“…While the literature is rich with studies exploring how VR may be an effective method for distraction in and out of the healthcare setting ( Hoffman et al, 2014 ; Small et al, 2015 ; Burns-Nadera et al, 2017 ; Boylan et al, 2018 ; Khadra et al, 2018 ; Piskorz and Czub, 2018 ; Soltani et al, 2018 ; Hoffman et al, 2019 ; Spiegel et al, 2019 ), it is more limited on the usage behavior and efficacy of VR apps with unique content features on psychological stress and anxiety reduction, excluding the growing literature on mindfulness and meditative practices ( Seabrook et al, 2020 ; Mazgelyte et al, 2021 ; Drigas et al, 2022 ; Kelly et al, 2022 ; Mitsea et al, 2022 , 2023 ). Moreover, the psychological effects of these content features and user app use have not been adequately investigated in the consumer user population during a pandemic setting.…”