Cognition Assessment in Virtual Reality: Validity and feasibility of a novel virtual reality test for real-life cognitive functions in mood disorders and psychosis spectrum disorders

Jespersen, Andreas E.; Kessing, Lars Vedel; Aggestrup, Anne Sofie; Glenthøj, Louise Birkedal; Nordentoft, Merete; Ott, Caroline V.; Lumbye, Anders

doi:10.1016/j.jpsychires.2021.12.002

Cited by 24 publications

(28 citation statements)

References 28 publications

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“…According to another study, the use of VR has become increasingly common in various fields. In addition to its applications in education, VR is helpful in the cognitive assessment of mental disorders and mood disorders [ 27 ] and in helping people recover from motion sickness [ 28 ]. In another study evaluating the use of mobile VR in operating-room nursing education, the nursing students who had completed a mobile VR–based course outperformed those who had not [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Immersive Virtual Reality on Post-Baccalaureate Nursing Students’ In-Dwelling Urinary Catheter Skill and Learning Satisfaction

Chang

2022

Healthcare

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A fundamental skill required from nursing students is how to manage the insertion of in-dwelling urinary catheters, and this skill is a core competency for nurses. However, practice with conventional test models is insufficient for learning this skill and leads to inadequate proficiency among students. To address this problem, this study created an immersive virtual reality (IVR) scheme, based on the theory of situated learning, to simulate clinical situations. Innovative approaches were adopted to design clinical cases, construct three-dimensional environments, design character dialogs, and integrate artificial intelligence voice recognition. The effect of these design elements on students’ in-dwelling urinary catheter skills and learning satisfaction was explored. First, nursing experts assessed the quality of the IVR scheme. Over a 4-week period, 43 students in a post-baccalaureate nursing program used conventional test models to practice the management of in-dwelling urinary catheters in female patients, and their learning was supplemented by at least two practice sessions with IVR. Data were collected from in-class observation records, a questionnaire survey on student satisfaction, and focused group interviews. The results showed that the participating students were highly satisfied with the IVR scheme and stated that it provided a pleasurable learning experience and exerted a positive impact on them. The IVR scheme provided situations closely resembling real clinical environments, helping the students to memorize the steps for catheter management. The students also noted that the IVR scheme should incorporate other nursing skills, such as empathetical and solicitous care and patient companionship. This enables nursing students to fulfill their role and care for patients in clinical settings.

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Section: Discussionmentioning

confidence: 99%

Effect of Immersive Virtual Reality on Post-Baccalaureate Nursing Students’ In-Dwelling Urinary Catheter Skill and Learning Satisfaction

Chang

2022

Healthcare

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“…In order to assess cognitive and social functioning, participants were required to conduct different tasks using VR, such as recollecting items (object task) and faces (social task) [ 30 ], recognizing facial emotions of the avatars [ 33 ], sitting at a table with the other two avatars to have conversations [ 31 ], or preparing a meal in a simulated kitchen [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Application of Immersive Virtual Reality for Assessment and Intervention in Psychosis: A Systematic Review

et al. 2023

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Virtual reality (VR) has emerged as a safe and non-invasive technology for the assessment of psychotic symptoms, social and cognitive impairments, and psychosocial intervention in improving outcomes in psychosis. This study systematically reviewed the current state of evidence in applying semi- and fully immersive VR for assessing and treating patients with psychosis. A systematic review was conducted adhering to the PRISMA statement and was conducted in Embase, PsycINFO, and PubMed databases for articles published between January 2013 and April 2022, which identified 28 eligible studies, including 12 for assessment and 16 for intervention. In the assessment studies, not all VR tasks could distinguish the differences between patients and healthy controls regarding their physiological responses, paranoid ideation, and certain aspects of cognitive functioning such as memory bias on the object tasks. Comparatively, VR-based interventions are more promising, especially for improving cognitive impairments, social skills, agoraphobic avoidance, negative and positive affective states, auditory verbal hallucination, paranoid ideation and persecutory delusions, and other psychiatric symptoms in patients. We conclude that more rigorous studies are needed to confirm treatment effectiveness and to understand the underlying mechanism of VR-based intervention for psychotic disorders. Future studies should also improve the reliability and validity of VR-based assessments for psychotic disorders.

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“…To address the gaps in cognitive assessment methods, there has been increasing effort to use ICT (Information and Communications Technologies) [ 7 ]. The virtual reality (VR) methods currently explored show potential for improvement and innovation on clinical cognitive assessment.…”

Section: Introductionmentioning

confidence: 99%

“…The former is particularly difficult to measure at present but is well captured in VR environments. VR systems offer ecological validity (ability to predict real-life behaviour) [ 7 ], construct validity (ability of VR methods to measure what they aim to—cognition) [ 8 ], and a means of early detection [ 9 ]. Our study takes VR’s potentials further by quantifying qualitative behavioural presentations of cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

Automatic Detection of Cognitive Impairment with Virtual Reality

Mannan

Porffy

Joyce

et al. 2023

Sensors

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Cognitive impairment features in neuropsychiatric conditions and when undiagnosed can have a severe impact on the affected individual’s safety and ability to perform daily tasks. Virtual Reality (VR) systems are increasingly being explored for the recognition, diagnosis and treatment of cognitive impairment. In this paper, we describe novel VR-derived measures of cognitive performance and show their correspondence with clinically-validated cognitive performance measures. We use an immersive VR environment called VStore where participants complete a simulated supermarket shopping task. People with psychosis (k=26) and non-patient controls (k=128) participated in the study, spanning ages 20–79 years. The individuals were split into two cohorts, a homogeneous non-patient cohort (k=99 non-patient participants) and a heterogeneous cohort (k=26 patients, k=29 non-patient participants). Participants’ spatio-temporal behaviour in VStore is used to extract four features, namely, route optimality score, proportional distance score, execution error score, and hesitation score using the Traveling Salesman Problem and explore-exploit decision mathematics. These extracted features are mapped to seven validated cognitive performance scores, via linear regression models. The most statistically important feature is found to be the hesitation score. When combined with the remaining extracted features, the multiple linear regression model resulted in statistically significant results with R2 = 0.369, F-Stat = 7.158, p(F-Stat) = 0.000128.

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Cognition Assessment in Virtual Reality: Validity and feasibility of a novel virtual reality test for real-life cognitive functions in mood disorders and psychosis spectrum disorders

Cited by 24 publications

References 28 publications

Effect of Immersive Virtual Reality on Post-Baccalaureate Nursing Students’ In-Dwelling Urinary Catheter Skill and Learning Satisfaction

Effect of Immersive Virtual Reality on Post-Baccalaureate Nursing Students’ In-Dwelling Urinary Catheter Skill and Learning Satisfaction

Application of Immersive Virtual Reality for Assessment and Intervention in Psychosis: A Systematic Review

Automatic Detection of Cognitive Impairment with Virtual Reality

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