The purpose of this research is to develop an immersive virtual fitness center as an intervention to promote physical activity and examine its impacts on users’ exercise plans and exercise behaviors. The virtual reality (VR)-based intervention includes three main features: enabling the users to control their avatar, personalizing the avatar to look the same as the user, and visualizing the positive consequences of exercising. We conducted an experiment to randomly assign participants to two treatment groups: experiencing either the self or another person losing weight because of exercising in the virtual environment. The findings demonstrated that the self-avatar group exercised more in the voluntary section than the other-avatar group. However, participants in the self-avatar condition perceived a lower level of sense of presence compared to participants in the other-avatar condition. Compared to people in the control condition who watched and followed the exercise from a workout video, those who exercised in the virtual fitness center, regardless of whether the avatar was based on the self’s image or another person’s image, planned to spend more time on exercising in the following week. Theoretical and practical implications for using VR technology to promote health-related behavioral change, and why personalization decreases perceived sense of presence in the virtual environment are discussed.
Parsons, T.D. and Rizzo, A.A. (2008) Affective Outcomes of Virtual Reality Exposure Therapy for Anxiety and Specific Phobias: A Meta-Analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39, 250-261. https://doi.org/10.1016/j.jbtep.2007.07.007
Powers, M.B. and Emmelkamp, P.M. (2008) Virtual Reality Exposure Therapy for Anxiety Disorders: A Meta-Analysis. Journal of Anxiety Disorders, 22, 561-569. https://doi.org/10.1016/j.janxdis.2007.04.006
Wiederhold, B.K., Jang, D.P., Gevirtz, R.G., et al. (2002) The Treatment of Fear of Flying: A Controlled Study of Imaginal and Virtual Reality Graded Exposure Therapy. IEEE Transactions on Information Technology in Biomedicine, 6, 218-223. https://doi.org/10.1109/TITB.2002.802378
Jack, D., Boian, R., Merians, A.S., et al. (2001) Virtual Reality-Enhanced Stroke Rehabilitation. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 9, 308-318. https://doi.org/10.1109/7333.948460
Rizzo, A.S. and Kim, G.J. (2005) A SWOT Analysis of the Field of Virtual Reality Rehabilitation and Therapy. Presence: Teleoperators & Virtual Environments, 14, 119-146. https://doi.org/10.1162/1054746053967094
Hoffman, H.G., Patterson, D.R. and Carrougher, G.J. (2000) Use of Virtual Reality for Adjunctive Treatment of Adult Burn Pain during Physical Therapy: A Controlled Study. The Clinical Journal of Pain, 16, 244-250. https://doi.org/10.1097/00002508-200009000-00010
Malloy, K.M. and Milling, L.S. (2010) The Effectiveness of Virtual Reality Distraction for Pain Reduction: A Systematic Review. Clinical Psychology Review, 30, 1011-1018. https://doi.org/10.1016/j.cpr.2010.07.001
Parsons, T.D. and Rizzo, A.A. (2008) Initial Validation of a Virtual Environment for Assessment of Memory Functioning: Virtual Reality Cognitive Performance Assessment Test. CyberPsychology & Behavior, 11, 17-25. https://doi.org/10.1089/cpb.2007.9934
Cho, H. and Sohng, K.-Y. (2014) The Effect of a Virtual Reality Exercise Program on Physical Fitness, Body Composition, and Fatigue in Hemodialysis Patients. Journal of Physical Therapy Science, 26, 1661-1665. https://doi.org/10.1589/jpts.26.1661
Park, J., Lee, D. and Lee, S. (2014) Effect of Virtual Reality Exercise Using the Nintendo WII Fit on Muscle Activities of the Trunk and Lower Extremities of Normal Adults. Journal of Physical Therapy Science, 26, 271-273. https://doi.org/10.1589/jpts.26.271
Park, E.-C., Kim, S.-G. and Lee, C.-W. (2015) The Effects of Virtual Reality Game Exercise on Balance and Gait of the Elderly. Journal of Physical Therapy Science, 27, 1157-1159. https://doi.org/10.1589/jpts.27.1157
Tucker, J.M., Welk, G.J. and Beyler, N.K. (2011) Physical Activity in US Adults: Compliance with the Physical Activity Guidelines for Americans. American Journal of Preventive Medicine, 40, 454-461. https://doi.org/10.1016/j.amepre.2010.12.016
Zhang, B., Wu, M., Kang, H., et al. (2014) Effects of Security Warnings and Instant Gratification Cues on Attitudes toward Mobile Websites. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 111-114. https://doi.org/10.1145/2556288.2557347
Bandura, A. (1998) Health Promotion from the Perspective of Social Cognitive Theory. Psychology and Health, 13, 623-649. https://doi.org/10.1080/08870449808407422
Falzon, C., Radel, R., Cantor, A., et al. (2015) Understanding Narrative Effects in Physical Activity Promotion: The Influence of Breast Cancer Survivor Testimony on Exercise Beliefs, Self-Efficacy, and Intention in Breast Cancer Patients. Supportive Care in Cancer, 23, 761-768. https://doi.org/10.1007/s00520-014-2422-x
Gray, J.B. and Harrington, N.G. (2011) Narrative and Framing: A Test of an Integrated Message Strategy in the Exercise Context. Journal of Health Communication, 16, 264-281. https://doi.org/10.1080/10810730.2010.529490
Kruglanski, A.W., Chen, X., Pierro, A., et al. (2006) Persuasion According to the Unimodel: Implications for Cancer Communication. Journal of Communication, 56, S105-S122. https://doi.org/10.1111/j.1460-2466.2006.00285.x
Andsager, J.L., Bemker, V., Choi, H.-L., et al. (2006) Perceived Similarity of Exemplar Traits and Behavior: Effects on Message Evaluation. Communication Research, 33, 3-18. https://doi.org/10.1177/0093650205283099
Ito, K.E., Kalyanaraman, S., Ford, C.A., et al. (2008) “Let’s Talk about Sex”: Pilot Study of an Interactive CD-ROM to Prevent HIV/STIS in Female Adolescents. AIDS Education and Prevention, 20, 78-89. https://doi.org/10.1521/aeap.2008.20.1.78
Wang, X. and Arpan, L.M. (2008) Effects of Race and Ethnic Identity on Audience Evaluation of HIV Public Service Announcements. The Howard Journal of Communications, 19, 44-63. https://doi.org/10.1080/10646170701802019
Fox, J. and Bailenson, J.N. (2009) Virtual Self-Modeling: The Effects of Vicarious Reinforcement and Identification on Exercise Behaviors. Media Psychology, 12, 1-25. https://doi.org/10.1080/15213260802669474
Riddle, K. (2013) Transportation into Vivid Media Violence: A Focus on Attention, Emotions, and Mental Rumination. Communication Quarterly, 61, 446-462. https://doi.org/10.1080/01463373.2013.799512
Zhou, S. and Niederdeppe, J. (2017). The Promises and Pitfalls of Personalization in Narratives to Promote Social Change. Communication Monographs, 84, 319-342. https://doi.org/10.1080/03637751.2016.1246348
Slater, M. and Wilbur, S. (1997) A Framework for Immersive Virtual Environments (FIVE): Speculations on the Role of Presence in Virtual Environments. Presence: Teleoperators & Virtual Environments, 6, 603-616. https://doi.org/10.1162/pres.1997.6.6.603
Cohen, J. (2001) Defining Identification: A Theoretical Look at the Identification of Audiences with Media Characters. Mass Communication & Society, 4, 245-264. https://doi.org/10.1207/S15327825MCS0403_01
Ames, D.R. (2004) Inside the Mind Reader’s Tool Kit: Projection and Stereotyping in Mental State Inference. Journal of Personality and Social Psychology, 87, 340-353. https://doi.org/10.1037/0022-3514.87.3.340
Lee, K.M. (2004) Presence, Explicated. Communication Theory, 14, 27-50. https://doi.org/10.1111/j.1468-2885.2004.tb00302.x
Zhou, S., Shapiro, M.A. and Wansink, B. (2017) The Audience Eats More If a Movie Character Keeps Eating: An Unconscious Mechanism for Media Influence on Eating Behaviors. Appetite, 108, 407-415. https://doi.org/10.1016/j.appet.2016.10.028