Peer support provides essential emotional, informational, and practical assistance to individuals with spinal cord injury (SCI), complementing professional healthcare by addressing psychosocial needs and fostering self-management. However, access to in-person peer programs is often limited, particularly in rural or underserved regions, due to geographic, environmental, and mobility-related barriers. Emerging technologies offer promising avenues to overcome these challenges.

This qualitative pilot study explored the potential of spatial meeting technologies, including immersive virtual reality (VR), to enhance virtual peer support for individuals with SCI. Using a descriptive qualitative design, semi-structured interviews were conducted with participants (n = 10) who engaged in two phases of weekly peer support: conventional videoconference sessions via Zoom and spatial VR-based sessions. Interviews were analyzed inductively using Braun and Clarke’s thematic analysis framework, with reflexive team-based coding to ensure rigor and trustworthiness.

Findings revealed three overarching themes: (1) Accessibility and Convenience—VR reduced geographic and environmental barriers while providing participants with greater flexibility and inclusivity; (2) Enhanced Social Presence—spatial environments fostered a stronger sense of connection, engagement, and community compared to traditional videoconferencing; and (3) Learning and Empowerment—immersive settings supported more open dialogue, shared problem-solving, and increased confidence in managing SCI-related challenges. Participants also highlighted barriers, including technological learning curves and the need for tailored onboarding support.

This study demonstrates that spatial meeting technologies hold promise for strengthening peer mentorship and reducing isolation among people with SCI. While preliminary, the findings suggest that integrating immersive tools into peer support networks can extend the reach and impact of rehabilitation beyond hospital and urban settings. Future research should expand sample diversity, refine training protocols, and evaluate long-term outcomes to inform scalable, accessible models of virtual peer support.