{"id":"https://openalex.org/W7202262880","doi":"https://doi.org/10.3389/fpsyt.2026.1864629","title":"From innovation to implementation: a case report on virtual reality for chronic pain and psychological well-being in clinical practice","display_name":"From innovation to implementation: a case report on virtual reality for chronic pain and psychological well-being in clinical practice","publication_year":2026,"publication_date":"2026-08-12","ids":{"openalex":"https://openalex.org/W7202262880","doi":"https://doi.org/10.3389/fpsyt.2026.1864629","pmid":"https://pubmed.ncbi.nlm.nih.gov/42656805","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13506946"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyt.2026.1864629","doi":"https://doi.org/10.3389/fpsyt.2026.1864629","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1864629","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1864629/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1864629/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012004734","display_name":"Naiomi Rivera-Rivera","orcid":"https://orcid.org/0000-0001-7512-4954","observed_orcids":["https://orcid.org/0000-0001-7512-4954"]},"institutions":[{"id":"https://openalex.org/I4210138718","display_name":"VA Caribbean Healthcare System","ror":"https://ror.org/03tjwy964","country_code":"PR","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210119004","https://openalex.org/I4210138718"]}],"countries":["PR"],"is_corresponding":true,"raw_author_name":"Naiomi Rivera-Rivera","raw_affiliation_strings":["Behavioral Health & Mental Health Service, VA Caribbean Healthcare System"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Behavioral Health & Mental Health Service, VA Caribbean Healthcare System","institution_ids":["https://openalex.org/I4210138718"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146949778","display_name":"Janet Lopez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janet Lopez","raw_affiliation_strings":["College of Nursing, University of Central Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nursing, University of Central Florida","institution_ids":["https://openalex.org/I106165777"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046136362","display_name":"Nicole A. Haberland","orcid":"https://orcid.org/0000-0001-8431-4960","observed_orcids":["https://orcid.org/0000-0001-8431-4960"]},"institutions":[{"id":"https://openalex.org/I106165777","display_name":"University of Central Florida","ror":"https://ror.org/036nfer12","country_code":"US","type":"education","lineage":["https://openalex.org/I106165777"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicole Haberland","raw_affiliation_strings":["College of Medicine, University of Central Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, University of Central Florida","institution_ids":["https://openalex.org/I106165777"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5147042795","display_name":"Brendaliz Diaz-Guevara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138718","display_name":"VA Caribbean Healthcare System","ror":"https://ror.org/03tjwy964","country_code":"PR","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210119004","https://openalex.org/I4210138718"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Brendaliz Diaz-Guevara","raw_affiliation_strings":["Behavioral Health & Mental Health Service, VA Caribbean Healthcare System"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Behavioral Health & Mental Health Service, VA Caribbean Healthcare System","institution_ids":["https://openalex.org/I4210138718"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5012004734"],"corresponding_institution_ids":["https://openalex.org/I4210138718"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1864629","last_page":"1864629"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10648","display_name":"Virtual Reality Applications and Impacts","score":0.5684000253677368,"subfield":{"id":"https://openalex.org/subfields/1709","display_name":"Human-Computer Interaction"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10648","display_name":"Virtual Reality Applications and Impacts","score":0.5684000253677368,"subfield":{"id":"https://openalex.org/subfields/1709","display_name":"Human-Computer Interaction"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.28220000863075256,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.06019999831914902,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/virtual-reality","display_name":"virtual reality","score":0.9819999933242798},{"id":"https://openalex.org/keywords/chronic-pain","display_name":"chronic pain","score":0.9520000219345093},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.6940000057220459},{"id":"https://openalex.org/keywords/interdisciplinary-pain-rehabilitation","display_name":"interdisciplinary pain rehabilitation","score":0.7990000247955322},{"id":"https://openalex.org/keywords/clinical-implementation","display_name":"clinical implementation","score":0.7160000205039978},{"id":"https://openalex.org/keywords/non-pharmacological-pain-management","display_name":"non-pharmacological pain management","score":0.7940000295639038},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.890999972820282},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9769999980926514},{"id":"https://openalex.org/keywords/psychological-well-being","display_name":"psychological well-being","score":0.8320000171661377},{"id":"https://openalex.org/keywords/emotion-regulation","display_name":"emotion regulation","score":0.796999990940094},{"id":"https://openalex.org/keywords/patient-engagement","display_name":"patient engagement","score":0.7490000128746033}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7211999893188477},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.616599977016449},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.5796999931335449},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5710999965667725},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.554099977016449},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.5437999963760376},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.49320000410079956},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.475600004196167},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.47040000557899475},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4593999981880188},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.428600013256073},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.42820000648498535},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4041000008583069},{"id":"https://openalex.org/C194969405","wikidata":"https://www.wikidata.org/wiki/Q170519","display_name":"Virtual reality","level":2,"score":0.3946000039577484},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.36000001430511475},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3598000109195709},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.35850000381469727},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.35679998993873596},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.337799996137619},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.3149000108242035},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.31450000405311584},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3125},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.29510000348091125},{"id":"https://openalex.org/C112143881","wikidata":"https://www.wikidata.org/wiki/Q7124833","display_name":"Pain catastrophizing","level":3,"score":0.29319998621940613},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.2782999873161316},{"id":"https://openalex.org/C2778282284","wikidata":"https://www.wikidata.org/wiki/Q7124832","display_name":"Pain assessment","level":3,"score":0.27410000562667847},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.2718999981880188},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.26649999618530273},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.2621000111103058},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.25540000200271606},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.2538999915122986}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3389/fpsyt.2026.1864629","doi":"https://doi.org/10.3389/fpsyt.2026.1864629","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1864629","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1864629/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},{"id":"pmid:42656805","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42656805","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in psychiatry","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13506946","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13506946/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychiatry","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fpsyt.2026.1864629","doi":"https://doi.org/10.3389/fpsyt.2026.1864629","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1864629","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1864629/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7202262880.pdf","grobid_xml":"https://content.openalex.org/works/W7202262880.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W1880995029","https://openalex.org/W2163932187","https://openalex.org/W2186418699","https://openalex.org/W2343940034","https://openalex.org/W2800989145","https://openalex.org/W2892417121","https://openalex.org/W2937440490","https://openalex.org/W2961812469","https://openalex.org/W2976186436","https://openalex.org/W3011763304","https://openalex.org/W3101066810","https://openalex.org/W3199910192","https://openalex.org/W3206545102","https://openalex.org/W3217125191","https://openalex.org/W4210443649","https://openalex.org/W4280498736","https://openalex.org/W4306403359","https://openalex.org/W4310371052","https://openalex.org/W4384301397","https://openalex.org/W4386833262","https://openalex.org/W4387925058","https://openalex.org/W4388562660","https://openalex.org/W4389626740","https://openalex.org/W4391218792","https://openalex.org/W4407407669","https://openalex.org/W4407699955","https://openalex.org/W4408674668","https://openalex.org/W4409540323","https://openalex.org/W4411571203","https://openalex.org/W4411883867","https://openalex.org/W4413343188","https://openalex.org/W7117605255","https://openalex.org/W7129080934"],"related_works":["https://openalex.org/W4396584282","https://openalex.org/W4413489225","https://openalex.org/W2982008407","https://openalex.org/W3206545102","https://openalex.org/W2567713982","https://openalex.org/W7167621604","https://openalex.org/W4306403359","https://openalex.org/W2976186436","https://openalex.org/W7156018020","https://openalex.org/W4416953724"],"abstract_inverted_index":{"Background/objectives:":[0],"Virtual":[1],"reality":[2],"(VR)":[3],"is":[4,36],"an":[5],"emerging":[6],"non-pharmacologic":[7],"intervention":[8],"for":[9,30,126,199],"chronic":[10,111],"pain":[11,32,112,130,192,195,233],"management":[12],"among":[13],"Veterans.":[14],"Although":[15],"randomized":[16],"controlled":[17],"trials":[18],"have":[19],"demonstrated":[20],"the":[21,51,79,88,93,100,116,140,267,270],"efficacy":[22],"of":[23,90,148,152,170,266],"skills-based":[24],"VR":[25],"interventions":[26,41],"such":[27],"as":[28],"RelieVRx":[29,91,122,149,184,224],"reducing":[31],"and":[33,59,73,82,118,133,161,172,205,241],"anxiety,":[34,132],"less":[35],"known":[37],"about":[38],"how":[39,54],"these":[40],"can":[42],"be":[43,227],"implemented":[44],"within":[45],"real-world":[46,71,239],"interdisciplinary":[47,232],"care":[48,234],"settings":[49],"in":[50,62,78,115,128,181,190,203,210,254,259],"Caribbean":[52,102],"or":[53],"they":[55],"influence":[56],"patient":[57],"engagement":[58],"psychological":[60],"outcomes":[61,75],"routine":[63],"practice.":[64],"This":[65,84,236],"case":[66,85],"series":[67],"aims":[68],"to":[69,226,231,251],"describe":[70],"implementation":[72,240],"patient-level":[74,242],"with":[76,110,139,156],"Veterans":[77,109,178,187,256],"Caribbean.":[80],"Materials":[81],"methods:":[83],"report":[86,237],"describes":[87],"adoption":[89,147],"into":[92,275],"Interdisciplinary":[94],"Pain":[95],"Rehabilitation":[96],"Program":[97],"(IPRP)":[98],"at":[99],"VA":[101],"Healthcare":[103],"System.":[104],"Data":[105],"from":[106],"three":[107,177],"bilingual":[108],"who":[113],"participated":[114],"IPRP":[117],"completed":[119],"56":[120],"sequential":[121],"sessions":[123],"were":[124,142,208],"analyzed":[125],"changes":[127],"subjective":[129,191],"levels,":[131,193],"depressive":[134,204],"symptoms.":[135],"Veterans'":[136],"qualitative":[137,214],"experiences":[138,243],"device":[141,268],"also":[143,262],"assessed.":[144],"Results:":[145],"Clinical":[146],"involved":[150],"identification":[151],"appropriate":[153],"clinicians,":[154],"alignment":[155],"existing":[157],"workflows,":[158],"staff":[159],"training":[160],"competency":[162],"verification,":[163],"a":[164,228],"supervised":[165],"trial":[166],"period,":[167],"standardized":[168],"documentation":[169],"use,":[171],"ongoing":[173],"performance":[174],"monitoring.":[175],"All":[176],"reported":[179,188,257],"improvements":[180,253],"mood":[182],"following":[183],"use.":[185],"Two":[186],"reductions":[189],"while":[194,213],"levels":[196],"remained":[197],"unchanged":[198],"one":[200],"Veteran.":[201],"Improvements":[202],"anxiety":[206],"symptoms":[207],"observed":[209],"two":[211],"Veterans,":[212],"reports":[215],"suggested":[216],"enhanced":[217],"emotional":[218],"regulation":[219],"across":[220],"all":[221],"cases.":[222],"Conclusions/discussion:":[223],"appears":[225],"feasible":[229],"adjunct":[230],"intervention.":[235],"highlights":[238],"rather":[244],"than":[245],"establishing":[246],"causal":[247],"effectiveness.":[248],"In":[249],"addition":[250],"perceived":[252],"pain,":[255],"benefits":[258],"mood.":[260],"Participants":[261],"described":[263],"sustained":[264],"usefulness":[265],"beyond":[269],"structured":[271],"56-session":[272],"intervention,":[273],"extending":[274],"their":[276],"daily":[277],"lives.":[278]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-08-13T00:00:00"}