Barriers, Facilitators and Interventions to Support Virtual Reality Implementation in Rehabilitation: A Scoping Review.

This is a scoping review, not a trial or meta-analysis, so it maps what has been studied rather than proving that VR/AVG or training works. The authors did not appraise the quality of the included studies, so the reliability of the intervention findings is uncertain. Most evidence came from small-scale studies; only the national survey studies had larger samples. The search was limited to English articles published since 2005 in peer-reviewed journals or conference proceedings, and excluded gray literature. Barriers and facilitators were coded by the authors, and a different coder may have classified themes differently. The review focused on therapist perspectives and did not examine client experiences. The recommendations do not cover all identified barriers, facilitators, or research gaps. A formal stakeholder consultation was not done.

Do not conclude that training alone will increase VR/AVG use or improve patient function. The evaluated packages combined several supports, and improved knowledge and confidence did not translate into increased use. The review also did not test whether VR/AVG improves outcomes.