ABSTRACT
Many people with dementia (PWD) residing in long-term care may face barriers in accessing experiences beyond their physical premises; this may be due to location, mobility constraints, legal mental health act restrictions, or offence-related restrictions. In recent years, there have been research interests towards designing non-pharmacological interventions aiming to improve the Quality of Life (QoL) for PWD within long-term care. We explored the use of Virtual Reality (VR) as a tool to provide 360°-video based experiences for individuals with moderate to severe dementia residing in a locked psychiatric hospital. We discuss at depth the appeal of using VR for PWD, and the observed impact of such interaction. We also present the design opportunities, pitfalls, and recommendations for future deployment in healthcare services. This paper demonstrates the potential of VR as a virtual alternative to experiences that may be difficult to reach for PWD residing within locked setting.
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- R. A. Kane, "Long-Term Care and a Good Quality of Life," The Gerontologist, vol. 41, pp. 293--304, 2001.Google ScholarCross Ref
- C. Nieuwenhuizen and H. Nijman, "Qualify of Life of Forensic Psychiatric Inpatients," International Journal of Forensic Mental Health, vol. 8, pp. 9--15, 2009.Google ScholarCross Ref
- L. Chenoweth, M. T. King, Y.-H. Jeon, H. Brodaty, J. Stein-Parbury, R. Norman, M. Haas and G. Luscombe, "Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementiacare mapping, and usual care in dementia: a cluster-randomised trial," The Lancet Neurology, vol. 8, pp. 317--325, 2009.Google ScholarCross Ref
- J. A. Anguera, J. Boccanfuso, J. L. Rintoul, O. Al-Hashimi, F. Faraji, J. Janowich, E. Kong, Y. Larraburo, C. Rolle and E. e. a. Johnston, "Video game training enhances cognitive control in older adults," Nature, vol. 501, pp. 97--101, 2013.Google ScholarCross Ref
- V. Manera, P.-D. Petit, A. Derreumaux, I. Orvieto, M. Romagnoli, G. Lyttle, R. David and P. H. Robert, "_Kitchen and cooking,_ a serious game for mild cognitive impairment and Alzheimer_s disease: a pilot study," Frontiers in Aging Neuroscience, vol. 7, 2015.Google Scholar
- A. J. Bharucha, V. Anand, J. Forlizzi, M. A. Dew, C. F. Reynolds, S. Stevens and H. Wactlar, "Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges," The American Journal of Geriatric Psychiatry, vol. 17, pp. 88--104, 2009.Google ScholarCross Ref
- A. Bankole, M. Anderson, T. Smith-Jackson, A. Knight, K. Oh, J. Brantley, A. Barth and J. Lach, "Validation of Noninvasive Body Sensor Network Technology in the Detection of Agitation in Dementia," American Journal of Alzheimer's Disease & Other Dementiasr, vol. 27, pp. 346--354, 2012.Google ScholarCross Ref
- H. Jimison, M. Pavel, J. McKanna and J. Pavel, "Unobtrusive Monitoring of Computer Interactions to Detect Cognitive Status in Elders," IEEE Transactions on Information Technology in Biomedicine, vol. 8, pp. 248--252, 2004. Google ScholarDigital Library
- N. Kuwahara, S. Abe, K. Yasuda and K. Kuwabara, "Networked Reminiscence Therapy for Individuals with Dementia by using Photo and Video Sharing," Proceedings of the 8th international ACM SIGACCESS conference on Computers and accessibility, pp. 125--132, 2006. Google ScholarDigital Library
- G. Gowans, J. Campbell, N. Alm, R. Dye, A. Astell and M. Ellis, "Designing a Multimedia Conversation Aid for Reminiscence Therapy in Dementia Care Environments," Designing a multimedia conversation aid for reminiscence therapy in dementia care environments, vol. CHI '04 Extended Abstracts on Human Factors in Computing Systems, pp. 825--836, 2004. Google ScholarDigital Library
- B. Kikhia, J. Hallberg, J. E. Bengtsson, S. Savenstedt and K. Synnes, "Building digital life stories for memory support," International Journal of Computers in Healthcare, vol. 1, p. 161, 2010. Google ScholarDigital Library
- K. K. Zakzanis, G. Quintin, S. J. Graham and R. Mraz, "Age and dementia related differences in spatial navigation within an immersive virtual environment," Medical Science Monitor, vol. 15, pp. 140--150, 2009.Google Scholar
- T. Yamaguchi, D. A. Foloppe, P. Richard, E. Richard and P. Allain, "A Dual-Modal Virtual Reality Kitchen for (Re)Learning of Everyday Cooking Activities in Alzheimer's Disease," Presence: Teleoperators and Virtual Environments, vol. 21, pp. 43--57, 2012. Google ScholarDigital Library
- D. Sonntag, "Kognit: Intelligent Cognitive Enhancement Technology by Cognitive Models and Mixed Reality for Dementia Patients," Cognitive Assistance in Government Papers from the AAAI 2015 Fall Symposium, 2015.Google Scholar
- L. A. Cushman, K. Stein and C. J. Duffy, "Detecting navigational deficits in cognitive aging and Alzheimer disease using virtual reality," Neurology, vol. 71, pp. 888--895, 2008.Google ScholarCross Ref
- M. Prince, M. Knapp, M. Guerchet, P. McCrone, M. Prina, A. ComasHerrera, R. Wittenberg, B. Adelaja, B. Hu and D. e. a. King, "Dementia UK: update," Alzheimer_s Society, 2014.Google Scholar
- M. Prince, A. Wimo, M. Guerchet,. G.-C. Ali, Y.-T. Wu and M. Prina, "World Alzheimer Report 2015: The Global Impact of Dementia, An analysis of prevalence, incidence, cost and trends," Alzheimer's Disease International (ADI), London, 2015.Google Scholar
- L. Garcia, A. Kartolo and E. Methot-Curtis, A Discussion of the Use of Virtual Reality in Dementia, INTECH Open Access Publisher, 2012.Google ScholarCross Ref
- C. Beck, L. Frank, N. R. Chumbler, P. O'Sullivan, T. S. Vogelpohl, J. Rasin, R. Walls and B. Baldwin, "Correlates of Disruptive Behavior in Severely Cognitively Impaired Nursing Home Residents," The Gerontologist, vol. 38, pp. 189--198, 1998.Google ScholarCross Ref
- J. Cohen-Mansfield, "Nonpharmacologic Interventions for Inappropriate Behaviors in Dementia: A Review, Summary, and Critique," American Journal of Geriatric Psychiatry, vol. 9, pp. 361381, 2001.Google ScholarCross Ref
- H. Verbeek, S. M. G. Zwakhalen, E. Rossum, T. Ambergen, G. I. J. M. Kempen and J. P. H. Hamers, "Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff," Journal of the American Medical Directors Association, vol. 11, pp. 662--670, 2010.Google ScholarCross Ref
- A. Girardi, P. Snyman, M. Natarajan and C. Griffiths, "Older adults in secure mental health care: health, social wellbeing and security needs measured with HoNOS-secure across different age groups," The Journal of Forensic Psychiatry & Psychology, pp. 1--20, 2018.Google Scholar
- M. H. Act, 2007. {Online}. Available: http://www.opsi.gov.uk/acts/acts2007/ukpga_20070012_en_1.Google Scholar
- A. S. Schreiner, E. Yamamoto and H. Shiotani, "Positive affect among nursing home residents with Alzheimer's dementia: The effect of recreational activity," Aging & Mental Health, vol. 9, pp. 129--134, 2005.Google ScholarCross Ref
- D. Kitching, "Depression in dementia," Australian Prescriber, vol. 38, pp. 209--211, 2015.Google ScholarCross Ref
- C. Long, A. McLean, A. Boothby and C. Hollin, "Factors associated with quality of life in a cohort of forensic psychiatric in-patients," The British Journal of Forensic Practice, vol. 10, pp. 4--11, 2008.Google Scholar
- J. G. Beck, S. A. Palyo, E. H. Winer, B. E. Schwagler and E. J. Ang, "Virtual Reality Exposure Therapy for PTSD Symptoms After a Road Accident: An Uncontrolled Case Series," Behavior Therapy, vol. 38, pp. 39--48, 2007.Google ScholarCross Ref
- B. O. Rothbaum, L. F. Hodges, D. Ready, K. Graap and R. D. Alarcon, "Virtual Reality Exposure Therapy for Vietnam Veterans With Posttraumatic Stress Disorder," The Journal of Clinical Psychiatry, vol. 62, pp. 617--622, 2001.Google ScholarCross Ref
- J. Difede, H. Hoffman and N. Jaysinghe, "Multimedia Reviews: Innovative Use of Virtual Reality Technology in the Treatment of PTSD in the Aftermath of September 11," Psychiatric Services, vol. 53, pp. 1083--1085, 2002.Google Scholar
- G. Riva, M. Bacchetta, M. Baruffi and E. Molinari, "Virtual-realitybased multidimensional therapy for the treatment of body image disturbances in binge eating disorders: a preliminary controlled study," IEEE Transactions on Information Technology in Biomedicine, vol. 6, pp. 224--234, 2002. Google ScholarDigital Library
- G. Riva, M. Bacchetta, M. Baruffi, S. Rinaldi and E. Molinari, "Virtual reality based experiential cognitive treatment of anorexia nervosa," Journal of Behavior Therapy and Experimental Psychiatry, vol. 30, pp. 221--230, 1999.Google ScholarCross Ref
- B. O. Rothbaum, L. Hodges, S. Smith, J. H. Lee and L. Price, "A controlled study of virtual reality exposure therapy for the fear of flying.," Journal of Consulting and Clinical Psychology, vol. 68, pp. 1020--1026, 2000.Google ScholarCross Ref
- A. Garcia-Palacios, H. Hoffman, A. Carlin, T. A. Furness and C. Botella, "Virtual reality in the treatment of spider phobia: a controlled study," Behaviour Research and Therapy, vol. 40, pp. 983993, 2002.Google ScholarCross Ref
- M. R. Kandalaft, N. Didehbani, D. C. Krawczyk, T. T. Allen and S. B. Chapman, "Virtual Reality Social Cognition Training for Young Adults with High-Functioning Autism," Journal of Autism and Developmental Disorders, vol. 43, pp. 34--44, 2012.Google ScholarCross Ref
- L. E. Boyd, S. Gupta, S. B. Vikmani, C. M. Gutierrez, J. Yang, E. Linstead and G. R. Hayes, "vrSocial: Toward Immersive Therapeutic VR Systems for Children with Autism," in CHI, 2018. Google ScholarDigital Library
- D. Freeman, "Studying and Treating Schizophrenia Using Virtual Reality: A New Paradigm," Schizophrenia Bulletin, vol. 34, pp. 605610, 2007.Google ScholarCross Ref
- P. L. Weiss, R. Kizony, U. Feintuch and N. Katz, "Virtual reality in neurorehabilitation," Textbook of neural repair and rehabilitation, vol. 51, pp. 182--97, 2006.Google Scholar
- G. M. Doniger, M. S. Beeri, A. Bahar-Fuchs, A. Gottlieb, A. Tkachov, H. Kenan, A. Livny, Y. Bahat, H. Sharon and O. e. a. Ben-Gal, "Virtual reality-based cognitive-motor training for middle-aged adults at high Alzheimer's disease risk: A randomized controlled trial," Alzheimer's & Dementia: Translational Research & Clinical Interventions, vol. 4, pp. 118--129, 2018.Google ScholarCross Ref
- V. Manera, E. Chapoulie, J. Bourgeois, R. Guerchouche, R. David, J. Ondrej, G. Drettakis and P. Robert, "A Feasibility Study with ImageBased Rendered Virtual Reality in Patients with Mild Cognitive Impairment and Dementia," PLOS ONE, vol. 11, p. e0151487, 2016.Google ScholarCross Ref
- G. Optale, C. Urgesi, V. Busato, S. Marin, L. Piron, K. Priftis, L. Gamberini, S. Capodieci and A. Bordin, "Controlling Memory Impairment in Elderly Adults Using Virtual Reality Memory Training: A Randomized Controlled Pilot Study," Neurorehabilitation and Neural Repair, vol. 24, pp. 348--357, 2009.Google ScholarCross Ref
- D. A. Foloppe, P. Richard, T. Yamaguchi, F. Etcharry-Bouyx and P. Allain, "The potential of virtual reality-based training to enhance the functional autonomy of Alzheimer's disease patients in cooking activities: A single case study," Neuropsychological Rehabilitation, vol. 28, pp. 709--733, 2015.Google ScholarCross Ref
- J. Hodge, M. Balaam, S. Hastings and K. Morrissey, "Exploring the Design of Tailored Virtual Reality Experiences for People with Dementia," Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems - CHI '18, 2018. Google ScholarDigital Library
- P. Siriaraya and C. S. Ang, Recreating living experiences from past memories through virtual worlds for people with dementia, 2014.Google ScholarDigital Library
- M. C. Act, "Mental Capacity Act," 2005. {Online}. Available: http://www.legislation.gov.uk/ukpga/2005/9/part/1/crossheading/res earch..Google Scholar
- V. Rose, I. Stewart, K. Jenkins, C. Ang and M. Matsangidou, "A Systematic Literature Review Exploring the Feasibility of Virtual Reality Interventions with Individuals Living with Dementia," ICATEGVE, 2018.Google Scholar
- B. Reisberg, S. H. Ferris, M. J. Leon and T. Crook, "The Global Deterioration Scale for assessment of primary degenerative dementia," American Journal of Psychiatry, vol. 139, pp. 1136--1139, 1982.Google ScholarCross Ref
- N. Alderman, C. Knight and C. Morgan, "Use of a modified version of the Overt Aggression Scale in the measurement and assessment of aggressive behaviours following brain injury," Brain Injury, vol. 11, pp. 503--523, 1997.Google ScholarCross Ref
- M. P. Lawton, K. Van Haitsma and J. Klapper, "Observed Emotion Rating Scale," Journal of Mental Health and Aging, vol. 5, pp. 69--82, 1999.Google Scholar
- J. Brooke, "SUS: a _quick and dirty_ usability scale. In P.W.Jordan, B. Thomas, B.A. Weerdmeester, & I.L. McClelland (Eds.), Usability Evaluation in Industry (pp. 189 194). London: Taylor and Francis.," 2018.Google Scholar
- S. Nichols, C. Haldane & J.R Wilson, "Measurement of presence and its consequences in virtual environments," International Journal of Human-Computer Studies, vol. 52, pp. 471--491, 2000. Google ScholarDigital Library
- V. Braun and V. Clarke, "Using thematic analysis in psychology," Qualitative Research in Psychology, vol. 3, pp. 77--101, 2006.Google ScholarCross Ref
- M. E. Johnson and P. M. Hauser, "The Practices of Expert Psychiatric Nurses: Accompanying The Patient to a Calmer Personal Space," Issues in Mental Health Nursing, vol. 22, pp. 651--668, 2001.Google ScholarCross Ref
- B. N. Gaynes, C. L. Brown, L. J. Lux, K. A. Brownley, R. A. Van Dorn, M. J. Edlund, E. Coker-Schwimmer, R. Palmieri Weber, B. Sheitman, T. Zarzar, M. Viswanathan and K. N. Lohr, "Preventing and Deescalating Aggressive Behavior Among Adult Psychiatric Patients: A Systematic Review of the Evidence," vol. 8, no. 68, pp. 819--831, 2017.Google Scholar
- K.R. Chou, R.B. Lu and W.C. Mao, "Factors relevant to patient assaultive behavior and assault in acute inpatient psychiatric units in Taiwan," Archives of Psychiatric Nursing, vol. 16, pp. 187--195, 2002.Google ScholarCross Ref
- K. Canatsey and J. M. Roper, "Removal from Stimuli for Crisis Intervention: Using Least Restrictive Methods to Improve the Quality of Patient Care," Issues in Mental Health Nursing, vol. 18, pp. 35--44, 1997.Google ScholarCross Ref
- M. Matsangidou, C. S. Ang and M. Sakel, "Clinical utility of virtual reality in pain management: a comprehensive research review," British Journal of Neuroscience Nursing, vol. 13, no. 3, pp. 133--143, 2017.Google ScholarCross Ref
- H. G. Hoffman, D. R. Patterson, G. J. Carrougher and S. R. Sharar, "Effectiveness of Virtual Reality_Based Pain Control With Multiple Treatments," The Clinical Journal of Pain, vol. 17, pp. 229--235, 2001.Google ScholarCross Ref
- K. Wolitzky, R. Fivush, E. Zimand, L. Hodges and B. O. Rothbaum, "Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients," Psychology & Health, vol. 20, pp. 817--824, 2005.Google ScholarCross Ref
- M. Matsangidou, C. S. Ang, A. R. Mauger, B. Otkhmezuri and L. Tabbaa, "How Real Is Unreal?," Human-Computer Interaction _ INTERACT 2017, pp. 273--288, 2017. Google ScholarDigital Library
- M. Matsangidou, C. Ang, A. R. Mauger, J. Intarasirisawat, B. Otkhmezuri and M. N. Avraamides, "Is your virtual self as sensational as your real? Virtual Reality: The effect of body consciousness on the experience of exercise sensations," Psychology of Sport and Exercise, 2018.Google Scholar
- D. McEwen, A. Taillon-Hobson, M. Bilodeau, H. Sveistrup and H. Finestone, "Two-week virtual reality training for dementia: Single case feasibility study," Journal of Rehabilitation Research and Development, vol. 51, pp. 1069--1076, 2014.Google ScholarCross Ref
- M. Mendez, A. Joshi and E. Jimenez, "Virtual reality for the assessment of frontotemporal dementia, a feasibility study", Disability and Rehabilitation: Assistive Technology," vol. 10, no. 2, pp. 160--164, 2014.Google ScholarCross Ref
- L. Nolan, M. McCarron, P. McCallion and J. Murphy-Lawless, Perceptions of stigma in dementia: An exploratory study, 2018.Google Scholar
- K. Morrissey, J. McCarthy and N. Pantidi, The Value of ExperienceCentred Design Approaches in Dementia Research Contexts, 2018.Google Scholar
- D. Brechin, G. Murphy, I. James and J. Codner, "Briefing paper: Alternatives to antipsychotic medication: Psychological approaches in managing psychological and," Leicester: British Psychological Society., 2013.Google Scholar
- J. Hoey, C. Boutilier, P. Poupart, P. Olivier, A. Monk and A. Mihailidis, "People, sensors, decisions: Customizable and adaptive technologies for assistance in healthcare," ACM Transactions on Interactive Intelligent Systems (TiiS), vol. 2, no. 4, 2012. Google ScholarDigital Library
- S. Czarnuch and A. Mihailidis, "Home Assistive System for Dementia," Gerontechnology, vol. 10, no. 3, pp. 169--182, 2011.Google ScholarCross Ref
- S. Poria, E. Cambria, R. Bajpai and A. Hussain, "A review of affective computing: From unimodal analysis to multimodal fusion," Information Fusion, vol. 37, pp. 98--125, 2017. Google ScholarDigital Library
Index Terms
- Bring the Outside In: Providing Accessible Experiences Through VR for People with Dementia in Locked Psychiatric Hospitals
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