Enrichment through virtual reality for palliative care: A scoping review
Pages 280 - 293
Abstract
Virtual Reality (VR) demonstrated efficacy for reducing stress for Palliative Care (PC) persons and distract from pain. However, VR in clinical settings may do more to foster the holistic approach of PC, creating an enriching experience adjunct to focusing on clinical outcomes or as a distraction from suffering. To understand design trends, gaps and opportunities for VR in PC, we conducted a scoping review across 4 databases. We found 14 articles that shared the design and use of VR in the PC setting, demonstrating aspects of PC that VR currently supports: symptom management, embedded enrichment, personalised care and decision-making, with the former dominating the field. Dominant design strategies included: active vs. passive engagement in VR, narrative building, and supporting accessibility and mobility. It is notable that participatory approaches were under-utilised. VR currently takes an interventionist approach, focusing on clinical outcomes. We argue that there is a need to change stance towards proactively fostering enrichment as an outcome and present five mechanisms to support person-centred PC using VR.
References
[1]
Australian Institute of Health and Welfare 2016. Australia’s health 2016. Australian Institute of Health and Welfare. https://www.aihw.gov.au/getmedia/68ed1246-886e-43ff-af35-d52db9a9600c/ah16-6-18-end of-life care.pdf.aspx#: :text=End%2Dof%2Dlife%20care%3A,patient’s%20body%20after%20their%20death)
[2]
Australian Government Department of Health 2018. National Palliative Care Strategy 2018. Australian Government Department of Health. https://www.health.gov.au/resources/publications/the-national-palliative-care-strategy-2018?language=en
[3]
Naseem Ahmadpour, Phillip Gough, Melanie Lovell, Philip Austin, Philip Poronnik, Wendy Qi Zhang, Judy Kay, Bob Kummerfeld, Tim Luckett, Martin Brown, 2023. How Can HCI Support End-of-Life Care? Critical Perspectives on Sociotechnical Imaginaries for Palliative Care(CHI EA ’23). Association for Computing Machinery, New York, NY, USA, Article 157, 7 pages. https://doi.org/10.1145/3544549.3585768
[4]
Naseem Ahmadpour, Melanie Keep, Anna Janssen, Anika Saiyara Rouf, Michael Marthick, 2020. Design strategies for virtual reality interventions for managing pain and anxiety in children and adolescents: scoping review. JMIR serious games 8, 1 (2020), e14565.
[5]
Naseem Ahmadpour, Lian Loke, Carl Gray, Yidan Cao, Chloe Macdonald, and Rebecca Hart. 2023. Understanding How Technology Can Support Social-Emotional Learning of Children: A Dyadic Trauma-Informed Participatory Design with Proxies. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (Hamburg, Germany) (CHI ’23). Association for Computing Machinery, New York, NY, USA, Article 299, 17 pages. https://doi.org/10.1145/3544548.3581032
[6]
Naseem Ahmadpour, Geke Ludden, Dorian Peters, and Karina Vold. 2022. Responsible Digital Health. Frontiers in Digital Health 3 (2022), 213.
[7]
Naseem Ahmadpour, Hayden Randall, Harsham Choksi, Antony Gao, Christopher Vaughan, and Philip Poronnik. 2019. Virtual Reality interventions for acute and chronic pain management. The international journal of biochemistry & cell biology 114 (2019), 105568.
[8]
Ruben Albers, Shadan Sadeghian, Matthias Laschke, and Marc Hassenzahl. 2023. Dying, Death, and the Afterlife in Human-Computer Interaction. A Scoping Review. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (Hamburg, Germany) (CHI ’23). Association for Computing Machinery, New York, NY, USA, Article 302, 16 pages. https://doi.org/10.1145/3544548.3581199
[9]
Yolanda Álvarez-Pérez, Francisco Rivero, Manuel Herrero, Conrado Viña, Ascensión Fumero, Moisés Betancort, and Wenceslao Peñate. 2021. Changes in brain activation through cognitive-behavioral therapy with exposure to virtual reality: A neuroimaging study of specific phobia. Journal of Clinical Medicine 10, 16 (2021), 3505.
[10]
Philip D Austin, Philip J Siddall, and Melanie R Lovell. 2022. Feasibility and acceptability of virtual reality for cancer pain in people receiving palliative care: a randomised cross-over study. Supportive Care in Cancer 30, 5 (2022), 3995–4005.
[11]
Nilufar Baghaei, Vibhav Chitale, Andrej Hlasnik, Lehan Stemmet, Hai-Ning Liang, and Richard Porter. 2021. Virtual reality for supporting the treatment of depression and anxiety: Scoping review. JMIR mental health 8, 9 (2021), e29681.
[12]
Kathryn A Birnie, Yalinie Kulandaivelu, Lindsay Jibb, Petra Hroch, Karyn Positano, Simon Robertson, Fiona Campbell, Oussama Abla, and Jennifer Stinson. 2018. Usability testing of an interactive virtual reality distraction intervention to reduce procedural pain in children and adolescents with cancer. Journal of Pediatric Oncology Nursing 35, 6 (2018), 406–416.
[13]
Adreanne Brungardt, Angela Wibben, Amanda F Tompkins, Prajakta Shanbhag, Heather Coats, A Blythe LaGasse, Debra Boeldt, Jeanie Youngwerth, Jean S Kutner, and Hillary D Lum. 2021. Virtual reality-based music therapy in palliative care: a pilot implementation trial. Journal of palliative medicine 24, 5 (2021), 736–742.
[14]
Hannah Carmont and Sonja McIlfatrick. 2022. Using virtual reality in palliative care: a systematic integrative review. International Journal of Palliative Nursing 28, 3 (2022), 132–144.
[15]
William CS Cho. 2013. Evidence-based non-pharmacological therapies for palliative cancer care. Vol. 4. Springer Science & Business Media.
[16]
Karen Cochrane, Lian Loke, Matthew Leete, Andrew Campbell, and Naseem Ahmadpour. 2021. Understanding the First Person Experience of Walking Mindfulness Meditation Facilitated by EEG Modulated Interactive Soundscape. In Proceedings of the Fifteenth International Conference on Tangible, Embedded, and Embodied Interaction (Salzburg, Austria) (TEI ’21). Association for Computing Machinery, New York, NY, USA, Article 18, 17 pages. https://doi.org/10.1145/3430524.3440637
[17]
Marie Curie debriefing. 2016. Inequities in palliative care – isolation and loneliness. Marie Curie Foundation. Retrieved June 21, 2023 from https://www.mariecurie.org.uk/globalassets/media/documents/policy/briefings-consultations/scotland-briefings/marie-curie-briefing-inequities-isolation-loneliness.pdf
[18]
Elizabeth Ellcessor. 2016. Restricted access: Media, disability, and the politics of participation. Vol. 6. NYU Press.
[19]
Marie-José HE Gijsberts, Anke I Liefbroer, René Otten, and Erik Olsman. 2019. Spiritual care in palliative care: a systematic review of the recent European literature. Medical Sciences 7, 2 (2019), 25.
[20]
Lina Goh, Natalie E Allen, Naseem Ahmadpour, Kaylena A Ehgoetz Martens, Jooeun Song, Lindy Clemson, Simon JG Lewis, Hamish G MacDougall, Colleen G Canning, 2021. A video self-modeling intervention using virtual reality plus physical practice for freezing of gait in Parkinson disease: feasibility and acceptability study. JMIR Formative Research 5, 11 (2021), e28315.
[21]
Jeffrey I Gold and Nicole E Mahrer. 2018. Is virtual reality ready for prime time in the medical space? A randomized control trial of pediatric virtual reality for acute procedural pain management. Journal of pediatric psychology 43, 3 (2018), 266–275.
[22]
Miriam Guenther, Dennis Görlich, Florian Bernhardt, Esther Pogatzki-Zahn, Burkhard Dasch, Janina Krueger, and Philipp Lenz. 2022. Virtual reality reduces pain in palliative care–A feasibility trial. BMC Palliative Care 21, 1 (2022), 1–9.
[23]
©2022 HammondCare. 2022. Cancer Pain App. https://apps.apple.com/us/app/cancer-pain-app/id1639820011
[24]
George Hartshorn, Matthew Browning, Kapil Chalil Madathil, Fredric Mau, Shyam Ranganathan, Andrew Todd, Jeff Bertrand, Allison Maynard, Olivia McAnirlin, Kailan Sindelar, 2022. Efficacy of virtual reality assisted guided imagery (VRAGI) in a home setting for pain management in patients with advanced cancer: protocol for a randomised controlled trial. BMJ open 12, 12 (2022), e064363.
[25]
Hunter G Hoffman, Jason N Doctor, David R Patterson, Gretchen J Carrougher, and Thomas A Furness III. 2000. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain 85, 1-2 (2000), 305–309.
[26]
Hunter G Hoffman, David R Patterson, and Gretchen J Carrougher. 2000. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. The Clinical journal of pain 16, 3 (2000), 244–250.
[27]
Wan-Ting Hsieh. 2020. Virtual reality video promotes effectiveness in advance care planning. BMC palliative care 19, 1 (2020), 1–10.
[28]
Kiran Ijaz, Naseem Ahmadpour, Sharon L Naismith, Rafael A Calvo, 2019. An immersive virtual reality platform for assessing spatial navigation memory in predementia screening: feasibility and usability study. JMIR mental health 6, 9 (2019), e13887.
[29]
Kiran Ijaz, Tram Thi Minh Tran, Ahmet Baki Kocaballi, Rafael A Calvo, Shlomo Berkovsky, and Naseem Ahmadpour. 2022. Design considerations for immersive virtual reality applications for older adults: a scoping review. Multimodal Technologies and Interaction 6, 7 (2022), 60.
[30]
Lilly Irani, Janet Vertesi, Paul Dourish, Kavita Philip, and Rebecca E. Grinter. 2010. Postcolonial Computing: A Lens on Design and Development. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Atlanta, Georgia, USA) (CHI ’10). Association for Computing Machinery, New York, NY, USA, 1311–1320. https://doi.org/10.1145/1753326.1753522
[31]
Anna Janssen, Jennifer Fletcher, Melanie Keep, Naseem Ahmadpour, Anika Rouf, Michael Marthick, and Rebecca Booth. 2022. Experiences of patients undergoing chemotherapy with virtual reality: Mixed methods feasibility study. JMIR Serious Games 10, 1 (2022), e29579.
[32]
Jade Jiang and Naseem Ahmadpour. 2022. Beyond Immersion: Designing for Reflection in Virtual Reality. In Proceedings of the 33rd Australian Conference on Human-Computer Interaction (Melbourne, VIC, Australia) (OzCHI ’21). Association for Computing Machinery, New York, NY, USA, 208–220. https://doi.org/10.1145/3520495.3520501
[33]
Tracy Johnson, Laura Bauler, Duncan Vos, Alan Hifko, Paras Garg, Mohammad Ahmed, and Michael Raphelson. 2020. Virtual reality use for symptom management in palliative care: a pilot study to assess user perceptions. Journal of palliative medicine 23, 9 (2020), 1233–1238.
[34]
Roberta I Jordan, Matthew J Allsop, Yousuf ElMokhallalati, Catriona E Jackson, Helen L Edwards, Emma J Chapman, Luc Deliens, and Michael I Bennett. 2020. Duration of palliative care before death in international routine practice: a systematic review and meta-analysis. BMC medicine 18, 1 (2020), 1–25.
[35]
Belinda Lange, Sebastian Koenig, Chien-Yen Chang, Eric McConnell, Evan Suma, Mark Bolas, and Albert Rizzo. 2012. Designing informed game-based rehabilitation tasks leveraging advances in virtual reality. Disability and rehabilitation 34, 22 (2012), 1863–1870.
[36]
Tsung-Yi Lin, Chiu-Mieh Huang, Hsiao-Pei Hsu, Jung-Yu Liao, Vivian Ya-Wen Cheng, Shih-Wen Wang, and Jong-Long Guo. 2020. Effects of a combination of three-dimensional virtual reality and hands-on horticultural therapy on institutionalized older adults’ physical and mental health: Quasi-experimental design. Journal of Medical Internet Research 22, 11 (2020), e19002.
[37]
Anna Lloyd and Erna Haraldsdottir. 2021. Virtual reality in hospice: improved patient well-being. BMJ Supportive & Palliative Care 11, 3 (2021), 344–350.
[38]
Eva Katharina Masel, Helena Trinczek, Feroniki Adamidis, Sophie Schur, Matthias Unseld, Anna Kitta, Kathrin Kirchheiner, Birgit Steininger, Karoline Meixner-Katzmann, and Herbert Hans Watzke. 2018. Vitamin “G” arden: a qualitative study exploring perception/s of horticultural therapy on a palliative care ward. Supportive Care in Cancer 26 (2018), 1799–1805.
[39]
Jason Mills. 2022. Palliative Care and Thanatechnology., 203–204 pages.
[40]
Jiping Mo, Victoria Vickerstaff, Ollie Minton, Simon Tavabie, Mark Taubert, Patrick Stone, and Nicola White. 2022. How effective is virtual reality technology in palliative care? A systematic review and meta-analysis. Palliative Medicine 36, 7 (2022), 1047–1058.
[41]
Nathan Moore, Naseem Ahmadpour, Martin Brown, Philip Poronnik, and Jennifer Davids. 2022. Designing Virtual Reality–Based Conversational Agents to Train Clinicians in Verbal De-escalation Skills: Exploratory Usability Study. JMIR Serious Games 10, 3 (2022), e38669.
[42]
Nathan Moore, Kathy Dempsey, Peter Hockey, Susan Jain, Philip Poronnik, Ramon Z Shaban, and Naseem Ahmadpour. 2021. Innovation during a pandemic: developing a guideline for infection prevention and control to support education through virtual reality. Frontiers in Digital Health 3 (2021), 628452.
[43]
Nathan Moore, Soojeong Yoo, Philip Poronnik, Martin Brown, Naseem Ahmadpour, 2020. Exploring user needs in the development of a virtual reality–based advanced life support training platform: exploratory usability study. JMIR Serious Games 8, 3 (2020), e20797.
[44]
Serena Moscato, Vittoria Sichi, Andrea Giannelli, Pierpaolo Palumbo, Rita Ostan, Silvia Varani, Raffaella Pannuti, and Lorenzo Chiari. 2021. Virtual reality in home palliative care: brief report on the effect on cancer-related symptomatology. Frontiers in Psychology 12 (2021), 709154.
[45]
Wisdom Muleya Munkombwe, Kerstin Petersson, and Carina Elgán. 2020. Nurses’ experiences of providing nonpharmacological pain management in palliative care: A qualitative study. Journal of clinical nursing 29, 9-10 (2020), 1643–1652.
[46]
Khushnood Naqshbandi, Kristina Mah, and Naseem Ahmadpour. 2022. Making space for faith, religion, and spirituality in prosocial HCI. Interactions 29, 4 (2022), 62–67.
[47]
Janice Ng, Henry Lo, Xin Tong, Diane Gromala, and Weina Jin. 2018. Farmooo, a virtual reality farm simulation game designed for cancer pediatric patients to distract their pain during chemotherapy treatment. Electronic Imaging 30 (2018), 1–4.
[48]
Kazuyuki Niki, Yoshiaki Okamoto, Isseki Maeda, Ichiro Mori, Ryouhei Ishii, Yoshinobu Matsuda, Tatsuya Takagi, and Etsuko Uejima. 2019. A novel palliative care approach using virtual reality for improving various symptoms of terminal cancer patients: a preliminary prospective, multicenter study. Journal of palliative medicine 22, 6 (2019), 702–707.
[49]
Amara Callistus Nwosu, Mark Mills, Simon Roughneen, Sarah Stanley, Laura Chapman, and Stephen R Mason. 2021. Virtual reality in specialist palliative care: a feasibility study to enable clinical practice adoption. BMJ Supportive & Palliative Care (2021).
[50]
Geraldine O’Gara, Lisa Murray, Sofia Georgopoulou, Tim Anstiss, Andrew Macquarrie, Pete Wheatstone, Barbie Bellman, Paul Gilbert, Anthony Steed, and Theresa Wiseman. 2022. SafeSpace: what is the feasibility and acceptability of a codesigned virtual reality intervention, incorporating compassionate mind training, to support people undergoing cancer treatment in a clinical setting?BMJ open 12, 2 (2022), e047626.
[51]
World Health Organization. 2020. Palliative care. WHO. Retrieved January 1, 2023 from https://www.who.int/news-room/fact-sheets/detail/palliative-care
[52]
Thomas D Parsons. 2021. Ethical challenges of using virtual environments in the assessment and treatment of psychopathological disorders. Journal of Clinical Medicine 10, 3 (2021), 378.
[53]
MSW-Letizia Perna, MSc, Sam Lund, Nicola White, and Ollie Minton. 2021. The potential of personalized virtual reality in palliative care: a feasibility trial. American Journal of Hospice and Palliative Medicine® 38, 12 (2021), 1488–1494.
[54]
Roland Peyron, Bernard Laurent, and Luis Garcia-Larrea. 2000. Functional imaging of brain responses to pain. A review and meta-analysis (2000). Neurophysiologie Clinique/Clinical Neurophysiology 30, 5 (2000), 263–288.
[55]
Robin B Rome, Hillary H Luminais, Deborah A Bourgeois, and Christopher M Blais. 2011. The role of palliative care at the end of life. Ochsner Journal 11, 4 (2011), 348–352.
[56]
Paul Roquet. [n. d.]. learning from VR motion sickness. https://cavrn.org/learning-from-vr-motion-sickness/
[57]
Semi Ryu and Sarah Kye Price. 2022. Embodied storytelling and meaning-making at the end of life: VoicingHan avatar life-review for palliative care in cancer patients. Arts & Health 14, 3 (2022), 326–340.
[58]
Annina Seiler, Markus Schettle, M Amann, Sophie Gaertner, Stefan Wicki, SM Christ, Gudrun Theile, Martin Feuz, Caroline Hertler, and David Blum. 2022. Virtual Reality Therapy in Palliative Care: A Case Series. Journal of Palliative Care (2022), 08258597221086767.
[59]
Silvia Serino, Federica Scarpina, Anouk Keizer, Elisa Pedroli, Antonios Dakanalis, Gianluca Castelnuovo, Alice Chirico, Margherita Novelli, Santino Gaudio, and Giuseppe Riva. 2016. A novel technique for improving bodily experience in a non-operable super–super obesity case. Frontiers in psychology (2016), 837.
[60]
Joseph A Stramondo. 2019. The distinction between curative and assistive technology. Science and engineering ethics 25, 4 (2019), 1125–1145.
[61]
M Torensma, BD Onwuteaka-Philipsen, X de Voogd, DL Willems, and JL Suurmond. 2021. The role of research in improving responsiveness of palliative care to migrants and other underserved populations in the Netherlands: a qualitative interview study. BMC Palliative Care 20 (2021), 1–11.
[62]
Jenny Waycott, Ryan M. Kelly, Steven Baker, Barbara Barbosa Neves, Kong Saoane Thach, and Reeva Lederman. 2022. The Role of Staff in Facilitating Immersive Virtual Reality for Enrichment in Aged Care: An Ethic of Care Perspective. In Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems (New Orleans, LA, USA) (CHI ’22). Association for Computing Machinery, New York, NY, USA, Article 414, 17 pages. https://doi.org/10.1145/3491102.3501956
[63]
Kevin Weingarten, Francis Macapagal, and David Parker. 2020. Virtual reality: endless potential in pediatric palliative care: a case report. Journal of palliative medicine 23, 1 (2020), 147–149.
[64]
Annika Wiebe, Kyra Kannen, Benjamin Selaskowski, Aylin Mehren, Ann-Kathrin Thöne, Lisa Pramme, Nike Blumenthal, Mengtong Li, Laura Asché, Stephan Jonas, 2022. Virtual reality in the diagnostic and therapy for mental disorders: A systematic review. Clinical Psychology Review (2022), 102213.
[65]
Rua Mae Williams, Louanne Boyd, and Juan E. Gilbert. 2023. Counterventions: A Reparative Reflection on Interventionist HCI. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (Hamburg, Germany) (CHI ’23). Association for Computing Machinery, New York, NY, USA, Article 653, 11 pages. https://doi.org/10.1145/3544548.3581480
[66]
Andrea Zaccaro, Andrea Piarulli, Marco Laurino, Erika Garbella, Danilo Menicucci, Bruno Neri, and Angelo Gemignani. 2018. How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in human neuroscience 12 (2018), 353.
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- Enrichment through virtual reality for palliative care: A scoping review
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December 2023
733 pages
ISBN:9798400717079
DOI:10.1145/3638380
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Published: 10 May 2024
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