Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials
Background Post‐stroke depression is the most common neuropsychiatric consequence and reduces rehabilitation effectiveness. However, the efficacy of virtual reality (VR) on mental health treatment for patients after a stroke is uncertain. Aims The aim of this study was to evaluate the efficacy of VR...
Gespeichert in:
| Veröffentlicht in: | Worldviews on evidence-based nursing 2024-04, Vol.21 (2), p.194-201 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 201 |
|---|---|
| container_issue | 2 |
| container_start_page | 194 |
| container_title | Worldviews on evidence-based nursing |
| container_volume | 21 |
| creator | Blázquez‐González, Patricia Mirón‐González, Rubén Lendínez‐Mesa, Alejandro Luengo‐González, Raquel Mancebo‐Salas, Noelia Camacho‐Arroyo, María Teresa Martínez‐Hortelano, José Alberto |
| description | Background
Post‐stroke depression is the most common neuropsychiatric consequence and reduces rehabilitation effectiveness. However, the efficacy of virtual reality (VR) on mental health treatment for patients after a stroke is uncertain.
Aims
The aim of this study was to evaluate the efficacy of VR as a co‐adjuvant form of treatment to reduce depression in stroke patients admitted to neurorehabilitation units.
Methods
We systematically searched medical databases including PubMed, CINAHL, PsycINFO, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov from inception to November 16, 2023. Clinical trials comparing the use of VR as an adjuvant form of treatment in stroke patients' rehabilitation with the usual treatment were included. Pooled standardized mean differences were calculated using a random‐effects model. Subgroup analyses were performed according to type of stroke, VR characteristics, and the scale used to measure depression. Meta‐regression analysis was performed for intervention duration and to determine the mean age of the participants.
Results
Eight studies and 388 stroke patients were included. The VR interventions were associated with a lower risk of depression in patients (ES = −0.69; 95% CI [−1.05, −0.33]; I2 = 57.6%; p ≤ .02). The estimates were not affected by the type of stroke, the type of VR used, the blinding process, the type of scale used to detect depression, the duration of the intervention (weeks and minutes), and the total number of sessions. Meta‐regression shows that younger samples (p = .00; 95% CI [0.01, 0.08) and longer interventions (p = |
| doi_str_mv | 10.1111/wvn.12699 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2906771742</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2906771742</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3489-a9ac26ffbdcf0e1d5b49949ed70ec7ec4bf95a190d35ba744461253cb8ba96af3</originalsourceid><addsrcrecordid>eNp1kc1u1TAQRiMEoqWw4AWQJTawSGvHjh2zqyqglSrY8LezJs5EuCRxsJ17la54AsQz8iT17S0skPBmrNHxGY2_onjK6DHL52S7mY5ZJbW-VxwyJVgpVaPu53st6pLR6stB8SjGK0orqSr-sDjgDRNaNvyw-HkxzmAT8T3ZuJAWGEhAGFxaf__41ULEjqSvGGBeiZ_I7GPK_ZiC_4akwzlgjM5Pr8gpiWtMOEJyNhs2DrcEpo6MmCC_gAmGNbq4mxNy34_uOqutn7JqGHZTgoMhPi4e9Lngk7t6VHx88_rD2Xl5-f7txdnpZWm5aHQJGmwl-77tbE-RdXUrtBYaO0XRKrSi7XUNTNOO1y0oIYRkVc1t27SgJfT8qHix987Bf18wJjO6aHEYYEK_RFNpKpXKf1ll9Pk_6JVfQt4nGk65qGWjOMvUyz1lg48xYG_m4EYIq2HU7EIyOSRzG1Jmn90Zl3bE7i_5J5UMnOyBrRtw_b_JfP70bq-8Ab1Wops</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3034568731</pqid></control><display><type>article</type><title>Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials</title><source>Access via Wiley Online Library</source><creator>Blázquez‐González, Patricia ; Mirón‐González, Rubén ; Lendínez‐Mesa, Alejandro ; Luengo‐González, Raquel ; Mancebo‐Salas, Noelia ; Camacho‐Arroyo, María Teresa ; Martínez‐Hortelano, José Alberto</creator><creatorcontrib>Blázquez‐González, Patricia ; Mirón‐González, Rubén ; Lendínez‐Mesa, Alejandro ; Luengo‐González, Raquel ; Mancebo‐Salas, Noelia ; Camacho‐Arroyo, María Teresa ; Martínez‐Hortelano, José Alberto</creatorcontrib><description>Background
Post‐stroke depression is the most common neuropsychiatric consequence and reduces rehabilitation effectiveness. However, the efficacy of virtual reality (VR) on mental health treatment for patients after a stroke is uncertain.
Aims
The aim of this study was to evaluate the efficacy of VR as a co‐adjuvant form of treatment to reduce depression in stroke patients admitted to neurorehabilitation units.
Methods
We systematically searched medical databases including PubMed, CINAHL, PsycINFO, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov from inception to November 16, 2023. Clinical trials comparing the use of VR as an adjuvant form of treatment in stroke patients' rehabilitation with the usual treatment were included. Pooled standardized mean differences were calculated using a random‐effects model. Subgroup analyses were performed according to type of stroke, VR characteristics, and the scale used to measure depression. Meta‐regression analysis was performed for intervention duration and to determine the mean age of the participants.
Results
Eight studies and 388 stroke patients were included. The VR interventions were associated with a lower risk of depression in patients (ES = −0.69; 95% CI [−1.05, −0.33]; I2 = 57.6%; p ≤ .02). The estimates were not affected by the type of stroke, the type of VR used, the blinding process, the type of scale used to detect depression, the duration of the intervention (weeks and minutes), and the total number of sessions. Meta‐regression shows that younger samples (p = .00; 95% CI [0.01, 0.08) and longer interventions (p = < .05; 95% CI [−0.00, −0.00) lead to a greater reduction in depression.
Linking Evidence to Action
This review provides an important basis for treating depression in patients after a stroke. Professionals working in stroke neurorehabilitation units should consider VR as a form of co‐adjuvant treatment for depression in patients.
Systematic Review Registration
CRD42022303968.</description><identifier>ISSN: 1545-102X</identifier><identifier>ISSN: 1741-6787</identifier><identifier>EISSN: 1741-6787</identifier><identifier>DOI: 10.1111/wvn.12699</identifier><identifier>PMID: 38149683</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>brain infraction ; depression ; emotional state ; Mental depression ; Psychotherapy ; Recovery (Medical) ; Stroke ; Systematic review ; Virtual reality ; virtual therapy</subject><ispartof>Worldviews on evidence-based nursing, 2024-04, Vol.21 (2), p.194-201</ispartof><rights>2023 The Authors. Worldviews on Evidence‐based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3489-a9ac26ffbdcf0e1d5b49949ed70ec7ec4bf95a190d35ba744461253cb8ba96af3</cites><orcidid>0000-0003-4788-6083 ; 0000-0002-3874-0288 ; 0000-0003-4107-4914 ; 0000-0002-1514-4889 ; 0000-0001-6477-5014 ; 0000-0001-7433-188X ; 0000-0002-1787-7795</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fwvn.12699$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fwvn.12699$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38149683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blázquez‐González, Patricia</creatorcontrib><creatorcontrib>Mirón‐González, Rubén</creatorcontrib><creatorcontrib>Lendínez‐Mesa, Alejandro</creatorcontrib><creatorcontrib>Luengo‐González, Raquel</creatorcontrib><creatorcontrib>Mancebo‐Salas, Noelia</creatorcontrib><creatorcontrib>Camacho‐Arroyo, María Teresa</creatorcontrib><creatorcontrib>Martínez‐Hortelano, José Alberto</creatorcontrib><title>Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials</title><title>Worldviews on evidence-based nursing</title><addtitle>Worldviews Evid Based Nurs</addtitle><description>Background
Post‐stroke depression is the most common neuropsychiatric consequence and reduces rehabilitation effectiveness. However, the efficacy of virtual reality (VR) on mental health treatment for patients after a stroke is uncertain.
Aims
The aim of this study was to evaluate the efficacy of VR as a co‐adjuvant form of treatment to reduce depression in stroke patients admitted to neurorehabilitation units.
Methods
We systematically searched medical databases including PubMed, CINAHL, PsycINFO, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov from inception to November 16, 2023. Clinical trials comparing the use of VR as an adjuvant form of treatment in stroke patients' rehabilitation with the usual treatment were included. Pooled standardized mean differences were calculated using a random‐effects model. Subgroup analyses were performed according to type of stroke, VR characteristics, and the scale used to measure depression. Meta‐regression analysis was performed for intervention duration and to determine the mean age of the participants.
Results
Eight studies and 388 stroke patients were included. The VR interventions were associated with a lower risk of depression in patients (ES = −0.69; 95% CI [−1.05, −0.33]; I2 = 57.6%; p ≤ .02). The estimates were not affected by the type of stroke, the type of VR used, the blinding process, the type of scale used to detect depression, the duration of the intervention (weeks and minutes), and the total number of sessions. Meta‐regression shows that younger samples (p = .00; 95% CI [0.01, 0.08) and longer interventions (p = < .05; 95% CI [−0.00, −0.00) lead to a greater reduction in depression.
Linking Evidence to Action
This review provides an important basis for treating depression in patients after a stroke. Professionals working in stroke neurorehabilitation units should consider VR as a form of co‐adjuvant treatment for depression in patients.
Systematic Review Registration
CRD42022303968.</description><subject>brain infraction</subject><subject>depression</subject><subject>emotional state</subject><subject>Mental depression</subject><subject>Psychotherapy</subject><subject>Recovery (Medical)</subject><subject>Stroke</subject><subject>Systematic review</subject><subject>Virtual reality</subject><subject>virtual therapy</subject><issn>1545-102X</issn><issn>1741-6787</issn><issn>1741-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp1kc1u1TAQRiMEoqWw4AWQJTawSGvHjh2zqyqglSrY8LezJs5EuCRxsJ17la54AsQz8iT17S0skPBmrNHxGY2_onjK6DHL52S7mY5ZJbW-VxwyJVgpVaPu53st6pLR6stB8SjGK0orqSr-sDjgDRNaNvyw-HkxzmAT8T3ZuJAWGEhAGFxaf__41ULEjqSvGGBeiZ_I7GPK_ZiC_4akwzlgjM5Pr8gpiWtMOEJyNhs2DrcEpo6MmCC_gAmGNbq4mxNy34_uOqutn7JqGHZTgoMhPi4e9Lngk7t6VHx88_rD2Xl5-f7txdnpZWm5aHQJGmwl-77tbE-RdXUrtBYaO0XRKrSi7XUNTNOO1y0oIYRkVc1t27SgJfT8qHix987Bf18wJjO6aHEYYEK_RFNpKpXKf1ll9Pk_6JVfQt4nGk65qGWjOMvUyz1lg48xYG_m4EYIq2HU7EIyOSRzG1Jmn90Zl3bE7i_5J5UMnOyBrRtw_b_JfP70bq-8Ab1Wops</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Blázquez‐González, Patricia</creator><creator>Mirón‐González, Rubén</creator><creator>Lendínez‐Mesa, Alejandro</creator><creator>Luengo‐González, Raquel</creator><creator>Mancebo‐Salas, Noelia</creator><creator>Camacho‐Arroyo, María Teresa</creator><creator>Martínez‐Hortelano, José Alberto</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4788-6083</orcidid><orcidid>https://orcid.org/0000-0002-3874-0288</orcidid><orcidid>https://orcid.org/0000-0003-4107-4914</orcidid><orcidid>https://orcid.org/0000-0002-1514-4889</orcidid><orcidid>https://orcid.org/0000-0001-6477-5014</orcidid><orcidid>https://orcid.org/0000-0001-7433-188X</orcidid><orcidid>https://orcid.org/0000-0002-1787-7795</orcidid></search><sort><creationdate>202404</creationdate><title>Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials</title><author>Blázquez‐González, Patricia ; Mirón‐González, Rubén ; Lendínez‐Mesa, Alejandro ; Luengo‐González, Raquel ; Mancebo‐Salas, Noelia ; Camacho‐Arroyo, María Teresa ; Martínez‐Hortelano, José Alberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3489-a9ac26ffbdcf0e1d5b49949ed70ec7ec4bf95a190d35ba744461253cb8ba96af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>brain infraction</topic><topic>depression</topic><topic>emotional state</topic><topic>Mental depression</topic><topic>Psychotherapy</topic><topic>Recovery (Medical)</topic><topic>Stroke</topic><topic>Systematic review</topic><topic>Virtual reality</topic><topic>virtual therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blázquez‐González, Patricia</creatorcontrib><creatorcontrib>Mirón‐González, Rubén</creatorcontrib><creatorcontrib>Lendínez‐Mesa, Alejandro</creatorcontrib><creatorcontrib>Luengo‐González, Raquel</creatorcontrib><creatorcontrib>Mancebo‐Salas, Noelia</creatorcontrib><creatorcontrib>Camacho‐Arroyo, María Teresa</creatorcontrib><creatorcontrib>Martínez‐Hortelano, José Alberto</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Worldviews on evidence-based nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blázquez‐González, Patricia</au><au>Mirón‐González, Rubén</au><au>Lendínez‐Mesa, Alejandro</au><au>Luengo‐González, Raquel</au><au>Mancebo‐Salas, Noelia</au><au>Camacho‐Arroyo, María Teresa</au><au>Martínez‐Hortelano, José Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials</atitle><jtitle>Worldviews on evidence-based nursing</jtitle><addtitle>Worldviews Evid Based Nurs</addtitle><date>2024-04</date><risdate>2024</risdate><volume>21</volume><issue>2</issue><spage>194</spage><epage>201</epage><pages>194-201</pages><issn>1545-102X</issn><issn>1741-6787</issn><eissn>1741-6787</eissn><abstract>Background
Post‐stroke depression is the most common neuropsychiatric consequence and reduces rehabilitation effectiveness. However, the efficacy of virtual reality (VR) on mental health treatment for patients after a stroke is uncertain.
Aims
The aim of this study was to evaluate the efficacy of VR as a co‐adjuvant form of treatment to reduce depression in stroke patients admitted to neurorehabilitation units.
Methods
We systematically searched medical databases including PubMed, CINAHL, PsycINFO, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov from inception to November 16, 2023. Clinical trials comparing the use of VR as an adjuvant form of treatment in stroke patients' rehabilitation with the usual treatment were included. Pooled standardized mean differences were calculated using a random‐effects model. Subgroup analyses were performed according to type of stroke, VR characteristics, and the scale used to measure depression. Meta‐regression analysis was performed for intervention duration and to determine the mean age of the participants.
Results
Eight studies and 388 stroke patients were included. The VR interventions were associated with a lower risk of depression in patients (ES = −0.69; 95% CI [−1.05, −0.33]; I2 = 57.6%; p ≤ .02). The estimates were not affected by the type of stroke, the type of VR used, the blinding process, the type of scale used to detect depression, the duration of the intervention (weeks and minutes), and the total number of sessions. Meta‐regression shows that younger samples (p = .00; 95% CI [0.01, 0.08) and longer interventions (p = < .05; 95% CI [−0.00, −0.00) lead to a greater reduction in depression.
Linking Evidence to Action
This review provides an important basis for treating depression in patients after a stroke. Professionals working in stroke neurorehabilitation units should consider VR as a form of co‐adjuvant treatment for depression in patients.
Systematic Review Registration
CRD42022303968.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38149683</pmid><doi>10.1111/wvn.12699</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4788-6083</orcidid><orcidid>https://orcid.org/0000-0002-3874-0288</orcidid><orcidid>https://orcid.org/0000-0003-4107-4914</orcidid><orcidid>https://orcid.org/0000-0002-1514-4889</orcidid><orcidid>https://orcid.org/0000-0001-6477-5014</orcidid><orcidid>https://orcid.org/0000-0001-7433-188X</orcidid><orcidid>https://orcid.org/0000-0002-1787-7795</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1545-102X |
| ispartof | Worldviews on evidence-based nursing, 2024-04, Vol.21 (2), p.194-201 |
| issn | 1545-102X 1741-6787 1741-6787 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2906771742 |
| source | Access via Wiley Online Library |
| subjects | brain infraction depression emotional state Mental depression Psychotherapy Recovery (Medical) Stroke Systematic review Virtual reality virtual therapy |
| title | Impact of virtual reality‐based therapy on post‐stroke depression: A systematic review and meta‐analysis of randomized controlled trials |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T12%3A43%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20virtual%20reality%E2%80%90based%20therapy%20on%20post%E2%80%90stroke%20depression:%20A%20systematic%20review%20and%20meta%E2%80%90analysis%20of%20randomized%20controlled%20trials&rft.jtitle=Worldviews%20on%20evidence-based%20nursing&rft.au=Bl%C3%A1zquez%E2%80%90Gonz%C3%A1lez,%20Patricia&rft.date=2024-04&rft.volume=21&rft.issue=2&rft.spage=194&rft.epage=201&rft.pages=194-201&rft.issn=1545-102X&rft.eissn=1741-6787&rft_id=info:doi/10.1111/wvn.12699&rft_dat=%3Cproquest_cross%3E2906771742%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3034568731&rft_id=info:pmid/38149683&rfr_iscdi=true |