School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
Hunter New England Population Health, Hunter New England Local Health District, Wallsend, NSW 2287, Australia.
Int J Environ Res Public Health. 2022 Aug 30;19(17):10821. doi: 10.3390/ijerph191710821.
To our knowledge, no systematic reviews have examined the effectiveness of virtual reality (VR) interventions across all smoking, nutrition, alcohol, physical activity, and/or obesity (SNAPO) risk factors. This systematic review assessed the effectiveness of VR interventions on reducing SNAPO risks compared to control groups or other interventions. MEDLINE, EMBASE, Scopus, PsycINFO, and CENTRAL were searched to identify eligible studies published to 7 October 2021. Two reviewers independently completed screening, data extraction and quality assessment. Twenty-six studies were included, five on smoking, twelve on physical activity (PA), six on obesity, one on PA and obesity, one on obesity and nutrition, and one on obesity, nutrition and PA. VR was effective for smoking cessation in three studies and for smoking reduction in four studies. Seven studies had significantly higher PA in the VR group, and one study found significantly higher PA in a comparator group. Two studies showed VR was more effective at reducing BMI or weight than comparators. Three multiple health risks studies showed mixed results. The remaining studies found no significant difference between VR and control/comparators. VR appears promising for the treatment of smoking, nutrition, PA, and obesity risks; however, further randomised trials are needed.
据我们所知，尚无系统评价研究过虚拟现实 (VR) 干预措施在所有吸烟、营养、酒精、身体活动和/或肥胖 (SNAPO) 风险因素方面的有效性。本系统评价评估了与对照组或其他干预措施相比，VR 干预措施在降低 SNAPO 风险方面的有效性。截至 2021 年 10 月 7 日，检索了 MEDLINE、EMBASE、Scopus、PsycINFO 和 CENTRAL 以确定符合条件的研究。两名评审员独立完成筛选、数据提取和质量评估。共纳入 26 项研究，其中 5 项关于吸烟，12 项关于身体活动 (PA)，6 项关于肥胖，1 项关于 PA 和肥胖，1 项关于肥胖、营养和 PA，1 项关于肥胖、营养和 PA。三项研究表明 VR 对戒烟有效，四项研究表明 VR 对减少吸烟量有效。有 7 项研究表明 VR 组的 PA 显著更高，有 1 项研究发现对照组的 PA 显著更高。两项研究表明 VR 在降低 BMI 或体重方面比对照组更有效。三项多健康风险研究结果不一。其余研究发现 VR 与对照组/比较组之间无显著差异。VR 似乎有望用于治疗吸烟、营养、PA 和肥胖风险；然而，还需要更多的随机试验。
