Fully immersive virtual reality-based cognitive remediation for adults with psychosocial disabilities: a systematic scoping review of methods intervention gaps and meta-analysis of published effectiveness studies
Please always quote using this URN: urn:nbn:de:bvb:20-opus-304948
- Background: Cognitive Remediation (CR) programs are effective for the treatment of mental diseases; in recent years, Virtual Reality (VR) rehabilitation tools are increasingly used. This study aimed to systematically review and meta-analyze the published randomized controlled trials that used fully immersive VR tools for CR programs in psychiatric rehabilitation. We also wanted to map currently published CR/VR interventions, their methods components, and their evidence base, including the framework of the development intervention of CR in fullyBackground: Cognitive Remediation (CR) programs are effective for the treatment of mental diseases; in recent years, Virtual Reality (VR) rehabilitation tools are increasingly used. This study aimed to systematically review and meta-analyze the published randomized controlled trials that used fully immersive VR tools for CR programs in psychiatric rehabilitation. We also wanted to map currently published CR/VR interventions, their methods components, and their evidence base, including the framework of the development intervention of CR in fully immersive VR. Methods: Level 1 of evidence. This study followed the PRISMA extension for Scoping Reviews and Systematic Review. Three electronic databases (Pubmed, Cochrane Library, Embase) were systematically searched, and studies were included if they met the eligibility criteria: only randomized clinical trials, only studies with fully immersive VR, and only CR for the adult population with mental disorders. Results: We found 4905 (database) plus 7 (manual/citation searching articles) eligible studies. According to inclusion criteria, 11 studies were finally reviewed. Of these, nine included patients with mild cognitive impairment, one with schizophrenia, and one with mild dementia. Most studies used an ecological scenario, with improvement across all cognitive domains. Although eight studies showed significant efficacy of CR/VR, the interventions’ development was poorly described, and few details were given on the interventions’ components. Conclusions: Although CR/VR seems to be effective in clinical and feasibility outcomes, the interventions and their components are not clearly described. This limits the understanding of the effectiveness and undermines their real-world implementation and the establishment of a gold standard for fully immersive VR/CR.…
Author: | Alessandra Perra, Chiara Laura Riccardo, Valerio De Lorenzo, Erika De Marco, Lorenzo Di Natale, Peter Konstantin Kurotschka, Antonio Preti, Mauro Giovanni Carta |
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URN: | urn:nbn:de:bvb:20-opus-304948 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Institut für Allgemeinmedizin |
Language: | English |
Parent Title (English): | International Journal of Environmental Research and Public Health |
ISSN: | 1660-4601 |
Year of Completion: | 2023 |
Volume: | 20 |
Issue: | 2 |
Article Number: | 1527 |
Source: | International Journal of Environmental Research and Public Health (2023) 20:2, 1527. https://doi.org/10.3390/ijerph20021527 |
DOI: | https://doi.org/10.3390/ijerph20021527 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Tag: | cognitive remediation; mental health; psychiatric rehabilitation; recovery; virtual reality |
Release Date: | 2024/01/25 |
Date of first Publication: | 2023/01/14 |
Licence (German): | CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International |