Presentation summary

Introduction :
Although acupuncture is well established as a therapeutic intervention, some patients may experience anxietyor discomfort during sessions. Strategies to support emotional regulation and enhance patient experience areessential. This pilot study explores the use of immersive audiovisual content, delivered via virtual reality (VR)headsets and tailored to Traditional Chinese Medicine (TCM) diagnostics, as an adjunct to acupuncture treatment.

Method : 
We conducted a crossover study with adult patients undergoing acupuncture at two outpatient clinics. Each participant completed four sessions : two standard and two augmented with immersive 360° nature-based content (e.g., beach, forest, underwater) selected to match TCM patterns (Qi deficiency, Yin deficiency, Qi stagnation). Pain (VAS), anxiety (STAI-6), heart rate, and blood pressure were assessed before and after each session. After each session, patients were asked to estimate how long they felt the session had lasted, which was then compared to the actual session duration. At the end of the study, participants completed a satisfaction questionnaire and the System Usability Scale. Session order was randomized.

Results : 
Inclusion is ongoing. 14 patients have completed the crossover protocol. Preliminary descriptive analysis suggests greater reductions in pain (–2.89 vs. –1.58), anxiety (–7.06 vs. –4.89), and heart rate (–2.89 vs. –2.67) during VR sessions. Subjective time was perceived as shorter with VR (-0.64 min vs. +1.64). Sessions with immersive content were well tolerated, with no adverse effects reported. These trends indicate potentialfor VR to enhance the sensory and emotional dimensions of acupuncture. Full analysis will be presented at thecongress.

Conclusion :
Integrating immersive, TCM-tailored VR content into acupuncture sessions appears feasible and safe. Preliminary findings suggest it may enhance comfort and emotional experience. Further data will clarify itsimpact.