Feasibility of Virtual Reality for Mental Health in Long-Term Care in Rural Populations

Feasibility of Virtual Reality for Mental Health in Long-Term Care in Rural Populations

Throughout the COVID-19 pandemic, long-term care residents have been disproportionately affected both physically and mentally. Increased restrictions have worsened long-term care residents’ mental health and have increased feelings of isolation and loneliness. This pilot study explores the feasibility of virtual reality (VR) technology used by long-term care residents for mental health in a rural area of southern Illinois. We captured long-term care residents’ thoughts, feelings, and knowledge of VR using a pre-test and post-test design following an educational session introducing VR. Participants were then offered the opportunity to use the technology, with 9 out of the 11 participants watching a 360⁰ video using the VR headset. All participants who tried the VR headset noted that they were more willing to try VR in the future. While no statistically significant changes in mood from before and after the session were found, the results suggest that the use of VR for mental health in long-term care populations is more feasible when paired with an educational session before intervention.

___

  • Appel, L., Appel, E., Bogler, O., Wiseman, M., Cohen, L., Ein, N., Abrams, H. B., & Campos, J. L. (2020). Older adults with cognitive and/or physical impairments can benefit from immersive virtual reality experiences: A feasibility study. Frontiers of Medicine, 6, 329. https://doi.org/10.3389/fmed.2019.00329
  • Checkland, C., Benjamin, S., Bruneau, M. A., Cappella, A., Cassidy, B., Conn, D., Grief, C., Keng, A., Kirkham, J., Krishna, P., McMurray, L., Rabheru, K., Tourigny-Rivard, M. F., & Seitz, D. P. (2021). Position statement for mental health care in Long-term care during COVID-19. Canadian Geriatrics Journal, 24(4), 367-372. https://doi.org/10.5770/cgj.24.514
  • de Vries, A. W., Faber, G., Jonkers, I., Van Dieen, J. H., & Verschueren, S. M. P. (2018). Virtual reality balance training for elderly: Similar skiing games elicit different challenges in balance training. Gait and Posture, 59, 111-116. https://doi.org/10.1016/j.gaitpost.2017.10.006
  • Eghtesadi, M. (2020). Breaking social isolation amidst COVID‐19: A viewpoint on improving access to technology in long‐term care facilities. Journal of the American Geriatrics Society, 68(5), 949-950. https://doi.org/10.1111/jgs.16478
  • Gamito, P., Oliveira, J., Morais, D., Coelho, C., Santos, N., Alves, C., Galamba, A., Soeiro, M., Yerra, M., French, H., Talmers, L., Gomes, T., & Brito, R. (2019). Cognitive stimulation of elderly individuals with instrumental virtual reality-based activities of daily life: Pre-post treatment study. Cyberpsychology, Behavior, and Social Networking, 22(1), 69-75. https://doi.org/10.1089/cyber.2017.0679
  • LeVasseur, A. L. (2021). Effects of social isolation on a long-term care resident with dementia and depression during the COVID-19 pandemic. Geriatric Nursing, 42(3), 780-781. https://doi.org/10.1016/j.gerinurse.2021.04.007
  • Liu, Q., Wang, Y., Tang, Q., & Liu, Z. (2020). Do you feel the same as I do? Differences in virtual reality technology experience and acceptance between elderly adults and college students. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.573673
  • Moeller, C., King, N., Burr, V., Gibbs, G. R., & Gomersall, T. (2018). Nature-based interventions in institutional and organisational settings: a scoping review. International Journal of Environmental Health Research, 28(3), 293-305. https://doi.org/10.1080/09603123.2018.1468425
  • Nahum, M., Van Vleet, T. M., Sohal, V. S., Mirzabekov, J. J., Rao, V. R., Wallace, D. L., Lee, M. B., Dawes, H., Stark-Inbar, A., Jordan, J. T., Biagianti, B., Merzenich, M., & Chang, E. F. (2017). Immediate Mood Scaler: Tracking symptoms of depression and anxiety using a novel mobile mood scale. JMIR Mhealth Uhealth, 5(4), e44. https://doi.org/10.2196/mhealth.6544
  • North, M. M., & North, S. M. (2016). A comparative study of sense of presence of traditional virtual reality and immersive environments. Australasian Journal of Information Systems, 20. https://doi.org/10.3127/ajis.v20i0.1168
  • Optale, G., Urgesi, C., Busato, V., Marin, S., Piron, L., Priftis, K., Gamberini, L., Capodieci, S., & Bordin, A. (2010). Controlling memory impairment in elderly adults using virtual reality memory training: A randomized controlled pilot study. Neurorehabilitation and Neural Repair, 24(4), 348-357. https://doi.org/10.1177/1545968309353328
  • Schultheis, M. T., & Rizzo, A. A. (2001). The application of virtual reality technology in rehabilitation. Rehabilitation Psychology, 46(3), 296-311. https://doi.org/10.1037/0090-5550.46.3.296
  • Yu, C.-P., Lee, H.-Y., Lu, W.-H., Huang, Y.-C., & Browning, M. H. E. M. (2020). Restorative effects of virtual natural settings on middle-aged and elderly adults. Urban Forestry & Urban Greening, 56, 126863. https://doi.org/10.1016/j.ufug.2020.126863