# Feasibility of a brief group-based immersive 360° mindfulness program for stress-related outcomes in health sciences students: a 4-week pre–post pilot study

## TL;DR

A short immersive mindfulness program using 360° projection was tested for reducing stress in health science students, showing some promising results.

## Contribution

This study introduces MK360, a novel group-based immersive mindfulness program using 360° projection for stress reduction in students.

## Key findings

- Perceived stress decreased slightly over four weeks, though not statistically significant.
- Heart rate and blood pressure showed immediate reductions during sessions.
- The program was feasible and well-tolerated with no serious adverse events.

## Abstract

Medical and nursing students experience high stress that can impair well-being and training. Immersive technologies may offer brief, scalable relaxation. MK360 combines short guided mindfulness with immersive 360° projection in a shared multisensory room environment without wearables.

To assess feasibility and explore short-term changes in perceived stress and immediate autonomic arousal following a brief, predominantly group-based immersive 360° mindfulness program in medical and nursing students.

Single-site pre–post pilot at the University of Lleida. Students attended four ~20-min MK360 sessions over 4 weeks. Heart rate (HR) and blood pressure (SBP/DBP) were recorded immediately before and after each session. The Perceived Stress Scale (PSS-14), the Goldberg Anxiety and Depression Scale-anxiety subscale (GADS/EADG), and the Maslach Burnout Inventory-Student Survey (MBI-SS) were administered at baseline and endline. Pre–post changes were tested using Wilcoxon signed-rank tests (α = 0.05); a one-tailed test was pre-specified for PSS (direction: decrease).

Twenty-six students initiated the study (mean age 21.0 years; 88.9% female; 83.3% medical students), and 18 completed all assessments (completion 69.2%). Perceived stress decreased from baseline to endline (PSS-14 median [IQR] 29.5 [26.0–33.5] to 26.5 [19.5–33.8]; Δ − 3), but did not reach statistical significance in the pre-specified one-tailed Wilcoxon test (p ≈ 0.07; two-tailed sensitivity p ≈ 0.15; r ≈ −0.35). Burnout subscales showed non-significant directional changes (exhaustion and cynicism decreased; academic efficacy increased). Anxiety scores showed no material change. Immediate pre- to post-session reductions were observed for HR (mean Δ − 1.8 to −5.5 bpm) and SBP (Δ − 2.7 to −8.4 mmHg) across sessions; DBP decreased in sessions 2 and 4 but not in sessions 1 and 3. Among completers, 50.0% reported feeling somewhat better emotionally and 38.9% no change. No serious adverse events were reported.

MK360 was feasible and well tolerated, with signals consistent with reduced perceived stress over 4 weeks and transient reductions in cardiovascular arousal within sessions. Given the uncontrolled design and small sample, causal inference is not warranted; controlled studies should confirm effectiveness, examine dose–response, and compare delivery formats.