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virtual reality experiential learning improved undergraduate students' knowledge and evaluation skills relating to assistive technology for older adults and individuals with disabilities

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BMC MEDICAL EDUCATION 2024年第1期24卷 101页

作者： Chen, Peng-Hsu Ho, Hsuan-Wei Chen, Hung-Chou Tam, Ka-Wai Liu, Ju-Chi Lin, Li-Fong Taipei Med Univ Coll Med Sch Med Taipei 110 Taiwan Taipei Med Univ Coll Med Dept Phys Med & Rehabil Sch Med Taipei 110 Taiwan Taipei Med Univ Shuang Ho Hosp Dept Phys Med & Rehabil New Taipei City 235 Taiwan Taipei Med Univ Shuang Ho Hosp Shared Decis Making Resource Ctr New Taipei City 235 Taiwan Taipei Med Univ Cochrane Taiwan Taipei 110 Taiwan Taipei Med Univ Shuang Ho Hosp Dept Surg Div Gen Surg New Taipei City 235 Taiwan Taipei Med Univ Sch Med Dept Surg Div Gen SurgColl Med Taipei 110 Taiwan Taipei Med Univ Shuang Ho Hosp Dept Internal Med Div Cardiol New Taipei City 235 Taiwan Taipei Med Univ Taipei Heart Inst Taipei 110 Taiwan Taipei Med Univ Coll Med Sch Med Dept Internal MedDiv Cardiol Taipei 110 Taiwan Taipei Med Univ Coll Nursing Sch Gerontol & Long Term Care 250 Wu Hsing St Taipei 11031 Taiwan Taipei Med Univ Res Ctr Artificial Intelligence Med Taipei 110 Taiwan Taipei Med Univ Neurosci Res Ctr Taipei 110 Taiwan

Background The aging population has caused assistive technology (AT) to receive attention. Thus, ensuring accurate user comprehension of AT has become increasingly crucial, and more specialized education for students in relevant fields is necessary. The goal of this study was to explore the learning outcomes in the context of AT for older adults and individuals with disabilities through the use of VR experiential learning. Methods A parallel-group design was used. Sixty third-year university students studying gerontology and long-term-care-related subjects in Taiwan were enrolled, with the experimental (VR) and control (two-dimensional [2D] video) groups each comprising 30 participants. Both groups received the same 15-minute lecture. Subsequently, the experimental group received experiential learning through a VR intervention, whereas the control group watched a 2D video to learn. The students' knowledge of AT was assessed using a pretest and posttest. Additionally, their skills in evaluation of residential environments were assessed using the Residential Environment Assessment (REA) Form for Older Adults. All data analyses were performed with SPSS version 22. Results In the posttest conducted after the intervention, the experimental group exhibited a significant 20.67 point improvement (p < 0.05), whereas the control group only exhibited improvement of 3.67 points (p = 0.317). Furthermore, the experimental group demonstrated a significantly higher score (+ 2.17 points) on the REA Form for Older Adults than did the control group (p < 0.05). Conclusion VR experiential learning can significantly improve undergraduate students' knowledge and evaluation skills in relation to AT for older adults and individuals with disabilities.

关键词： virtual reality Assistive technology Experiential learning Undergraduate student Gerontology Long-term care

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virtual reality Therapy for the Management of Chronic Spinal Pain: Systematic Review and Meta-Analysis

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JMIR SERIOUS GAMES 2024年第1期12卷 e50089页

作者： Zhang, Tongtong Li, Xin Zhou, Xuan Zhan, Lixia Wu, Fan Huang, Zefan Sun, Yuxun Feng, Yufei Du, Qing Shanghai Jiao Tong Univ Dept Rehabil Med Xinhua Hosp Sch Med Shanghai Peoples R China Shanghai Univ Sport Sch Exercise & Hlth Shanghai Peoples R China Second Peoples Hosp Beihai Beihai Peoples R China Shanghai Univ Med & Hlth Sci Coll Rehabil Sci Shanghai Peoples R China Shanghai Univ Med & Hlth Sci Chongming Hosp Shanghai Peoples R China Shanghai Jiao Tong Univ Xinhua Hosp Dept Rehabil Sch Med 1665 Kongjiang Rd Shanghai 200092 Peoples R China

Background: The effectiveness of virtual reality (VR) therapy in adults with chronic spinal pain (CSP) is unclear. Objective: This study was conducted to compare the effectiveness of VR therapy and other therapies in adults with CSP, especially patients with inflammation-related pain. Methods: PubMed, Web of Science, Cochrane Library, Embase, and CINAHL databases were searched up to November 11, 2023. Randomized controlled trials (RCTs) comparing adults with CSP receiving VR therapy with those receiving other therapies were included. The trial registration platform as well as the reference lists of included studies and previous systematic reviews and meta-analyses were manually searched. Two independent reviewers performed study selection, data extraction, risk-of-bias assessment, and evaluation of the quality of the evidence. The weighted mean difference (WMD) was used as the effect size used to synthesize the outcome measure. Results: In total, 16 RCTs involving 800 participants were included in this meta-analysis. The pooled data from 15 (94%) RCTs including 776 (97%) participants showed that VR therapy was superior in improving pain intensity (WMD=-1.63, 95% CI -2.11 to -1.16, P<.001, I-2=90%) and reducing inflammatory markers, including C-reactive protein (WMD=-0.89, 95% CI -1.07 to -0.70, P<.001, I-2=0%), tumor necrosis factor-alpha (WMD=-6.60, 95% CI -8.56 to -4.64, P<.001, I-2=98%), and interleukin-6 (WMD=-2.76, 95% CI -2.98 to -2.53, P<.001, I-2=0%). However, no significant differences were found in terms of the spinal range of motion (ROM), disability level, or fear of movement. In addition, 10 (63%) of the included RCTs had a high risk of bias. Conclusions: VR therapy may be an effective and safe intervention for reducing symptoms in patients with CSP, as it is shown to exert significant analgesic effects and beneficial improvements in inflammatory factor levels. However, this approach may not have significant effects on the spinal ROM, disability level,

关键词： virtual reality chronic spinal pain inflammation-related pain systematic review meta-analysis

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virtual reality in stroke recovery: a meta-review of systematic reviews

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BIOELECTRONIC MEDICINE 2024年第1期10卷 1-15页

作者： Khan, Ammar Imam, Yahia Z. Muneer, Mohamed Al Jerdi, Salman Gill, Sumanjit K. Weill Cornell Med Qatar POB 24144 Doha Qatar Hamad Med Corp POB 3050 Doha Qatar UCL Inst Neurol Queen Sq London England

Backgroundvirtual reality (VR) is an emerging technology in post stroke recovery. However, its precise role in stroke rehabilitation is not well defined. The aim of this paper is to conduct an overview of systematic reviews on the role of VR in stroke *** meta-review with results from a search of 7 databases from inception till 5th December 2022 with subsequent quality appraisal was conducted. The primary outcome was to produce a narrative review on the efficacy of VR versus usual or other care in stroke recovery. Data was synthesized in a descriptive fashion and high-quality systematic reviews were emphasized. The AMSTAR-2 tool was used for quality assessment of the included *** from high-quality systematic reviews suggests that there is benefit from VR in upper limb, lower limb, gait, and balance recovery particularly when additive to conventional therapy. There is also limited evidence to suggest that VR has a positive effect in those with impaired *** is safe and effective as an adjunct to conventional therapy for adults after stroke and should be used routinely for upper and lower limb motor recovery. Further high-quality studies that evaluate its efficacy and explore ways to increase its positive impact in areas such as cognition are required. There is also a scope for the development of stroke-specific virtual environments. (PROSPERO registration # CRD42022372926).

关键词： virtual reality Stroke recovery Rehabilitation Systematic reviews

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virtual reality roleplays for patients with depression: A user experience evaluation

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INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH 2024年 35卷 100713页

作者： Holsteg, Steffen Askeridis, Johanna M. Krajewski, Jarek Mildner, Philip Freitag, Sebastian Mueller, Tobias Schnieder, Sebastian Gieselmann, Annika Karger, Andre Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Clin Inst Psychosomat Med & Psychotherapy Med Fac Moorenstr 5 D-40225 Dusseldorf Germany Inst Expt Psychophysiol GmbH Gustav Poensgen Str 29 D-40215 Dusseldorf Germany Nuromedia GmbH Schaafenstr 25 D-50676 Cologne Germany Heinrich Heine Univ Dusseldorf Dept Clin Psychol Univ Str 1 D-40225 Dusseldorf Germany Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Clin Inst Psychosomat Med & Psychotherapy Med Fac Moorenstr 5 D-40225 Dusseldorf Germany

Background: virtual reality (VR) has been used successfully and effectively in psychotherapy for a variety of disorders. In the field of depression, there are only a few VR interventions and approaches. Although simple social interactions have been successfully modeled in VR for several mental disorders, there has been no transfer to the field of depression therapy. VR may be employed for psychodynamic psychotherapy to work on interpersonal conflict patterns. In this study, we developed and evaluated a VR intervention for the simulation of roleplay situations in the context of supportive-expressive therapy. Methods: We conducted a clinical user experience (UX) study at a psychotherapeutic clinic in Dusseldorf, Germany. Eight inpatients with depression and four therapists were included. Semi-structured interviews and qualitative content analysis were used to identify UX issues of the developed VR intervention. Usability questionnaires and technical usage data were also considered. The VR intervention consisted of two therapistcontrolled roleplay scenarios designed to support work on the core conflictual relationship theme by allowing patients to interact in typical problematic social situations. Recorded VR roleplays allow for therapeutic debriefing with a change of perspective. Therapists were given the option of using the roleplay in multiple sessions. Results: All therapists conducted one session per patient with the VR intervention. From the patient interviews, 26 UX issues were extracted, of which one technical malfunction and two unclarities in the interaction with the VR agent were rated as major problems. From the therapist interviews, 14 UX issues were extracted, of which five were rated as major problems related to the interface in the dialog control or the complex system setup. Conclusion: The main problem was designing a dialog structure that allows both complex conversational flows and a clear control interface. In principle, VR roleplays could be integr

关键词： virtual reality Depression Psychodynamic psychotherapy User experience Roleplay Interpersonal conflict

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virtual reality in transportation and logistics: A clustering analysis of studies from 2010 to 2023 and future directions

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COMPUTERS IN HUMAN BEHAVIOR 2024年 153卷

作者： Wong, Eugene Yin Cheung Lee, Philip Tin Yun Hang Seng Univ Hong Kong Dept Supply Chain & Informat Management Hong Kong Peoples R China Hong Kong Shue Yan Univ Dept Econ & Finance Hong Kong Peoples R China

Numerous studies have examined the utility of virtual reality (VR) technologies in the transportation and logistics sector. However, no systematic and comprehensive review of this research area has been performed. This need is addressed in this paper by reviewing publications on the development and applications of VR technologies in the four main categories of transportation and logistics: air, maritime, railway, and road. A clustering analysis of 200 papers on VR in transport and logistics published from 2010 to 2023 has been performed. It identifies six clusters of research: operator training in routine procedures, operator training in incident handling, simulation of carriers, design of traffic infrastructure and carriers, psychological studies on transportation and logistics operators or associated parties, and treatment of illness related to transportation and logistics. Based on the review and the clustering analysis, the paper proposes directions for future research on the development of VR and its applications in transportation and logistics.

关键词： virtual reality Clustering analysis Transportation and logistics Literature review

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virtual reality-based online learning system adoption: a research framework and empirical study

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Online Information Review 2024年第6期48卷 1233-1251页

作者： Wang, Yi-Ting Lin, Kuan-Yu Department of Child Care and Education Hungkuang University Taichung Taiwan Department of Information Management National Taichung University of Science and Technology Taichung Taiwan

Purpose: virtual reality (VR) offers unprecedented immersion and interactivity in education, and working and learning from home have become the norm during the COVID-19 pandemic. This study empirically investigated the factors affecting the use of a VR online learning system (VROLS). Design/methodology/approach: To explore factors affecting users’ continuance behavioral intentions toward using VROLSs, a research framework was formed comprising factors that constitute benefits (i.e. pull factors) and costs (i.e. push factors);these factors included perceived value, flow and social influence. The data for this study were collected via online survey questionnaires. A total of 307 valid responses were used to examine the hypotheses in the research model, employing structural equation modeling (SEM) techniques. Findings: Perceived value, flow experience and the number of peers using VR primarily affect the decision to adopt a VROLS. The pull factors of spatial presence, entertainment and service compatibility, along with the push factors of complexity and visual fatigue, affect perceived value. Therefore, we conclude that perceived value is a primary factor positively influencing both flow experience and the decision to adopt the service. Originality/value: This study contributes to a theoretical understanding of factors that explain users’ intention to use VROLSs. © 2024, Emerald Publishing Limited.

关键词： virtual reality

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virtual reality's impact on children with type 1 diabetes: a proof-of-concept randomized cross-over trial on anxiety, pain, adherence, and glycemic control

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ACTA DIABETOLOGICA 2024年第2期61卷 215-224页

作者： Gruber, Noah Shemesh-Iron, Moran Kraft, Ethel Mitelberg, Karen Mauda, Elinor Ben-Ami, Michal Mazor-Aronovitch, Kineret Levy-Shraga, Yael Levran, Neriya Levek, Noah Zimlichman, Eyal Pinhas-Hamiel, Orit Edmond & Lily Safra Childrens Hosp Sheba Med Ctr Pediat Endocrine & Diabet Unit IL-5265601 Ramat Gan Israel Tel Aviv Univ Sackler Sch Med Tel Aviv Israel Sheba Med Ctr Innovat & Transformat Management Ramat Gan Israel

Aims Assess the effectiveness of virtual reality (VR) technology, in reducing pain and anxiety, and improving adherence and glycemic control among children with type 1 diabetes (T1D).MethodsChildren with T1D, managed with continuous glucose monitoring and insulin pumps, were recruited for a randomized cross-over trial. Children were randomized to one of two interventions for diabetes management: group 1 used VR glasses first and group 2 listened to vocal-guided affective imagery first (audio). After 1 month, the interventions were crossed over. The outcome measures included pain and anxiety assessment, adherence, glycemic control, and patient-reported outcome measures (PROMs) of VR satisfaction and *** Forty children, mean age 11.4 +/- 1.8 years, were participated. During the VR part, the monthly mean pain score compared to the baseline improved in both groups by 30% (p = 0.03). A 14% reduction in the state anxiety score was observed from baseline to 1 month in both groups (p = 0.009). Glycemic control measures including time in range, time above range, and glucose management indicator improved in both groups during VR part (p < 0.004 for all), compared to audio part. After one month, the patient-reported outcome measure (PROM) of satisfaction and effectiveness was sixfold higher after 1 month in group 1 compared to group 2 (p = 0.002). Adherence improved for both *** was shown to be effective in reducing pain and anxiety, improving adherence, PROM, and glycemic control among children with T1D. We suggest incorporating VR technology in pediatric diabetes clinics to facilitate and improve coping and management of *** registrationTrial registration number and date of registration for prospectively registered trials:*** Identifier: NCT05883267, May 10th, 2023.

关键词： virtual reality Type 1 diabetes Pediatrics Anxiety Adherence/compliance Time in range (TIR)

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virtual reality improves sleep quality and associated symptoms in patients with chronic insomnia

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SLEEP MEDICINE 2024年 122卷 230-236页

作者： Wan, Yahui Gao, Haijing Zhou, Kaili Zhang, Xuan Xue, Rong Zhang, Nan Tianjin Med Univ Gen Hosp Airport Site Dept Neurol Tianjin 300308 Peoples R China Hebei North Univ Affiliated Hosp 1 Dept Neurol Zhangjiakou 075000 Hebei Peoples R China Tianjin Med Univ Gen Hosp Dept Neurol Tianjin 300052 Peoples R China Tianjin Med Univ Gen Hosp Tianjin Neurol Inst Tianjin 300052 Peoples R China

Purpose: The present study aimed to explore the effectiveness of virtual reality (VR) therapy on sleep quality and associated symptoms, such as depression and anxiety, cognitive decline and autonomic nervous dysfunction, in chronic insomnia patients. Methods: Sixty-three chronic insomnia patients were randomly divided into VR group (n = 32) and control group (n = 20) based on a standard drug therapy. Patients were instructed to use VR at home once a day at evening for 6-week treatment. All participants received evaluations of subjective sleep quality measured with the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and the Epworth Sleepiness Scale (ESS), depression and anxiety symptoms measured with the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA), cognitive function, and objective sleep structure and autonomic nerve function examination measured with the sleep respiration monitoring device at baseline and after 6-week treatment. The main objective of this study was sleep quality assessment as the primary outcome. Results: After 6-week treatment, the decreases in PSQI score (-5.60 f 2.37 vs -4.10 f 1.80, P = 0.020) and ISI score (-8.81 f 4.52 vs -6.35 f 2.89, P = 0.038) of the VR group were significantly greater compared with the control group. The VR group showed more reduction in HAMD score (-9.96 f 4.41 vs -7.50 f 2.89, P = 0.035) and HAMA score (-8.96 f 3.80 vs -6.80 f 3.22, P = 0.046), and more increase in processing speed (0.54 f 0.60 vs 0.00 f 0.79, P = 0.011) than the control group. Moreover, the low-frequency coupling (-10.00 f 17.40 vs. 8.25 f 20.03, P = 0.001) was lowered and the high-frequency coupling (9.99 f 17.40 vs. -8.24 f 20.03, P = 0.001) was elevated in the VR group relative to the control group. Conclusion: Our findings offered preliminary evidence that VR therapy enhanced sleep quality and also lessened depressive and anxious symptoms, and improved cognitive and autonomic functioning in patients w

关键词： Chronic insomnia virtual reality Depression Anxiety Cognitive function Autonomic nervous function

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virtual reality in Digital Education: An Affordance Network Perspective on Effective Use Behavior

DATA BASE FOR ADVANCES IN INFORMATION SYSTEMS

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DATA BASE FOR ADVANCES IN INFORMATION SYSTEMS 2024年第2期55卷 14-41页

作者： Fromm, Jennifer Stieglitz, Stefan Mirbabaie, Milad Univ Duisburg Essen Dept Comp Sci & Appl Cognit Sci Essen Germany Univ Potsdam Business Informat Syst & Digital Transformat SAP Potsdam Germany Univ Bamberg Informat Syst Esp AI Engn Co Bamberg Germany Paderborn Univ Paderborn Germany Univ Bremen Bremen Germany Univ Duisburg Essen Essen Germany Univ Hamburg Informat Syst Hamburg Germany Univ Munster Munster Germany

virtual reality promises high potential as an immersive, hands-on learning tool for training 21st-century skills. However, previous research revealed that the mere use of digital tools in higher education does not automatically translate into learning outcomes. Instead, information systems studies emphasized the importance of effective use behavior to achieve technology usage goals. Applying the affordance network approach, we investigated what constitutes effective usage behavior regarding a virtual reality collaboration system in digital education. Therefore, we conducted 18 interviews with students and observations of six course sessions. The results uncover how affordance actualization contributed to the achievement of learning goals. A comparison with findings of previous studies on other information systems (i.e., electronic medical record systems, big data analytics, fitness wearables) allowed us to highlight system-specific differences in effective use behavior. We also demonstrated a clear distinction between concepts surrounding effective use theory facilitating the application of the affordance network approach in information systems research.

关键词： virtual reality Effective Use Behavior Affordance Network Approach Digital Education Qualitative Research

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virtual reality-Based Training in Chronic Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials

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JOURNAL OF MEDICAL INTERNET RESEARCH 2024年第1期26卷 e45406页

作者： Li, Ran Li, Yinghao Kong, Youli Li, Hanbin Hu, Danrong Fu, Chenying Wei, Quan Sichuan Univ West China Hosp Rehabil Med Ctr Chengdu Peoples R China Sichuan Univ West China Hosp Inst Rehabil Med Chengdu Peoples R China Key Lab Rehabil Med Sichuan Prov Chengdu Peoples R China Sichuan Univ West China Hosp Orthoped Res Inst Dept Orthoped Chengdu Peoples R China Sichuan Univ West China Hosp Natl Clin Res Ctr Geriatr Chengdu Peoples R China Sichuan Univ West China Hosp Aging & Geriatr Mech Lab Chengdu Peoples R China Sichuan Univ West China Hosp Rehabil Med Ctr 37 Guo Xue Alley Chengdu 610041 Peoples R China Sichuan Univ West China Hosp Inst Rehabil Med 37 Guo Xue Alley Chengdu 610041 Peoples R China

Background: Low back pain is one of the most prevalent pain conditions worldwide. virtual reality-based training has been used for low back pain as a new treatment strategy. Present evidence indicated that the effectiveness of virtual reality-based training for people with chronic low back pain is inconclusive. Objective: This study conducted a meta-analysis to evaluate the immediate- and short-term effects of virtual reality-based training on pain, pain-related fear, and disability in people with chronic low back pain. Methods: We searched the PubMed, Embase, Web of Science, PEDro, CENTRAL, and CINAHL databases from inception until January 2024. Only randomized controlled trials assessing the effects of virtual reality-based training on individuals with chronic low back pain were selected. The outcomes were focused on pain, pain-related fear measured by the Tampa Scale of Kinesiophobia, and disability measured by the Oswestry Disability Index. The immediate term was defined as the immediate period after intervention, and the short term was defined as 3 to 6 months after intervention. The Cochrane Risk of Bias tool and the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach were used to evaluate the quality of the methodology and evidence, respectively. Results: In total, 20 randomized controlled trials involving 1059 patients were eligible for analysis. virtual reality-based training showed significant improvements in pain (mean difference [MD] -1.43;95% CI -1.86 to -1.00;I-2=95%;P<.001), pain-related fear using the Tampa Scale of Kinesiophobia (MD -5.46;95% CI -9.40 to 1.52;I-2=90%;P=.007), and disability using the Oswestry Disability Index (MD -11.50;95% CI -20.00 to -3.01;I-2=95%;P=.008) in individuals with chronic low back pain immediately after interventions. However, there were no significant differences observed in pain (P=.16), pain-related fear (P=.10), and disability (P=.43) in the short term. Conclusions: These findings in

关键词： virtual reality low back pain chronic rehabilitation exercise

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