Implementing virtual reality training for person-centered communication in dementia care: a longitudinal qualitative study.

Abstract

Background and objectives: Be EPIC-VR, developed to improve dementia care by teaching person-centered communication skills through virtual reality (VR) simulation training, integrates conversational artificial intelligence and structured feedback. Although VR training offers unique immersive learning experiences, implementing it to train care providers in long-term and home care settings remains challenging. This study aimed to examine factors influencing the implementation of Be EPIC-VR.

Methods: This longitudinal qualitative study was guided by the Consolidated Framework for Implementation Research. Eight managers from 4 care organizations participated in semi-structured interviews pre-implementation, 2 weeks post-implementation, and 5 months post-implementation. Data were analyzed using the framework method.

Results: Three themes emerged across time points: (1) a strong perceived need for dementia-specific person-centered communication training, indicating an urgency for change; (2) Be EPIC-VR's alignment with organizational values around person-centered and learning-centered care fostered engagement and sustained commitment; and (3) openness to VR training increased over time as managers observed implementation-relevant signals of feasibility and fit. Initial concerns about technology, staffing, and workflow integration diminished through experience and facilitator support. Managers developed tailored strategies such as phased rollouts, peer champions, and timing training to mesh with operational needs.

Discussion and implications: Successful implementation and early sustainment planning required aligning Be EPIC-VR with organizational goals and workforce priorities. Experiencing Be EPIC-VR helped ease managers' concerns about staffing, technology, and compatibility with workflows and organizational values. Findings highlight the value of longitudinal qualitative inquiry and working collaboratively with managers to inform integration of VR-based training in dementia care.