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Cognition in Virtual Reality: Assessing User Acceptability and Feasibility of Virtual Reality Cognitive Screening for Older Adults

Lai, Frank Ho‐yin, Yee, Benjamin K, Wang, Eileen Han‐Jie, Butler, Joe, Graham, Andrew, Hai, Eddie Yip‐kuen, Darling, Cath, Whittington, Stephanie and Lowe, Julie‐anne (2025) Cognition in Virtual Reality: Assessing User Acceptability and Feasibility of Virtual Reality Cognitive Screening for Older Adults. Alzheimer's & dementia : the journal of the Alzheimer's Association, 21 (Suppl). ISSN 1552-5279

Item Type: Article

Abstract

Background

Cognitive health significantly influences the ageing journey, and virtual reality gamified tools offer innovative approaches for evaluating cognitive function.
Method

This study explores the acceptability and feasibility of a Virtual Reality Working Memory Test (VRWMT), a gamified cognitive assessment tool in assessing spatial working memory (SWM), among three age groups—12 young adults (YA, 18–50 years old), 12 younger elderly (YE, 60–69 years old), and 12 older elderly (OE, 70+ years old) —using the Technology Acceptance Model (TAM) with constructs including perceived usefulness (PU), perceived ease of use (PEU), attitude toward using (ATU), and behavioural intention to use (BIU) to analyse users’ perspectives.
Result

Findings reveal distinct perceptions shaped by age, technology familiarity, and socio-demographic factors. YA participants value the tool for its productivity and cognitive enhancement capabilities, reporting high PEU and a positive ATU driven by engaging features. YE participants associate PU with cognitive health maintenance, emphasising the need for user-friendly navigation and motivational feedback to support ATU. OE participants link PU to practical daily applications, with PEU heavily reliant on accessibility features such as large fonts and voice assistance. Their ATU improves with encouragement from caregivers and clear assurances of the tool's relevance. BIU across all groups depend on the tool's ability to integrate seamlessly into daily life and deliver measurable benefits.
Conclusion

These findings underpin the necessity for a tailored approach in designing the VRWMT to meet the unique needs of each demographic. By incorporating adaptive interfaces, robust onboarding, and continuous user feedback, the VRWMT can become an inclusive and effective tool for cognitive health assessment and intervention, fostering long-term user engagement and improved outcomes.

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More Information

Additional Information: ** From Europe PMC via Jisc Publications Router ** History: epub 01-12-2025; ppub 01-12-2025. ** Licence for this article: cc by
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SWORD Depositor: Publication Router
Depositing User: Joe Butler

Identifiers

Item ID: 19817
Identification Number: 10.1002/alz70858_099841
ISSN: 1552-5279
URI: https://sure.sunderland.ac.uk/id/eprint/19817
Official URL: https://doi.org/10.1002/alz70858_099841

Users with ORCIDS

ORCID for Joe Butler: ORCID iD orcid.org/0000-0001-8160-1200

Catalogue record

Date Deposited: 17 Feb 2026 18:23
Last Modified: 17 Feb 2026 18:23

Contributors

Author: Joe Butler ORCID iD
Author: Frank Ho‐yin Lai
Author: Benjamin K Yee
Author: Eileen Han‐Jie Wang
Author: Andrew Graham
Author: Eddie Yip‐kuen Hai
Author: Cath Darling
Author: Stephanie Whittington
Author: Julie‐anne Lowe

University Divisions

Faculty of Health Sciences and Wellbeing > School of Psychology

Subjects

Sciences > Health Sciences

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