Virtual reality (VR) is a technology that allows users to do interactive activities in virtual circumstances. Rehabilitation using VR has shown effective result in treating cognitive impairment in elderly. VR offers a high level of flexibility and control over the user, enabling the user to perform intensive training according to their ability, keeping it enjoyable and compelling. Despite this fact, geriatric patients also face challenges in integrating technology into their daily activities, especially in developing country. Thus, Universitas Indonesia creating VR exergame software (VRE) which was named VRAGMENT. This study aimed to know the correlation of cognitive with VR satisfaction using VRAGMENT in elderly patients. This was a cross-sectional study, conducted on May until July 2023. Cognitive function was measured using Montreal Cognitive Assessment Indonesian Version (MoCA-Ina) and VR satisfaction was measured using Technology Acceptance Model (TAM). We use Meta Oculus VR as the hardware for VRAGMENT program. We recruited 80 elderly at the outpatient setting and 32 elderly at the inpatient setting, with MoCA-Ina range 8-30. All subjects enjoy VRAGMENT session. Subjects with higher cognitive levels have higher satisfaction than those with lower cognitive levels (r = 0.434, P<.05). There is a correlation between cognitive function that was measured using MoCA-Ina and brief VR satisfaction questionnaire. VRAGMENT protocols need to be adapted so could facilitate cognitive impairment and increase elderly satisfaction with this technology. Keywords: Elderly, Virtual Reality, Cognitive
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