Immersion Or Overwhelm? VR-Enhanced Scuba Diving For Neurodivergent Tourists

Abstract
Tourism research and practice continue to prioritise neurotypical experiences, often excluding the needs of neurodivergent individuals despite growing awareness of neurodiversity. This study explores how virtual reality-enhanced (VR-enhanced) scuba diving can serve as a restorative and inclusive tourism approach that supports cognitive restoration and emotional well-being for neurodivergent users, drawing on Attention Restoration Theory and the constructs of presence and embodiment. While traditional scuba diving tourism research has emphasised risk, motivation, and skill, this study reframes scuba diving through the lens of sensory inclusivity and neurodiverse user experience. Our research demonstrates how customisable sensory features in VR support restorative engagement for neurodivergent users and contribute to inclusive tourism by positioning VR-enhanced scuba diving as a transformative and accessible alternative to conventional nature-based experiences.Keywords
Attention Restoration, Embodiment, Neurodiversity, Presence, Scuba Diving, Virtual Reality
References
- Aitchison, B., Rushton, A. B., Martin, P., Barr, M., Soundy, A., & Heneghan, N. R. (2022). The experiences and perceived health benefits of individuals with a disability participating in sport: A systematic review and narrative synthesis. Disability and Health Journal, 15(1), 101164.
- Balestra, C., Germonpré, P., Rocco, M., Biancofiore, G., & Kot, J. (2019). Diving physiopathology: The end of certainties? Food for thought. Minerva Anestesiologica, 85, 1129–1137.
- Bideci, C. (2021). Redesigning the scuba diving tourism system according to principles of sustainability. Swansea.
- Bideci, C., & Bideci, M. (2023). Sweet to bitter: Dissonance of scuba diving experience. Tourism Management Perspectives, 48, 101167. https://doi.org/10.1016/j.tmp.2023.101167
- Browning, M. H., Mimnaugh, K. J., Van Riper, C. J., Laurent, H. K., & LaValle, S. M. (2020). Can simulated nature support mental health? Comparing short, single-doses of 360-degree nature videos in virtual reality with the outdoors. Frontiers in Psychology, 10, 2667.
- Bruno, F., Barbieri, L., Muzzupappa, M., & Cozza, M. (2016). Virtual and augmented reality tools to improve the exploitation of underwater archaeological sites by diver and non-diver tourists. In M. Ioannides, E. Fink, A. Moropoulou, M. Hagedorn-Saupe, A. Fresa, G. Liestøl, V. Vávra, & T. Pletinckx (Eds.), Digital Heritage. Progress in Cultural Heritage: Documentation, Preservation, and Protection (pp. 253-264). Springer. https://doi.org/10.1007/978-3-319-48496-9_22
- Carin-Levy, G., & Jones, D. (2007). Psychosocial aspects of scuba diving for people with physical disabilities: An occupational science perspective. Canadian Journal of Occupational Therapy, 74(1), 6-14.
- Carroll, D. D., Courtney-Long, E. A., Stevens, A. C., Sloan, M. L., Lullo, C., Visser, S. N., Fox, M. H., Armour, B. S., Campbell, V. A., Brown, D. R., & Dorn, J. M. (2014). Vital signs: Disability and physical activity—United States, 2009–2012. Morbidity and Mortality Weekly Report, 63(18), 407-413.
- Denny, M. (2018). Scuba diving can help people with autism. PADI Blog. https://blog.padi.com/scuba-diving-can-help-people-autism/
- Dimmock, K. (2009). Finding comfort in adventure: Experiences of recreational SCUBA divers. Leisure Studies, 28(3), 279-295.
- D'Isanto, T., D'Elia, F., Raiola, G., & Altavilla, G. (2019). Assessment of sport performance: Theoretical aspects and practical indications. Sport Mont, 17, 79-82.
- Dudley, J., Yin, L., Garaj, V., & Li, B. (2023). Inclusive immersion: A review of efforts to improve accessibility in virtual reality, augmented reality and the metaverse. Virtual Reality, 27, 2989–3020. https://doi.org/10.1007/s10055-023-00850-8
- Fels, S., Yohanan, S., Takahashi, S., Kinoshita, Y., Funahashi, K., Takama, Y., & Chen, G. T. P. (2005). User experiences with a virtual swimming interface exhibit. In Entertainment Computing-ICEC 2005 (pp. 433-444). Springer.
- Flavián, C., Ibáñez-Sánchez, S., & Orús, C. (2019). The impact of virtual, augmented and mixed reality technologies on the customer experience. Journal of Business Research, 100, 547-560.
- Franze, A., Loetscher, T., Gallomarino, N. C., Szpak, A., Lee, G., & Michalski, S. C. (2024). Immersive virtual reality is more effective than non‐immersive devices for developing real‐world skills in people with intellectual disability. Journal of Intellectual Disability Research, 68(12), 1358-1373.
- Gao, B. W., Zhu, C., Song, H., & Dempsey, I. M. B. (2022). Interpreting the perceptions of authenticity in virtual reality tourism through postmodernist approach. Information Technology & Tourism, 24(1), 31-55.
- Giddy, J. K. (2018). A profile of commercial adventure tourism participants in South Africa. Anatolia, 29(1), 40-51.
- Giglio, V. J., Luiz, O. J., Chadwick, N. E., & Ferreira, C. E. (2018). Using an educational video-briefing to mitigate the ecological impacts of scuba diving. Journal of Sustainable Tourism, 26(5), 782–797.
- Glaser, N., & Schmidt, M. (2022). Systematic literature review of virtual reality intervention design patterns for individuals with autism spectrum disorders. International Journal of Human–Computer Interaction, 38(8), 753-788.
- Gregory, S. F., & Dimmock, K. (2019). Alive and kicking: The benefits of scuba diving leisure for older Australian women. Annals of Leisure Research, 22(4), 550–574. https://doi.org/10.1080/11745398.2019.1605914
- Guo, H., Ma, F., & Zhou, Z. (2025). Validation of technology acceptance model for virtual reality usage in collaborative learning to enhance learner performance. Innovations in Education and Teaching International, 62(2), 429-443.
- Hagen, O., Aly, A., Jones, R., Varga, M., & Bazazian, D. (2024). Beyond the surface: A scoping review of vision-based underwater experience technologies and user studies. Intelligent Marine Technology and Systems, 2(1), 19.
- Hatsushika, D., Nagata, K., & Hashimoto, Y. (2018). Underwater vr experience system for scuba training using underwater wired hmd. In OCEANS 2018 MTS/IEEE Charleston (pp. 1-7). IEEE.
- House of Commons Library. (2024). UK disability statistics: Prevalence and life experiences. https://commonslibrary.parliament.uk/research-briefings/cbp-9602/
- Jepson, A., Stadler, R., & Garrod, B. (2024). Tourism and neurodiversity: A problematisation and research agenda. Current Issues in Tourism, 27(4), 546-566.
- Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective. Cambridge University Press.
- Kilteni, K., Normand, J. M., Sanchez-Vives, M. V., & Slater, M. (2012). Extending body space in immersive virtual reality: A very long arm illusion. PLoS ONE, 7(7), e40867.
- Kim, J. H. (2014). The antecedents of memorable tourism experiences: The development of a scale to measure the destination attributes associated with memorable experiences. Tourism Management, 44, 34-45.
- Lucrezi, S., Milanese, M., Markantonatou, V., Cerrano, C., Sarà, A., Palma, M., & Saayman, M. (2017). Scuba diving tourism systems and sustainability: Perceptions by the scuba diving industry in two marine protected areas. Tourism Management, 59, 385–403.
- McMillan, K., Flood, K., & Glaeser, R. (2017). Virtual reality, augmented reality, mixed reality, and the marine conservation movement. Aquatic Conservation: Marine and Freshwater Ecosystems, 27, 162–168. https://doi.org/10.1002/aqc.2820
- Mehrholz, J., Kugler, J., & Pohl, M. (2011). Water‐based exercises for improving activities of daily living after stroke. Cochrane Database of Systematic Reviews, (1).
- Mills, C. J., Tracey, D., Kiddle, R., & Gorkin, R. (2023). Evaluating a virtual reality sensory room for adults with disabilities. Scientific Reports, 13(1), 495.
- Mortimer, R., Privopoulos, M., & Kumar, S. (2014). The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders: A systematic review. Journal of Multidisciplinary Healthcare, 7, 93-104.
- Mulligan, H., Whitehead, L. C., Hale, L. A., Baxter, G. D., & Thomas, D. (2012). Promoting physical activity for individuals with neurological disability: Indications for practice. Disability and Rehabilitation, 34(13), 1108-1113.
- Naumann, K., Kernot, J., Parfitt, G., Gower, B., & Davison, K. (2021a). Water-based interventions for people with neurological disability, autism, and intellectual disability: A scoping review. Adapted Physical Activity Quarterly, 38(3), 474-493.
- Naumann, K., Kernot, J., Parfitt, G., Gower, B., Winsor, A., & Davison, K. (2021b). What are the effects of scuba diving-based interventions for clients with neurological disability, autism or intellectual disability? A systematic review. Diving and Hyperbaric Medicine, 51(4), 355.
- Navarro-Haro, M. V., Modrego-Alarcón, M., Hoffman, H. G., López-Montoyo, A., Navarro-Gil, M., Montero-Marin, J., García-Palacios, A., Borao, L., & García-Campayo, J. (2019). Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy® mindfulness skills training for the treatment of generalized anxiety disorder in primary care: A pilot study. Frontiers in Psychology, 10, 55.
- Nichols, W. J. (2024). Blue mind: The surprising science that shows how being near, in, on, or under water can make you happier, healthier, more connected, and better at what you do. Hachette UK.
- Parsons, T. D., & Rizzo, A. A. (2008). Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 250-261.
- Patti, A., Vona, F., Barberio, A., Buttiglione, M. D., Crusco, I., Mores, M., & Garzotto, F. (2024). Training attention skills in individuals with neurodevelopmental disorders using virtual reality and eye-tracking technology. In International Conference on Human-Computer Interaction (pp. 368-381). Springer.
- Santiago Perez, T., Crowe, B. M., Townsend, J. N., Rosopa, P. J., & Kaufman, M. R. (2024). Can scuba diving transform the lives of people with physical impairments? A mixed methods study. Disability and Rehabilitation, 46(21), 4965-4978.
- Shaker, A., Lin, X., Kim, D. Y., Kim, J. H., Sharma, G., & Devine, M. A. (2020). Design of a virtual reality tour system for people with intellectual and developmental disabilities: A case study. Computing in Science & Engineering, 22(3), 7-17. https://doi.org/10.1109/MCSE.2019.2961352
- Shukla, A., Mishra, A., Rana, N. P., & Banerjee, S. (2024). The future of metaverse adoption: A behavioral reasoning perspective with a text‐mining approach. Journal of Consumer Behaviour, 23(5), 2217-2233.
- Škola, F., Rizvić, S., Cozza, M., Barbieri, L., Bruno, F., Skarlatos, D., & Liarokapis, F. (2020). Virtual reality with 360-video storytelling in cultural heritage: Study of presence, engagement, and immersion. Sensors, 20(20), 5851.
- Slater, M. (2003). A note on presence terminology. Presence Connect, 3(3), 1-5.
- Slater, M., & Sanchez-Vives, M. V. (2016). Enhancing our lives with immersive virtual reality. Frontiers in Robotics and AI, 3, 236866.
- Stan, A. E. (2012). The benefits of participation in aquatic activities for people with disabilities. Sports Medicine Journal/Medicina Sportivă, 8(1).
- Standen, P. J., & Brown, D. J. (2006). Virtual reality and its role in removing the barriers that turn cognitive impairments into intellectual disability. Virtual Reality, 10, 241-252.
- Stefania, M., Marsico, E., & Cassese, F. P. (2019). Assessment of the impact of an inclusive diving program, on subjects with cognitive disability: Analysis of the enhancement of cognitive processes. Journal of Physical Education and Sport, 19, 1937-1942.
- Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-induced movement therapy: A new family of techniques with broad application to physical rehabilitation, clinical review. Journal of Rehabilitation Research and Development, 36(3), 237-251.
- Todd, S. L., Graefe, A. R., & Mann, W. (2002). Differences in SCUBA diver motivations based on level of development. In S. Todd (Ed.), Proceedings of the 2001 Northeastern Recreation Research Symposium (pp. 107–114).
- Vonder Hulls, D. S., Walker, L. K., & Powell, J. M. (2006). Clinicians' perceptions of the benefits of aquatic therapy for young children with autism: A preliminary study. Physical & Occupational Therapy in Pediatrics, 26(1-2), 13-22.
- Wong, I. A., Lu, M. V., Lin, S., & Lin, Z. (2023). The transformative virtual experience paradigm: The case of Airbnb’s online experience. International Journal of Contemporary Hospitality Management, 35(4), 1398-1422.
- World Health Organisation. (2025). Disability. https://www.who.int/news-room/fact-sheets/detail/disability-and-health/
- Yerxa, E. J. (1990). An introduction to occupational science, a foundation for occupational therapy in the 21st century. Occupational Therapy in Health Care, 6(4), 1-17.
- Yi, Y. J., Heidari Matin, N., Brannan, D., Johnson, M., & Nguyen, A. (2024). Design considerations for virtual reality intervention for people with intellectual and developmental disabilities: A systematic review. HERD: Health Environments Research & Design Journal, 17(4), 212-241.