The Role of Virtual Reality in Improving Health Outcomes for Community-Dwelling Older Adults: Systematic Review

Dermody, Gordana; Whitehead, Lisa; Wilson, Graham; Glass, Courtney

doi:10.2196/17331

Cited by 127 publications

(113 citation statements)

References 70 publications

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“…Second, the external variables we chose for this study (fall-related self-efficacy and self-avoidance goals) were psychological rather than contextual variables. History of falls (ie, any fall event experienced by older adults during a specified period of time) may be a relevant variable to include in future studies because history of falls was shown to influence older adults’ behaviors in VR training [ 61 ]. Investigating other variables from the unified theory of acceptance and use of technology [ 26 , 36 ] might also be relevant to a better understanding of acceptance of the VRH used to prevent falls.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study

Mascret¹,

Delbes²,

Voron³

et al. 2020

J Med Internet Res

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Background Falls are a common phenomenon among people aged 65 and older and affect older adults’ health, quality of life, and autonomy. Technology-based intervention programs are designed to prevent the occurrence of falls and their effectiveness often surpasses that of more conventional programs. However, to be effective, these programs must first be accepted by seniors. Objective Based on the technology acceptance model, this study aimed to examine the acceptance among older adults before a first use of a virtual reality headset (VRH) used in an intervention program designed to prevent falls. Methods A sample of 271 French older adults (mean age 73.69 years, SD 6.37 years) voluntarily and anonymously filled out a questionnaire containing the focal constructs (perceived usefulness, perceived enjoyment, perceived ease of use, intention to use, fall-related self-efficacy, and self-avoidance goals) adapted to the VRH, which was designed to prevent falls. Results The results of the structural equation modeling analysis showed that intention to use the VRH was positively predicted by perceived usefulness, perceived enjoyment, and perceived ease of use. Perceived usefulness of the VRH was also negatively predicted by fall-related self-efficacy (ie, the perceived level of confidence of an individual when performing daily activities without falling) and positively predicted by self-avoidance goals (ie, participating in a physical activity to avoid physical regression). Conclusions A better understanding of the initial acceptance among older adults of this VRH is the first step to involving older adults in intervention programs designed to prevent falls using this kind of device.

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Section: Discussionmentioning

confidence: 99%

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study

Mascret¹,

Delbes²,

Voron³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Second, the external variables we chose for this study (fall-related self-efficacy and self-avoidance goals) were psychological rather than contextual variables. History of falls (ie, any fall event experienced by older adults during a specified period of time) may be a relevant variable to include in future studies because history of falls was shown to influence older adults' behaviors in VR training [61]. Investigating other variables from the unified theory of acceptance and use of technology [26,36] might also be relevant to a better understanding of acceptance of the VRH used to prevent falls.…”

Section: Current Limitations and Directions For Future Studiesmentioning

confidence: 99%

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study (Preprint)

Mascret¹,

Delbes²,

Voron³

et al. 2020

Preprint

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BACKGROUND Falls are a common phenomenon among people aged 65 and over and affect older adults’ health, quality of life, and autonomy. Technology-based intervention programs are designed to prevent fall occurrence and their effectiveness often surpasses that of more conventional programs. But to be effective, these programs must first be accepted by seniors. OBJECTIVE Based on the Technology Acceptance Model, the aim of the study was to examine the acceptability among older adults (i.e., before a first use) of a virtual reality headset (VRH) used in an intervention program designed to prevent falls. METHODS A sample of 271 French older adults (Mage = 73.69 years, SD = 6.37) voluntarily and anonymously filled out the questionnaire containing the focal constructs (perceived usefulness, perceived enjoyment, perceived ease of use, intention to use, fall-related self-efficacy, self-avoidance goals) adapted to the VRH designed to prevent falls. RESULTS The results of the structural equation modeling mainly showed that intention to use this VRH was positively predicted by perceived usefulness, perceived enjoyment, and perceived ease of use. Perceived usefulness of this VRH was also negatively predicted by fall-related self-efficacy (i.e., the perceived level of confidence of an individual when performing daily activities without falling) and positively predicted by self-avoidance goals (i.e., having a physical activity to avoid physical regression). CONCLUSIONS A better understanding of acceptability among older adults of this VRH prior to its first use may increase the effectiveness of intervention programs designed to prevent falls and using this kind of device.

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“… 33 Additionally, research with older adults does not always assess side effects from using VR. 34 There is a need to increase our understanding of side effects from using VR in older adults, particularly with the increased use of HMDs for therapy in older clinical populations.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality intervention to improve apathy in residential aged care: protocol for a multisite non-randomised controlled trial

et al. 2021

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IntroductionApathy is a prevalent neuropsychiatric symptom for older adults residing in aged care. Left untreated, apathy has been associated with accelerated cognitive decline and increased risk of mortality. Reminiscence therapy is commonly used in aged care and has demonstrated to reduce apathy. Traditional methods of reminiscence use physical objects and more recently technology including tablets and laptop computers have demonstrated potential. Virtual reality (VR) has successfully been used to treat psychological disorders; however, there is little evidence on using VR for behavioural symptoms such as apathy in older adults. Using VR to deliver reminiscence therapy provides an immersive experience, and readily available applications provide access to a large range of content allowing easier delivery of therapy over traditional forms of therapy. This study aims to identify changes in apathy after a reminiscence therapy intervention using head-mounted displays (HMDs).Methods and analysisParticipants will be allocated to one of three groups; reminiscence therapy using VR; an active control using a laptop computer or physical items and a passive control. A total of 45 participants will be recruited from residential aged care (15 in each group). The three groups will be compared at baseline and follow-up. The primary outcome is apathy, and secondary outcomes include cognition and depression. Side effects from using HMDs will also be examined in the VR group. Primary and secondary outcomes at baseline and follow-up will be analysed using linear mixed modelling.Ethics and disseminationEthics approval was obtained from the University of South Australia Human Research Ethics Committee. The results from this study will be disseminated through manuscript publications and national/international conferences.Trial registration numberACTRN12619001510134.

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The Role of Virtual Reality in Improving Health Outcomes for Community-Dwelling Older Adults: Systematic Review

Cited by 127 publications

References 70 publications

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study

Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study (Preprint)

Virtual reality intervention to improve apathy in residential aged care: protocol for a multisite non-randomised controlled trial

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