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virtual reality interventions designed to support parents during and throughout the first year after birth: A scoping review

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DIGITAL HEALTH 2024年 10卷

作者： Fallon, Victoria Davies, Sian M. Silverio, Sergio Creagh, Lisa Univ Liverpool Fac Hlth & Life Sci Inst Populat Hlth Dept Psychol Liverpool England Liverpool John Moores Univ Fac Hlth Sch Psychol Liverpool England Kings Coll London Fac Life Sci & Med Sch Life Course & Populat Sci London England Lisa Creagh Ltd T A Holding Time Project Plus Accounting Brighton East Sussex England

Objective virtual reality (VR) has become increasingly popular in clinical and health settings where it has been used for a wide range of purposes. A recent scoping review explored VR applications to assist pregnant women and found that VR was a useful method to be used for a range of different purposes in both pregnancy and labour. However, no such review exists for the period after *** We aimed to search for studies that used VR to support parents during birth and in the first year postpartum (Population) in different settings (Context), and finally provided data on the characteristics, reported effectiveness and experience of VR interventions (Concept). Two hundred and fifty-one studies were identified, of which ten were eligible. Two authors independently extracted data including study design, participants and *** Findings indicate that VR has been used effectively in this context to alleviate depression anxiety, and multiple domains of pain and to improve childbirth satisfaction. The majority of the studies explored the use of VR technology on outcomes such as pain and anxiety during labour and birth. The studies included used a broad range of VR hardware and software. All of the studies reported positive experiences of using *** Across these studies, VR was found to be effective in terms of both physiological and psychological outcomes. There are many unexplored maternal and infant focused applications of VR which warrant further investigation as emerging evidence indicates this is becoming an increasingly accessible method to improve maternal and infant health outcomes from pregnancy through to parenthood.

关键词： virtual reality scoping review postpartum interventions parents childbirth

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virtual reality in Education to Enable Active Learning and Hands-on Experience

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Computer-Aided Design and Applications 2024年第2期21卷 258-269页

作者： Rossoni, Marco Spadoni, Elena Carulli, Marina Barone, Chiara Colombo, Giorgio Bordegoni, Monica Politecnico di Milano Italy

Teaching technical contents related to product design and 3D modeling is a challenging task. Students enrolled in Master of Science courses often have different backgrounds and technical skills, due to their different educational paths at the bachelor’s degree. From the student’s perspective, one of the main difficulties concerns the definition of the 3D modeling procedure, understand technical drawings and figuring out the proper assembly sequence to get the final product. Over the years, some methods to fill these existing gaps have been experimented, such as tutoring and Massive Open Online Courses. Despite these passive approaches have been proven useful for students, digital technologies, such as virtual reality, can boost the implementation active learning sessions and hands-on experiences. In this paper, we present a virtual reality application for active learning developed to help students in the initial stage of the "Methods and tools for detailed design" course to acquire a set of lacking knowledge, which includes technical terminology related to mechanical parts and components, the ability to decompose mechanical systems into sub-parts, and to create a 3D model using a CAD tool given a 2D engineering drawing. To evaluate the effectiveness of the proposed approach, the application has been tested with a cohort of students with different backgrounds and knowledge about mechanical design and CAD. © 2024 CAD Solutions, LLC, http://***.

关键词： virtual reality

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virtual reality-based reminiscence therapy for older adults to improve psychological well-being and cognition: A systematic review

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JOURNAL OF CLINICAL NURSING 2024年第0期 2024 Jul 17页

作者： Ng, Wai Hung Daniel Ang, Wei How Darryl Fukahori, Hiroki Goh, Yong Shian Lim, Wee Shiong Siah, Chiew Jiat Rosalind Seah, Betsy Liaw, Sok Ying Natl Canc Ctr Singapore Singapore Hlth Serv Singapore Singapore Natl Univ Singapore Alice Lee Ctr Nursing Studies Yong Loo Lin Sch Med Singapore Singapore Keio Univ Fac Nursing & Med Care Fujisawa Japan Tan Tock Seng Hosp Inst Geriatr & Act Aging Dept Geriatr Med Singapore Singapore Nanyang Technol Univ Lee Kong Chian Sch Med Singapore Singapore Natl Univ Singapore Yong Loo Lin Sch Med Singapore Singapore Singapore Gen Hosp Dept Nursing Singapore Singapore

Backgroundvirtual reality-reminiscence therapy (VR-RT) has increasingly been applied to older adults to improve psychological well-being and *** review aims to identify (1) the design characteristics of conducting a VR-RT and (2) the effects of VR-RT on the user experience, cognitive outcomes and psychological *** *** studies were sourced across nine electronic databases, trial registries, grey literature and hand-searching of the reference list. A narrative synthesis was conducted. Twenty-two studies were included, and most were appraised as high quality. Most of the VR-RTs were highly immersive and personalised, with participants having the autonomy of control. VR-RT has the potential to improve anxiety and depression, and cognitive outcomes for older adults. Overall, VR-RT was reported to be an enjoyable experience for older ***-RT is a promising innovation that can improve older adults' psychological well-being and cognition without significant side effects, including cybersickness and with the potential for scalability across various settings. More randomised controlled studies are needed to evaluate the effectiveness of VR-RT and its features and treatment dosage. These studies could also examine the effectiveness of VR-RT as an intervention to promote independence in activities of daily living and physical *** to Clinical PracticeVR-RT is a promising intervention for older adults in community settings to enhance psychological well-being and cognition. VR's versatility enables personalised experiences within dynamic virtual environments, possibly enhancing engagement and therapeutic *** Patient or Public ContributionThis systematic review did not directly involve patient or public contribution to the manuscript.

关键词： older adults reminiscence virtual reality VR-RT

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virtual reality intervention to improve quality of care during colonoscopy: a hybrid type 1 randomized controlled trial

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GASTROINTESTINAL ENDOSCOPY 2024年第5期100卷 914-922.e2页

作者： Shamali, Mahdi Vilmann, Peter Johansen, Niels Rene Konradsen, Hanne Copenhagen Univ Hosp Herlev Herlev & Gentofte GastroUnit Copenhagen Denmark Univ Copenhagen Dept Clin Med Copenhagen Denmark Karolinska Inst Dept Neurobiol Care Sci & Soc Stockholm Sweden

Background and Aims: Effective management of patients' pain, anxiety, and discomfort during colonoscopy is crucial for successful completion of the procedure, patient adherence to follow-up examinations, and patient satisfaction. virtual reality (VR) interventions, as a nonpharmacologic and innovative solution, have demonstrated promising results in managing these outcomes. Nevertheless, there is limited evidence on their effectiveness and implementation. This trial aimed to test clinical effectiveness and identify factors to facilitate the implementation of VR during colonoscopy. Methods: A hybrid type 1 effectiveness implementation, parallel randomized controlled, open-label trial was conducted. Fifty patients were randomized (1:1) to a VR or a control group. The effectiveness (pain, anxiety, discomfort, medication use, and satisfaction) and implementation (reach, adoption, implementation, and maintenance) outcomes were assessed before, during, and after colonoscopy. Results: Patients in the VR group reported significantly lower pain (P = .043) and discomfort (P <.0001) during colonoscopy, had a higher number of completed colonoscopies without sedation (P = .003), and showed higher satisfaction (P = .032). The major barrier to the implementation and maintenance of the VR intervention was inadequate VR content design. Staff were most worried about altered patient communications, unclear responsibilities, increasing workload, and patient safety. Patients expressed willingness to reuse VR glasses and to suggest them to other patients. Conclusions: VR can be used as a nonpharmacologic method for pain management and for overcoming anxiety and discomfort during colonoscopy. VR can improve patients' satisfaction and diminish the need for sedative medications;accordingly, it has the potential to promote cooperation and compliance among patients and increase screening colonoscopy rates. (Clinical trial registration number: NCT05723861.)

关键词： RE-AIM reach effectiveness adoption implementation and maintenance STAI State-Trait Anxiety Inventory VR virtual reality

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virtual reality in Vocational Training: A Study Demonstrating the Potential of a VR-based Vehicle Painting Simulator for Skills Acquisition in Apprenticeship Training

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TECHNOLOGY KNOWLEDGE AND LEARNING 2024年第2期29卷 697-712页

作者： Mulders, Miriam Buchner, Josef Kerres, Michael Univ Duisburg Essen Chair Educ Technol & Instruct Design Univ Str 2 D-45127 Essen Germany St Gallen Univ Teacher Educ Muller Friedbergstr 34 CH-9400 Rorschach Switzerland

Previous studies on virtual reality (VR)-enriched learning pointed out the advantages of immersive learning for the development of competencies. In the context of vocational education in vehicle painting, training opportunities are severely limited for many reasons. VR can be utilized to develop a comprehensive learning environment with authentic training tasks. Besides the need to train psychomotor skills, vehicle painting procedures are complex tasks requiring incremental training to develop knowledge, skills, and attitudes. This study aims to evaluate a VR training application for vehicle painting, focusing on the development of professional competencies regarding skills, knowledge, and attitudes. 47 apprentices participated in the evaluation study. A VR-simulated painting booth was developed based on the 4 C/ID model by van Merrienboer, where they dealt with typical painting jobs on 3D workpieces (e.g., car wings, engine hood). Within the descriptive-inferential study, no significant differences between the types of competencies were revealed. The training application supports the acquisition of skills, knowledge, and attitudes equally. Further results regarding usability, cognitive load, etc., are promising. The essential finding of this study is that the VR training application is generally suitable for supporting craftsmanship within the field of vehicle painting. Since training opportunities for apprentices in this context are often rare, VR offers a unique solution especially for skills training if it follows a proven instructional model for the development of competencies.

关键词： virtual reality 4C ID model Competence development Skills acquisition Vocational education Apprenticeship training

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virtual reality Planning of Microvascular Decompression in Trigeminal Neuralgia: Technique and Clinical Outcome

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JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY 2024年第6期85卷 585-593页

作者： Fabrig, Oliver Dietmar Serra, Carlo Kockro, Ralf Alfons Hirslanden Hosp Ctr MicroNeurosurg Dept Neurosurg Zurich Switzerland Univ Hosp Zurich Dept Neurosurg Zurich Switzerland Hirslanden Hosp Ctr MicroNeurosurg Dept Neurosurg Witellikerstr 40 CH-8032 Zurich Switzerland

Background A neurovascular conflict (NVC) is considered the cause of trigeminal neuralgia (TN) in 75% of cases, and if so, a microvascular decompression (MVD) can lead to significant pain relief. A reliable preoperative detection of NVC is essential for clinical decision-making and surgical planning, making detailed neuroradiologic imaging an important component. We present our experiences and clinical outcomes with preoperative planning of the MVD procedure in a virtual reality (VR) environment, based on magnetic resonance imaging (MRI) including magnetic resonance angiography (MRA) and magnetic resonance venography (MRV) sequences. Methods We analyzed the data of 30 consecutive MVDs in patients treated for TN, in a retrospective single-surgeon (R.A. Kockro) study. Out of the 30 cases, 26 were included. Preoperatively, MRA/MRV and MRI series were fused and three dimensionally reconstructed in a VR environment. All critical structures such as the trigeminal nerve as well as the arteries and veins of the cerebellopontine angle, the brainstem, the neighboring cranial nerves, and the transverse and sigmoid sinus were segmented. The NVC was visualized and a simulation of a retrosigmoid approach, with varying trajectories, to the NVC was performed. The intraoperative findings were then compared with the data of the simulation. The clinical outcome was assessed by a detailed review of medical reports, and follow-up-interviews were conducted in all available patients (20/26). Results The VR planning was well integrated into the clinical workflow, and imaging processing time was 30 to 40 minutes. There was a sole arterial conflict in 13 patients, a venous conflict in 4 patients, and a combined arteriovenous conflict in 9 patients. The preoperative simulations provided a precise visualization of the anatomical relationships of the offending vessels and the trigeminal nerves as well as the surrounding structures. For each case, the approach along the most suitable surgical co

关键词： Dextroscope microvascular decompression trigeminal neuralgia virtual reality

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virtual reality in tourism: The impact of virtual experiences and destination image on the travel intention

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RESULTS IN ENGINEERING 2024年 24卷

作者： Kieanwatana, Komsit Vongvit, Rattawut Srinakharinwirot Univ Fac Environm Culture & Ecotourism 114 Sukhumvit 23 Bangkok 10110 Thailand Srinakharinwirot Univ Fac Engn Dept Ind Engn 63 Mu 7Rangsit Nakhon Nayok Rd Nakhon Nayok 26120 Thailand

This research focuses on the growing significance of virtual reality (VR) in the tourism industry. The COVID-19 pandemic significantly disrupted Thailand's tourism sector, reducing foreign tourist arrivals and challenging traditional tourism models. However, this crisis created opportunities for technological innovation, particularly VR, which has the potential to enhance travel intention by offering immersive, virtual experiences that promote destination appeal and accessibility, even to those unable to travel physically. The study aimed to explore the relationships between virtual experiences, destination images, and travel intention by examining the positive impact of VR on travelers' decision-making processes. The data analysis was conducted using PLS-SEM. This study employed a well-structured research model featuring an instrument with 36 items distributed across 12 constructs to validate the hypotheses. The survey, conducted and collected via Google Forms, involved 400 participants. The analysis outcomes supported 17 of the 20 hypotheses. The R 2 values of 0.728, 0.959, and 0.704 of the variances in travel intention, virtual experience, and destination image, respectively, demonstrate strong predictive power for each variable. The study suggests strong evidence for these specific associations in the context of virtual experiences, destination images, and their influence on travel intention. This study reveals that virtual experiences and destination images significantly enhance travel intention, highlighting VR's potential as a powerful tool for destination marketing. The findings underscore the importance of accessible information, high- quality content, novelty, and sensory stimulation in creating immersive virtual experiences and the role of recognition in fostering a favorable destination image, though the effects of safety and recognition warrant further investigation.

关键词： Travel intention virtual reality virtual experience Destination image Technology acceptance Structural equation modeling

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virtual reality Combined With Psychoeducation to Improve Emotional Well-Being in Informal Caregivers of Alzheimer's Disease Patients: Rationale and Study Design of a Randomized Controlled Trial

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INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY 2024年第9期39卷 e6145页

作者： Festari, Cristina Bonomini, Cristina Rosini, Sandra Gattuso, Maria Solorzano, Claudio Singh Zanetti, Orazio Corbo, Daniele Agnelli, Giancarlo Quattrini, Giulia Ferrari, Clarissa Gasparotti, Roberto Pievani, Michela Morganti, Francesca IRCCS Ist Ctr San Giovanni di Dio Fatebenefratelli Lab Alzheimers Neuroimaging & Epidemiol Brescia Italy IRCCS Ist Ctr San Giovanni di Dio Fatebenefratelli Alzheimer Unit Brescia Italy Univ Bergamo Dept Human & Social Sci Bergamo Italy Univ Brescia Dept Med Surg Specialties Radiol Sci & Publ Hlth Brescia Italy Univ Milan Dept Phys Milan Italy Fdn Poliambulanza Ist Osped Res & Clin Trials Off Brescia Italy Univ Bergamo CHL Ctr Hlth Longev Bergamo Italy

Objectives Care for community-dwelling people with dementia is frequently delegated to relatives, who find themselves in the role of informal caregivers with no practical management knowledge. This situation exposes caregivers to increased risk for emotional wellbeing. The current study aims to test whether the integration of the efficacy of an immersive virtual reality (VR) experience into an online psychoeducational program impacts caregiver empathy and therefore emotional wellbeing. Methods One-hundred informal caregivers of mild-to-moderate Alzheimer's disease (AD) patients will be enrolled and randomly assigned to (i) an online psychoeducational program (control arm);or (ii) an online psychoeducational program integrated with VR (experimental arm). VR will consist of 360-degree videos involving the caregivers to an immersive experience of dementia symptoms from the patient's perspective. Before, after the intervention and after 2 months, all participants will complete validated clinical scales for caregiver burden and anxiety (primary outcomes) and sense of competence and dispositional empathy (secondary outcomes). A subsample of 50 participants will also undergo MRI exam, including structural and functional (resting-state and task-functional MRI [fMRI]) sequences. The fMRI task paradigm will use emotional stimuli to evaluate the neural correlate of empathy, by stressing its cognitive and affective components. The main outcome will be the change in the clinical assessment;the secondary outcome will be the change in brain connectivity of networks subserving the empathic and emotional functioning. Results We expect that the psychoeducational program will decrease anxiety and stress, enabling caregivers to perceive themselves capable of managing AD patients at home, educating them on symptom handling and boosting their cognitive empathy. In the experimental intervention, the VR-based experience will act as an add-on to psychoeducation, leading to greater improveme

关键词： Alzheimer's disease caregiver burden e-health empathy functional connectivity informal caregiver virtual reality

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virtual reality and Active Video Game Integration within an Intensive Bimanual Therapy Program for Children with Hemiplegia

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PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS 2024年第3期44卷 410-426页

作者： Ferron, Audrey Robert, Maxime T. Fortin, William Bau, Odette Cardinal, Marie-Claude Desgagne, Julie Saussez, Geoffroy Bleyenheuft, Yannick Levac, Danielle Ctr Hosp Univ Sainte Justine Res Ctr Montreal PQ Canada Univ Laval Fac Med Quebec City PQ Canada Ctr Hosp Univ Sainte Justine Marie Enfant Rehabil Ctr Montreal PQ Canada Catholic Univ Louvain Inst Neurosci Louvain Belgium Univ Montreal Fac Med Montreal PQ Canada Ctr Hosp Univ Sainte Justine Res Ctr 5095 Garnier St Montreal PQ H3T 1C5 Canada

Aims: To describe the nature of custom and non-custom virtual reality and active video game (VR/AVG) implementation within a Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention program for children with ***: Six children aged 8-11 years participated in a 10-day HABIT-ILE intervention (65 h;6.5 planned VR/AVG hours). VR/AVG implementation details were recorded daily and summarized with descriptive statistics;active motor engagement was quantified as minutes of active game participation. Post-intervention interviews with interventionists were analyzed with qualitative content ***: On average, participants received 79% of the planned VR/AVG dosage (314/400 planned minutes, range 214-400 min), of which the per-session active motor engagement average was 68% (27 min, SD 12 min). Participation involved equivalent amounts of custom (49%) and non-custom (51%) VR/AVG system use. Material and verbal adaptations facilitated alignment with HABIT-ILE principles. Interventionists identified type of task (gross versus fine motor), children's perceived motivation, and VR/AVG attributes as factors influencing active motor engagement and alignment with HABIT-ILE ***: Describing individual and technological challenges of VR/AVG integration within HABIT-ILE can advance knowledge about VR/AVG use in intensive interventions and identify directions for subsequent research.

关键词： Active video game bimanual therapy cerebral palsy hemiplegia virtual reality

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virtual reality-based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study

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HEALTHCARE TECHNOLOGY LETTERS 2024年第6期11卷 418-426页

作者： Harirpoush, Arash Rakovich, George Kersten-Oertel, Marta Xiao, Yiming Concordia Univ Dept Comp Sci & Software Engn Quebec City PQ Canada Univ Montreal Maisonneuve Rosemont Hosp Quebec City PQ Canada Concordia Univ Sch Hlth Quebec City PQ Canada

Video-assisted thoracic surgery (VATS) is a minimally invasive approach for treating early-stage non-small-cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient-specific anatomy for trocar placement, potentially leading to sub-optimal surgical plans that increase operative time and fatigue. To address this, the authors present the first virtual reality (VR)-based pre-operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In the preliminary study, the system's application in right upper lung lobectomy is demonstrated, a common thoracic procedure typically using three trocars. A preliminary user study of the system indicates it is efficient, robust, and user-friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.

关键词： lung surgery virtual reality

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