Saryazdi Raheleh, Appel Lora, Lewis-Fung Samantha, Carsault Lou-Anne, Qi Di, Garcia-Giler Eduardo, Campos Jennifer L
Psychology, Trent University Durham, Oshawa, Ontario, Canada
KITE, University Health Network, Toronto, Ontario, Canada.
BMJ Open. 2024 Dec 20;14(12):e085442. doi: 10.1136/bmjopen-2024-085442.
Virtual reality (VR) technology is increasingly used by researchers and healthcare professionals as a therapeutic intervention to improve the quality of life of persons living with dementia (PLwD). However, most VR interventions to date have mainly been explored in long-term or community care settings, with fewer being explored at home. Setting is important, given that the majority of PLwD live at home and are cared for by their family care partners. One of the challenges affecting PLwD and care partner relationships is barriers in communication, which can lead to social isolation and poor quality of life for both parties. Thus, the goal of the proposed project is to explore whether an immersive, multisensory VR intervention can facilitate communication between PLwD and their care partners and, in turn, enhance personal relationships and improve well-being.
Thirty dyads comprised of PLwD and their family/friend care partners will participate in this at-home intervention. Their interactions will be recorded as they experience a series of 360° videos together (eg, concert, travel) either using a VR headset (PLwD) with a paired tablet (care partner) or using only a tablet together. The two conditions will allow us to compare immersive VR technology to more common non-immersive tablet-based technology. The study will begin with at-home training and baseline data collection. The intervention will then take place over a 4-week period, with the two conditions (VR vs tablet-only) experienced 2 weeks each. A comprehensive set of measures will be employed to assess the quality and quantity of dyadic interactions, such as verbal/non-verbal language (eg, informativity, gestures) and self-reported measures of well-being and quality of life.
Ethical approval for the study was granted by the University Health Network (#21-5701). Findings will be shared with all stakeholders through peer-reviewed publications and presentations.
This study has been registered on clinicaltrials.gov (NCT06568211).
虚拟现实(VR)技术越来越多地被研究人员和医疗保健专业人员用作一种治疗干预手段,以改善痴呆症患者(PLwD)的生活质量。然而,迄今为止,大多数VR干预主要是在长期或社区护理环境中进行探索,在家中进行探索的较少。鉴于大多数PLwD在家中生活并由其家庭护理伙伴照顾,环境很重要。影响PLwD与护理伙伴关系的挑战之一是沟通障碍,这可能导致双方社会隔离和生活质量低下。因此,拟议项目的目标是探索沉浸式多感官VR干预是否可以促进PLwD与其护理伙伴之间的沟通,进而增强人际关系并改善幸福感。
由PLwD及其家庭/朋友护理伙伴组成的30对参与者将参与这项家庭干预。当他们一起体验一系列360°视频(例如音乐会、旅行)时,他们的互动将被记录下来,PLwD使用VR头戴式设备并配有平板电脑(护理伙伴使用),或者两人仅一起使用平板电脑。这两种情况将使我们能够将沉浸式VR技术与更常见的基于平板电脑的非沉浸式技术进行比较。该研究将从家庭培训和基线数据收集开始。然后,干预将在4周内进行,两种情况(VR与仅使用平板电脑)各持续2周。将采用一套全面的措施来评估二元互动的质量和数量,例如言语/非言语语言(例如信息量、手势)以及幸福感和生活质量的自我报告测量。
该研究已获得大学健康网络的伦理批准(#21 - 5701)。研究结果将通过同行评审的出版物和演讲与所有利益相关者分享。
本研究已在clinicaltrials.gov上注册(NCT06568211)。