RSS-Feed abonnieren

DOI: 10.1055/a-2316-6541
Virtual Reality Mental Health Interventions in Geriatric Care for Functional or Well-being Enhancement – A Scoping Review
Virtual-Reality-Interventionen zur Verbesserung funktions-orientierter Gesundheit und Wohlbefinden bei geriatrisch Pflegebedürftigen – Ein Scoping Review
Abstract
Purpose It has become common to use Virtual Reality (VR) for mental health interventions; however, its use in care of the elederly is limited, especially regarding mood and well-being. In this review, we summarize the results of current VR-based mental health interventions for this population.
Methods Peer-reviewed journal articles on immersive VR mental health intervention in seniors, published until 2022, were included.
Results There were 2697 results found in the database search, of which 40 articles met the inclusion criteria and were included in the final analysis. Most studies did not use an experimental design with randomized controlled trials and follow-up sessions. Function-oriented and entertainment-oriented intervention studies were categorized. VR-based geriatric mental interventions have grown rapidly since 2018, especially the number of interventions that promote wellbeing. The function-oriented interventions used active interactions with varied devices. Entertainment-oriented interaction was primarily passive, seldomly using hand controllers for moving activities. Generally, VR interventions improved the mental health of older adults.
Conclusion Geriatric rehabilitation can benefit from this innovative technology to maintain cognitive functions and to improve the well-being of seniors. They have potential for use in aging care and in retirement homes. Future VR interventions may also involve promoting social interaction to combat loneliness among seniors.
Zusammenfassung
Ziel der Studie Virtual Reality (VR) Interventionen zur Förderung der psychischen Gesundheit können auch neue Möglichkeiten im Bereich geriatrischer Rehabilitation bieten. Bislang gibt es kaum VR in der Altenpflege, insbesondere nicht zur Wohlbefindensförderung. In diesem Scoping Review fassen wir die Ergebnisse aktueller VR-basierter Interventionen im Bereich der psychischen Gesundheit von Senioren zusammen.
Methode In die Untersuchung wurden peer-reviewed Fachartikel zu immersiven VR-Interventionen im Bereich der psychischen Gesundheit von Senioren aufgenommen, die bis zum Jahr 2022 veröffentlicht wurden.
Ergebnisse In der Datenbanksuche wurden 2697 Ergebnisse gefunden, von denen 40 Artikel die Einschlusskriterien erfüllten und in die abschließende Analyse aufgenommen wurden. Die meisten Studien verwendeten kein experimentelles Design mit randomisierten kontrollierten Studien und Nachuntersuchungen. Seit 2018 ist ein deutlicher Zuwachs von Wohlbefindens-orientierten Gesundheitsinterventionen für Senioren zu verzeichnen. Die Interventionen wurden in funktionsorientierte und unterhaltungsorientierte Studien unterteilt. Die funktionsorientierten Interventionen beinhalteten aktive Interaktionen mit verschiedenen Geräten. Die unterhaltungsorientierten Interventionen waren hingegen hauptsächlich passiv und beinhalteten kaum bewegungsbezogene Aktivitäten mit Controllern. Im Allgemeinen verbesserten VR-Interventionen die psychische Gesundheit älterer Erwachsener.
Schlussfolgerung Die geriatrische Rehabilitation kann von innovativen VR-Technologien profitieren, um kognitive Funktionen zu erhalten und das Wohlbefinden von Senioren zu verbessern. Sie haben Potenzial für den Einsatz in der Altenpflege und in Seniorenheimen. Zukünftige VR-Interventionen sollten auch die Förderung sozialer Interaktionen zur Reduktion von Einsamkeitserleben bei Senioren zum Gegenstand machen.
Keywords
older adults - immersive VR - review - intervention - mental health - geriatric rehabilitation - aging careSchlüsselwörter
ältere Erwachsene - immersive Virtual Reality - geriatrische Rehabilitation - aging care - mentale Gesundheit - scoping reviewPublikationsverlauf
Artikel online veröffentlicht:
17. Juni 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 WHO. Ageing and Health. 2022 https://www.who.int/news-room/fact-sheets/detail/ageing-and-health latest approval: 05. Jun. 2024
- 2 Penninx BWJH, Nicklas BJ, Newman AB. et al. Metabolic syndrome and physical decline in older persons: results from the Health, Aging And Body Composition Study. J Gerontol A Biol Sci Med Sci 2009; 64: 96-102
- 3 Han LKM, Verhoeven JE, Tyrka AR. et al. Accelerating research on biological aging and mental health: Current challenges and future directions. Psychoneuroendocrinology 2019; 106: 293-311
- 4 Manera V, Chapoulie E, Bourgeois J. et al. A Feasibility Study with Image-Based Rendered Virtual Reality in Patients with Mild Cognitive Impairment and Dementia. PLoS One 2016; 11: e0151487
- 5 Huygelier H, Schraepen B, van Ee R. et al. Acceptance of immersive head-mounted virtual reality in older adults. Sci Rep 2019; 9: 4519
- 6 Skurla MD, Rahman AT, Salcone S. et al. Virtual reality and mental health in older adults: a systematic review. Int. Psychogeriatr. 2022; 34: 143-155
- 7 Mujber TS, Szecsi T, Hashmi M. Virtual reality applications in manufacturing process simulation. Journal of Materials Processing Technology 2004; 155-156: 1834-1838
- 8 Clifford RM, Khan H, Hoermann S. et al. Development of a Multi-Sensory Virtual Reality Training Simulator for Airborne Firefighters Supervising Aerial Wildfire Suppression. In: 2018 IEEE Workshop on Augmented and Virtual Realities for Good (VAR4Good). IEEE 2018; 1-5
- 9 Lorusso ML, Travellini S, Giorgetti M. et al. Semi-Immersive Virtual Reality as a Tool to Improve Cognitive and Social Abilities in Preschool Children. Applied Sciences 2020; 10: 2948
- 10 Knierim P, Kosch T, Schwind V. et al. Tactile Drones – Providing Immersive Tactile Feedback in Virtual Reality through Quadcopters. In: Proceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems. New York, NY, USA: ACM; 2017.
- 11 Hoppe M, Knierim P, Kosch T. et al. VRHapticDrones. In: Abdennadher S, Hrsg. Proceedings of the 17th International Conference on Mobile and Ubiquitous Multimedia. New York NY: ACM; 2018: 7-18
- 12 Anthes C, Garcia-Hernandez RJ, Wiedemann M. et al. State of the art of virtual reality technology. In: 2016 IEEE Aerospace Conference: 5-12 March 2016. Piscataway, NJ: IEEE; 2016: 1-19
- 13 Furht B. Hrsg. Encyclopedia of multimedia. A-Z. 2. Aufl. New York, NY: Springer; 2008.
- 14 Slater M. Immersion and the illusion of presence in virtual reality. Br J Psychol 2018; 109: 431-433
- 15 Buckingham G. Hand Tracking for Immersive Virtual Reality: Opportunities and Challenges. Frontiers in Virtual Reality 2021; 2
- 16 Rose T, Nam CS, Chen KB. Immersion of virtual reality for rehabilitation – Review. Applied Ergonomics 2018; 69: 153-161
- 17 Emmelkamp PMG, Meyerbröker K. Virtual Reality Therapy in Mental Health. Annu Rev Clin Psychol 2021; 17: 495-519
- 18 Segawa T, Baudry T, Bourla A. et al. Virtual Reality (VR) in Assessment and Treatment of Addictive Disorders: A Systematic Review. Front Neurosci 2019; 13: 1409
- 19 de Carvalho MR, Dias TRDS, Duchesne M. et al. Virtual Reality as a Promising Strategy in the Assessment and Treatment of Bulimia Nervosa and Binge Eating Disorder: A Systematic Review. Behav Sci (Basel) 2017; 7
- 20 Didehbani N, Allen T, Kandalaft M. et al. Virtual Reality Social Cognition Training for children with high functioning autism. Computers in Human Behavior 2016; 62: 703-711
- 21 Freeman D, Reeve S, Robinson A. et al. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol Med 2017; 47: 2393-2400
- 22 Dascal J, Reid M, IsHak WW. et al. Virtual Reality and Medical Inpatients: A Systematic Review of Randomized, Controlled Trials. Innov Clin Neurosci 2017; 14: 14-21
- 23 White MP, Yeo NL, Vassiljev P. et al. A prescription for "nature" – the potential of using virtual nature in therapeutics. Neuropsychiatr Dis Treat 2018; 14: 3001-3013
- 24 Schild J, Misztal S, Roth B. et al. Applying Multi-User Virtual Reality to Collaborative Medical Training. In: 2018 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE; 2018.
- 25 Davis FD, Bagozzi RP, Warshaw PR. User Acceptance of Computer Technology: A Comparison of Two Theoretical Models. Management Science 1989; 35: 982-1003
- 26 Chen K, Chan AHS. Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM). Ergonomics 2014; 57: 635-652
- 27 Xu W, Liang H-N, Yu K. et al. Acceptance of Virtual Reality Exergames Among Chinese Older Adults. International Journal of Human–Computer Interaction 2023; 39: 1134-1148
- 28 Mascret N, Delbes L, Voron A. et al. Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study. J Med Internet Res 2020; 22: e20691
- 29 Pang WYJ, Cheng L. Acceptance of gamified virtual reality environments by older adults. Educational Gerontology 2023; 49: 830-841
- 30 Roberts AR, de Schutter B, Franks K. et al. Older Adults' Experiences with Audiovisual Virtual Reality: Perceived Usefulness and Other Factors Influencing Technology Acceptance. Clin Gerontol 2019; 42: 27-33
- 31 Petri K, Feuerstein K, Folster S. et al. Effects of Age, Gender, Familiarity with the Content, and Exposure Time on Cybersickness in Immersive Head-mounted Display Based Virtual Reality. Am. J. Biomed. Sci. 2020; 107-121
- 32 Drazich BF, McPherson R, Gorman EF. et al. In too deep? A systematic literature review of fully-immersive virtual reality and cybersickness among older adults. J Am Geriatr Soc 2023;
- 33 Prasertsakul T, Kaimuk P, Chinjenpradit W. et al. The effect of virtual reality-based balance training on motor learning and postural control in healthy adults: a randomized preliminary study. BioMed Eng OnLine 2018; 17: 124
- 34 Dermody G, Whitehead L, Wilson G. et al. The Role of Virtual Reality in Improving Health Outcomes for Community-Dwelling Older Adults: Systematic Review. J Med Internet Res 2020; 22: e17331
- 35 van Houwelingen-Snippe J, Ben Allouch S, van Rompay TJL. Virtual Reality Representations of Nature to Improve Well-Being amongst Older Adults: a Rapid Review. J Technol Behav Sci 2021; 6: 464-485
- 36 Peters MDJ, Godfrey C, McInerney P. et al. Chapter 11: Scoping reviews. In: Aromataris E, Munn Z, Hrsg. JBI manual for evidence synthesis. Adelaide, Australia: Joanna Briggs Institute; 2020.
- 37 Peters MDJ, Marnie C, Tricco AC. et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 2020; 18: 2119-2126
- 38 Roy Rosenzweig Center for History and New Media. Zotero [Computer software]. Roy Rosenzweig Center for History and New Media
- 39 Microsoft Corporation. Microsoft Excel. Im Internet: https://office.microsoft.com/excel
- 40 Moher D, Liberati A, Tetzlaff J. et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLOS Medicine 2009; 6: e1000097
- 41 Chan JYC, Chan TK, Wong MPF. et al. Effects of virtual reality on moods in community older adults. A multicenter randomized controlled trial. International Journal of Geriatric Psychiatry 2020; 35: 926-933
- 42 Barsasella D, Liu MF, Malwade S. et al. Effects of Virtual Reality Sessions on the Quality of Life, Happiness, and Functional Fitness among the Older People: A Randomized Controlled Trial from Taiwan. Computer Methods and Programs in Biomedicine 2021; 200: 105892
- 43 Afifi T, Collins N, Rand K. et al. Using Virtual Reality to Improve the Quality of Life of Older Adults with Cognitive Impairments and their Family Members who Live at a Distance. Health Communication 2022; 1-12
- 44 Brimelow RE, Dawe B, Dissanayaka N. Preliminary Research: Virtual Reality in Residential Aged Care to Reduce Apathy and Improve Mood. Cyberpsychology, Behavior, and Social Networking 2020; 23: 165-170
- 45 Cuesta M, Verty LV, Ben Abdessalem H. et al. Virtual Reality and EEG-Based Intelligent Agent in Older Adults With Subjective Cognitive Decline: A Feasibility Study for Effects on Emotion and Cognition. Frontiers in Virtual Reality 2022; 2: 807991
- 46 Fiocco AJ, Millett G, D’Amico D. et al. Virtual tourism for older adults living in residential care: A mixed-methods study. PLoS One 2021; 16: e0250761
- 47 Lin T-Y, Huang C-M, Hsu H-P. et al. Effects of a Combination of Three-Dimensional Virtual Reality and Hands-on Horticultural Therapy on Institutionalized Older Adults’ Physical and Mental Health: Quasi-Experimental Design. J Med Internet Res 2020; 22: e19002
- 48 Niki K, Yahara M, Inagaki M. et al. Immersive Virtual Reality Reminiscence Reduces Anxiety in the Oldest-Old Without Causing Serious Side Effects: A Single-Center, Pilot, and Randomized Crossover Study. Frontiers in Human Neuroscience 2021; 14: 598161
- 49 Sultana M, Campbell K, Jennings M. et al. Virtual Reality Experience Intervention May Reduce Responsive Behaviors in Nursing Home Residents with Dementia: A Case Series. Journal of Alzheimer’s Disease 2021; 84: 883-893
- 50 Cheng VY-W, Huang C-M, Liao J-Y. et al. Combination of 3-Dimensional Virtual Reality and Hands-On Aromatherapy in Improving Institutionalized Older Adults’ Psychological Health: Quasi-Experimental Study. J Med Internet Res 2020; 22: e17096
- 51 Fan C-C, Choy C-S, Huang C-M. et al. The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study. BMC Geriatr 2022; 22: 744
- 52 Kalantari S, Bill Xu T, Mostafavi A. et al. Using a Nature-Based Virtual Reality Environment for Improving Mood States and Cognitive Engagement in Older Adults: A Mixed-Method Feasibility Study. Innovation in Aging 2022; 6: igac015
- 53 Thapa N, Park HJ, Yang J-G. et al. The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial. Journal of Clinical Medicine 2020; 9: 1283
- 54 Boller B, Ouellet É, Belleville S. Using Virtual Reality to Assess and Promote Transfer of Memory Training in Older Adults With Memory Complaints: A Randomized Controlled Trial. Frontiers in Psychology 2021; 12: 627242
- 55 Kang JM, Kim N, Lee SY. et al. Effect of Cognitive Training in Fully Immersive Virtual Reality on Visuospatial Function and Frontal-Occipital Functional Connectivity in Predementia: Randomized Controlled Trial. J Med Internet Res 2021; 23: e24526
- 56 Lima Rebêlo F, de Souza Silva LF, Doná F. et al. Immersive virtual reality is effective in the rehabilitation of older adults with balance disorders: A randomized clinical trial. Experimental Gerontology 2021; 149: 111308
- 57 Liao Y-Y, Tseng H-Y, Lin Y-J. et al. Using virtual reality-based training to improve cognitive function, instrumental activities of daily living and neural efficiency in older adults with mild cognitive impairment. European Journal of Physical and Rehabilitation Medicine 2020; 56
- 58 Wais PE, Arioli M, Anguera-Singla R. et al. Virtual reality video game improves high-fidelity memory in older adults. Sci Rep 2021; 11: 2552
- 59 Kanyılmaz T, Topuz O, Ardıç FN. et al. Effectiveness of conventional versus virtual reality-based vestibular rehabilitation exercises in elderly patients with dizziness: a randomized controlled study with 6-month follow-up. Brazilian Journal of Otorhinolaryngology 2021; S1808869421001725
- 60 Brito H, Pham T, Vicente B. Effect of sensorimotor rehabilitation based on an immersive virtual reality model on mental health. International Journal of Geriatric Psychiatry 2022; 37 gps 5541
- 61 Ge R, Wang Z, Yuan X. et al. The Effects of Two Game Interaction Modes on Cortical Activation in Subjects of Different Ages: A Functional Near-Infrared Spectroscopy Study. IEEE Access 2021; 9: 11405-11415
- 62 Maeng S, Hong JP, Kim W-H. et al. Effects of Virtual Reality-Based Cognitive Training in the Elderly with and without Mild Cognitive Impairment. Psychiatry Investigation 2021; 18: 619-627
- 63 Zhu K, Zhang Q, He B. et al. Immersive Virtual Reality–Based Cognitive Intervention for the Improvement of Cognitive Function, Depression, and Perceived Stress in Older Adults With Mild Cognitive Impairment and Mild Dementia: Pilot Pre-Post Study. JMIR Serious Games 2022; 10: e32117
- 64 Szczepańska-Gieracha J, Cieślik B, Serweta A. et al. Virtual Therapeutic Garden: A Promising Method Supporting the Treatment of Depressive Symptoms in Late-Life: A Randomized Pilot Study. Journal of Clinical Medicine 2021; 10
- 65 Li X, Niksirat KS, Chen S. et al. The Impact of a Multitasking-Based Virtual Reality Motion Video Game on the Cognitive and Physical Abilities of Older Adults. Sustainability 2020; 12: 9106
- 66 Park J-H, Liao Y, Kim D-R. et al. Feasibility and Tolerability of a Culture-Based Virtual Reality (VR) Training Program in Patients with Mild Cognitive Impairment: A Randomized Controlled Pilot Study. International Journal of Environmental Research and Public Health 2020; 17: 3030
- 67 Benham S, Kang M, Grampurohit N. Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults. OTJR (Thorofare N J) 2019; 39: 90-96
- 68 Stamm O, Dahms R, Reithinger N. et al. Virtual reality exergame for supplementing multimodal pain therapy in older adults with chronic back pain: a randomized controlled pilot study. Virtual Reality 2022;
- 69 Zając-Lamparska L, Wiłkość-Dębczyńska M, Wojciechowski A. et al. Effects of virtual reality-based cognitive training in older adults living without and with mild dementia: a pretest-posttest design pilot study. BMC Res Notes 2019; 12: 776
- 70 Masoumzadeh S, Moussavi Z. Does Practicing with a Virtual Reality Driving Simulator Improve Spatial Cognition in Older Adults? A Pilot Study. Neuroscience Insights 2020; 15 263310552096793
- 71 Kim H, Hong JP, Kang JM. et al. Cognitive reserve and the effects of virtual reality-based cognitive training on elderly individuals with mild cognitive impairment and normal cognition. Psychogeriatrics 2021; 21: 552-559
- 72 Chau PH, Kwok YYJ, Chan MKM. et al. Feasibility, Acceptability, and Efficacy of Virtual Reality Training for Older Adults and People With Disabilities: Single-Arm Pre-Post Study. J Med Internet Res 2021; 23(5): e27640
- 73 Sakhare AR, Yang V, Stradford J. et al. Cycling and Spatial Navigation in an Enriched, Immersive 3D Virtual Park Environment: A Feasibility Study in Younger and Older Adults. Frontiers in Aging Neuroscience 2019; 11: 218
- 74 Optale G, Urgesi C, Busato V. et al. Controlling Memory Impairment in Elderly Adults Using Virtual Reality Memory Training: A Randomized Controlled Pilot Study. Neurorehabilitation and Neural Repair 2010; 24: 348-357
- 75 Levy F, Rautureau G, Komano O. et al. Fear of falling: efficacy of virtual reality associated with serious games in elderly people. Neuropsychiatr Dis Treat 2016; 877
- 76 Saredakis D, Keage HAD, Corlis M. et al. The Effect of Reminiscence Therapy Using Virtual Reality on Apathy in Residential Aged Care: Multisite Nonrandomized Controlled Trial. J Med Internet Res 2021; 23: e29210
- 77 Walden A, Feliciano L. A Virtual Reality Intervention to Reduce Dementia-Related Agitation Using Single-Case Design. Clin Gerontol 2021; 1-11
- 78 Yahara M, Niki K, Ueno K. et al. Remote Reminiscence Using Immersive Virtual Reality May Be Efficacious for Reducing Anxiety in Patients with Mild Cognitive Impairment Even in COVID-19 Pandemic: A Case Report. Biological and Pharmaceutical Bulletin 2021; 44: 1019-1023
- 79 Alós BGS, Bauer NV, Moreira VS. et al. Cognitive training with virtual reality at older people longterm residences: a series of cases. PAJAR – Pan American Journal of Aging Research 2021; 9: e39769
- 80 Kwan RYC, Liu JYW, Fong KNK. et al. Feasibility and Effects of Virtual Reality Motor-Cognitive Training in Community-Dwelling Older People With Cognitive Frailty: Pilot Randomized Controlled Trial. JMIR Serious Games 2021; 9: e28400
- 81 Zając-Lamparska L, Wiłkość-Dębczyńska M, Wojciechowski A. et al. Effects of virtual reality-based cognitive training in older adults living without and with mild dementia: a pretest-posttest design pilot study. BMC Res Notes 2019; 12: 776
- 82 Carroll J, Hopper L, Farrelly AM. et al. A Scoping Review of Augmented/Virtual Reality Health and Wellbeing Interventions for Older Adults: Redefining Immersive Virtual Reality. Frontiers in Virtual Reality 2021; 2
- 83 Astorino TA, Clark A, de La Rosa A. et al. Enjoyment and affective responses to two regimes of high intensity interval training in inactive women with obesity. Eur J Sport Sci 2019; 19: 1377-1385
- 84 Haworth CMA, Nelson SK, Layous K. et al. Stability and Change in Genetic and Environmental Influences on Well-Being in Response to an Intervention. PLoS One 2016; 11: e0155538
- 85 Guner H, Acarturk C. The use and acceptance of ICT by senior citizens: a comparison of technology acceptance model (TAM) for elderly and young adults. Univ Access Inf Soc 2020; 19: 311-330
- 86 Tak SH, Kedia S, Tongumpun TM. et al. Activity Engagement: Perspectives from Nursing Home Residents with Dementia. Educational Gerontology 2015; 41: 182-192
- 87 Inoue Y, Wann DL, Lock D. et al. Enhancing Older Adults' Sense of Belonging and Subjective Well-Being Through Sport Game Attendance, Team Identification, and Emotional Support. J Aging Health 2020; 32: 530-542