Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series

Sultana, Munira; Campbell, Karen; Jennings, Morgan; Montero‐Odasso, Manuel; Orange, J. B.; Knowlton, Jill; George, Armin St.; Bryant, Dianne

doi:10.21203/rs.3.rs-16210/v2

Cited by 3 publications

(2 citation statements)

References 47 publications

(69 reference statements)

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“…Virtual reality (VR) refers to technologies that allow people to realistically experience situations or environments that are di cult to experience in reality [14,15]. In particular, immersive VR allows for focus on sensory stimuli, and has been reported to facilitate positive emotions, as well as improvements in emotional state, interpersonal interactions, and communication [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

“…However, this has remained an unattractive intervention due to the decreased cognitive function of such patients and the complex equipment needed to provide the training, which limits its applicability, while also resulting in high costs and bulkiness [28]. Furthermore, patients have complained of limited vision as they are cut off from the outside while wearing head-mounted displays; they have also complained about the heavy weight of these displays [15]. Some patients have exhibited symptoms indicative of maladjustment to VR, such as dizziness [29].…”

Section: Introductionmentioning

confidence: 99%

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Developing a Virtual Reality for People With Dementia and Mild Cognitive Impairment Based on Their Psychological Needs: A Feasibility Study

Kim

Park

Lim

2020

Preprint

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BackgroundPurpose of this study was to develop a virtual reality (VR) intervention program based on the psychological needs of patients with dementia and mild cognitive impairment residing in nursing facilities in Korea to relieve their behavioral and psychological symptoms, and to confirm the possibility of utilizing VR in patients with dementia and mild cognitive impairment.MethodsIn the first phase, surveys and questionnaires were used to identify activities that relieved the behavioral and psychological symptoms of dementia (BPSD) among patients. These activities were classified into five types of psychological needs. In the second phase, a fully immersive, interactive, easy-to-use VR platform was developed that reflected these psychological needs. The VR content was used with patients with dementia and mild cognitive impairment. The researchers assessed the level of the participants’ immersion, preference, and interaction with the VR, using a 5-point Likert scale. ResultsIn the feasibility test, the mean immersion score was 4.93 ± 0.16 points, the mean preference score was 4.35 ± 0.41 points, and the mean interaction score was 3.84 ± 0.43 points. Six out of 10 participants required assistance while using the VR. The mean VR experience duration was 10.00 ± 3.46 minutes.ConclusionsThe VR-based intervention program that was developed to reduce BPSD was feasible for the participants, and provided them with a high degree of satisfaction and immersion. Furthermore, this study also confirmed the convenience and safety of the program. These findings provide evidence for the potential of VR to provide BPSD intervention programs for patients with dementia and mild cognitive impairment, and potentially for other geriatric conditions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developing a Virtual Reality for People With Dementia and Mild Cognitive Impairment Based on Their Psychological Needs: A Feasibility Study

Kim

Park

Lim

2020

Preprint

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Offering Outworld Experiences to In-Patients With Dementia Through Virtual Reality: Mixed Methods Study

Matsangidou,

Solomou,

Frangoudes

et al. 2023

JMIR Aging

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Background Research has suggested that institutionalization can increase the behavioral and psychological symptoms of dementia. To date, recent studies have reported a growing number of successful deployments of virtual reality for people with dementia to alleviate behavioral and psychological symptoms of dementia and improve quality of life. However, virtual reality has yet to be rigorously evaluated, since the findings are still in their infancy, with nonstatistically significant and inconclusive results. Objective Unlike prior works, to overcome limitations in the current literature, our virtual reality system was co-designed with people with dementia and experts in dementia care and was evaluated with a larger population of patients with mild to severe cases of dementia. Methods Working with 44 patients with dementia and 51 medical experts, we co-designed a virtual reality system to enhance the symptom management of in-patients with dementia residing in long-term care. We evaluated the system with 16 medical experts and 20 people with dementia. Results This paper explains the screening process and analysis we used to identify which environments patients would like to receive as an intervention. We also present the system’s evaluation results by discussing their impact in depth. According to our findings, virtual reality contributes significantly to the reduction of behavioral and psychological symptoms of dementia, especially for aggressive, agitated, anxious, apathetic, depressive, and fearful behaviors. Conclusions Ultimately, we hope that the results from this study will offer insight into how virtual reality technology can be designed, deployed, and used in dementia care.

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Offering Out-World Experiences to Dementia In-patients through Virtual Reality. (Preprint)

Matsangidou¹,

Hadjiaros²,

Frangoudes³

et al. 2023

Preprint

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BACKGROUND Research suggested that institutionalization can increase the behavioural and psychological symptoms of dementia. To date, recent studies have reported a growing number of successful deployments of VR for PwD to alleviate BPSD and improve their HRQoL. However, VR has yet to be rigorously evaluated since the findings are still in their infancy, with non-statistically significant and inconclusive results. OBJECTIVE Unlike prior works and overcoming a limitation of the current literature, the system was co-designed with people with dementia and experts in dementia care and was evaluated with a larger population ranging from mild to severe cases of dementia. METHODS Working with 44 dementia patients and 51 medical experts, we co-designed a Virtual Reality system to enhance the symptom management of dementia patients residing in long-term care. We evaluated the system with 16 medical experts and 20 people with dementia. RESULTS This paper explains the screening process and analysis we run to identify which environments patients would like to receive as an intervention. We also present the system’s evaluation results by discussing in depth their impact. According to our findings, Virtual Reality contributes significantly to an improved quality of life for people with dementia, as it can be very effective in the reduction of behavioural and psychological symptoms of dementia, especially for aggressive, agitated, anxious, apathetic, depressive, and fearful behaviours. CONCLUSIONS Ultimately, we hope that the results from this study will offer insight into how Virtual Reality technology can be designed, deployed, and used in dementia care. CLINICALTRIAL Name and URL of the Registry: Cyprus National Bioethics Committee - http://www.bioethics.gov.cy/moh/cnbc/cnbc.nsf/index_en/index_en?OpenDocument Number of Approval: ΕΕΒΚ/ΕP/2022/56

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Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series

Cited by 3 publications

References 47 publications

Developing a Virtual Reality for People With Dementia and Mild Cognitive Impairment Based on Their Psychological Needs: A Feasibility Study

Developing a Virtual Reality for People With Dementia and Mild Cognitive Impairment Based on Their Psychological Needs: A Feasibility Study

Offering Outworld Experiences to In-Patients With Dementia Through Virtual Reality: Mixed Methods Study

Offering Out-World Experiences to Dementia In-patients through Virtual Reality. (Preprint)

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