Virtual Reality for Screening of Cognitive Function in Older Persons: Comparative Study

Virtual Reality for Screening of Cognitive Function in Older Persons: Comparative Study
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DOI:
10.2196/14821
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发表时间:
2019-08-01
影响因子:
7.4
通讯作者:
Ostbye, Truls
Ostbye, Truls
中科院分区:
医学2区
文献类型:
--
作者:
Chua, Sean Ing Loon;Tan, Ngiap Chuan;Ostbye, Truls

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背景资料:痴呆症的患病率在世界范围内不断增加,表现为影响功能的一个或多个认知领域的认知下降。传统的痴呆症认知筛查工具有其局限性,重点是记忆,在较小程度上,对执行功能的认知领域。使用虚拟现实(VR)在筛选老年人的认知功能是有前途的,但其使用的证据是sparter.Objective:主要目的是研究的可行性和可接受性,使用VR筛选老年人在初级保健设置的认知障碍。第二个目的是评估模块的能力,以区分认知功能完好和认知功能受损的participants.Methods:一项比较研究进行了在公共初级保健诊所在新加坡,其中年龄在65-85岁的人被招募的基础上截止分数为26蒙特利尔认知评估(莫卡)量表。他们参加了一个VR模块,以评估他们的学习和记忆,感知运动功能和执行功能。研究完成后,通过总表现评分(范围:0-700)对每位参与者进行评价。结果:第1组共37名受试者(认知完整; MoCA评分>= 26),第2组共23名受试者(认知受损;莫卡评分>= 26),
Background: The prevalence of dementia, which presents as cognitive decline in one or more cognitive domains affecting function, is increasing worldwide. Traditional cognitive screening tools for dementia have their limitations, with emphasis on memory and, to a lesser extent, on the cognitive domain of executive function. The use of virtual reality (VR) in screening for cognitive function in older persons is promising, but evidence for its use is sparse.Objective: The primary aim was to examine the feasibility and acceptability of using VR to screen for cognitive impairment in older persons in a primary care setting. The secondary aim was to assess the module's ability to discriminate between cognitively intact and cognitively impaired participants.Methods: A comparative study was conducted at a public primary care clinic in Singapore, where persons aged 65-85 years were recruited based on a cut-off score of 26 on the Montreal Cognitive Assessment (MoCA) scale. They participated in a VR module for assessment of their learning and memory, perceptual-motor function, and executive function. Each participant was evaluated by the total performance score (range: 0-700) upon completion of the study. A questionnaire was also administered to assess their perception of and attitude toward VR.Results: A total of 37 participants in Group 1 (cognitively intact; MoCA score >= 26) and 23 participants in Group 2 (cognitively impaired; MoCA score