Abstract
Extended reality (XR) applications—encompassing virtual reality, augmented reality, and mixed reality—are finding their way into multiple domains. Each area has different motivations for employing and different criteria for evaluating XR. Multiple surveys describe XR and its evaluation in particular fields. However, these surveys do not always agree on the definition of XR. This lack of consensus makes it hard to compare and use learnings from XR research across areas. Through a tertiary systematic literature review, we analyzed 81 surveys from several fields to provide a comprehensive summary of the state of XR research regarding the evaluation of XR applications. We seek to understand (i) how is XR defined? (ii) why is XR employed? (iii) how is XR evaluated? (iv) what are the main criticisms and future research paths outlined by the surveys? and (v) how good are the surveys? We present our findings describing XR research in 10 categories. Given our findings, we propose that future research should build upon a solid XR taxonomy and depart from effectiveness into efficiency research—to understand not only if but also how XR achieves the desired outcomes.
Supplemental Material
Available for Download
Supplementary material
- [1] . 2011. Effectiveness of procedural simulation in urology: A systematic review. Journal of Urology 186, 1 (
July 2011), 26–34.DOI: Google ScholarCross Ref - [2] . 2017. Advantages and challenges associated with augmented reality for education: A systematic review of the literature. Educational Research Review 20 (
Feb. 2017), 1–11.DOI: Google ScholarCross Ref - [3] . 2016. Virtual reality training in laparoscopic surgery: A systematic review & meta-analysis. International Journal of Surgery 29 (
May 2016), 85–94.DOI: Google ScholarCross Ref - [4] . 2019. Cognitive rehabilitation post traumatic brain injury: A systematic review for emerging use of virtual reality technology. Journal of Clinical Neuroscience 66 (
Aug. 2019), 209–219.DOI: Google ScholarCross Ref - [5] . 2014. Virtual reality simulation training in otolaryngology. International Journal of Surgery 12, 2 (
Feb. 2014), 87–94.DOI: Google ScholarCross Ref - [6] . 2001. Recent advances in augmented reality. IEEE Computer Graphics and Applications 21, 6 (
Dec. 2001), 34–47.DOI: Google ScholarDigital Library - [7] . 1997. A survey of augmented reality. Presence: Teleoperators and Virtual Environments 6, 4 (
Aug. 1997), 355–385.DOI: Google ScholarDigital Library - [8] . 2016. Effectiveness of virtual reality training in orthopaedic surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery 32, 1 (
Jan. 2016), 224–232.DOI: Google ScholarCross Ref - [9] . 2019. A meta-analytic examination of attrition in virtual reality exposure therapy for anxiety disorders. Journal of Anxiety Disorders 61 (
Jan. 2019), 18–26.DOI: Google ScholarCross Ref - [10] . 2017. The status of augmented reality in laparoscopic surgery as of 2016. Medical Image Analysis 37 (
April 2017), 66–90.DOI: Google ScholarCross Ref - [11] . 2019. Augmented reality action assistance and learning for cognitively impaired people: A systematic literature review. In Proceedings of the 12th ACM International Conference on PErvasive Technologies Related to Assistive Environments (PETRA ’19). ACM, New York, NY, 270–279.
DOI: Google ScholarDigital Library - [12] . 2019. The virtual reality of Parkinson’s disease freezing of gait: A systematic review. Parkinsonism & Related Disorders 61 (
April 2019), 26–33.DOI: Google ScholarCross Ref - [13] . 2015. Empirical evidence, evaluation criteria and challenges for the effectiveness of virtual and mixed reality tools for training operators of car service maintenance. Computers in Industry 67 (
Feb. 2015), 17–26.DOI: Google ScholarDigital Library - [14] . 2019. Intraoperative augmented reality with heads-up displays in maxillofacial surgery: A systematic review of the literature and a classification of relevant technologies. International Journal of Oral and Maxillofacial Surgery 48, 1 (
Jan. 2019), 132–139.DOI: Google ScholarCross Ref - [15] . 2018. A survey on virtual reality for individuals with autism spectrum disorder: Design considerations. IEEE Transactions on Learning Technologies 11, 2 (
April 2018), 133–151.DOI: Google ScholarCross Ref - [16] . 2015. Simulation-based ureteroscopy training: A systematic review. Journal of Surgical Education 72, 1 (
Jan. 2015), 135–143.DOI: Google ScholarCross Ref - [17] . 2018. Reporting systematic reviews: Some lessons from a tertiary study. Information and Software Technology 95 (
March 2018), 62–74.DOI: Google ScholarCross Ref - [18] . 2019. Effect of exergaming on health-related quality of life in older adults: A systematic review. International Journal of Nursing Studies 93 (
May 2019), 30–40.DOI: Google ScholarCross Ref - [19] . 2017. Virtual reality exposure therapy in flight anxiety: A quantitative meta-analysis. Computers in Human Behavior 72 (
July 2017), 371–380.DOI: Google ScholarDigital Library - [20] . 2019. Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders 61 (
Jan. 2019), 27–36.DOI: Google ScholarCross Ref - [21] . 1992. Augmented reality: An application of heads-up display technology to manual manufacturing processes. In Proceedings of the 25th Hawaii International Conference on System Sciences, Vol. 2. IEEE, Los Alamitos, CA, 659–669.
DOI: Google ScholarCross Ref - [22] . 2019. Home-based technologies for stroke rehabilitation: A systematic review. International Journal of Medical Informatics 123 (
March 2019), 11–22.DOI: Google ScholarCross Ref - [23] . 2019. Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review. Annals of Physical and Rehabilitation Medicine 62, 1 (
Jan. 2019), 49–57.DOI: Google ScholarCross Ref - [24] . 2017. The effect of 3-dimensional simulation on neurosurgical skill acquisition and surgical performance: A review of the literature. Journal of Surgical Education 74, 5 (
Sept. 2017), 828–836.DOI: Google ScholarCross Ref - [25] . 2017. The contribution of virtual reality to the diagnosis of spatial navigation disorders and to the study of the role of navigational aids: A systematic literature review. Annals of Physical and Rehabilitation Medicine 60, 3 (
June 2017), 164–176.DOI: Google ScholarCross Ref - [26] . 2015. Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed, balance and mobility after stroke: A systematic review. Journal of Physiotherapy 61, 3 (
July 2015), 117–124.DOI: Google ScholarCross Ref - [27] . 2019. Haptic interaction for needle insertion training in medical applications: The state-of-the-art. Medical Engineering & Physics 63 (
Jan. 2019), 6–25.DOI: Google ScholarCross Ref - [28] . 2015. Computerized and virtual reality cognitive training for individuals at high risk of cognitive decline: Systematic review of the literature. American Journal of Geriatric Psychiatry 23, 4 (
April 2015), 335–359.DOI: Google ScholarCross Ref - [29] . 1993. Surround-screen projection-based virtual reality: the design and implementation of the CAVE. In Proceedings of the 20th Annual Conference on Computer Graphics and Interactive Techniques (SIGGRAPH ’93). ACM, New York, NY, 135–142.
DOI: Google ScholarDigital Library - [30] . 2017. Psychotherapies for the treatment of phantom limb pain. Revista Colombiana de Psiquiatría (English ed.) 46, 3 (
July 2017), 178–186.DOI: Google ScholarCross Ref - [31] . 2014. A systematic review of cybersickness. In Proceedings of the 2014 Conference on Interactive Entertainment (IE ’14). ACM, New York, NY, 1–9.
DOI: Google ScholarDigital Library - [32] . 2019. The efficacy of virtual reality exposure therapy for PTSD symptoms: A systematic review and meta-analysis. Journal of Affective Disorders 257 (
Oct. 2019), 698–709.DOI: Google ScholarCross Ref - [33] . 2017. Virtual and augmented reality systems for renal interventions: A systematic review. IEEE Reviews in Biomedical Engineering 10 (2017), 78–94.
DOI: Google ScholarCross Ref - [34] . 2018. Gamification and serious games in depression care: A systematic mapping study. Telematics and Informatics 35, 1 (
April 2018), 213–224.DOI: Google ScholarCross Ref - [35] . 2012. Usability 101: Introduction to Usability. Retrieved October 17, 2023 from https://www.nngroup.com/articles/usability-101-introduction-to-usability/Google Scholar
- [36] . 2018. Immersive virtual reality serious games for evacuation training and research: A systematic literature review. Computers & Education 127 (
Dec. 2018), 252–266.DOI: Google ScholarCross Ref - [37] . 2019. Deterioration rates in virtual reality therapy: An individual patient data level meta-analysis. Journal of Anxiety Disorders 61 (
Jan. 2019), 3–17.DOI: Google ScholarCross Ref - [38] . 2011. Is there a reality in industrial augmented reality? In Proceedings of the 2011 10th IEEE International Symposium on Mixed and Augmented Reality. IEEE, Los Alamitos, CA, 201–210.
DOI: Google ScholarDigital Library - [39] . 2019. Analysis of the factors related to the effectiveness of transcranial current stimulation in upper limb motor function recovery after stroke: A systematic review. Journal of Medical Systems 43, 3 (
Feb. 2019), 69.DOI: Google ScholarDigital Library - [40] . 2019. The effectiveness of traditional tools and computer-aided technologies for health and safety training in the construction sector: A systematic review. Computers & Education 138 (
Sept. 2019), 101–115.DOI: Google ScholarDigital Library - [41] . 2019. Meta-analysis of the impact of augmented reality on students’ learning gains. Educational Research Review 27 (
June 2019), 244–260.DOI: Google ScholarCross Ref - [42] . 2018. Applications of virtual reality in individuals with alcohol misuse: A systematic review. Addictive Behaviors 81 (
June 2018), 1–11.DOI: Google ScholarCross Ref - [43] . 2014. Current perspectives in the use of molecular imaging to target surgical treatments for genitourinary cancers. European Urology 65, 5 (
May 2014), 947–964.DOI: Google ScholarCross Ref - [44] . 2019. Virtual reality simulator versus box-trainer to teach minimally invasive procedures: A meta-analysis. International Journal of Surgery 61 (
Jan. 2019), 60–68.DOI: Google ScholarCross Ref - [45] . 2019. Are technology-based interventions effective in reducing dental anxiety in children and adults? A systematic review. Journal of Evidence Based Dental Practice 19, 2 (
June 2019), 140–155.DOI: Google ScholarCross Ref - [46] . 2020. Mapping the intellectual structure of research on surgery with mixed reality: Bibliometric network analysis (2000–2019). Journal of Biomedical Informatics 109 (
Sept. 2020), 103516.DOI: Google ScholarDigital Library - [47] . 2017. A meta-analysis and systematic literature review of virtual reality rehabilitation programs. Computers in Human Behavior 70 (
May 2017), 317–327.DOI: Google ScholarDigital Library - [48] . 2016. Rehabilitation using virtual reality technology: A bibliometric analysis, 1996–2015. Scientometrics 109, 3 (
Dec. 2016), 1547–1559.DOI: Google ScholarDigital Library - [49] . 2018. Augmented reality for STEM learning: A systematic review. Computers & Education 123 (
Aug. 2018), 109–123.DOI: Google ScholarDigital Library - [50] . 2018. ISO 9241-11:2018. Retrieved October 17, 2023 from https://www.iso.org/cms/render/live/en/sites/isoorg/contents/data/standard/06/35/63500.htmlGoogle Scholar
- [51] . 2016. ISO/IEC 25066:2016. Retrieved October 17, 2023 from https://www.iso.org/cms/render/live/en/sites/isoorg/contents/data/standard/06/38/63831.htmlGoogle Scholar
- [52] . 2019. Augmented and virtual reality in dental medicine: A systematic review. Computers in Biology and Medicine 108 (
May 2019), 93–100.DOI: Google ScholarDigital Library - [53] . 2016. Meta-analysis of technology-assisted interventions for social anxiety disorder. Journal of Anxiety Disorders 42 (
Aug. 2016), 71–84.DOI: Google ScholarCross Ref - [54] . 2019. Augmented reality research in education: A bibliometric study. Eurasia Journal of Mathematics, Science and Technology Education 15, 10 (
May 2019), em1755.DOI: Google ScholarCross Ref - [55] . 2013. Simulation-based bronchoscopy training: Systematic review and meta-analysis. Chest 144, 1 (
July 2013), 183–192.DOI: Google ScholarCross Ref - [56] . 2013. The state of the art of visualization in mixed reality image guided surgery. Computerized Medical Imaging and Graphics 37, 2 (
March 2013), 98–112.DOI: Google ScholarCross Ref - [57] . 2018. Revisiting trends in augmented reality research: A review of the 2nd decade of ISMAR (2008–2017). IEEE Transactions on Visualization and Computer Graphics 24, 11 (
Nov. 2018), 2947–2962.DOI: Google ScholarCross Ref - [58] . 2007. Guidelines for Performing Systematic Literature Reviews in Software Engineering. Technical Report 2007-01. EBSE.Google Scholar
- [59] . 2015. Ward-based interventions for patients with hemispatial neglect in stroke rehabilitation: A systematic literature review. International Journal of Nursing Studies 52, 8 (
Aug. 2015), 1375–1403.DOI: Google ScholarCross Ref - [60] . 2013. Exposure therapy in eating disorders revisited. Neuroscience & Biobehavioral Reviews 37, 2 (
Feb. 2013), 193–208.DOI: Google ScholarCross Ref - [61] . 2016. Evaluation of quality and personalisation of VR/AR/MR learning systems. Behaviour & Information Technology 35, 11 (
Nov. 2016), 998–1007.DOI: Google ScholarDigital Library - [62] . 2015. Virtual Reality. Retrieved October 17, 2023 from http://lavalle.pl/vr/Google Scholar
- [63] . 2017. 3D User Interfaces: Theory and Practice (2nd ed.). Addison-Wesley, Boston, MA.Google Scholar
- [64] . 2019. Effectiveness and superiority of rehabilitative treatments in enhancing motor recovery within 6 months poststroke: A systemic review. Archives of Physical Medicine and Rehabilitation 100, 2 (
Feb. 2019), 366–378.DOI: Google ScholarCross Ref - [65] . 2010. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clinical Psychology Review 30, 8 (
Dec. 2010), 1011–1018.DOI: Google ScholarCross Ref - [66] . 2011. Effectiveness and impact of networked communication interventions in young people with mental health conditions: A systematic review. Patient Education and Counseling 85, 2 (
Nov. 2011), e108–e119.DOI: Google ScholarCross Ref - [67] . 2018. Does modified Otago Exercise Program improves balance in older people? A systematic review. Preventive Medicine Reports 11 (
Sept. 2018), 231–239.DOI: Google ScholarCross Ref - [68] . 2018. Virtual reality–based simulators for cranial tumor surgery: A systematic review. World Neurosurgery 110 (
Feb. 2018), 414–422.DOI: Google ScholarCross Ref - [69] . 2014. Effectiveness of virtual reality-based instruction on students’ learning outcomes in K-12 and higher education: A meta-analysis. Computers & Education 70 (
Jan. 2014), 29–40.DOI: Google ScholarCross Ref - [70] . 1994. A taxonomy of mixed reality visual displays. IEICE Transactions on Information Systems E77-D, 12 (1994), 1–15.Google Scholar
- [71] . 2016. A systematic review of virtual reality simulators for robot-assisted surgery. European Urology 69, 6 (
June 2016), 1065–1080.DOI: Google ScholarCross Ref - [72] . 2019. Effects of virtual reality compared to conventional therapy on balance poststroke: A systematic review and meta-analysis. Journal of Stroke and Cerebrovascular Diseases 28, 7 (
July 2019), 1787–1798.DOI: Google ScholarCross Ref - [73] . 2019. A systematic review of the use of virtual reality and its effects on cognition in individuals with neurocognitive disorders. Alzheimer’s & Dementia: Translational Research & Clinical Interventions 5, 1 (
Jan. 2019), 834–850.DOI: Google ScholarCross Ref - [74] . 2015. Visualization Analysis and Design. Boca Raton, FL.Google Scholar
- [75] . 2016. Task difficulty of virtual reality-based assessment tools compared to classical paper-and-pencil or computerized measures: A meta-analytic approach. Computers in Human Behavior 54 (
Jan. 2016), 414–424.DOI: Google ScholarDigital Library - [76] . 2018. A systematic review of the application of interactive virtual reality to sport. Virtual Reality 22, 3 (
Sept. 2018), 183–198.DOI: Google ScholarDigital Library - [77] . 2019. Effectiveness of virtual and augmented reality-enhanced exercise on physical activity, psychological outcomes, and physical performance: A systematic review and meta-analysis of randomized controlled trials. Computers in Human Behavior 99 (
Oct. 2019), 278–291.DOI: Google ScholarDigital Library - [78] . 2015. Anti-bullying programs and information and communication technologies (ICTs): A systematic review. Aggression and Violent Behavior 23 (
July 2015), 52–60.DOI: Google ScholarCross Ref - [79] . 2017. A narrative review of social media and game-based nutrition interventions targeted at young adults. Journal of the Academy of Nutrition and Dietetics 117, 5 (
May 2017), 735–752.e10.DOI: Google ScholarCross Ref - [80] . 2019. A survey on computer-assisted Parkinson’s disease diagnosis. Artificial Intelligence in Medicine 95 (
April 2019), 48–63.DOI: Google ScholarDigital Library - [81] . 2019. Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis. Annals of Physical and Rehabilitation Medicine 62, 5 (
Sept. 2019), 366–378.DOI: Google ScholarCross Ref - [82] . 2017. Virtual reality-based simulators for spine surgery: A systematic review. Spine Journal 17, 9 (
Sept. 2017), 1352–1363.DOI: Google ScholarCross Ref - [83] . 2017. Effectiveness of virtual reality rehabilitation for children and adolescents with cerebral palsy: An updated evidence-based systematic review. Physiotherapy 103, 3 (
Sept. 2017), 245–258.DOI: Google ScholarCross Ref - [84] Michael K. Rooney, Fan Zhu, Erin F. Gillespie, Jillian R. Gunther, Ryan P. McKillip, Matthew Lineberry, Ara Tekian, and Daniel W. Golden. 2018. Simulation as more than a treatment-planning tool: A systematic review of the literature on radiation oncology simulation-based medical education. International Journal of Radiation Oncology *Biology* Physics 102, 2 (October 2018), 257–283.
DOI: Google ScholarCross Ref - [85] . 2014. Augmented reality learning experiences: Survey of prototype design and evaluation. IEEE Transactions on Learning Technologies 7, 1 (
Jan. 2014), 38–56.DOI: Google ScholarCross Ref - [86] . 2016. Training and assessment of hysteroscopic skills: A systematic review. Journal of Surgical Education 73, 5 (
Sept. 2016), 906–918.DOI: Google ScholarCross Ref - [87] . 2018. Virtual reality in the treatment of burn patients: A systematic review. Burns 44, 6 (
Sept. 2018), 1403–1416.DOI: Google ScholarCross Ref - [88] . 2018. Efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care: A systematic review and meta-analysis of randomized controlled trials. Burns 44, 7 (
Nov. 2018), 1709–1720.DOI: Google ScholarCross Ref - [89] . 2016. Evidence for endovascular simulation training: A systematic review. European Journal of Vascular and Endovascular Surgery 51, 3 (
March 2016), 441–451.DOI: Google ScholarCross Ref - [90] . 2019. Interaction Design 5e. John Wiley & Sons, Indianapolis, IN.Google Scholar
- [91] . 1997. A framework for immersive virtual environments (FIVE): Speculations on the role of presence in virtual environments. Presence: Teleoperators and Virtual Environments 6, 6 (
Dec. 1997), 603–616.DOI: Google ScholarDigital Library - [92] . 2018. Virtual reality and noninvasive brain stimulation in stroke: How effective is their combination for upper limb motor improvement?—A meta-analysis. PM&R 10, 11 (2018), 1261–1270.
DOI: Google ScholarCross Ref - [93] . 2018. The state of immersive technology research: A literature analysis. Computers in Human Behavior 86 (
Sept. 2018), 77–90.DOI: Google ScholarCross Ref - [94] . 2018. Social cognitive interventions for people with schizophrenia: A systematic review. Asian Journal of Psychiatry 35 (
June 2018), 115–131.DOI: Google ScholarCross Ref - [95] . 2014. Simulation training: A systematic review of simulation in arthroscopy and proposal of a new competency-based training framework. International Journal of Surgery 12, 6 (
June 2014), 626–633.DOI: Google ScholarCross Ref - [96] . 2015. Update on simulation-based surgical training and assessment in ophthalmology: A systematic review. Ophthalmology 122, 6 (
June 2015), 1111–1130.e1.DOI: Google ScholarCross Ref - [97] . 2014. Outcomes associated with virtual reality in psychological interventions: Where are we now? Clinical Psychology Review 34, 8 (
Dec. 2014), 634–644.DOI: Google ScholarCross Ref - [98] . 2016. Virtual reality for therapeutic purposes in stroke: A systematic review. Neurología (English Ed.) 31, 4 (
May 2016), 255–277.DOI: Google ScholarCross Ref - [99] . 2019. Virtual reality interventions for balance prevention and rehabilitation after musculoskeletal lower limb impairments in young up to middle-aged adults: A comprehensive review on used technology, balance outcome measures and observed effects. International Journal of Medical Informatics 126 (
June 2019), 46–58.DOI: Google ScholarCross Ref - [100] . 2006. Virtual reality in neurorehabilitation. In Textbook of Neural Repair and Rehabilitation, , , , , and (Eds.). Cambridge University Press, Cambridge, UK, 182–197.
DOI: Google ScholarCross Ref
Index Terms
- Evaluation of XR Applications: A Tertiary Review
Recommendations
What is XR? Towards a Framework for Augmented and Virtual Reality
AbstractAugmented Reality (AR), Virtual Reality (VR), Mixed Reality, and Extended Reality (often – misleadingly – abbreviated as XR) are commonly used terms to describe how technologies generate or modify reality. However, academics and ...
Highlights- XR should not be used as an abbreviation for “Extended Reality”; X should be the placeholder for “all” new reality formats.
Virtual, mixed, and augmented reality: a systematic review for immersive systems research
AbstractImmersive systems can be used to capture new data, create new experiences, and provide new insights by generating virtual elements of physical and imagined worlds. Immersive systems are seeing increased application across a broad array of fields. ...
Unified Representation for XR Content and its Rendering Method
Web3D '20: Proceedings of the 25th International Conference on 3D Web TechnologyVirtual Reality (VR) and Augmented Reality (AR) have become familiar technologies with related markets growing rapidly every year. Moreover, the idea of considering VR and AR as one eXtended reality (XR) has broken the border between virtual space and ...
Comments