Virtual reality as a non-pharmacological method to support therapeutic interventions in palliative care patients
DOI:
https://doi.org/10.12775/JEHS.2026.91.70828Keywords
virtual reality, palliative care, hospice care, end of life, pain, quality of life, anxietyAbstract
Aim: The aim of this study is to review the existing literature and research on the application of virtual reality technology in palliative care, with particular emphasis on its impact on pain intensity, psychological well-being, patients’ quality of life, as well as an analysis of its feasibility and safety.
Materials and Methods: The literature was searched using the PubMed, Google Scholar, and Scopus databases (2013–2026). The following keywords were used: “virtual reality”, “palliative care”, “hospice care”, “end of life”, “pain”, “quality of life”, and “anxiety”.
Results: The available evidence suggests that virtual reality represents a viable therapeutic option, generally not associated with significant adverse effects. Studies indicate a short-term reduction in perceived pain, a potential decrease in anxiety levels, and an improvement in psychological well-being. The effectiveness of the intervention depends, among other factors, on the type of content presented, such as nature-based imagery or materials tailored to the individual needs of the patient. However, there remains a lack of studies enabling the standardisation of parameters such as session duration and frequency, while the considerable heterogeneity of applied protocols makes comparison of results challenging.
Conclusions: Virtual reality (VR) may constitute a valuable adjunct to standard palliative care in the management of symptoms and provision of psychological support, particularly as a short-term intervention in hospital and hospice settings. Further randomised clinical trials are warranted, alongside the development of guidelines for the implementation of VR in palliative care practice.
References
1. Xia W, Chen Y, Liu X, Chen F, Yan M, Xu X. Effectiveness of virtual reality technology in symptom management of end-of-life patients: protocol of a systematic review and meta-analysis. BMJ Open. 2023;13(2):e068532. Published 2023 Feb 7.
https://doi.org/10.1136/bmjopen-2022-068532
2. Salim NA, Taylor J. Efficacy of Virtual Reality in Managing Pain for Patients in Palliative Care: A Systematic Review and Meta-Analysis. J Pain Symptom Manage. 2026;71(1):e1-e17. https://doi.org/10.1016/j.jpainsymman.2025.08.030
3. Teoli D, Schoo C, Kalish VB. Palliative Care. [Updated 2023 Feb 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537113/
4. Huang Y, Deng C, Peng M, Hao Y. Experiences and perceptions of palliative care patients receiving virtual reality therapy: a meta-synthesis of qualitative studies. BMC Palliat Care. 2024;23(1):182. Published 2024 Jul 23. https://doi.org/10.1186/s12904-024-01520-5
5. Kanschik D, Bruno RR, Wolff G, Kelm M, Jung C. Virtual and augmented reality in intensive care medicine: a systematic review. Ann Intensive Care. 2023;13(1):81. Published 2023 Sep 11. https://doi.org/10.1186/s13613-023-01176-z
6. Cao B, Xu Q, Shi Y, et al. Pathology of pain and its implications for therapeutic interventions. Signal Transduct Target Ther. 2024;9(1):155. Published 2024 Jun 8.
https://doi.org/10.1038/s41392-024-01845-w
7. Yang Y, Cui M, Zhao X, Wang S, Wang Y, Wang X. Cancer pain intensity and perceived social support in palliative care: 1-week prospective study. BMJ Support Palliat Care. 2024;13(e3):e894-e897. Published 2024 Jan 8.
https://doi.org/10.1136/spcare-2023-004236
8. V. Sholjakova M, M. Durnev V. Multimodal Pain Management in the Setting of Palliative Care [Internet]. Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care. IntechOpen; 2021. https://doi.org/10.5772/intechopen.96579
9. Slotman E, Hedman C, Fransen HP, van der Linden YM, Raijmakers NJH, Lundström S. Pain at the end of life in patients with cancer: a population-based study on prevalence, relief, and the role of pain assessment. Support Care Cancer. 2026;34(2):116. Published 2026 Jan 22. https://doi.org/10.1007/s00520-026-10349-y
10. Guenther M, Görlich D, Bernhardt F, et al. Virtual reality reduces pain in palliative care-A feasibility trial. BMC Palliat Care. 2022;21(1):169. Published 2022 Oct 5. https://doi.org/10.1186/s12904-022-01058-4
11. Nagamine T. Challenges in using virtual reality technology for pain relief. World J Clin Cases. 2025;13(16):103372. https://doi.org/10.12998/wjcc.v13.i16.103372
12. Austin PD, Siddall PJ, Lovell MR. Feasibility and acceptability of virtual reality for cancer pain in people receiving palliative care: a randomised cross-over study. Support Care Cancer. 2022;30(5):3995-4005. https://doi.org/10.1007/s00520-022-06824-x
13. Kelleher SA, Fisher HM, Winger JG, et al. Virtual reality for improving pain and pain-related symptoms in patients with advanced stage colorectal cancer: A pilot trial to test feasibility and acceptability. Palliat Support Care. 2022;20(4):471-481. https://doi.org/10.1017/s1478951521002017
14. Flanagan K, Vickerstaff V, Wheatstone P, et al. Virtual reality technology for pain management in advanced cancer. Cochrane Database Syst Rev. 2024;11(11):CD016078. Published 2024 Nov 19. https://doi.org/10.1002/14651858.cd016078
15. Gerlach C, Haas L, Greinacher A, et al. My virtual escape from patient life: a feasibility study on the experiences and benefits of individualized virtual reality for inpatients in palliative cancer care. BMC Palliat Care. 2024;23(1):247. Published 2024 Oct 23. https://doi.org/10.1186/s12904-024-01577-2
16. Martin JL, Saredakis D, Hutchinson AD, Crawford GB, Loetscher T. Virtual Reality in Palliative Care: A Systematic Review. Healthcare (Basel). 2022;10(7):1222. Published 2022 Jun 29. https://doi.org/10.3390/healthcare10071222
17. Bushnell MC, Ceko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci. 2013;14(7):502-511. https://doi.org/10.1038/nrn3516
18. Slater M and Sanchez-Vives MV (2016) Enhancing Our Lives with Immersive Virtual Reality. Front. Robot. AI 3:74. https://doi.org/10.3389/frobt.2016.00074
19. Lloyd A, Haraldsdottir E. Virtual reality in hospice: improved patient well-being. BMJ Support Palliat Care. 2021;11(3):344-350. https://doi.org/10.1136/bmjspcare-2021-003173
20. Moscato S, Sichi V, Giannelli A, et al. Virtual Reality in Home Palliative Care: Brief Report on the Effect on Cancer-Related Symptomatology. Front Psychol. 2021;12:709154. Published 2021 Sep 24. https://doi.org/10.3389/fpsyg.2021.709154
21. Deming JR, Dunbar KJ, Lueck JF, Oh Y. Virtual Reality Videos for Symptom Management in Hospice and Palliative Care. Mayo Clin Proc Digit Health. 2024;2(3):477-485. https://doi.org/10.1016/j.mcpdig.2024.08.002
22. Gaina AM, Stefanescu C, Szalontay AS, et al. A Systematic Review of Virtual Reality's Impact on Anxiety During Palliative Care. Healthcare (Basel). 2024;12(24):2517. Published 2024 Dec 12. https://doi.org/10.3390/healthcare12242517
23. Moloney M, Doody O, O'Reilly M, et al. Virtual reality use and patient outcomes in palliative care: A scoping review. Digit Health. 2023;9:20552076231207574. Published 2023 Nov 1. https://doi.org/10.1177/20552076231207574
24. Altman K, Saredakis D, Keage H, et al. Personalised virtual reality in palliative care: clinically meaningful symptom improvement for some. BMJ Support Palliat Care. 2024;15(1):116-120. Published 2024 Dec 25. https://doi.org/10.1136/spcare-2024-004815
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Magdalena Maria Mulawa, Kamila Krycia, Karolina Mazur, Karolina Różycka, Emilia Piaszczyńska, Aleksandra Gałuszka, Dominika Matacz, Sandra Drabik, Maja Gałuszka, Adrianna Adamczyk

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 49
Number of citations: 0