Wonju College of Nursing, Yonsei University, Wonju, Korea.
College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
J Korean Acad Nurs. 2023 Apr;53(2):177-190. doi: 10.4040/jkan.23003.
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.
本研究旨在评估使用虚拟现实（VR）的健康干预措施对改善青少年知识、态度和技能以及诱导行为改变的效果。
本研究是一项系统评价和荟萃分析，遵循 PRISMA 指南。我们在数据库创建之初至 2021 年 4 月 10 日期间，检索了 Cochrane、MEDLINE、Embase、CINAHL、Scopus、Web of Science 和韩国数据库。根据异质性，适当使用随机或固定效应模型，以标准化均数差（SMD）和优势比（OR）计算效应大小。如果健康教育使用 VR 对青少年有效，有适当的对照组，并且教育效果以知识、态度、技能或行为变化的形式报告，则选择研究。
本分析包括六项研究（n=1086）。干预组在知识和态度方面的反应更大（SMD=0.57，95%置信区间（CI）[0.12 至 1.02]），与健康行为相关的技能（SMD=-0.45，95%CI[-0.71 至-0.19]），以及 12 个月后的行为改变（OR=2.36，95%CI[1.03 至 5.41]）。
结果证实了使用虚拟现实（VR）的健康干预措施的有效性。尽管分析中包含的研究数量较少，但可以认为使用 VR 的健康干预措施可以作为预防青少年危险行为的教育方法和策略。
