industrial robot. The workflow was implemented using the Almega AX-V6 robotic workstation as a case study and included geometric acquisition of the real robot, CAD modelling in SolidWorks, redesign of the original end-effector connection using a quick-change flange concept, creation of two alternative end-effector models, modelling of the laboratory workspace in SketchUp, and scene enhancement in Twinmotion. The resulting robot and environment models were integrated in Pixyz Review and deployed through an Oculus Rift-based VR setup. Compared with the original flange concept, which required twelve screws, the redesigned training concept used two screws and two nuts, reducing the number of fastening elements by 66.7% and the number of screw positions by 83.3%. The VR implementation supported visual inspection, controller-based placement and alignment, and symbolic confirmation of fastening steps; it did not include force feedback, threaded fastening physics, automatic error scoring, or quantified transfer-of-training evaluation. Laboratory feasibility validation confirmed correct asset integration, spatial correspondence with the physical workplace, and functional executability of the target exchange sequence. The results show that the workflow is useful as a case-study pipeline for CAD-to-VR modelling and assembly rehearsal, while controlled user studies are still required before claims about training effectiveness can be made. Full article

Traditional evaluations of artificial intelligence (AI) systems in the dynamic, operator-dependent, and time-sensitive field of interventional radiology (IR), focusing solely on algorithmic performance, often fail to capture their real-world clinical impact. This narrative review aims to provide an overview of the current state of the art of AI integration in IR through human–AI interaction (HAI), while offering a critical perspective on their clinical integration, limitations, and future directions. A comprehensive survey of recent literature was performed, focusing on AI applications across procedural phases. The review emphasizes systems providing decision support, real-time procedural verification, and immersive interfaces (augmented and virtual reality), while critically evaluating determinants of effective clinical adoption. AI has shown preliminary potential to support operator performance in selected interventional radiology tasks, although most applications remain experimental, retrospective, or evaluated in phantom or preclinical settings. Potential benefits include structuring uncertainty in patient selection and procedural planning, supporting assessment of device positioning and treatment outcomes, and integrating AI-derived outputs into the operator’s spatial field through immersive technologies. The clinical utility of these systems appears to be influenced by human–AI interaction, with interpretability, workflow integration, and trust calibration representing key determinants of effective use beyond algorithmic accuracy alone. The potential value of AI in interventional radiology appears to derive from its integration into human decision-making rather than from standalone predictive performance alone. A human-centered, interaction-based model supports understanding current applications, address challenges, and guide the development of adaptive, real-time systems for dynamic procedural environments. Full article

Higher education is undergoing a transition in which static multimodal resources are giving way to immersive learning environments powered by generative artificial intelligence (GenAI). This PRISMA 2020-compliant systematic review, prospectively registered in INPLASY (202610066), synthesizes evidence on immersive GenAI-based strategies in higher education, examining their reported contributions to sustainability, inclusion, and learning outcomes. Searches across Scopus, ScienceDirect, and ERIC (2022–2026) identified 1364 records; after quality appraisal using an adapted CASP instrument, 25 studies were included in a narrative and descriptive synthesis. Five strategy types emerged—VR-based simulations, virtual patient platforms, adaptive LLM tutoring systems, mixed/augmented reality environments, and 3D/metaverse configurations—with GPT-family models predominating (56%). The central finding is a structural reporting asymmetry: learning outcomes were explicitly documented in 23 studies (92%), whereas sustainability and inclusion were explicitly reported as outcome domains in only one study each (4%). Health sciences (36%) and educational technology (28%) dominated the evidence base, while Latin American, African, and most STEM contexts remained underrepresented. Immersive GenAI strategies are being evaluated for short-term instructional value, while their contribution to sustainable higher education remains underexamined. Advancing SDG 4 requires longitudinal designs, equity-oriented frameworks, and indicators capable of evaluating inclusion and durable learning gains across institutional contexts. Full article

Background: Breastfeeding enhances infant and maternal health, but global breastfeeding rates remain suboptimal. Virtual reality (VR) emerges as a promising tool for breastfeeding education. The objective of this review was to assess the effectiveness of VR-based interventions on breastfeeding outcomes in pregnant and postpartum women. Methods: PubMed, Embase, Web of Science, Scopus, and CENTRAL were searched until 10 January 2026, for randomized controlled trials (RCTs) and quasi-experimental studies comparing VR-based interventions (immersive simulations, 360° videos, or head-mounted displays) with standard care or non-VR comparators in pregnant or postpartum women. Primary outcomes included breastfeeding self-efficacy, motivation, and breastfeeding technique (LATCH score). Secondary outcomes included exclusive breastfeeding rates, milk production, and maternal anxiety. Risk of bias was assessed using the RoB 2.0 and ROBINS-I tools for RCTs and non-RCTs, respectively. A random-effects meta-analysis was conducted, with results reported as mean differences (MD) or risk ratios (RR), along with 95% confidence intervals (CIs). Certainty of the evidence was assessed using the GRADE approach. Results: Five studies (4 RCTs and 1 quasi-experimental; n = 344) were included. VR improved prenatal breastfeeding self-efficacy (2 studies, MD: 13.93; 95% CI: 10.96–16.90), motivation (1 study, MD: 2.88; 95% CI: 1.66–4.10), and LATCH score (1 study, MD: 1.72; 95% CI: 1.37–2.07), and reduced time to breastfeeding initiation (1 study, MD: −22.4 min; 95% CI: −29 to −15.9), the certainty of evidence was low to very low for these outcomes. No significant effects were observed for postnatal self-efficacy, exclusive breastfeeding, or maternal anxiety. Formal assessment of publication bias could not be done. The small sample sizes for most outcomes, heterogeneity, the open-label nature of the trials, and the subjective nature of the outcomes should be considered when interpreting these results. Conclusions: VR-based interventions may improve process outcomes, such as prenatal breastfeeding self-efficacy, motivation, breastfeeding technique, and early breastfeeding initiation; the certainty of evidence is low to very low. Evidence for clinically important outcomes, including exclusive breastfeeding and maternal anxiety, remains inconsistent. Larger, well-designed RCTs are warranted before these interventions can be considered in routine practice. Full article

Under the dual constraints of global food security and ecological protection, conventional agriculture is hampered by low resource efficiency and sluggish environmental response. Crop digital twin technology establishes a dynamic virtual reality system that integrates crops, environment, and water to enable real-time interaction and optimization. Based on the existing literature, this paper reviews the concept, architecture, and core modules of this technology and summarizes its applications in precision irrigation and crop monitoring. There are three major bottlenecks that persist, including limited high-frequency multi-source sensing and spatiotemporal fusion, insufficient parameter calibration and dynamic updating, and weak cross-scale integration from plant to watershed. Water is increasingly recognized as the key constraint and control variable and acting as both the central physiological driver of crop growth and the mass-flow link that connects the soil–plant–atmosphere continuum. The spatiotemporal dynamics of crop water deficit, compensatory root water uptake, evapotranspiration feedback, and the hydraulic behavior of irrigation-district canal systems constitute the core hydrological processes that must be simulated within the digital twin. Synchronizing crop water demand, soil moisture dynamics, atmospheric evapotranspiration, and irrigation scheduling within a unified spatiotemporal framework establishes a complete sensing, diagnosis, prediction and regulation technical chain. This chain offers a core pathway for alleviating agricultural water scarcity, improving irrigation efficiency, and ensuring food security. Full article

Visual performance (VP) models have played a foundational role in architectural lighting design, informing illuminance standards intended to support safety, efficiency, and task performance across diverse occupant populations. This paper provides a critical historical review of VP models, tracing their development from early retinal response research and threshold visibility functions to contemporary applications in lighting standards. Key physiological and perceptual factors, including retinal illuminance, contrast, task size, and observer characteristics such as age, are examined through landmark studies that shaped suprathreshold VP modeling. Attention is given to the evolution and adoption of the Relative Visual Performance (RVP) model, which remains central to current Illuminating Engineering Society (IES) illuminance recommendations. The review further synthesizes theory-based, applied, and human-centered experimental approaches, highlighting how VP research expanded to include reaction time, reading performance, chromatic contrast, spectral power distribution, mesopic vision, and virtual reality environments. Despite this extensive body of work, VP models have seen limited revision in response to advances in lighting technology, digital displays, and LED spectral control. Based on gaps identified in prior research, this paper proposes a future modeling framework using linear mixed-effects models to independently assess and assign weights to factors influencing VP. Such an approach may support updated illuminance standards better aligned with modern lighting conditions, occupant needs, and energy efficiency goals. Full article

Extended Reality (XR), including Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR), is increasingly used to support experiential learning in Initial Teacher Education (ITE). This systematic review aimed to examine how XR technologies are integrated into university-based ITE programmes and their reported educational outcomes. Following PRISMA 2020 guidelines, a multi-source search was conducted across major databases (e.g., Scopus, Web of Science) and the grey literature (last search: January 2026). Eligible studies included empirical research on XR in ITE published between 2016 and 2026; non-empirical and non-ITE studies were excluded. Risk of bias was assessed using established appraisal criteria, and results were synthesised using a narrative thematic approach. A total of 32 studies were included. Findings indicate that XR is primarily used for classroom management training, microteaching, and reflective practice. Across studies, immersive simulations were associated with improvements in teacher self-efficacy, classroom management skills, and reflective decision-making. However, accessibility and inclusion strategies remain underdeveloped, and evidence of transfer to real classroom practice is still limited. Overall, XR functions most effectively as a preparatory tool that complements practicum-based training. Full article

Background/Objectives: Western Canadian and U.S. communities outside urban centres remain underserved by primary, specialist, emergency, mental health, and chronic-disease services. These access problems reflect distance, weather, workforce shortages, specialist maldistribution, primary care attachment gaps, broadband limitations, and the governance realities of Indigenous and Tribal communities. This scoping review with narrative synthesis examined how telehealth and virtual-care models affect rural access in western Canada and the western/frontier United States. Methods: Searches were completed on 21 May 2026 in PubMed/MEDLINE, Embase, CINAHL, Scopus, the Cochrane Library, and PubMed Central. Supplementary searches included Google Scholar, publisher platforms, reference-list checking, and official Canadian and U.S. health-system sources. Peer-reviewed evidence published from 1 January 2016 to 21 May 2026 was eligible when it addressed rural, remote, frontier, Indigenous, underserved, western, or northern healthcare settings and reported access, implementation, safety, continuity, equity, or service-use outcomes. Results: The search identified 112 records; 27 duplicates were removed, 85 records were screened, 37 full texts were assessed, and 28 peer-reviewed records were included. Seven official sources were retained separately. Evidence was mainly observational, qualitative, mixed-methods, implementation-focused, or review-level. Moderate confidence supported telehealth for travel reduction and specialist input, especially through eConsultation, provider-to-provider consultation, telementoring, and real-time emergency support. Confidence was low to moderate for hybrid primary care and telemental health, and low for durable reductions in emergency department use. Conclusions: Telehealth may be most appropriately implemented as a hybrid, locally anchored, culturally safe access model, not as a stand-alone substitute for rural primary care, specialist capacity, or emergency services. Implementation should include broadband support, local physical assessment capacity, documentation, continuity, patient education, and clear escalation pathways. Full article

Traditional dementia care training often falls short in equipping staff with the knowledge and skills needed to improve quality of life for people with dementia. Virtual Reality (VR)-based experiential learning has emerged as a promising approach, enhancing learning outcomes and training experience for individuals receiving education and training related to dementia care. This scoping review mapped VR education tools used in dementia care, the UX-related measurement methods employed, and the extent to which UX design has been integrated into these tools. Guided by Arksey and O’Malley’s framework, a systematic search was conducted across seven databases (Scopus, Web of Science, ProQuest, MEDLINE, CINAHL, IEEE Xplore, PubMed). PRISMA ScR guidelines were used to map gaps in UX design and engagement strategies within VR learning systems. Data were extracted using a comprehensive UX framework for immersive VR to synthesize user experience components. Twenty-four peer-reviewed publications were included, covering VR scenario development and UX. The findings suggest potential benefits of integrating UX principles into VR education tools to support training experience, learner satisfaction, and care quality. A key gap was identified: limited and inconsistent integration of UX design components and measurement methods within existing VR tools. Drawing on these insights, the review provides practical guidance for optimizing VR training programs in dementia care. Full article

Purpose: To evaluate the effectiveness of serious games, including virtual reality-based interventions, in improving clinical skills acquisition among undergraduate and postgraduate health science students. Methods: This systematic review was prospectively registered in PROSPERO (CRD42024589035) and conducted in accordance with PRISMA 2020 guidelines. PubMed, Scopus, Web of Science, and ScienceDirect were searched from inception to 31 August 2025. Eligible studies examined serious games, simulation-based platforms, or immersive and non-immersive virtual reality interventions designed to support clinical skills development. Outcomes were classified using a predefined hierarchical framework aligned with Miller’s pyramid, distinguishing performance-based clinical competence, clinical reasoning, and secondary educational outcomes. Owing to substantial heterogeneity in interventions, comparators, and assessment methods, a narrative synthesis was performed. Results: Thirteen studies involving 892 participants were included. Serious games and virtual reality-based interventions were associated with generally favorable outcomes for knowledge acquisition, self-efficacy, motivation, satisfaction, and anxiety reduction. Improvements in clinical reasoning were reported in several studies, and some studies demonstrated benefits in performance-based clinical competence, particularly in simulation and virtual reality settings. However, findings for objective performance-based outcomes were mixed, with some studies reporting no statistically significant between-group differences. Heterogeneity in outcome definitions and limited reporting of standardized effect sizes reduced cross-study comparability. Conclusions: Serious games, including virtual reality-based interventions, may serve as complementary, scenario-based learning strategies in health sciences education. The most consistent effects were observed for cognitive and learner-centered outcomes, whereas evidence for objective gains in performance-based clinical competence remains variable. Further high-quality studies using standardized outcome frameworks, validated performance-based assessments, effect sizes, confidence intervals, and longer follow-up are needed. Full article

Postural sway, quantified through center of pressure (COP)-based measures, is a critical indicator of postural stability and fall risk. Despite growing interest in virtual reality (VR) and technology-assisted rehabilitation, a comprehensive synthesis of how interventions and experimental conditions affect postural sway across adults and older adults is lacking. This review aimed to systematically synthesize the effects of exercise-based interventions and experimental physiological, visual, and sensory conditions on COP-based postural sway in adults and older adults, with an emphasis on acute and short-term effects relevant to VR- and technology-assisted rehabilitation. A systematic search of PubMed, Scopus, Web of Science, and the Cochrane Library was conducted from database inception to 31 March 2025. Studies reporting COP-based postural sway outcomes with extractable quantitative data were included. Narrative synthesis was performed due to substantial clinical and methodological heterogeneity. Ten studies were included (2 RCTs, 6 pre–post, 1 crossover, 1 cross-sectional). Exercise-based interventions—including balance training and visual feedback training—generally reduced postural sway. Acute physical perturbations (fatigue, immobilization, cryotherapy, proprioceptive vibration) consistently worsened stability. Destabilizing visual stimulation increased sway, whereas stabilizing visual feedback reduced it. Exercise-based interventions and sensory-stabilizing conditions show promise for improving postural stability. Fatigue, immobilization, and sensory perturbations represent important modifiable risk factors. IMU-based wearable assessment may serve as a clinically scalable alternative to force plate systems in VR-based and rehabilitation settings. Full article

Background and Objectives: Mild cognitive impairment (MCI) and dementia are prevalent public health challenges with limited pharmacological options for cognitive enhancement. Digital cognitive rehabilitative interventions (DCIs) have emerged as a promising non-pharmacological approach, offering accessibility and personalized strategies. However, their efficacy across diverse populations and contexts remains unclear. This study evaluated the effectiveness of DCIs in improving global cognitive function in individuals with MCI and dementia by comparing them to active controls and usual care. Materials and Methods: Ten databases, including Ovid-Medline, Ovid–Embase, Cochrane Library, CINAHL, Web of Science, PsycINFO, KoreaMed, KMbase, RISS, and KISS, were searched for studies published up to May 2025. Global cognitive and executive functions, along with quality of life, were assessed. Meta-analyses using Review Manager version 5.4 were conducted to evaluate global cognitive function improvements, first stratified by comparator group (active control vs. usual care) and further stratified by patient (MCI vs. dementia) and intervention (computer-based vs. virtual reality cognitive training) types. Results: This systematic review and meta-analysis analyzed 37 studies. Overall, DCIs improved global cognitive function compared to the control group (SMD = 0.44, 95% CI: 0.18, 0.69). However, subgroup analysis showed no significant effect when DCIs were compared with active controls (SMD = 0.24, 95% CI: −0.35, 0.82). Subgroup analysis showed benefits for individuals with MCI (SMD = 0.43, 95% CI: 0.16, 0.70) but yielded inconclusive results for those with dementia (SMD = 0.95, 95% CI: −0.69, 2.59). Computer-based DCIs were effective (SMD = 0.57, 95% CI: 0.20, 0.93), whereas VR-based interventions had inconsistent outcomes (SMD = 0.32, 95% CI: −0.34, 0.98). Conclusions: DCIs may improve cognitive function compared with usual care, particularly in patients with MCI. However, their added benefits overactive cognitive interventions remain uncertain. Further well-designed studies are needed to clarify the relative advantages of DCIs across patient populations and intervention formats. Full article

Virtual Reality (VR) is increasingly used in clinical, educational, and supportive-care contexts, but evidence on VR-based creative interventions for vulnerable populations remains fragmented. This article presents a scoping review and proposes VR-CREAT (Virtual Reality for Creative Resilience, Expression, and Social Integration) as an HCI-oriented conceptual framework for future design and evaluation. The review maps empirical and design-oriented literature on immersive VR, creative engagement, emotional resilience, and social connectedness, distinguishing direct creative-VR evidence from partial clinical, adjacent creative, and contextual sources. The evidence suggests that creative VR may support engagement, perceived agency, emotional expression, and social connectedness, but direct clinical evidence remains limited and preliminary. VR-CREAT translates the mapped evidence into candidate mechanisms, design requirements, testable propositions, and evaluation domains for future prototyping, usability testing, and controlled studies. The framework should therefore be understood as an unvalidated design and evaluation model, not as evidence of clinical effectiveness, cost-effectiveness, or readiness for large-scale implementation. Full article