Randomized Crossover Study of the Natural Restorative Environment Intervention to Improve Attention and Mood in Heart Failure

Jung, Miyeon; Jonides, John; Northouse, Laurel; Berman, Marc G.; Koelling, Todd M.; Pressler, Susan J.

doi:10.1097/jcn.0000000000000368

Cited by 22 publications

(21 citation statements)

References 66 publications

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“…This study was supported by the results of Jung et al (2017), which stated that the attention of clients with heart failure who had been treated with a natural restorative environment seemed to increase, especially sustained attention, compared to those without intervention. Clients treated with a natural restorative environment have completed their tasks correctly and have been able to focus and concentrate on completing the tasks they have been given (Jung et al, 2017). This has shown that the attention of clients with chronic diseases may increase even after pathophysiological changes have led to decrease in attention.…”

Section: Discussionsupporting

confidence: 63%

Increasing Attention and Mood of Post-Stroke Clients using Natural Restorative Environment

Wulandari

Arifin

Ismail

2020

DCID

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Purpose:The objective of this study was to analyse the impact of the natural restorative environment on the attention and mood of post-stroke clients.Methods: A quasi-experimental design was followed, with pre-and post-tests on a control group. Purposive sampling procedure was used to select 76 poststroke clients -38 each for the treatment group and the control group. The treatment group received natural restorative environment intervention, twice a day for three days, while the control group was managed in accordance with the medical protocol. Before and after the intervention, clients in both groups were assessed for attention and mood.Results: Increasing level of attention and mood was found in the intervention group, verified by p-value= 0.000. Conclusion:Exposure to the natural restorative environment could increase the attention and improve the mood of post-stroke clients. The natural restorative environment helps in restoring the ability to focus and creates a positive mood.

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Section: Discussionsupporting

confidence: 63%

Increasing Attention and Mood of Post-Stroke Clients using Natural Restorative Environment

Wulandari

Arifin

Ismail

2020

DCID

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“…This sample size was calculated based on our previous studies. 23 , 32 For the primary outcome of attention, the effect sizes of the computer‐based nature intervention compared to those of the computer‐based urban comparison condition among 20 participants with HF ranged from 0.02 to 0.45 (Cohen's d). 32 Given that the Hedge's gs effect sizes of the three‐dimensional Nature‐VR prototype was larger compared to the computer‐based two‐dimensional nature intervention in our feasibility study (Figure 1 ), 23 a medium effect size was used in this sample justification.…”

Section: Methodsmentioning

confidence: 99%

“… 23 , 32 For the primary outcome of attention, the effect sizes of the computer‐based nature intervention compared to those of the computer‐based urban comparison condition among 20 participants with HF ranged from 0.02 to 0.45 (Cohen's d). 32 Given that the Hedge's gs effect sizes of the three‐dimensional Nature‐VR prototype was larger compared to the computer‐based two‐dimensional nature intervention in our feasibility study (Figure 1 ), 23 a medium effect size was used in this sample justification. Our power analyses indicate that with a sample size of 60 (30 participants per group) we will have 84% power to detect the preliminary efficacy of the Nature‐VR intervention for improving attention compared to the Urban‐VR comparison condition among participants with HF.…”

Section: Methodsmentioning

confidence: 99%

“… 38 Third, in our preliminary study participants had interventions of ∼7 minutes, which led to small to medium effect sizes. 32 Finally, participants with HF in our previous feasibility study were asked about the adequacy of the intervention dose and reported it to be adequate. 23 Thus 10 minutes per day was deemed appropriate for the Nature‐VR intervention.…”

Section: Methodsmentioning

confidence: 99%

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Virtual reality cognitive intervention for heart failure: CORE study protocol

Jung

Apostolova

Moser

et al. 2022

A&D Transl Res & Clin Interv

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Introduction Heart failure (HF) is a prevalent, serious chronic illness that affects 6.5 million adults in the United States. Among patients with HF, the prevalence of attention impairment is reported to range from 15% to 27%. Although attention is fundamental to human activities including HF self‐care, cognitive interventions for patients with HF that target improvement in attention are scarce. The COgnitive intervention to Restore attention using nature Environment (CORE) study aims to test the preliminary efficacy of the newly developed Nature‐VR, a virtual reality‐based cognitive intervention that is based on the restorative effects of nature. Nature‐VR development was guided by Attention Restoration Theory. The target outcomes are attention, HF self‐care, and health‐related quality of life (HRQoL). Our exploratory aims examine the associations between attention and several putative/established HF biomarkers (eg, oxygen saturation, brain‐derived neurotrophic factor, apolipoprotein E, dopamine receptor, and dopamine transporter genes) as well as the effect of Nature‐VR on cognitive performance in other domains (ie, global cognition, memory, visuospatial, executive function, and language), cardiac and neurological events, and mortality. Methods This single‐blinded, two‐group randomized‐controlled pilot study will enroll 74 participants with HF. The Nature‐VR intervention group will view three‐dimensional nature pictures using a virtual reality headset for 10 minutes per day, 5 days per week for 4 weeks (a total of 200 minutes). The active comparison group, Urban‐VR, will view three‐dimensional urban pictures using a virtual reality headset to match the Nature‐VR intervention in intervention dose and delivery mode, but not in content. After baseline interviews, four follow‐up interviews will be conducted to assess sustained effects of Nature‐VR at 4, 8, 26, and 52 weeks. Discussion The importance and novelty of this study consists of using a first‐of‐its kind, immersive virtual reality technology to target attention and in investigating the health outcomes of the Nature‐VR cognitive intervention among patients with HF.

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“…Anxiety tends to increasedysrhythmia, high blood pressure, pulse acceleration, and even sudden cardiac death [7]. The negative effects of anxiety can be intensified when a patient is undergoing a stress procedure such as cardiac [8,9] Unmanaged stress and anxiety in patients can cause considerable side effects, such as cardiac dysrhythmia, vascular spasms, and vascular lacerations. To prevent or reduce ICHT 2019 complications of cardiac catheterization, it is necessary to assess the level of anxiety and the patient's ability to deal with stress before catheterization, then plan appropriate interventions to help manage stressful situations [10].…”

Section: Introductionmentioning

confidence: 99%

Effects of Therapeutic Touch to Reduce Anxiety As a Complementary Therapy: A Systematic Review

Maksum

Sujianto

Johan

2019

KLS

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Randomized Crossover Study of the Natural Restorative Environment Intervention to Improve Attention and Mood in Heart Failure

Abstract: The NRE intervention may be efficacious in improving sustained attention in HF patients. Future studies are needed to enhance the NRE intervention to be more efficacious and tailored for HF patients and test the efficacy in a larger sample of HF patients.

Cited by 22 publications

References 66 publications

Increasing Attention and Mood of Post-Stroke Clients using Natural Restorative Environment

Increasing Attention and Mood of Post-Stroke Clients using Natural Restorative Environment

Virtual reality cognitive intervention for heart failure: CORE study protocol

Effects of Therapeutic Touch to Reduce Anxiety As a Complementary Therapy: A Systematic Review

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