The impact of a 360° virtual tour of the college environment on the anxiety of newly arrived students during the COVID-19 pandemic

Document Type : Original Article


Nursing and Midwifery Care Research Center, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


Background: University education has been held virtually during the COVID-19 pandemic. However, students were confused and anxious while attending college, both because they were exposed to a new environment and fearful of coronavirus infection.
Objectives: The purpose of this study was to investigate the effect of a 360° virtual tour of the college physical environment on the anxiety of newly arrived students during the COVID-19 pandemic.
Methods: This single-blind, randomized, controlled trial was conducted between January and February 2021, with 80 nursing, midwifery, and surgical technology students from the Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. Students were randomly allocated into an intervention group and a control group, each with 40 students. Students in the intervention group received a 360° virtual tour of the college physical environment to be familiarized with the college environment. Students in the control group, on the other hand, were personally familiarized with the physical environment of the college. Students' anxiety levels were measured before and after the intervention using the Spielberger State-Trait Anxiety Inventory (STAI). Independent samples t-test, paired t-test, and chi-square test were used to analyze the data.
Results: The mean anxiety score in the intervention group decreased from 48.2±2.66 to 37.7±3.03 after the intervention (P<0.001). However, the mean anxiety score did not change significantly in the control group (P=0.59).
Conclusion: A 360° virtual tour can reduce the anxiety of newly arrived students before entering the college environment.


Saeid Amini Rarani [Pubmed] [Google Scholar]


Main Subjects

  1. World Health Organization. Weekly epidemiological update on COVID-19 - 20 July 2022, edition 101, 20 July 2022. Available from: [Last access date Feb 1, 2023]
  2. Banerjee D, Rai M. Social isolation in Covid-19: The impact of loneliness. Int J Soc Psychiatry 2020;66:525-527. doi:10.1177/0020764020922269 PMid:32349580 PMCid:PMC7405628
  3. Atout M, Alrimawi I, Mohammed Ali A, Dreidi M, Abu Khader I, Jaghama M. Challenges to online education during the time of COVID‐19: A focus group study. Nurs Forum 2022:57:1120-1128. doi:10.1111/nuf.12800 PMid:36106944
  4. Anderson AP, Mayer MD, Fellows AM, Cowan DR, Hegel MT, Buckey JC. Relaxation with immersive natural scenes presented using virtual reality. Aerosp Med Hum Perform 2017;88:520-526. doi:10.3357/AMHP.4747.2017 PMid:28539139
  5. Banoor RY, Ravi R, Roopesh S. Virtual reality and 3D tours as a pedagogical support to improve students experiences at the university. University of Mauritius. Conference: Pan Commonwealth Forum on Open and Online Learning (PCF8). Malaysia 2016:3-11.
  6. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020;287:112934. doi:10.1016/j.psychres.2020.112934 PMid:32229390 PMCid:PMC7102633
  7. Nami M, Mehrabi S, Kamali AM, Kazemiha M, Carvalho J, Derman S, et al. A new hypothesis on anxiety, sleep insufficiency, and viral infections; reciprocal links to consider in today's "world vs. COVID-19" endeavors. Front Psychiatry 2020;11:585893. doi:10.3389/fpsyt.2020.585893 PMid:33250794 PMCid:PMC7674554
  8. Levonis SM, Tauber AL, Schweiker SS. 360° virtual laboratory tour with embedded skills videos. J Chem Educ 2021;98:651-654. doi:10.1021/acs.jchemed.0c00622
  9. Reinders IM, Cremers GR, van Rooijen SJ, Leemans JC, Perquin CW, Geomini PM, et al. The effect of an informative 360-degree virtual reality video on anxiety for women visiting the one-stop clinic for abnormal uterine bleeding: A randomized controlled trial (VISION-trial). Eur J Obstet Gynecol Reprod Biol 2022; 272: 96-103. doi:10.1016/j.ejogrb.2022.02.179 PMid:35299013
  10. Yang T, Lai IKW, Fan ZB, Mo QM. The impact of a 360 virtual tour on the reduction of psychological stress caused by COVID-19. Technol Soc 2021;64:101514. doi:10.1016/j.techsoc.2020.101514 PMid:33424061 PMCid:PMC7775825
  11. Putri DAP, Kusumaningtyas R, Aldi T, Haiqal FZ. Virtual reality simulation to help decrease stress and anxiety feeling for children during COVID-19 pandemic. Int J Adv Comput Sci Appl 2021;12: 566-573. doi:10.14569/IJACSA.2021.0121272
  12. Camara DR, Hicks RE. Using virtual reality to reduce state anxiety and stress in university students: An experiment. GSTF J Psychol 2020; 4:1-15.
  13. Çakır SK, Evirgen S. The effect of virtual reality on pain and anxiety during colonoscopy: a randomized controlled trial. Turk J Gastroenterol 2021;32:451-457. doi:10.5152/tjg.2021.191081 PMid:34231475 PMCid:PMC8975482
  14. Niknejad R, Mirmohammad-Sadeghi M, Akbari M, Ghadami A. Effects of an orientation tour on preoperative anxiety in candidates for coronary artery bypass grafting: A randomized clinical trial. ARYA atheroscler 2019;15:154-160.
  15. Khodayarifard M, Spielberger CD, Lavasani MG, Zardkhaneh SA. Psychometric properties of Farsi version of the Spielberger's state-trait anger expression inventory-2 (FSTAXI-2). Procedia Soc 2013;82:325-329. doi:10.1016/j.sbspro.2013.06.269
  16. Shrestha B, Dunn L. The declaration of Helsinki on medical research involving human subjects: a review of seventh revision. J Nepal Health Res Counc 2020;17:548-552. doi:10.33314/jnhrc.v17i4.1042 PMid:32001865
  17. Concannon BJ, Esmail S, Roduta Roberts M. Immersive virtual reality for the reduction of state anxiety in clinical interview exams: Prospective cohort study. JMIR Serious Games 2020;8:e18313. doi:10.2196/18313 PMid:32673223 PMCid:PMC7381040
  18. Liguori S, Stacchini M, Ciofi D, Olivini N, Bisogni S, Festini F. Effectiveness of an app for reducing preoperative anxiety in children: a randomized clinical trial. JAMA pediatr 2016;170: e160533. doi:10.1001/jamapediatrics.2016.0533 PMid:27294708
  19. Vogt L, Klasen M, Rossaint R, Goeretz U, Ebus P, Sopka S. Virtual reality tour to reduce perioperative anxiety in an operating setting before anesthesia: randomized clinical trial. J Med Internet Res 2021;23:e28018. doi:10.2196/28018 PMid:34252034 PMCid:PMC8444035
  20. Riva G, Serino S. Virtual reality in the assessment, understanding and treatment of mental health disorders. J Clin Med 2020;9:3434. doi:10.3390/jcm9113434 PMid:33114623 PMCid:PMC7693021