Promoting Reminiscences with Virtual Reality Headsets: A Pilot Study with People with Dementia

Tiago Coelho, Cátia Marques, Daniela Moreira, Maria Soares, Paula Portugal, António Marques, Ana Rita Ferreira, Sónia Martins, Lia Fernandes, Tiago Coelho, Cátia Marques, Daniela Moreira, Maria Soares, Paula Portugal, António Marques, Ana Rita Ferreira, Sónia Martins, Lia Fernandes

Abstract

This study aimed to explore the feasibility and effects of promoting reminiscences, using virtual reality (VR) headsets for viewing 360° videos with personal relevance, with people with dementia. A study with a mixed methods design was conducted with nine older adults diagnosed with dementia. Interventions consisted of four sessions, in which the participants' engagement, psychological and behavioral symptoms, and simulation sickness symptoms were evaluated. Neuropsychiatric symptomatology and quality of life were measured pre- and post-intervention. Caregivers were interviewed regarding the effect of the approach. In most cases, participants appeared to enjoy the sessions, actively explored the 360° environment, and shared memories associated with the depicted locations, often spontaneously. There were no cases of significant increases in simulator sickness and psychological and behavioral symptoms during sessions, with only some instances of minor eyestrain, fullness of head, anxiety, irritability, and agitation being detected. Although there were no significant changes in the measured outcomes after intervention, the caregivers assessed the experience as potentially beneficial for most participants. In this study, promoting reminiscences with VR headsets was found to be a safe and engaging experience for people with dementia. However, future studies are required to better understand the added value of immersion, using VR, in reminiscence therapy.

Keywords: dementia; reminiscences; virtual reality.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Savva G.M., Zaccai J., Matthews F.E., Davidson J.E., McKeith I., Brayne C. Medical Research Council Cognitive Function and Ageing Study, Prevalence, correlates and course of behavioural and psychological symptoms of dementia in the population. Br. J. Psychiatry. 2009;194:212–219. doi: 10.1192/bjp.bp.108.049619.
    1. World Health Organization International Classification of Diseases for Mortality and Morbidity Statistics (11th Revision) [(accessed on 15 September 2020)]; Available online:
    1. World Health Organization . Global Action Plan on the Public Health Response to Dementia 2017–2025. World Health Organization; Geneva, Switzerland: 2017.
    1. Livingston G., Huntley J., Sommerlad A., Ames D., Ballard C., Banerjee S., Brayne C., Burns A., Cohen-Mansfield J., Cooper C., et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396:413–446. doi: 10.1016/S0140-6736(20)30367-6.
    1. Alzheimer’s Disease International . World Alzheimer Report 2019: Attitudes to Dementia. Alzheimer’s Disease International; London, UK: 2019.
    1. World Health Organization . Dementia: A Public Health Priority. World Health Organization; Geneva, Switzerland: 2012.
    1. Park K., Lee S., Yang J., Song T., Hong G.S. A systematic review and meta-analysis on the effect of reminiscence therapy for people with dementia. Int. Psychogeriatr. 2019;31:1581–1597. doi: 10.1017/S1041610218002168.
    1. National Institute for Health and Care Excellence Dementia: Assessment, Management and Support for People Living with Dementia and Their Carers (NG97) [(accessed on 15 September 2020)]; Available online: .
    1. Woods B., O’Philbin L., Farrell E.M., Spector A.E., Orrell M. Reminiscence therapy for dementia. Cochrane Database Syst. Rev. 2018;3:Cd001120. doi: 10.1002/14651858.CD001120.pub3.
    1. Mohler R., Renom A., Renom H., Meyer G. Personally tailored activities for improving psychosocial outcomes for people with dementia in long-term care. Cochrane Database Syst. Rev. 2018;2:Cd009812. doi: 10.1002/14651858.CD009812.pub2.
    1. Gitlin L.N., Winter L., Burke J., Chernett N., Dennis M.P., Hauck W.W. Tailored activities to manage neuropsychiatric behaviors in persons with dementia and reduce caregiver burden: A randomized pilot study. Am. J. Geriatr. Psychiatry. 2008;16:229–239. doi: 10.1097/01.JGP.0000300629.35408.94.
    1. Strong J. Immersive Virtual Reality and Persons with Dementia: A Literature Review. J. Gerontol. Soc. Work. 2020;63:209–226. doi: 10.1080/01634372.2020.1733726.
    1. Kim O., Pang Y., Kim J.H. The effectiveness of virtual reality for people with mild cognitive impairment or dementia: A meta-analysis. BMC Psychiatry. 2019;19:219. doi: 10.1186/s12888-019-2180-x.
    1. Rose T., Nam C.S., Chen K.B. Immersion of virtual reality for rehabilitation—Review. Appl. Ergon. 2018;69:153–161. doi: 10.1016/j.apergo.2018.01.009.
    1. Slater M., Sanchez-Vives M.V. Enhancing Our Lives with Immersive Virtual Reality. Front. Robot. AI. 2016;3:3. doi: 10.3389/frobt.2016.00074.
    1. Cummings J.J., Bailenson J.N. How Immersive Is Enough? A Meta-Analysis of the Effect of Immersive Technology on User Presence. Media Psychol. 2015;19:272–309. doi: 10.1080/15213269.2015.1015740.
    1. Rose V., Stewart I., Jenkins K.G., Tabbaa L., Ang C.S., Matsangidou M. Bringing the outside in: The feasibility of virtual reality with people with dementia in an inpatient psychiatric care setting. Dementia. 2019 doi: 10.1177/1471301219868036.
    1. Eisapour M., Cao S., Domenicucci L., Boger J. Virtual Reality Exergames for People Living with Dementia Based on Exercise Therapy Best Practices. Proc. Hum. Factors Ergon. Soc. Annu. Meet. 2018;62:528–532. doi: 10.1177/1541931218621120.
    1. Mendez M.F., Joshi A., Jimenez E. Virtual reality for the assessment of frontotemporal dementia, a feasibility study. Disabil. Rehabil. Assist. Technol. 2015;10:160–164. doi: 10.3109/17483107.2014.889230.
    1. Manera V., Chapoulie E., Bourgeois J., Guerchouche R., David R., Ondrej J., Drettakis G., Robert P. A Feasibility Study with Image-Based Rendered Virtual Reality in Patients with Mild Cognitive Impairment and Dementia. PLoS ONE. 2016;11:e0151487. doi: 10.1371/journal.pone.0151487.
    1. White P.J., Moussavi Z. Neurocognitive Treatment for a Patient with Alzheimer’s Disease Using a Virtual Reality Navigational Environment. J. Exp. Neurosci. 2016;10:129–135. doi: 10.4137/JEN.S40827.
    1. Cohen-Mansfield J. Nonpharmacologic Interventions for Inappropriate Behaviors in Dementia: A Review, Summary, and Critique. Am. J. Geriatr. Psychiatry. 2001;9:361–381. doi: 10.1097/00019442-200111000-00005.
    1. Benoit M., Guerchouche R., Petit P.D., Chapoulie E., Manera V., Chaurasia G., Drettakis G., Robert P. Is it possible to use highly realistic virtual reality in the elderly? A feasibility study with image-based rendering. Neuropsychiatr. Dis. Treat. 2015;11:557–563.
    1. Chapoulie E., Guerchouche R., Peit P.-D., Chaurasia G., Robert P., Drettakis G. Reminiscence Therapy using Image-Based Rendering in VR; Proceedings of the 2014 IEEE Virtual Reality; Minneapolis, MN, USA. 29 March–2 April 2014.
    1. Reisberg B., Ferris S.H., de Leon M.J., Crook T. The Global Deterioration Scale for assessment of primary degenerative dementia. Am. J. Geriatr. Psychiatry. 1982;139:1136–1139.
    1. Leitão O.R., Nina A., Monteiro I. Escala de Deterioração Global [Global Deterioration Scale] In: Mendonça A.D., Guerreiro M., Grupo de Estudos de Envelhecimento Cerebral e Demência, editors. Escalas e Testes na Demência [Scales and Tests in Dementia. 2nd ed. Novartis; Lisboa, Portugal: 2008. pp. 11–16.
    1. D’Cunha N.M., Nguyen D., Naumovski N., McKune A.J., Kellett J., Georgousopoulou E.N., Frost J., Isbel S. A Mini-Review of Virtual Reality-Based Interventions to Promote Well-Being for People Living with Dementia and Mild Cognitive Impairment. Gerontology. 2019;65:430–440. doi: 10.1159/000500040.
    1. Araújo F., Ribeiro J.L.P., Oliveira A., Pinto C. Validação do Índice de Barthel numa amostra de idosos não institucionalizados [Barthel Index validation in a sample of non-institutionalized elderly] Rev. Port. Saúde Pública. 2007;25:59–66.
    1. Mahoney F.I., Barthel D.W. Functional Evaluation: The Barthel Index. Md. State Med. J. 1965;14:61–65.
    1. Araújo F., Pais Ribeiro J., Oliveira A., Pinto C., Martins T. Validação da escala de Lawton e Brody numa amostra de idosos não institucionalizados [Lawton and Brody scale validation in a sample of non-institutionalized elderly] In: Leal I., Pais-Ribeiro J., Silva I., Marques S., editors. Actas do 7° Congresso Nacional de Psicologia da Saúde. ISPA; Lisboa, Portugal: 2008. pp. 217–220.
    1. Lawton M.P., Brody E.M. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–186. doi: 10.1093/geront/9.3_Part_1.179.
    1. Freitas S., Simoes M.R., Alves L., Santana I. Montreal Cognitive Assessment (MoCA): Normative study for the Portuguese population. J. Clin. Exp. Neuropsychol. 2011;33:989–996. doi: 10.1080/13803395.2011.589374.
    1. Nasreddine Z.S., Phillips N.A., Bédirian V., Charbonneau S., Whitehead V., Collin I., Cummings J.L., Chertkow H. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. J. Am. Geriatr. Soc. 2005;53:695–699. doi: 10.1111/j.1532-5415.2005.53221.x.
    1. Alexopoulos G.S., Abrams R.C., Young R.C., Shamoian C.A. Cornell scale for depression in dementia. Biol. Psychiat. 1988;23:271–284. doi: 10.1016/0006-3223(88)90038-8.
    1. Vieira C.R., Lopes R.P., Vieira M.O. Escala de Cornell para a Depressão na Demência [Cornell Scale for Depression in Dementia] In: Mendonça A.D., Guerreiro M., Grupo de Estudos de Envelhecimento Cerebral e Demência, editors. Escalas e Testes na Demência [Scales and Tests in Dementia] 2nd ed. Novartis; Lisboa, Portugal: 2008. pp. 73–76.
    1. Cummings J.L. The Neuropsychiatric Inventory. Assess. Psychopathol. Dement. Patients. 1997;48(Suppl. 6):10S–16S.
    1. Ferreira A., Martins S., Ribeiro O., Fernandes L. EPA-0742—The Neuropsychiatric Inventory (npi): Validation of the Portuguese Version. Eur. Psychiatry. 2014;29(Suppl. 1):1. doi: 10.1016/S0924-9338(14)78092-7.
    1. Flynn D., van Schaik P., Blackman T., Femcott C., Hobbs B., Calderon C. Developing a virtual reality-based methodology for people with dementia: A feasibility study. Cyberpsychol. Behav. 2003;6:591–611. doi: 10.1089/109493103322725379.
    1. Kennedy R.S., Lane N.E., Berbaum K.S., Lilienthal M.G. Simulator Sickness Questionnaire: An Enhanced Method for Quantifying Simulator Sickness. Int. J. Aviat. Psychol. 1993;3:203–220. doi: 10.1207/s15327108ijap0303_3.
    1. Carvalho M.R.D., Costa R.T.D., Nardi A.E. Simulator Sickness Questionnaire: Tradução e adaptação transcultural. J. Bras. Psiquiatr. 2011;60:247–252. doi: 10.1590/S0047-20852011000400003.
    1. Pereira M., Melo C., Gameiro S., Canavarro M.C. Estudos psicométricos da versão em Português Europeu do índice de qualidade de vida EUROHIS-QOL-8. Laboratório Psicol. 2011;9:109–123. doi: 10.14417/lp.627.
    1. Schmidt S., Muhlan H., Power M. The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. Eur. J. Public Health. 2006;16:420–428. doi: 10.1093/eurpub/cki155.
    1. Braun V., Clarke V. Using thematic analysis in psychology. Qual. Res. Psychol. 2006;3:77–101. doi: 10.1191/1478088706qp063oa.
    1. Given L.M. The SAGE Encyclopedia of Qualitative Research Methods. Sage Publications; Thousand Oaks, CA, USA: 2008.
    1. Siriaraya P., Ang C.S. Recreating living experiences from past memories through virtual worlds for people with dementia; Proceedings of the SIGCHI Conference on Human Factors in Computing Systems; Toronto, ON, Canada. 26 April–1 May 2014; pp. 3977–3986.
    1. Gitlin L.N., Kales H.C., Lyketsos C.G. Nonpharmacologic management of behavioral symptoms in dementia. JAMA. 2012;308:2020–2029. doi: 10.1001/jama.2012.36918.
    1. Yasuda K., Kuwabara K., Kuwahara N., Abe S., Tetsutani N. Effectiveness of personalised reminiscence photo videos for individuals with dementia. Neuropsychol. Rehabil. 2009;19:603–619. doi: 10.1080/09602010802586216.
    1. Subramaniam P., Woods B. The impact of individual reminiscence therapy for people with dementia: Systematic review. Expert Rev. Neurother. 2012;12:545–555. doi: 10.1586/ern.12.35.
    1. Chaudhury H. Journey Back Home. J. Hous. Elder. 2002;16:85–106. doi: 10.1300/J081v16n01_07.
    1. Logsdon R.G., Gibbons L.E., McCurry S.M., Teri L. Quality of life in Alzheimer’s disease: Patient and caregiver reports. J. Ment. Health Aging. 1999;5:21–32.

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