{"title":"Effects of a Virtual Reality-Based Nursing Intervention Using the Roy Adaptation Model on Social Anxiety in Young Adults.","authors":"Aytuğ Türk, Ayşegül Dönmez","doi":"10.3928/02793695-20250401-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.</p><p><strong>Method: </strong>A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.</p><p><strong>Results: </strong>LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (<i>F</i> = 24.005, <i>p</i> < 0.001) and avoidance (<i>F</i> = 44.915, <i>p</i> < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (<i>F</i> = 0.429, <i>p</i> = 0.654).</p><p><strong>Conclusion: </strong>Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.</p>","PeriodicalId":50071,"journal":{"name":"Journal of Psychosocial Nursing and Mental Health Services","volume":" ","pages":"29-37"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Nursing and Mental Health Services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/02793695-20250401-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.
Method: A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.
Results: LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (F = 24.005, p < 0.001) and avoidance (F = 44.915, p < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (F = 0.429, p = 0.654).
Conclusion: Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.
期刊介绍:
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month