How effective is virtual reality technology in palliative care? A systematic review and meta-analysis

Mo, Jiping, Vickerstaff, Victoria, Minton, Ollie, Tavabie, Simon, Taubert, Mark ORCID: https://orcid.org/0000-0003-0454-5609, Stone, Patrick and White, Nicola 2022. How effective is virtual reality technology in palliative care? A systematic review and meta-analysis. Palliative Medicine 36 (7) , pp. 1047-1058. 10.1177/02692163221099584

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Abstract

How effective is virtual reality technology in palliative care? A systematic review and meta-analysis Show all authors Jiping Mo, Victoria Vickerstaff, Ollie Minton, ... First Published May 30, 2022 Review Article https://doi.org/10.1177/02692163221099584 Article information Article has an altmetric score of 17 No Access Article Information Article first published online: May 30, 2022 Jiping Mo1, Victoria Vickerstaff2, 3, Ollie Minton4, Simon Tavabie5, Mark Taubert6, 7, Patrick Stone2, Nicola White2 1UCL Division of Psychiatry, London, UK 2Marie Curie Palliative Care Research Department, UCL Division of Psychiatry, London, UK 3Priment Clinical Trials Unit, Research Department of Primary Care and Population Health, University College London (UCL), London, UK 4Sussex Cancer Centre University Hospitals, Sussex, UK 5St Joseph’s Hospice, Hackney, UK 6Palliative Medicine, Velindre Cancer Centre, Cardiff, UK 7Palliative Care, Cardiff University School of Medicine, Cardiff, UK Corresponding Author: Nicola White, Marie Curie Palliative Care Research Department, UCL Division of Psychiatry, 6th Floor, Wing B, Maple House, 149 Tottenham Court Road, London W1T 7NF, UK. Email: n.g.white@ucl.ac.uk Abstract Background: The efficacy of virtual reality for people living with a terminal illness is unclear. Aim: To determine the feasibility and effectiveness of virtual reality use within a palliative care setting. Design: Systematic review and meta-analysis. PROSPERO (CRD42021240395). Data sources: Medline, Embase, AMED, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials and Web of Science were searched from inception to March 2021. Search terms included ‘virtual reality’ and ‘palliative care’. Eligibility: (1) adult (>18 years old) with a terminal illness (2) at least one virtual reality session and (3) feasibility data and/or at least one patient outcome reported. The ROB-2 and ROBINS tools assessed risk of bias. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool assessed the quality of the evidence. Standardised mean differences (Hedges’s g) were calculated from the pre- and post-data. A DerSimonian-Laird random effects model meta-analysis was conducted. Results: Eight studies were included, of which five were in the meta-analysis. All studies had at least some concern for risk of bias. Virtual reality statistically significantly improved pain (p = 0.0363), tiredness (p = 0.0030), drowsiness (p = 0.0051), shortness of breath (p = 0.0284), depression (p = 0.0091) and psychological well-being (p = 0.0201). The quality of the evidence was graded as very low due to small sample sizes, non-randomisation methods and a lack of a comparator arm. Conclusions: Virtual reality in palliative care is feasible and acceptable. However, limited sample sizes and very low-quality studies mean that the efficacy of virtual reality needs further research.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	SAGE Publications
ISSN:	0269-2163
Date of First Compliant Deposit:	10 October 2022
Last Modified:	20 Nov 2024 20:15
URI:	https://orca.cardiff.ac.uk/id/eprint/150200

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