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Exploring technology-assisted mindfulness: a systematic progressive review on the role of virtual reality

Mengru Liu, Anthony Kong, Fuxuebing Huang, Newman Lau, Johan F. Hoorn

Virtual Reality September 2, 2025 DOI: 10.1007/s10055-025-01224-y (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Peer reviewed
Topics Meditation
Citations 8
Key findings The review argues that VR is the central medium in technology-assisted mindfulness, organizing the field into technological, physiological, and psychological dimensions with three intersectional areas. It proposes three VR-based design strategies—Adaptive Self-Regulation, Environmental Guidance for Cognitive Ease, and Bidirectional Mind-Body Regulation—and recommends future research on personalization, kinetic meditation, and social VR to improve accessibility, engagement, and efficacy.

Abstract

With the advancement of digital technology, mindfulness practices have evolved beyond traditional methods into immersive, interactive, and biofeedback-supported experiences. This study proposes the Systematic Progressive Exploration Methodology (SPEM) to examine technology-assisted mindfulness, narrowing its focus from 3,053 peer-reviewed publications (publication trends and disciplinary contributions), to 10 top-tier HCI studies (key technological tools and methodologies), and finally to 30 empirical papers (core topics and design strategies) through Latent Dirichlet Allocation (LDA) topic modeling and inductive coding. The analysis identifies six core topics clustered around three primary dimensions: technological (VR as the dominant medium), physiological (four sensory designs: visual, auditory, haptic, and olfactory), and psychological (five mindfulness objectives: emotional regulation, attention, bodily awareness, targeted psychological needs, and social connection). Additionally, three intersectional areas: biofeedback technology, calm technology, and psychophysiology, highlight how these dimensions interact. From these findings, three VR-based design strategies emerge: (1) Adaptive Self-Regulation, (2) Environmental Guidance for Cognitive Ease, and (3) Bidirectional Mind-Body Regulation. These strategies contribute to immersion, care, and daily adaptability mindfulness experiences. To enhance accessibility, engagement, and efficacy, future research should explore personalization for different experience levels, kinetic meditation, and social VR practices. Overall, this review confirms the central role of VR in technology-assisted mindfulness, providing a comprehensive foundation for understanding this interdisciplinary field and guiding the development of more adaptive and inclusive interventions.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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