Abstract

Chronic conditions represent a significant twenty first century challenge. Education and self-management training are the mainstay of clinical intervention for such conditions since care is dependent on health literacy and self-management. This intervention not only imparts the necessary understanding and skills for self-management, but also helps people to overcome personal barriers to positive behavioral change, such as low self-efficacy. Moreover, education maximizes dignity, by enabling shared decision-making. A plethora of research supports the role of education and self-management training in the management of chronic conditions, whilst at the same time highlighting that not all approaches lead to meaningful behavioral change. Immersive virtual reality (VR) offers a unique set of features and tools for delivering these interventions. For example, the immersive nature focuses attention and promotes engagement; the ability to simulate authentic and interactive real-world scenarios can be used to promote the benefits of active learning; and the ability to facilitate embodiment of avatars with distinct appearance and capability can be used to bias new perceptions and behaviors in-line with the avatar's characteristics. Moreover, the ability to use VR independent of a clinician renders a potential solution to instances where significant barriers to healthcare access exist. This short perspective paper will discuss how VR may be used to host education and self-management interventions in the domain of chronic condition management. Further, it will outline considerations for developers and conclude with a call for the co-creation of new VR-based education and self-management interventions.

Highlights

  • RationaleChronic conditions are responsible for a significant burden on both individuals and society

  • While medical treatments have advanced, most chronic conditions depend on long-term adherence to self-management strategies—typically requiring behavioral changes involving diet, rehabilitation and exercise, the correct use of prescription medications, and mitigation or elimination of risk factors such as smoking and stress (Allegrante et al, 2019)

  • Immersive virtual reality (VR) has opened up a world of possibilities in healthcare and beyond, most of which are currently untapped

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Summary

Frontiers in Virtual Reality

Education and self-management training are the mainstay of clinical intervention for such conditions since care is dependent on health literacy and self-management. This intervention imparts the necessary understanding and skills for self-management, and helps people to overcome personal barriers to positive behavioral change, such as low self-efficacy. The ability to use VR independent of a clinician renders a potential solution to instances where significant barriers to healthcare access exist. This short perspective paper will discuss how VR may be used to host education and self-management interventions in the domain of chronic condition management.

INTRODUCTION
Immersive Education for Chronic Conditions
Interaction and Role Play
Practical Aspects
Historical Perspective
The Insufficiency of Knowledge
Changing Perceptions
THEORETICAL MODELS OF LEARNING AND BEHAVIOR CHANGE IN VR
Embodied Cognition and Embodied Learning
The Proteus Effect
Examples From the Literature
CONCLUSION
Full Text
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