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Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis
Park, SoMi , Chung, ChaeWeon , Kim, Gaeun
J Korean Acad Nurs 2023;53(2):177-190.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.23003
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Virtual Reality Intervention for Reducing Exposure to Endocrine Disruptors in Female Adolescents: A Pilot Study
    SoMi Park, Yun Jeong Hwang, ChaeWeon Chung
    Journal for Specialists in Pediatric Nursing.2025;[Epub]     CrossRef
  • Chinese nurses’ perspectives on child-friendly healthcare practice assessment: a qualitative study
    Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu, Mei Fang, Yun Yun Shen, Xiao Li Guo
    BMC Nursing.2025;[Epub]     CrossRef
  • Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses
    Jiyoung Park, Gill ten Hoor, Seohyun Won, Gahui Hwang, Sein Hwang, Siew Tiang Lau
    The Journal of School Nursing.2024;[Epub]     CrossRef
  • 417 View
  • 17 Download
  • 2 Web of Science
  • 3 Crossref
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Effect of Virtual Reality Program for Alleviating Behavioral and Psychological Symptoms of Dementia Patients
Park, Seon-Min , Choi, Seung-Yi , Kim, Jung-Hee
J Korean Acad Nurs 2022;52(2):121-133.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.22008
AbstractAbstract PDF
Purpose
This study examined the impact of a virtual reality intervention program based on psychological needs on behavioral and psychological symptoms, apathy, and quality of life (QOL) in patients with dementia or mild cognitive impairment living in nursing facilities.
Methods
This study is nonequivalent control group pretest-posttest design of quasi-experimental study. The study collected data from November 18, 2020 to July 24, 2021 from patients with dementia or mild cognitive impairment (30 in the experimental group and 30 in the control group) at three nursing facilities in G city using self-reporting and caregiver-informant reporting methods. The analysis employed the chi-square test, Fisher’s exact test, paired t-test, independent t-test, Wilcoxon signed rank test, Mann–Whitney U, repeated measures ANOVA, GEE, using SPSS/WIN 27.0.
Results
The severity of behavioral and psychological symptoms (Wald χ2 = 2.68, p = .102) and the care burden of caregivers (Wald χ2 = 1.72, p = .190) were not significant and was no significant time and group interaction effect (Wald χ2 = 0.63, p = .426, Wald χ2 = 0.52, p =. 471). The difference in apathy and QOL score were statistically significant for the group-time interaction (F = 43.65, p < .001; F = 4.35, p= .041).
Conclusion
The virtual reality intervention program of this study shows a positive effect on the apathy reduction and QOL of patients with dementia or mild cognitive impairment residing in nursing facilities.

Citations

Citations to this article as recorded by  
  • The effectiveness of nursing interventions for elderly dementia patients based on virtual reality technology: A systematic review and meta-analysis
    Jun Wen, Hong Yan, Siyu Wang, Jialan Xu, Zitong Zhou
    Ageing Research Reviews.2024; 93: 102135.     CrossRef
  • Development of the “living well” concept for older people with dementia
    Jiyoung Kim, Nayeon Shin
    BMC Geriatrics.2023;[Epub]     CrossRef
  • 455 View
  • 28 Download
  • 3 Web of Science
  • 2 Crossref
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Development and Effects of Head-Mounted Display-Based Home-Visits Virtual Reality Simulation Program for Nursing Students
Ahn, Min Kweon , Lee, Chong Mi
J Korean Acad Nurs 2021;51(4):465-477.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21051
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of head monted display based home-visits virtual reality simulation (HVRS) program developed for undergraduate nursing students.
Methods
A nonequivalent control group with a non-synchronized design was utilized and 84 participants (experimental group, 44; control group, 40) were recruited from August 31, 2020 to November 8, 2020 in Gwangju metropolitan city. The HVRS program consisted of scenarios of three nursing cases, hypertension, diabetes mellitus, and stroke. Data were analyzed SPSS version 25.0 for Windows.
Results
At the completion of HVRS, significant differences were found between groups in knowledge of home-visits (t = 4.73, p < .001), self-confidence (t = 6.63, p < .001), self-efficacy (t = 3.13, p = .002), and clinical competency (t = 4.13, p < .001). No significant difference was shown between groups in nursing knowledge about strokes, a subcategory of knowledge pertaining to home visits.
Conclusion
The HVRS program developed for undergraduate nursing students is effective in improving knowledge of home-visits, self-confidence, self-efficacy, and clinical competency for nursing students.

Citations

Citations to this article as recorded by  
  • Comparison between virtual reality and traditional lecture methods in educating respiratory therapy on pediatric airway diseases
    Wen-Jing Hsu, Yi-Hsuan Tang, Wei-Chih Chen, Yu-Sheng Lee, Pei-Chen Tsao, Wei-Yu Chen, Ying-Ying Yang, Hsin-Kuo Ko, Sheng-Wei Pan, Yu-Fen Ting, Shih-Hsing Yang, Mei-Jy Jeng
    Journal of the Chinese Medical Association.2025; 88(3): 205.     CrossRef
  • Exploring the effects of extended reality head-mounted display nervous system assessment training for nursing students: A pilot feasibility study
    Jiyoung Kim, Hyunjung Shin
    Nurse Education Today.2024; 133: 106089.     CrossRef
  • Are virtual reality intravenous injection training programs effective for nurses and nursing students? A systematic review
    Jin Young Kim, Juri Kim, Mikyoung Lee
    Nurse Education Today.2024; 139: 106208.     CrossRef
  • Enhancing nursing competency through virtual reality simulation among nursing students: a systematic review and meta-analysis
    Mi-Kyoung Cho, Mi Young Kim
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Effects of Immersive Technology–Based Education for Undergraduate Nursing Students: Systematic Review and Meta-Analysis Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Approach
    Subin Park, Hui Ju Shin, Hyoeun Kwak, Hyun Joo Lee
    Journal of Medical Internet Research.2024; 26: e57566.     CrossRef
  • Development and Effects of Metaverse-Based Intradermal Injection Content for Nursing Students
    Min-Kweon Ahn
    Journal of Digital Contents Society.2024; 25(9): 2543.     CrossRef
  • Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study
    Soo Youn Jung, Kyoung Ja Moon
    JMIR Serious Games.2024; 12: e53165.     CrossRef
  • Effect of Augmented Reality Smart Glasses-based Nursing Skills Training for Nursing Students’ Medication Administration Safety Competency: A Quasi-experimental Study
    Jiyoung Kim, Narae Heo
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 449.     CrossRef
  • Instructor's Experience of Extended Reality Applied to Nursing Education
    Jiyoung Kim, Hyeoncheol Jeong
    Clinical Simulation in Nursing.2023; 84: 101450.     CrossRef
  • Validity and reliability of positive attitudes toward and perceived importance of wearable display technology as an effective learning tool among nursing students
    Jiyoung Kim, Narae Heo, Hyuncheol Kang
    Nurse Education in Practice.2023; 73: 103812.     CrossRef
  • A Study on the Feasibility of Introducing XR in Nursing Education Core Fundamental Nursing Skills
    Yunja Hwang, Jaeyeon Jeong, Yoo Mi Jeong
    Journal of Digital Contents Society.2023; 24(4): 775.     CrossRef
  • Virtual Reality Simulation for Advanced Infection Control Education in Neonatal Intensive Care Units: Focusing on the Prevention of Central Line-Associated Bloodstream Infections and Ventilator-Associated Infections
    Jimin Ryu, Mi Yu
    Healthcare.2023; 11(16): 2296.     CrossRef
  • A Delphi study on the Needs for the Development of a Customized Program based on Augmented Reality for Preterm infants and their Families in the Neonatal Intensive Care Unit
    Jae Eun Sin, Ah Rim Kim
    Journal of Digital Contents Society.2022; 23(3): 455.     CrossRef
  • The development and effects of metaverse-based core nursing skill contents of vital signs measurements and subcutaneous injections for nursing students
    Min Kweon Ahn
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 378.     CrossRef
  • Nurses’ behavioral intention in using virtual clinical simulation training: By structural equation modeling
    Hyein Choi, Sunghee H. Tak
    Nurse Education in Practice.2022; 65: 103492.     CrossRef
  • 419 View
  • 24 Download
  • 11 Web of Science
  • 15 Crossref
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