虚拟现实训练对老年人认知能力的影响:随机对照试验的系统回顾、元分析和元回归。

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Journal of Aging and Physical Activity Pub Date : 2024-01-19 Print Date: 2024-06-01 DOI:10.1123/japa.2023-0217
Mirjami Kantola, Outi Ilves, Sari Honkanen, Harto Hakonen, Riku Yli-Ikkelä, Anna Köyhäjoki, Marjo-Riitta Anttila, Aki Rintala, Hilkka Korpi, Tuulikki Sjögren, Juha Karvanen, Eeva Aartolahti
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引用次数: 0

摘要

本系统性综述、荟萃分析和荟萃回归的目的是研究基于虚拟现实的训练与传统训练或基于信息的治疗相比,对老年人(无论其认知水平如何)的全局认知和执行功能的影响。我们使用四个数据库进行了系统的文献检索。共发现了 31 项随机对照试验。计算了汇总效应大小,评估了偏倚风险,并对证据进行了分级。主要分析结果显示,与对照组相比,基于虚拟现实的训练对整体认知(Hedges' g 0.42,95% 置信区间 [0.17,0.68],I2 = 70.1%,n = 876,20 项随机对照试验,低证据)和执行功能(Hedges' g 0.35,95% 置信区间 [0.06,0.65],I2 = 68.4%,n = 810,16 项随机对照试验,极低证据)的影响较小,但具有统计学意义。元回归没有得出结论。在改善老年人认知能力方面,基于虚拟现实的训练可能比对照组更有效;但是,还需要更多高质量的研究。
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The Effects of Virtual Reality Training on Cognition in Older Adults: A Systematic Review, Meta-Analysis, and Meta-Regression of Randomized Controlled Trials.

The aim of this systematic review, meta-analysis, and meta-regression was to examine the effects of virtual reality-based training on global cognition and executive function compared with conventional training or information-based treatment in older adults, regardless of cognitive level. A systematic literature search was conducted using four databases. A total of 31 randomized controlled trials were identified. Pooled effect sizes were calculated, the risk of bias was assessed, and evidence was graded. The primary analyses showed a small but statistically significant effect of virtual reality-based training compared with control on global cognition (Hedges' g 0.42, 95% confidence interval [0.17, 0.68], I2 = 70.1%, n = 876, 20 randomized controlled trials, low evidence) and executive function (Hedges' g 0.35, 95% confidence interval [0.06, 0.65], I2 = 68.4%, n = 810, 16 randomized controlled trials, very low evidence). Meta-regression yielded inconclusive results. Virtual reality-based training may be more effective than control in improving cognition in older adults; however, more high-quality studies are needed.

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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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