REVI Pilot Feasibility Trial in Long-Term Care

Inclusion Criteria: * Residents of long-term care facilities. * Age 65 years or older. * Full functional independence (Barthel Index = 100). * Adequate balance and gait to safely participate in VR sessions (Berg Balance Scale \> 45). * Absence of significant cognitive impairment (MMSE ≥ 25 or CAMCOG-R ≥ 80). * Absence of clinically significant depressive symptoms (GDS-SF ≤ 5). * No prior experience with immersive virtual reality. * Able to provide informed consent or have a legal representative who can do so. * Able to remain seated for approximately 20 minutes per session. * Willing to participate in eight VR sessions over four weeks. Exclusion Criteria: * Cognitive impairment that prevents understanding instructions or interacting with VR content. * Depressive symptoms above the screening threshold established in the inclusion criteria. * Balance or gait limitations judged by clinical staff to pose a safety risk during VR use. * Medical or neurological conditions that contraindicate VR exposure (e.g., uncontrolled epilepsy, severe motion sickness). * Acute medical instability or conditions requiring urgent clinical intervention. * Any condition judged by clinical staff to pose a safety risk during VR immersion.