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评估与恢复阿尔茨海默病:使用数字叙事对标准神经心理学方法和虚拟现实干预措施的比较分析

Assessing and recovering Alzheimer's disease: a comparative analysis of standard neuropsychological approaches and virtual reality interventions with the use of digital storytelling.

作者信息

Stasolla Fabrizio, Di Gioia Mariacarla, Messina Irene, Treglia Francesco, Passaro Anna, Zullo Antonio, Dragone Mirella

机构信息

Faculty of Law, Giustino Fortunato University, Benevento, Italy.

Universitas Mercatorum, Rome, Italy.

出版信息

Front Psychol. 2024 Jul 24;15:1406167. doi: 10.3389/fpsyg.2024.1406167. eCollection 2024.

Abstract

BACKGROUND

Alzheimer's disease (AD), the most common form of dementia, is a progressive neurodegenerative disorder that predominantly affects the elderly population. Traditional assessment methods, including neuropsychological tests like the MMSE, have been the cornerstone of AD diagnosis for decades. These methods are grounded in a wealth of research and clinical experience, providing a robust framework for understanding the cognitive deficits of AD. The evolution of AD assessment and rehabilitation has recently been tackled with the introduction of Virtual Reality (VR) technologies.

OBJECTIVES

To evaluate the use of storytelling and reminiscence therapy in virtual reality programs as a complementary and enhancing modality alongside standard assessment and rehabilitation for Alzheimer's patients. To explore how regular interaction with VR narratives can slow cognitive decline or improve relevant features of cognitive functioning over the time. To propose a new assessment and rehabilitative tool based on the use of VR and digital storytelling.

METHOD

A comparative analysis of Standard Neuropsychological Approaches and Virtual Reality Interventions in patients with Alzheimer disorder was carried out. A literature overview on the empirical studies between 2019 and 2024 was conducted.

RESULTS

We propose a new VR-based setup mediated by the use of storytelling for the assessment and recovery of AD.

CONCLUSION

The employment of storytelling within VR programs for the assessment and rehabilitation of Alzheimer's disease can positively impact both the cognitive and emotional realms of patients, with beneficial outcomes on caregivers' and families' burden. The successful implementation of this approach requires careful consideration of accessibility, data interpretation, and standard validation protocols.

摘要

背景

阿尔茨海默病(AD)是最常见的痴呆形式,是一种主要影响老年人群的进行性神经退行性疾病。传统评估方法,包括像简易精神状态检查表(MMSE)这样的神经心理学测试,几十年来一直是AD诊断的基石。这些方法基于大量研究和临床经验,为理解AD的认知缺陷提供了一个强大的框架。最近,随着虚拟现实(VR)技术的引入,AD评估和康复领域有了新进展。

目的

评估虚拟现实项目中叙事和回忆疗法作为阿尔茨海默病患者标准评估和康复辅助及强化方式的应用。探究随着时间推移,与VR叙事的定期互动如何减缓认知衰退或改善认知功能的相关特征。基于VR和数字叙事的使用提出一种新的评估和康复工具。

方法

对阿尔茨海默病患者的标准神经心理学方法和虚拟现实干预进行了比较分析。对2019年至2024年的实证研究进行了文献综述。

结果

我们提出一种基于VR的新设置,通过叙事来辅助AD的评估和康复。

结论

在VR项目中采用叙事进行阿尔茨海默病的评估和康复,可对患者的认知和情感领域产生积极影响,减轻护理人员和家庭的负担。成功实施这种方法需要仔细考虑可及性、数据解读和标准验证方案。

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