Exergaming for dementia and mild cognitive impairment

Voinescu, Alexandra; Papaioannou, Themis; Petrini, Karin; Fraser, Danaë Stanton

doi:10.1002/14651858.cd013853

Cited by 3 publications

(4 citation statements)

References 101 publications

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“…Exergames. These are video games that promote (either via using or requiring) players' physical movements (exertion) that is generally more than sedentary and includes strength, balance, and flexibility activities [97]. Examples of studies that used this type of training are [74,82,83].…”

Section: Moderators Of Vr Efficacymentioning

confidence: 99%

Efficacy and Moderators of Virtual Reality for Cognitive Training in People with Dementia and Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Papaioannou

Voinescu

Petrini

et al. 2022

JAD

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Background: Mild cognitive impairment (MCI) and dementia result in cognitive decline which can negatively impact everyday functional abilities and quality of life. Virtual reality (VR) interventions could benefit the cognitive abilities of people with MCI and dementia, but evidence is inconclusive. Objective: To investigate the efficacy of VR training on global and domain-specific cognition, activities of daily living and quality of life. To explore the influence of priori moderators (e.g., immersion type, training type) on the effects of VR training. Adverse effects of VR training were also considered. Methods: A systematic literature search was conducted on all major databases for randomized control trial studies. Two separate meta-analyses were performed on studies with people with MCI and dementia. Results: Sixteen studies with people with MCI and four studies with people with dementia were included in each meta-analysis. Results showed moderate to large effects of VR training on global cognition, attention, memory, and construction and motor performance in people with MCI. Immersion and training type were found to be significant moderators of the effect of VR training on global cognition. For people with dementia, results showed moderate to large improvements after VR training on global cognition, memory, and executive function, but a subgroup analysis was not possible. Conclusion: Our findings suggest that VR training is an effective treatment for both people with MCI and dementia. These results contribute to the establishment of practical guidelines for VR interventions for patients with cognitive decline.

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Section: Moderators Of Vr Efficacymentioning

confidence: 99%

Efficacy and Moderators of Virtual Reality for Cognitive Training in People with Dementia and Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Papaioannou

Voinescu

Petrini

et al. 2022

JAD

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“…These are major healthcare data bases with an excellent cover of VR and ADHD interventions literature which were used in similar studies (e.g. Bahar‐Fuchs et al 2019 ; Voinescu et al 2021a ). At full-text screening, the list of references of the records was screened independently by two researchers (NC and AV) to detect any other relevant studies that did not appear in the initial database search.…”

Section: Methodsmentioning

confidence: 99%

“…The type of control group can be a significant moderator as in the medical literature type of control group may produce different effects on the outcomes and is analysed accordingly (e.g. Bahar‐Fuchs et al 2019 ; Voinescu et al 2021a ). For example, in the VR literature, Fodor et al ( 2018 ) identified that type of control group was a significant moderator of effect size in a previous meta-analysis investigating the effectiveness of VR interventions on the severity of anxiety and depression (Fodor et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Immersive virtual reality for improving cognitive deficits in children with ADHD: a systematic review and meta-analysis

2023

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Virtual reality (VR) shows great potential in treating and managing various mental health conditions. This includes using VR for training or rehabilitation purposes. For example, VR is being used to improve cognitive functioning (e.g. attention) among children with attention/deficit-hyperactivity disorder (ADHD). The aim of the current review and meta-analysis is to evaluate the effectiveness of immersive VR-based interventions for improving cognitive deficits in children with ADHD, to investigate potential moderators of the effect size and assess treatment adherence and safety. The meta-analysis included seven randomised controlled trials (RCTs) of children with ADHD comparing immersive VR-based interventions with controls (e.g. waiting list, medication, psychotherapy, cognitive training, neurofeedback and hemoencephalographic biofeedback) on measures of cognition. Results indicated large effect sizes in favour of VR-based interventions on outcomes of global cognitive functioning, attention, and memory. Neither intervention length nor participant age moderated the effect size of global cognitive functioning. Control group type (active vs passive control group), ADHD diagnostic status (formal vs. informal) and novelty of VR technology were not significant moderators of the effect size of global cognitive functioning. Treatment adherence was similar across groups and there were no adverse effects. Results should be cautiously interpreted given the poor quality of included studies and small sample.

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“…There were no baseline differences between intervention groups (see Table 1) to suggest a problem with the randomisation process. As in other VR-based studies, blinding of participants and personnel was not possible (Voinescu et al, 2021); however, participants were blinded to study aim. Because this was a one-session procedure and in line with our University regulations in response to Covid-19 in order to minimise the spread of infections we were not allowed to use two experimenters for one session to interact with the participant and this is why the same experimenter administered the tasks and performed all the assessments.…”

Section: Stress Testmentioning

confidence: 99%

Immersive virtual reality or computerised mindfulness meditation for improving mood? Preliminary efficacy from a pilot randomised trial

Poetar,

Bradley,

Voinescu

2023

Front. Psychol.

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IntroductionMindfulness interventions are effective in improving mood, reducing stress, and increasing quality of life. New developments in technology bring important channels to deliver mindfulness interventions that can increase accessibility, such as the Internet, computerised interventions, mobile apps and recently, virtual reality (VR). The aim of the present study is to enhance our current understanding of the use of VR in mindfulness, namely we examined in a pilot randomised trial the efficacy of an immersive VR-based mindfulness approach compared to an active control (computerised-based mindfulness meditation) on improving mood. A secondary objective was to examine whether VR use resulted in simulator sickness which could affect user engagement.MethodsForty-seven (Mage = 29.22 years) healthy participants were randomly assigned to the experimental or control group.ResultsA mixed 2X3 ANOVA showed a significant Time effect. Namely, negative emotions were reduced in both groups, with non-significant differences between groups. For positive emotions, on the other hand, our results showed no significant impact. Simulator sickness in VR was not present, according to t-test, making VR a safe delivery method.DiscussionFuture research should investigate VR dosage and combine VR with other interventions (e.g., blended with face-to-face mindfulness interventions, with Internet-delivered interventions).

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Exergaming for dementia and mild cognitive impairment

Abstract: To assess the e ects of exergame applications on physical and cognitive outcomes, and activities of daily living (ADL), in people with dementia and mild cognitive impairment (MCI).

Cited by 3 publications

References 101 publications

Efficacy and Moderators of Virtual Reality for Cognitive Training in People with Dementia and Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Efficacy and Moderators of Virtual Reality for Cognitive Training in People with Dementia and Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Immersive virtual reality for improving cognitive deficits in children with ADHD: a systematic review and meta-analysis

Immersive virtual reality or computerised mindfulness meditation for improving mood? Preliminary efficacy from a pilot randomised trial

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