Development and Effect of Virtual Reality Practice Program for Improving Practical Competency of Caregivers Specializing in Dementia

Kim, Dooree

doi:10.3390/healthcare9101390

Cited by 7 publications

(6 citation statements)

References 22 publications

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“…Research used dementia VR programs for long‐term care workers is sparse. One similar study by Kim, 29 in which they used a 60‐min dementia practice program consisted of 5‐min VR scenario video about psycho‐behavioral symptoms of dementia patients, lectures, and discussion for Korean nursing home caregivers taking care of dementia patients, found positive effects on practical competency. However, their VR intervention was different from our VR‐based activity.…”

Section: Discussionmentioning

confidence: 99%

Effects of a dementia virtual reality‐based training with peer support for home care workers: A cluster randomized controlled trial

Sung

Lee

et al. 2022

Int J Geriat Psychiatry

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Objectives: Home care workers who are the first-line care workers for communitydwelling dementia patients often have limited dementia knowledge, skills, and empathy towards those with dementia. Research is sparse on dementia care training using virtual reality (VR) technology and support network for home care workers. Methods: This cluster randomized controlled trial evaluated the effects of a dementia VR-based training with peer support on dementia knowledge, attitude, competence, and empathy of home care workers. Each home care worker team was used as the unit for randomization. Sixteen teams were randomly assigned to either VR group or non-VR control group There was a total of 124 participants completed the study, the VR group (n = 61) received a dementia VR-based training consisted of 3-month dementia care e-book modules, dementia VR-based activity and 1-h monthly face-to-face peer support group meetings. The non-VR control group (n = 63) only receive the 3-month dementia care e-book modules and 1-h monthly regular staff meetings with no VR activity. Outcome measures were assessed at three time points: baseline, the end of the 3-month intervention, and 1-month post intervention. Results: Generalized estimating equations results indicate that the improvement in dementia knowledge, attitudes, competence, and empathy over time is significant in the VR group compared to the non-VR control group. The effects remained significant 1 month after the end of the 3-month intervention. Conclusions: Innovative and accessible dementia training using VR technology with peer support is a promising training approach to improve dementia knowledge, attitudes, competence, and empathy of home care workers. K E Y W O R D S dementia training, home care worker, peer support, virtual reality Key points� Developing dementia training for home care workers needs to consider their characteristics, educational background and workplace needs.

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Section: Discussionmentioning

confidence: 99%

Effects of a dementia virtual reality‐based training with peer support for home care workers: A cluster randomized controlled trial

Sung

Lee

et al. 2022

Int J Geriat Psychiatry

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“…Actually, caregiving competence is a holistic concept, which cannot be regarded solely as tasks that must be performed every day but should also contain knowledge, skills, and attitudes as key components [52]. As described by some caregivers who completed the VR practice program, "increased confdence in taking care of actual patients," "feeling more competence in care provision," and "becoming more knowledgeable about the patient's condition" were common positive experiences [23,53]. It is interpreted that the availability and repeatability properties of VR make it possible to practice efectively, and there will be no harm in users making mistakes based on its safety and stability [54].…”

Section: Virtual Reality On Empathy Enhancement For Caregiversmentioning

confidence: 99%

“…A few studies have explored whether VR might be an appropriate training strategy to improve caregiving competence. Finally, they found promising results in efective communication and increased caregiving confdence [22,23]. Empathy, a behavioral competency, is critical to the patient-centered care required by health care providers.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Virtual Reality on the Caregiving Competence and Empathy of Caregivers for Elderly with Chronic Diseases: A Systematic Review and Meta-Analysis

Wang

Cui

et al. 2023

Journal of Nursing Management

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Aims. To synthesize evidence on the effectiveness of virtual reality-based training of caregivers for the elderly with chronic diseases. Background. With a growing number of elderly suffering from chronic diseases, caregivers who lack the necessary caregiving skills and competence need practical training. Nowadays, virtual reality in training is a promising approach due to technological advancements. Evaluation. We did a comprehensive search in the following six electronic databases (Web of Science, EMBASE, PubMed, SCOPUS, MEDLINE, and CINAHL) from their inception to April 2022 for original studies. We searched clinical trial registries of Clinical Trials.gov, International Standard Randomized Controlled Trial Number (ISRCTN) Registry, and the International Clinical Trials Registry Platform (ICTRP), for clinical trials. Key Issues. 7610 searched records were yielded, of which nine studies (four randomized controlled trials and five nonrandomized controlled trials) met the eligibility criteria and were included with 1090 caregivers. There was a small but significant overall effect of virtual reality-based interventions on caregivers’ caregiving competence (effect size = 0.362, 95% CI 0.181–0.543, p < 0.001 , I2 = 25.636). The subgroup analysis results showed significant improvement in caregiving competence in caregivers trained by the Dementia LiveTM program (effect size = 0.322, 95% CI 0.046–0.597, p = 0.022 ). Regarding empathy, we did not find a statistically significant overall effect. The subgroup analysis results indicated that caregivers showed improvement in empathy after exposure to the Into D’mentia program (effect size = 0.265, 95% CI 0.015–0.515, p = 0.037 ). Conclusions. Findings of our meta-analysis demonstrated that virtual reality could have merits for improving the caregiving competence of caregivers taking care of the elderly with chronic diseases. Implications for Nursing Management. Virtual reality may be a training alternative for caregivers to improve their caregiving competence. However, empowering the embodiment of virtual reality programs remains a technological challenge that needs to be addressed in the future.

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“…Therefore, a dementia training program should be tailored for immediate workplace application, necessitating the establishment of an integrated system that links training with practical field experiences [78]. Such an approach is essential for enhancing transfer intention, facilitating practical learning transfer, and providing continuous opportunities for near transfer.…”

Section: Antecedent Variables and Learning Transfermentioning

confidence: 99%

The Learning Transfer of Dementia Training Program Participants: Its Antecedents and Mediating Effect on the Job Competency of Geriatric Caregivers

Kim,

Lee,

Lee

2023

Healthcare

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This study examined how learning transfer and its antecedents impacted job competency among geriatric caregivers who underwent dementia training. The dementia training program of the National Health Insurance Service of South Korea was selected for this study. The participants included caregivers who provided care to patients with dementia at 3–12 months post-training. A hierarchical regression analysis was used to verify the research model. The results are summarized as follows: First, transfer opportunity and transfer intention were antecedent variables with a statistically significant positive effect on the near transfer of learning. Second, self-efficacy, the instructor’s role, and transfer intention were antecedent variables with a statistically significant positive effect on the far transfer of learning. Third, the near transfer of learning had a statistically significant effect on all six competency variables (communication, problem solving, interpersonal relationships, skills, self-development, and work ethics). Fourth, the far transfer of learning had a statistically significant static effect on all six competency variables, although the size of the influence on competency enhancement was relatively small compared with the near transfer of learning. This study confirmed the effects of various transfer climate-related variables in a training program on job competency, suggesting that the learning transfer of caregivers who underwent dementia training is a significant mediating variable. The limitations of this study and directions for future research are also discussed. The learning transfer of caregivers who underwent this training enhanced their job competencies.

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Development and Effect of Virtual Reality Practice Program for Improving Practical Competency of Caregivers Specializing in Dementia

Cited by 7 publications

References 22 publications

Effects of a dementia virtual reality‐based training with peer support for home care workers: A cluster randomized controlled trial

Effects of a dementia virtual reality‐based training with peer support for home care workers: A cluster randomized controlled trial

Effectiveness of Virtual Reality on the Caregiving Competence and Empathy of Caregivers for Elderly with Chronic Diseases: A Systematic Review and Meta-Analysis

The Learning Transfer of Dementia Training Program Participants: Its Antecedents and Mediating Effect on the Job Competency of Geriatric Caregivers

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