The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review
ObjectivesVirtual reality and augmented reality have been used in psychosocial rehabilitation for adults with neurodevelopmental disorders in recent years, to provide functional training in a scaffolded and appealing manner. This systematic review attempted to evaluate (1) how virtual reality or aug...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2022-12-01
|
Series: | Frontiers in Psychiatry |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1055204/full |
_version_ | 1811200220199911424 |
---|---|
author | Bhing-Leet Tan Bhing-Leet Tan Jing Shi Suyi Yang Hannah Loh Desiree Ng Cherie Choo Alice Medalia |
author_facet | Bhing-Leet Tan Bhing-Leet Tan Jing Shi Suyi Yang Hannah Loh Desiree Ng Cherie Choo Alice Medalia |
author_sort | Bhing-Leet Tan |
collection | DOAJ |
description | ObjectivesVirtual reality and augmented reality have been used in psychosocial rehabilitation for adults with neurodevelopmental disorders in recent years, to provide functional training in a scaffolded and appealing manner. This systematic review attempted to evaluate (1) how virtual reality or augmented reality technology was deployed, when used as an intervention for adults with neurodevelopmental disorders; and (2) how virtual or augmented reality-assisted psychosocial rehabilitation programs impacted on the functional domains of community living, employment and social participation.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was adopted and a search of publications between June 2012 and June 2022 was carried out. The target groups were adults with schizophrenia/schizoaffective disorders, autism spectrum disorder, intellectual disabilities and attention deficit hyperactivity disorder. Interventions that targeted at least one functional domain were included.ResultsThe database search generated 1,267 records and 38 studies met the inclusion criteria. Three studies utilized augmented reality while the rest utilized virtual reality. The virtual scenarios were displayed in various ways, such as head-mounted displays, computer screens, mobile devices and cave rooms. A few studies also used features such as speech recognition, eye tracking and motion-capture device to provide real-time feedback to participants during rehabilitation. Eleven studies reported interventions that addressed community living, 15 studies addressed vocational skills and nine studies trained participants in social skills or social cognition. Three studies sought to improve quality of life using virtual scenarios to expose participants to various situations. Majority of these studies reported preliminary promising results, with improvement in the functional domains addressed. However, several studies had small sample sizes and many single-arm pretest-posttest studies were assessed to be of serious or critical risk of bias.ConclusionVirtual reality and augmented reality are deployed in various ways to augment psychosocial rehabilitation for adults with neurodevelopmental disorders. Most interventions target skills training or strategy learning in the areas of community living, work and social participation. Preliminary positive findings of their effects on functional performance were reported. Larger and robust studies using ecologically valid outcome measures will be needed to establish their effects on real-world functional outcomes.Systematic review registrationidentifier: CRD42022335443. |
first_indexed | 2024-04-12T02:01:00Z |
format | Article |
id | doaj.art-1459b591164b496bbb2d1df7eeda9ef7 |
institution | Directory Open Access Journal |
issn | 1664-0640 |
language | English |
last_indexed | 2024-04-12T02:01:00Z |
publishDate | 2022-12-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Psychiatry |
spelling | doaj.art-1459b591164b496bbb2d1df7eeda9ef72022-12-22T03:52:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-12-011310.3389/fpsyt.2022.10552041055204The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic reviewBhing-Leet Tan0Bhing-Leet Tan1Jing Shi2Suyi Yang3Hannah Loh4Desiree Ng5Cherie Choo6Alice Medalia7Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore, SingaporeOccupational Therapy Department, Institute of Mental Health, Singapore, SingaporeHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, SingaporeOccupational Therapy Department, Institute of Mental Health, Singapore, SingaporeOccupational Therapy Department, Institute of Mental Health, Singapore, SingaporeOccupational Therapy Department, Institute of Mental Health, Singapore, SingaporeOccupational Therapy Department, Institute of Mental Health, Singapore, SingaporeDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United StatesObjectivesVirtual reality and augmented reality have been used in psychosocial rehabilitation for adults with neurodevelopmental disorders in recent years, to provide functional training in a scaffolded and appealing manner. This systematic review attempted to evaluate (1) how virtual reality or augmented reality technology was deployed, when used as an intervention for adults with neurodevelopmental disorders; and (2) how virtual or augmented reality-assisted psychosocial rehabilitation programs impacted on the functional domains of community living, employment and social participation.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was adopted and a search of publications between June 2012 and June 2022 was carried out. The target groups were adults with schizophrenia/schizoaffective disorders, autism spectrum disorder, intellectual disabilities and attention deficit hyperactivity disorder. Interventions that targeted at least one functional domain were included.ResultsThe database search generated 1,267 records and 38 studies met the inclusion criteria. Three studies utilized augmented reality while the rest utilized virtual reality. The virtual scenarios were displayed in various ways, such as head-mounted displays, computer screens, mobile devices and cave rooms. A few studies also used features such as speech recognition, eye tracking and motion-capture device to provide real-time feedback to participants during rehabilitation. Eleven studies reported interventions that addressed community living, 15 studies addressed vocational skills and nine studies trained participants in social skills or social cognition. Three studies sought to improve quality of life using virtual scenarios to expose participants to various situations. Majority of these studies reported preliminary promising results, with improvement in the functional domains addressed. However, several studies had small sample sizes and many single-arm pretest-posttest studies were assessed to be of serious or critical risk of bias.ConclusionVirtual reality and augmented reality are deployed in various ways to augment psychosocial rehabilitation for adults with neurodevelopmental disorders. Most interventions target skills training or strategy learning in the areas of community living, work and social participation. Preliminary positive findings of their effects on functional performance were reported. Larger and robust studies using ecologically valid outcome measures will be needed to establish their effects on real-world functional outcomes.Systematic review registrationidentifier: CRD42022335443.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1055204/fullpsychosocial rehabilitationneurodevelopmental disordersfunctional outcomescommunity livingemploymentsocial participation |
spellingShingle | Bhing-Leet Tan Bhing-Leet Tan Jing Shi Suyi Yang Hannah Loh Desiree Ng Cherie Choo Alice Medalia The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review Frontiers in Psychiatry psychosocial rehabilitation neurodevelopmental disorders functional outcomes community living employment social participation |
title | The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review |
title_full | The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review |
title_fullStr | The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review |
title_full_unstemmed | The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review |
title_short | The use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders: A systematic review |
title_sort | use of virtual reality and augmented reality in psychosocial rehabilitation for adults with neurodevelopmental disorders a systematic review |
topic | psychosocial rehabilitation neurodevelopmental disorders functional outcomes community living employment social participation |
url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1055204/full |
work_keys_str_mv | AT bhingleettan theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT bhingleettan theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT jingshi theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT suyiyang theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT hannahloh theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT desireeng theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT cheriechoo theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT alicemedalia theuseofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT bhingleettan useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT bhingleettan useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT jingshi useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT suyiyang useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT hannahloh useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT desireeng useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT cheriechoo useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview AT alicemedalia useofvirtualrealityandaugmentedrealityinpsychosocialrehabilitationforadultswithneurodevelopmentaldisordersasystematicreview |