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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05541575
Other study ID # FJU-C109203
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date August 5, 2021
Est. completion date June 30, 2022

Study information

Verified date September 2022
Source National Taipei University of Nursing and Health Sciences
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study develop a new virtual reality course for home care workers to experience the view of dementia people with BPSD and the relative feelings. After the intervention, the experimental group would completed the several scales of attitude of care, competence of care and empathy, then the factor analysis and correlation analysis were measured. In the first stage, a single group pre and post test study was conducted to extract 10 home caregivers of dementia care from Hondao Senior Citizen's Welfare Foundation. In order to explore the VR course affect the attitude of care, competent of care and empathy towards the dementia people in community, and future career. In the second stage, this study use quasi experimental design. The experimental group (n=65) and the control group (n=65) each have a pre- and post-test design. The experimental group uses virtual reality courses for intervention experience, while the control group does not have intervention. After the two post-tests are completed, then provide the same immersive 3D VR experience as the experimental group. The measurement tools in this study used the Jefferson Empathy Scale (Chinese Version), The Interpersonal Reactivity Index (Chinese Version), and three self-made scales focus on dementia care attitude scale, the dementia care competency scale and the virtual reality course experience scale.


Description:

More than 90% of people with mild and moderate level of dementia live at home in the community. The behaviors and psychological symptoms of dementia (BPSD) would be severe by age, and often increases the difficulty and pressure for family caregivers. Also the outcome from the relative studies are limited. This study develop a new virtual reality course for home care workers to experience the view of dementia people with BPSD and the relative feelings. After the intervention, the experimental group would completed the several scales of attitude of care, competence of care and empathy, then the factor analysis and correlation analysis were measured. In the first stage, a single group pre and post test study was conducted to extract 10 home caregivers of dementia care from Hondao Senior Citizen's Welfare Foundation. In order to explore the VR course affect the attitude of care, competent of care and empathy towards the dementia people in community, and future career. In the second stage, this study use quasi experimental design. The experimental group (n=65) and the control group (n=65) each have a pre- and post-test design. The experimental group uses virtual reality courses for intervention experience, while the control group does not have intervention. After the two post-tests are completed, then provide the same immersive 3D VR experience as the experimental group. The measurement tools in this study used three self-made scales focus on dementia care attitude scale, the dementia care competency scale and the virtual reality course experience scale and empathy scale. ANCOVA would be used for the correlation analysis above scales. Home care workers can use VR as an appropriate interventions, to empathize with the situation, faced and recognize the weakness, frustration and emotional distress of dementia people. Then change the attitude and arise the competency of care, also should be considered for ensure that patients with dementia stay in good care quality.


Recruitment information / eligibility

Status Completed
Enrollment 142
Est. completion date June 30, 2022
Est. primary completion date December 30, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 20 Years to 75 Years
Eligibility Inclusion Criteria: 1. is currently or has been serving as an in-home caregiver for a community-dwelling patient with dementia; 2. aged 20 years and above 3. conversant in Mandarin and Taiwanese 4. agreed to participate in this study Exclusion Criteria: 1. age 19 years and below 2. disagreed to participate in this study.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
VR films
A new virtual reality course for home care workers to experience the view of dementia people with BPSD and the relative feelings.

Locations

Country Name City State
Taiwan Fooyin University Kaohsiung

Sponsors (1)

Lead Sponsor Collaborator
National Taipei University of Nursing and Health Sciences

Country where clinical trial is conducted

Taiwan, 

References & Publications (10)

Dyer E, Swartzlander BJ, Gugliucci MR. Using virtual reality in medical education to teach empathy. J Med Libr Assoc. 2018 Oct;106(4):498-500. doi: 10.5195/jmla.2018.518. Epub 2018 Oct 1. — View Citation

Elliott R, Bohart AC, Watson JC, Greenberg LS. Empathy. Psychotherapy (Chic). 2011 Mar;48(1):43-9. doi: 10.1037/a0022187. — View Citation

Hattink B, Meiland F, van der Roest H, Kevern P, Abiuso F, Bengtsson J, Giuliano A, Duca A, Sanders J, Basnett F, Nugent C, Kingston P, Dröes RM. Web-Based STAR E-Learning Course Increases Empathy and Understanding in Dementia Caregivers: Results from a Randomized Controlled Trial in the Netherlands and the United Kingdom. J Med Internet Res. 2015 Oct 30;17(10):e241. doi: 10.2196/jmir.4025. — View Citation

Jütten LH, Mark RE, Maria Janssen BWJ, Rietsema J, Dröes RM, Sitskoorn MM. Testing the effectivity of the mixed virtual reality training Into D'mentia for informal caregivers of people with dementia: protocol for a longitudinal, quasi-experimental study. BMJ Open. 2017 Aug 21;7(8):e015702. doi: 10.1136/bmjopen-2016-015702. — View Citation

Jütten LH, Mark RE, Sitskoorn MM. Can the Mixed Virtual Reality Simulator Into D'mentia Enhance Empathy and Understanding and Decrease Burden in Informal Dementia Caregivers? Dement Geriatr Cogn Dis Extra. 2018 Dec 6;8(3):453-466. doi: 10.1159/000494660. eCollection 2018 Sep-Dec. — View Citation

Kim D. Development and Effect of Virtual Reality Practice Program for Improving Practical Competency of Caregivers Specializing in Dementia. Healthcare (Basel). 2021 Oct 18;9(10). pii: 1390. doi: 10.3390/healthcare9101390. — View Citation

Pollock M, Hornabrook RW. The prevalence, natural history and dementia of Parkinson's disease. Brain. 1966 Sep;89(3):429-48. — View Citation

Sari DW, Igarashi A, Takaoka M, Yamahana R, Noguchi-Watanabe M, Teramoto C, Yamamoto-Mitani N. Virtual reality program to develop dementia-friendly communities in Japan. Australas J Ageing. 2020 Sep;39(3):e352-e359. doi: 10.1111/ajag.12797. Epub 2020 Jun 2. — View Citation

Shin D. Empathy and embodied experience in virtual environment: To what extent can virtual reality stimulate empathy and embodied experience? Comput Hum Behav. 2018;78:64-73. doi:10.1016/j.chb.2017.09.012

Wijma EM, Veerbeek MA, Prins M, Pot AM, Willemse BM. A virtual reality intervention to improve the understanding and empathy for people with dementia in informal caregivers: results of a pilot study. Aging Ment Health. 2018 Sep;22(9):1115-1123. doi: 10.1080/13607863.2017.1348470. Epub 2017 Jul 10. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Empathy Scale It contains 9 questions. There is no subscale. The score of range from 1-5. Change from Baseline, T1
Primary Dementia care scale It contains 22 questions. There is 3 subscale. The score of range from 1-5. Change from Baseline, T1
Primary Virtual reality course experience scale It contains 9 questions. There is 3 subscale. The score of range from 1-5. Experimental group need to completion 30 mins intervention, then participants fill the questionnaire.
Secondary Empathy Scale It contains 9 questions. There is no subscale. The score of range from 1-5. Through study completion, an average of 2 months(T2)
Secondary Dementia care scale It contains 22 questions. There is 3 subscale. The score of range from 1-5. Through study completion, an average of 2 months(T2)
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