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Integration of Conventional and Virtual Reality Approaches in Augmented Reality for Theory-Based Psychoeducational Intervention Design for Chronic Low Back Pain: Scoping Review.

作者信息

Conen Robin, Mueller Steffen, Tibubos Ana Nanette

机构信息

Department of Nursing Science, Diagnostics in Healthcare and eHealth, Trier University, Trier, Germany.

Department of Computer Science/Therapeutic Science, Trier University of Applied Sciences, Trier, Germany.

出版信息

Interact J Med Res. 2025 Jan 20;14:e59611. doi: 10.2196/59611.


DOI:10.2196/59611
PMID:39832362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11791447/
Abstract

BACKGROUND: Psychoeducation positively influences the psychological components of chronic low back pain (CLBP) in conventional treatments. The digitalization of health care has led to the discussion of virtual reality (VR) interventions. However, CLBP treatments in VR have some limitations due to full immersion. In comparison, augmented reality (AR) supplements the real world with virtual elements involving one's own body sensory perception and can combine conventional and VR approaches. OBJECTIVE: The aim of this study was to review the state of research on the treatment of CLBP through psychoeducation, including immersive technologies, and to formulate suggestions for psychoeducation in AR for CLBP. METHODS: A scoping review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in August 2024 by using Livivo ZB MED, PubMed, Web of Science, American Psychological Association PsycINFO (PsycArticle), and PsyArXiv Preprints databases. A qualitative content analysis of the included studies was conducted based on 4 deductively extracted categories. RESULTS: We included 12 studies published between 2019 and 2024 referring to conventional and VR-based psychoeducation for CLBP treatment, but no study referred to AR. In these studies, educational programs were combined with physiotherapy, encompassing content on pain biology, psychological education, coping strategies, and relaxation techniques. The key outcomes were pain intensity, kinesiophobia, pain catastrophizing, degree of disability, quality of life, well-being, self-efficacy, depression, attrition rate, and user experience. Passive, active, and gamified strategies were used to promote intrinsic motivation from a psychological point of view. Regarding user experience from a software development perspective, user friendliness, operational support, and application challenges were recommended. CONCLUSIONS: For the development of a framework for an AR-based psychoeducational intervention for CLBP, the combination of theories of acceptance and use of technologies with insights from health psychological behavior change theories appears to be of great importance. An example of a theory-based design of a psychoeducation intervention in AR for CLBP is proposed and discussed.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623c/11791447/21de96e95285/ijmr_v14i1e59611_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623c/11791447/02d0f18f0616/ijmr_v14i1e59611_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623c/11791447/21de96e95285/ijmr_v14i1e59611_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623c/11791447/02d0f18f0616/ijmr_v14i1e59611_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623c/11791447/21de96e95285/ijmr_v14i1e59611_fig2.jpg

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Integration of Conventional and Virtual Reality Approaches in Augmented Reality for Theory-Based Psychoeducational Intervention Design for Chronic Low Back Pain: Scoping Review.

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引用本文的文献

[1]
Feasibility and user experience of augmented reality psychoeducation and mindfulness body scan for chronic low back pain.

Front Pain Res (Lausanne). 2025-7-1

本文引用的文献

[1]
Short- and medium-term effects of a single session of pain neuroscience education on pain and psychological factors in patients with chronic low back pain. A single-blind randomized clinical trial.

Eur J Pain. 2024-11

[2]
Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.

Int J Behav Med. 2024-12

[3]
Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial.

PLoS One. 2024

[4]
The contribution and interplay of implicit and explicit processes on physical activity behavior: empirical testing of the physical activity adoption and maintenance (PAAM) model.

BMC Public Health. 2024-5-6

[5]
Virtual Reality-Based Training in Chronic Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

J Med Internet Res. 2024-2-26

[6]
Pain neuroscience education for patients with chronic pain: A scoping review from teaching-learning strategies, educational level, and cultural perspective.

Patient Educ Couns. 2024-6

[7]
A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain.

Ann Med. 2024-12

[8]
Middle-term effects of education programme in chronic low back pain patients to an adherence to physical activity: A randomized controlled trial.

Patient Educ Couns. 2024-2

[9]
Chronic pain education delivered with a virtual reality headset in outpatient physical therapy clinics: a multi-site exploratory trial.

Am J Transl Res. 2023-5-15

[10]
Chronic Low Back Pain: A Narrative Review of Recent International Guidelines for Diagnosis and Conservative Treatment.

J Clin Med. 2023-2-20

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