Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study

Background: Medical and nursing students experience high stress that can impair well-being and training. Immersive technologies may offer brief, scalable relaxation. MK360 combines short guided mindfulness with immersive 360° projection in a shared multisensory room environment without wearables. Ob...

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Autores: Roma, Gabriel, Yuguero Torres, Oriol
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:dnet:.___________::f74f3bce49c2bc218a100c528f0637f1
Acceso en línea:https://doi.org/10.3389/FMED.2026.1740585
https://hdl.handle.net/10459.1/469878
Access Level:acceso abierto
Palabra clave:Feasibility study
Health sciences students
Immersive 360° projection
Mindfulness
Perceived stress
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spelling Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot studyRoma, GabrielYuguero Torres, OriolFeasibility studyHealth sciences studentsImmersive 360° projectionMindfulnessPerceived stressBackground: Medical and nursing students experience high stress that can impair well-being and training. Immersive technologies may offer brief, scalable relaxation. MK360 combines short guided mindfulness with immersive 360° projection in a shared multisensory room environment without wearables. Objective: To assess feasibility and explore short-term changes in perceived stress and immediate autonomic arousal following a brief, predominantly group-based immersive 360° mindfulness program in medical and nursing students. Methods: Single-site pre-post pilot at the University of Lleida. Students attended four ~20-min MK360 sessions over 4 weeks. Heart rate (HR) and blood pressure (SBP/DBP) were recorded immediately before and after each session. The Perceived Stress Scale (PSS-14), the Goldberg Anxiety and Depression Scale-anxiety subscale (GADS/EADG), and the Maslach Burnout Inventory-Student Survey (MBI-SS) were administered at baseline and endline. Pre-post changes were tested using Wilcoxon signed-rank tests (α = 0.05); a one-tailed test was pre-specified for PSS (direction: decrease). Results: Twenty-six students initiated the study (mean age 21.0 years; 88.9% female; 83.3% medical students), and 18 completed all assessments (completion 69.2%). Perceived stress decreased from baseline to endline (PSS-14 median [IQR] 29.5 [26.0-33.5] to 26.5 [19.5-33.8]; Δ - 3), but did not reach statistical significance in the pre-specified one-tailed Wilcoxon test (p ≈ 0.07; two-tailed sensitivity p ≈ 0.15; r ≈ -0.35). Burnout subscales showed non-significant directional changes (exhaustion and cynicism decreased; academic efficacy increased). Anxiety scores showed no material change. Immediate pre- to post-session reductions were observed for HR (mean Δ - 1.8 to -5.5 bpm) and SBP (Δ - 2.7 to -8.4 mmHg) across sessions; DBP decreased in sessions 2 and 4 but not in sessions 1 and 3. Among completers, 50.0% reported feeling somewhat better emotionally and 38.9% no change. No serious adverse events were reported. Conclusion: MK360 was feasible and well tolerated, with signals consistent with reduced perceived stress over 4 weeks and transient reductions in cardiovascular arousal within sessions. Given the uncontrolled design and small sample, causal inference is not warranted; controlled studies should confirm effectiveness, examine dose-response, and compare delivery formats.Frontiers Media2026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.3389/FMED.2026.1740585https://hdl.handle.net/10459.1/469878reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a: https://doi.org/10.3389/FMED.2026.1740585Frontiers in Medicine, vol. 13, 2026cc-by (c) Roma and Yuguero, 2026Attribution 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:dnet:.___________::f74f3bce49c2bc218a100c528f0637f12026-06-24T12:42:17Z
dc.title.none.fl_str_mv Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
title Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
spellingShingle Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
Roma, Gabriel
Feasibility study
Health sciences students
Immersive 360° projection
Mindfulness
Perceived stress
title_short Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
title_full Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
title_fullStr Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
title_full_unstemmed Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
title_sort Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre-post pilot study
dc.creator.none.fl_str_mv Roma, Gabriel
Yuguero Torres, Oriol
author Roma, Gabriel
author_facet Roma, Gabriel
Yuguero Torres, Oriol
author_role author
author2 Yuguero Torres, Oriol
author2_role author
dc.subject.none.fl_str_mv Feasibility study
Health sciences students
Immersive 360° projection
Mindfulness
Perceived stress
topic Feasibility study
Health sciences students
Immersive 360° projection
Mindfulness
Perceived stress
description Background: Medical and nursing students experience high stress that can impair well-being and training. Immersive technologies may offer brief, scalable relaxation. MK360 combines short guided mindfulness with immersive 360° projection in a shared multisensory room environment without wearables. Objective: To assess feasibility and explore short-term changes in perceived stress and immediate autonomic arousal following a brief, predominantly group-based immersive 360° mindfulness program in medical and nursing students. Methods: Single-site pre-post pilot at the University of Lleida. Students attended four ~20-min MK360 sessions over 4 weeks. Heart rate (HR) and blood pressure (SBP/DBP) were recorded immediately before and after each session. The Perceived Stress Scale (PSS-14), the Goldberg Anxiety and Depression Scale-anxiety subscale (GADS/EADG), and the Maslach Burnout Inventory-Student Survey (MBI-SS) were administered at baseline and endline. Pre-post changes were tested using Wilcoxon signed-rank tests (α = 0.05); a one-tailed test was pre-specified for PSS (direction: decrease). Results: Twenty-six students initiated the study (mean age 21.0 years; 88.9% female; 83.3% medical students), and 18 completed all assessments (completion 69.2%). Perceived stress decreased from baseline to endline (PSS-14 median [IQR] 29.5 [26.0-33.5] to 26.5 [19.5-33.8]; Δ - 3), but did not reach statistical significance in the pre-specified one-tailed Wilcoxon test (p ≈ 0.07; two-tailed sensitivity p ≈ 0.15; r ≈ -0.35). Burnout subscales showed non-significant directional changes (exhaustion and cynicism decreased; academic efficacy increased). Anxiety scores showed no material change. Immediate pre- to post-session reductions were observed for HR (mean Δ - 1.8 to -5.5 bpm) and SBP (Δ - 2.7 to -8.4 mmHg) across sessions; DBP decreased in sessions 2 and 4 but not in sessions 1 and 3. Among completers, 50.0% reported feeling somewhat better emotionally and 38.9% no change. No serious adverse events were reported. Conclusion: MK360 was feasible and well tolerated, with signals consistent with reduced perceived stress over 4 weeks and transient reductions in cardiovascular arousal within sessions. Given the uncontrolled design and small sample, causal inference is not warranted; controlled studies should confirm effectiveness, examine dose-response, and compare delivery formats.
publishDate 2026
dc.date.none.fl_str_mv 2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.3389/FMED.2026.1740585
https://hdl.handle.net/10459.1/469878
url https://doi.org/10.3389/FMED.2026.1740585
https://hdl.handle.net/10459.1/469878
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/FMED.2026.1740585
Frontiers in Medicine, vol. 13, 2026
dc.rights.none.fl_str_mv cc-by (c) Roma and Yuguero, 2026
Attribution 4.0 International
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c) Roma and Yuguero, 2026
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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