Presenter(s)

ellie barker, Sophia Young, Natalia Miller, and Lindsay Bergan

Abstract

Virtual Reality (VR) is an electronic recreation of reality, depicting environments, and enabling clients to interact with instantaneous simulations that provide an immersive experience (Guttentag, 2010;  McGovern, 1994). Adopting VR as an intervention could be a breakthrough innovation to overcome obstacles while connecting with clients. Current research on VR used in Recreational Therapy (RT) holds inconsistencies in its findings, specifically across various populations and VR tools. The purpose of this study was to gain insights from professionals about the therapeutic relationship between clients and therapists when using VR as an intervention. This study examined how the relationship between the therapist and client is impacted by using VR in programming, using two research questions: 

  1. How has the use of VR in RT affected the relationship between the client and recreational therapist? 

  1. What factors contribute to VR strengthening or weakening the therapeutic relationship in TR practice? 

This study used secondary data from a cross-sectional survey. Participants, Certified Therapeutic Recreation Specialists (CTRSs), were originally recruited through an e-Blast distributed by the National Council for Therapeutic Recreation Certification (NCTRC). After Institutional Review Board approval and approval from NCTRC, the Qualtrics survey was distributed via an email link in June 2025. Data collection ended on August 6, 2025. To be eligible for the survey, participants must have been currently or previously employed in RT, 18 years of age or older.

After data cleaning, 277 valid responses were kept out of the 375 total responses. The majority of respondents worked in therapeutic recreation (93%), had a mean age of 44 years, were female (85%), and had been CTRSs for an average of 16 years. Most respondents had not used VR for clients (73%), however 56% of respondents had considered using it.

VR demonstrates considerable potential as an innovative modality for enhancing mental, emotional, and physical wellbeing within recreation therapy. Data from practitioners suggests improvements in therapeutic rapport, trust, and communication, alongside beneficial impacts on client mood, engagement, and physical activity. However, widespread adoption is constrained by barriers including cost, limited expertise, and adverse effects like nausea, anxiety, and dizziness. Addressing these implementation challenges through targeted strategies could enhance accessibility and clinical utility.

College

College of Nursing & Health Sciences

Department

Nursing

Campus

Winona

First Advisor/Mentor

Damien Cavanaugh

Second Advisor/Mentor

Hyunseo Yoon

Third Advisor/Mentor

Begum Aybar-Damali

Location

Kryzsko Great River Ballroom, Winona, Minnesota; United States

Start Date

4-23-2026 10:00 AM

End Date

4-23-2026 11:00 AM

Presentation Type

Poster Session

Format of Presentation or Performance

In-Person

Session

1b=10am-11am

Poster Number

82

Share

COinS
 
Apr 23rd, 10:00 AM Apr 23rd, 11:00 AM

Exploring How Virtual Reality Affects The Client-Recreational Therapist Relationship

Kryzsko Great River Ballroom, Winona, Minnesota; United States

Virtual Reality (VR) is an electronic recreation of reality, depicting environments, and enabling clients to interact with instantaneous simulations that provide an immersive experience (Guttentag, 2010;  McGovern, 1994). Adopting VR as an intervention could be a breakthrough innovation to overcome obstacles while connecting with clients. Current research on VR used in Recreational Therapy (RT) holds inconsistencies in its findings, specifically across various populations and VR tools. The purpose of this study was to gain insights from professionals about the therapeutic relationship between clients and therapists when using VR as an intervention. This study examined how the relationship between the therapist and client is impacted by using VR in programming, using two research questions: 

  1. How has the use of VR in RT affected the relationship between the client and recreational therapist? 

  1. What factors contribute to VR strengthening or weakening the therapeutic relationship in TR practice? 

This study used secondary data from a cross-sectional survey. Participants, Certified Therapeutic Recreation Specialists (CTRSs), were originally recruited through an e-Blast distributed by the National Council for Therapeutic Recreation Certification (NCTRC). After Institutional Review Board approval and approval from NCTRC, the Qualtrics survey was distributed via an email link in June 2025. Data collection ended on August 6, 2025. To be eligible for the survey, participants must have been currently or previously employed in RT, 18 years of age or older.

After data cleaning, 277 valid responses were kept out of the 375 total responses. The majority of respondents worked in therapeutic recreation (93%), had a mean age of 44 years, were female (85%), and had been CTRSs for an average of 16 years. Most respondents had not used VR for clients (73%), however 56% of respondents had considered using it.

VR demonstrates considerable potential as an innovative modality for enhancing mental, emotional, and physical wellbeing within recreation therapy. Data from practitioners suggests improvements in therapeutic rapport, trust, and communication, alongside beneficial impacts on client mood, engagement, and physical activity. However, widespread adoption is constrained by barriers including cost, limited expertise, and adverse effects like nausea, anxiety, and dizziness. Addressing these implementation challenges through targeted strategies could enhance accessibility and clinical utility.

 

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