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Impacto da terapia de reminiscências com recurso à realidade virtual ao nível da sintomatologia psicológica e comportamental de pessoas com demência
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Advisor(s)
Abstract(s)
Objetivo: Comparar o impacto de um programa de terapia de reminiscências (TR) com recurso à realidade virtual (RV), com o impacto de um programa de TR com recurso a um estímulo tradicional, ao nível da manifestação de sintomatologia psicológica e comportamental em pessoas com demência, durante as várias sessões. Métodos: Ensaio clínico randomizado, com um desenho do tipo experimental, em que foi realizado o acompanhamento de uma amostra de 14 idosos recrutados por conveniência, divididos por dois grupos de intervenção: TR tradicional (controlo) e TR com recurso à RV (experimental). A intervenção foi constituída por 8 sessões, com frequência bissemanal. Durante cada sessão foi preenchida uma grelha de observação sobre a manifestação de sintomatologia comportamental e psicológica e sobre o envolvimento do participante. Foi ainda utilizado o Simulator Sickness Questionnaire,
administrado antes e após a exposição ao vídeo, de forma a avaliar o aumento do grau da manifestação de sintomatologia adversa associada à simulação. Resultados: Não se verificam diferenças significativas entre os grupos no que concerne ao sexo, nível de escolaridade, idade, grau de independência, nas AVD’s e AVDI’s e declínio cognitivo, bem como ao nível da manifestação sintomatológica comportamental e da sintomatologia adversa durante as sessões. No que diz respeito ao envolvimento na experiência, os comportamentos observados foram globalmente positivos, havendo partilha de memórias maioritariamente positivas e um registo de ligeiramente maior envolvimento dos participantes expostos a ambientes imersivos (RV), do que no grupo de controlo. Conclusão: De uma forma geral, o impacto dos diferentes programas de intervenção parece ser semelhante. Através deste estudo, gerou-se evidência acerca da segurança e viabilidade da aplicação de RV neste tipo de intervenção, validando a continuidade da sua utilização.
Objectives: To compare the impact of a reminiscence therapy (VR) program using virtual reality (VR) with the impact of a VR program using a traditional stimulus on the manifestation of psychological and behavioral symptoms in people with dementia during the various sessions. Methods: This was a randomized clinical trial, with an experimental design, in which a sample of 14 elderly people recruited by convenience was followed, divided into two intervention groups: traditional CA (control) and CA using VR (experimental). The intervention consisted of 8 sessions, twice a week. During each session an observation grid was filled out regarding the manifestation of behavioral and psychological symptoms and the participant's involvement. We also used the Simulator Sickness Questionnaire, administered before and after exposure to the video, to assess the increase in the degree of manifestation of adverse symptoms associated with the simulation. Results There were no significant differences between the groups regarding gender, level of education, age, degree of independence in ADLs and IADLs and cognitive decline, as well as in terms of behavioral symptomatology manifestation and adverse symptomatology during the sessions. As regards the involvement in the experience, the behaviors observed were globally positive, with sharing of mostly positive memories and a slightly higher involvement of the participants exposed to immersive environments (VR) than in the control group. Conclusion: In general, the impact of the different intervention programs seems to be similar. Through this study, evidence was generated about the safety and feasibility of applying VR in this type of intervention, validating its continued use.
Objectives: To compare the impact of a reminiscence therapy (VR) program using virtual reality (VR) with the impact of a VR program using a traditional stimulus on the manifestation of psychological and behavioral symptoms in people with dementia during the various sessions. Methods: This was a randomized clinical trial, with an experimental design, in which a sample of 14 elderly people recruited by convenience was followed, divided into two intervention groups: traditional CA (control) and CA using VR (experimental). The intervention consisted of 8 sessions, twice a week. During each session an observation grid was filled out regarding the manifestation of behavioral and psychological symptoms and the participant's involvement. We also used the Simulator Sickness Questionnaire, administered before and after exposure to the video, to assess the increase in the degree of manifestation of adverse symptoms associated with the simulation. Results There were no significant differences between the groups regarding gender, level of education, age, degree of independence in ADLs and IADLs and cognitive decline, as well as in terms of behavioral symptomatology manifestation and adverse symptomatology during the sessions. As regards the involvement in the experience, the behaviors observed were globally positive, with sharing of mostly positive memories and a slightly higher involvement of the participants exposed to immersive environments (VR) than in the control group. Conclusion: In general, the impact of the different intervention programs seems to be similar. Through this study, evidence was generated about the safety and feasibility of applying VR in this type of intervention, validating its continued use.
Description
Keywords
Demência Terapia de reminiscências Sintomatologia comportamental e psicológica Realidade virtual Imersividade Dementia Reminiscence therapy Behavioral and psychological symptomatology Virtual reality Immersiveness
Citation
Santos, M., Coelho, T., & Portugal, P. (2022). Impacto da terapia de reminiscências com recurso à realidade virtual ao nível da sintomatologia psicológica e comportamental de pessoas com demência. Revista Portuguesa De Terapia Ocupacional - ISSN 2975-8181, (1). Obtido de https://rpto.ipleiria.pt/rpto/article/view/7
Publisher
Escola Superior de Saúde do Politécnico de Leiria