Perceived benefits and challenges of the use of immersive virtual reality Tai Chi by older Chinese and Korean immigrants

BACKGROUND: Older Asian immigrants encounter challenges that limit access to healthcare services and experience physical inactivity that can exacerbate psychological distress. Virtual reality offers a promising technology for delivering mindfulness and physical activity interventions that promote body awareness and physical fitness. OBJECTIVE: The goal of this study was to explore the perceived benefits, challenges, and cultural relevance of IVTC program use by older Chinese and Korean immigrants. METHODS: Semi-structured interviews were conducted with 19 participants following their participation in a four-week IVTC intervention. Data were analyzed using comparative thematic analysis, and data trustworthiness was ensured through member checking and reflexive processes. RESULTS: Reported health benefits were grouped into four main subthemes: (1) enhanced physical functioning and balance, (2) cognitive stimulation, (3) mental and emotional wellbeing, and (4) convenience accessibility. Reported challenges were grouped into three subthemes, including: (1) balance and coordination difficulties, (2) physical discomfort from headsets, and (3) the need for extended VR technology use instruction. Participants also discussed the cultural relevance of Tai Chi and their openness to integrating VR into their daily routine. CONCLUSION: The findings of this study highlight the potential feasibility and acceptability of IVTC use for enhancing the health and engagement of older Asian immigrants.