Immersive Virtual Reality in Health Care: Systematic Review of Technology and Disease States

Background Immersive virtual reality (IVR) presents new possibilities for application in health care. Health care professionals can now immerse their patients in environments to achieve exposure to a specific scene or experience, evoke targeted emotional responses, inspire, or distract from an experience occurring in reality. Objective This review aimed to identify patient-focused applications for head-mounted IVR for acute treatment of health conditions and determine the technical specifications of the systems used. Methods A systematic review was conducted by searching medical and engineering peer-reviewed literature databases in 2018. The databases included PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Association for Computing Machinery, Institute of Electrical and Electronics Engineers, Scopus, and Web of Science. Search terms relating to health and IVR were used. To be included, studies had to investigate the effectiveness of IVR for acute treatment of a specific health condition. IVR was defined as a head-mounted platform that provides virtual and auditory immersion for the participant and includes a minimum of 3 degrees of orientation tracking. Once identified, data were extracted from articles and aggregated in a narrative review format. Results A total of 58 studies were conducted in 19 countries. The studies reported IVR use for 5 main clinical areas: neurological and development (n=10), pain reduction through distraction (n=20), exposure therapy for phobias (n=9), psychological applications (n=14), and others (n=5). Studies were primarily feasibility studies exploring systems and general user acceptance (n=29) and efficacy studies testing clinical effect (n=28). Conclusions IVR has a promising future in health care, both in research and commercial realms. As many of the studies examined are still exploring the feasibility of IVR for acute treatment of health conditions, evidence for the effectiveness of IVR is still developing.

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Barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic drugs: a systematic review

BMC Psychiatry ◽

10.1186/s12888-020-02990-6 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ruba Azfr Ali ◽

Zahraa Jalal ◽

Vibhu Paudyal

Keyword(s):

Mental Health ◽

Systematic Review ◽

Health Care ◽

Physical Health ◽

Health Care Professionals ◽

Educational Interventions ◽

Metabolic Health ◽

Health Conditions ◽

Related Factors ◽

Mental Health Conditions

Abstract Background The use of atypical antipsychotics which currently form the primary choice pharmacotherapy for several mental health conditions have been linked to cardiovascular and metabolic side effects. This systematic review aimed to investigate the barriers to monitoring and management of cardiovascular co-morbidities in patients prescribed antipsychotic medicines. Methods A protocol-led (CRD-42018106002) systematic literature review was conducted by searching Medline, Embase, and PsycINFO databases 2003 until October 2019. Cochrane, Centre for Review and Dissemination (CRD) and PRISMA guidelines were followed. Studies investigating barriers to monitoring and management of cardiovascular co-morbidities in patients prescribed antipsychotic medicines were included. Results A total of 23 records were included. Key barriers included a) health-care system-related factors such as lack of knowledge and expertise amongst care providers, available resources, confusion around remit and roles, fragmentation of care such as across general practitioners and psychiatrists, and time constraints and b) patient-related factors such as disability resulting from mental health conditions, knowledge and skills of the patients. Conclusion Barriers to monitoring and management of cardiovascular and metabolic health of patients taking antipsychotic medicines are multidimensional. Apart from educational interventions directed to both patients and health-care professionals, the results suggest a need for the improvement of wider system-related factors to improve physical health of patients prescribed antipsychotic medicines. Clearer guidelines, clarity of remit and roles amongst service providers are necessary in addition to educational interventions directed at patients and health-care professionals in improving physical health monitoring, counselling and management of patients prescribed antipsychotic medicines. Trial registration A protocol was developed and registered with PROSPERO as per PRISMA-P guidelines (CRD 42018106002).

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The Use of Smartphone Applications (Apps) for Enhancing Communication With Surgical Patients: A Systematic Review of the Literature

Surgical Innovation ◽

10.1177/1553350618819517 ◽

2019 ◽

Vol 26 (2) ◽

pp. 244-259 ◽

Cited By ~ 12

Author(s):

Martha F. I. De La Cruz Monroy ◽

Afshin Mosahebi

Keyword(s):

Systematic Review ◽

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Feasibility Studies ◽

Perioperative Period ◽

Potential Cost ◽

The Impact ◽

Mhealth Apps ◽

The Ideal

Background. The widespread use and development of smartphones and mHealth apps has the potential to overcome communication deficiencies in health care. Objective. To carry out a literature review of studies that evaluate patients’ experience on the use of perioperative mHealth apps. Methods. An up-to-date systematic review on studies assessing patients’ use of mHealth apps for communicating with the health care team in the perioperative period was performed following the PRISMA statement. Results. Ten studies (in 11 articles) were identified: 8 feasibility studies and 2 randomized controlled trials. Nine studies included apps used for postoperative monitoring while 1 study also provided preoperative guidance. Discussion. An analysis of barriers and motivations of patients and health care professionals to the use of perioperative mHealth apps was performed. Barriers included patients’ lack of confidence when using apps and potential lack of time from health care professionals to monitor information submitted by patients. Motivations included patients’ sense of being looked after and potential cost-effectiveness and increased efficiency of health care services. This analysis led to the concept of the “ideal app” that would need to be developed following adequate protocols and security standards. Features of the ideal app include preoperative advice on medications and investigations, information on surgery, and a remote follow-up tool to improve safety and to minimize unnecessary clinic appointments and associated costs. Conclusion. There is an overall positive impression of the use of perioperative mHealth apps. However, further studies are required to assess the impact that they have on patients’ care and healthcare professional services.

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The effectiveness of using non-traditional teaching methods to prepare student health care professionals for the delivery of mental state examination: a systematic review

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2015-2263 ◽

2015 ◽

Vol 13 (7) ◽

pp. 177-212 ◽

Cited By ~ 3

Author(s):

Huiting Xie ◽

Lei Liu ◽

Jia Wang ◽

Kum Eng Joon ◽

Rajni Parasuram ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Mental State ◽

Teaching Methods ◽

Health Care Professionals ◽

Student Health ◽

Traditional Teaching ◽

Traditional Teaching Methods ◽

State Examination

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Correction to: Effectiveness of guideline dissemination and implementation strategies on health care professionals’ behaviour and patient outcomes in the cancer care context: a systematic review

Implementation Science ◽

10.1186/s13012-021-01128-w ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Jennifer R. Tomasone ◽

Kaitlyn D. Kauffeldt ◽

Rushil Chaudhary ◽

Melissa C. Brouwers

Keyword(s):

Systematic Review ◽

Health Care ◽

Patient Outcomes ◽

Health Care Professionals ◽

Cancer Care ◽

Implementation Strategies ◽

Dissemination And Implementation ◽

Guideline Dissemination

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Immersive virtual reality as physical therapy in older adults: present or future (systematic review)

Virtual Reality ◽

10.1007/s10055-020-00495-x ◽

2021 ◽

Author(s):

Pablo Campo-Prieto ◽

José María Cancela ◽

Gustavo Rodríguez-Fuentes

Keyword(s):

Systematic Review ◽

Older Adults ◽

Virtual Reality ◽

Physical Therapy ◽

Immersive Virtual Reality

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Immersive Virtual Reality for Foreign Language Education: A PRISMA Systematic Review

IEEE Access ◽

10.1109/access.2021.3068858 ◽

2021 ◽

Vol 9 ◽

pp. 48952-48962

Author(s):

Bruno Peixoto ◽

Rafael Pinto ◽

Miguel Melo ◽

Luciana Cabral ◽

Maximino Bessa

Keyword(s):

Systematic Review ◽

Virtual Reality ◽

Foreign Language ◽

Language Education ◽

Foreign Language Education ◽

Immersive Virtual Reality

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Breastfeeding Skills Training for Health Care Professionals: A Systematic Review

SSRN Electronic Journal ◽

10.2139/ssrn.3984081 ◽

2021 ◽

Author(s):

Helen Mulcahy ◽

Llyod F. Philpott ◽

Michelle O’Driscoll ◽

Róisín Bradley ◽

Patricia Leahy-Warren

Keyword(s):

Systematic Review ◽

Health Care ◽

Health Care Professionals ◽

Skills Training

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Travel, Pilgrimage and Health Hazards

JMS SKIMS ◽

10.33883/jms.v15i2.139 ◽

2012 ◽

Vol 15 (2) ◽

pp. 87-90

Author(s):

Shariq Rashid Masoodi

Keyword(s):

Health Care ◽

Health Care Professionals ◽

The Elderly ◽

Health Hazards ◽

Health Conditions ◽

Anticipatory Guidance ◽

Health Issues ◽

Preventative Measures ◽

Safety And Health ◽

Potential Risks

Today more people are travelling than ever before. Travel uWith more people travelling, health care professionals should become more familiar with some of the unique health issues associated with travel and pilgrimage.Travel has some unique safety and health issues, especially for the young and the elderly. Physicians need to be aware of the health issues related to travelling, identify people at risk for health problems during travel, and provide appropriate anticipatory guidance. Many guidelines have been developed to help inform physicians about some of the health issues of people travelling. These guidelines are to provide information on the risks of travel to people, determine which pre-existing health conditions may be complicated by a particular mode of travel, and offer preventative measures that can minimize potential risks to people during the travel. sed to be a leisure which could only be afforded by a few.... JMS 2012;15(2):87-90

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Current Evidence for Continuous Vital Signs Monitoring by Wearable Wireless Devices in Hospitalized Adults: Systematic Review

Journal of Medical Internet Research ◽

10.2196/18636 ◽

2020 ◽

Vol 22 (6) ◽

pp. e18636 ◽

Cited By ~ 4

Author(s):

Jobbe P L Leenen ◽

Crista Leerentveld ◽

Joris D van Dijk ◽

Henderik L van Westreenen ◽

Lisette Schoonhoven ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Clinical Outcomes ◽

Health Care Professionals ◽

Continuous Monitoring ◽

Vital Signs ◽

Current Evidence ◽

Cochrane Central Register ◽

Wireless Devices

Background Continuous monitoring of vital signs by using wearable wireless devices may allow for timely detection of clinical deterioration in patients in general wards in comparison to detection by standard intermittent vital signs measurements. A large number of studies on many different wearable devices have been reported in recent years, but a systematic review is not yet available to date. Objective The aim of this study was to provide a systematic review for health care professionals regarding the current evidence about the validation, feasibility, clinical outcomes, and costs of wearable wireless devices for continuous monitoring of vital signs. Methods A systematic and comprehensive search was performed using PubMed/MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials from January 2009 to September 2019 for studies that evaluated wearable wireless devices for continuous monitoring of vital signs in adults. Outcomes were structured by validation, feasibility, clinical outcomes, and costs. Risk of bias was determined by using the Mixed Methods Appraisal Tool, quality assessment of diagnostic accuracy studies 2nd edition, or quality of health economic studies tool. Results In this review, 27 studies evaluating 13 different wearable wireless devices were included. These studies predominantly evaluated the validation or the feasibility outcomes of these devices. Only a few studies reported the clinical outcomes with these devices and they did not report a significantly better clinical outcome than the standard tools used for measuring vital signs. Cost outcomes were not reported in any study. The quality of the included studies was predominantly rated as low or moderate. Conclusions Wearable wireless continuous monitoring devices are mostly still in the clinical validation and feasibility testing phases. To date, there are no high quality large well-controlled studies of wearable wireless devices available that show a significant clinical benefit or cost-effectiveness. Such studies are needed to help health care professionals and administrators in their decision making regarding implementation of these devices on a large scale in clinical practice or in-home monitoring.

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