Evaluating the use of interactive virtual reality technology with older adults living in residential aged care

Abstract Background and objectives As technologies gain traction within the aged care community, better understanding their impact becomes vital. This paper reports on a study that explored the deployment of virtual reality (VR) as a tool to engage older adults in Residential Aged Care Facilities (RACF). The paper has two aims: 1) to identify the benefits and challenges associated with using VR with residents in aged care settings, and 2) to gather the views of older adult residents in RACF about the potential uses of VR in aged care. Research design and methods Five RACF residents and five RACF staff members took part in an intensive two-week evaluation of a VR system. Qualitative data was collected from multiple interviews and via researcher notes and video recordings made during the VR sessions. Results Results highlight the usability issues that impacted on the aged care residents' ability to use interactive VR technology and the potential negative impact head mounted displays can have on those living with dementia; the role that VR can play in engaging residents who might otherwise self-isolate, and how this can extend to increased engagement with family and friends. Discussion and implications We discuss the design challenges that will need to be met in order to ensure that interactive VR technology can be used by residents living in aged care, and the potential for VR to be used as a tool to improve the quality of life of some older residents, particularly those for whom traditional social activities do not appeal.

[1]  Lia Tsotsos,et al.  Supporting Optimal Aging through the Innovative Use of Virtual Reality Technology , 2017 .

[2]  James M. Finley,et al.  Walking in fully immersive virtual environments: an evaluation of potential adverse effects in older adults and individuals with Parkinson’s disease , 2017, Journal of NeuroEngineering and Rehabilitation.

[3]  M. D. Szeto,et al.  From the Cochrane Library: Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings. , 2022, Journal of American Academy of Dermatology.

[4]  Kristine L. Nowak,et al.  Avatars and computer-mediated communication: a review of the definitions, uses, and effects of digital representations , 2018 .

[5]  Kate Sellen,et al.  Technology to reduce social isolation and loneliness , 2014, ASSETS.

[6]  Panote Siriaraya,et al.  Exploring the potential of virtual worlds in engaging older people and supporting healthy aging , 2014, Behav. Inf. Technol..

[7]  D. Kissane,et al.  The prevalence of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review , 2016, International journal of geriatric psychiatry.

[8]  D. Kissane,et al.  The correlates of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review , 2017, International journal of geriatric psychiatry.

[9]  A. Roberts,et al.  Older Adults’ Experiences with Audiovisual Virtual Reality: Perceived Usefulness and Other Factors Influencing Technology Acceptance , 2019, Clinical gerontologist.

[10]  Kathrin Pollmann,et al.  Happily Ever After: Positive Aging through Positive Design , 2016, NordiCHI.

[11]  Rachel L. Franz,et al.  "My Hand Doesn't Listen to Me!": Adoption and Evaluation of a Communication Technology for the 'Oldest Old' , 2015, CHI.

[12]  Paul M. G. Emmelkamp,et al.  Virtual reality techniques in older adults: exposure therapy, memory training, and training of motor balance , 2014 .

[13]  Elizabeth Broadbent,et al.  Group sessions with Paro in a nursing home: Structure, observations and interviews , 2016, Australasian journal on ageing.

[14]  Julienne Meyer,et al.  Recognition of the complexity facing residential care homes: a practitioner inquiry , 2018, Primary Health Care Research & Development.

[15]  Jenny Waycott,et al.  Negotiating stereotypes of older adults through avatars , 2017, OZCHI.

[16]  Thuong N. Hoang,et al.  Combatting social isolation and increasing social participation of older adults through the use of technology: A systematic review of existing evidence , 2018, Australasian journal on ageing.

[17]  H. McConachie,et al.  Reducing Specific Phobia/Fear in Young People with Autism Spectrum Disorders (ASDs) through a Virtual Reality Environment Intervention , 2014, PloS one.

[18]  Jenny Waycott,et al.  Using robot pets instead of companion animals for older people: a case of 'reinventing the wheel'? , 2018, OZCHI.

[19]  Robert Stone Blending the Best of the Real with the Best of the Virtual: Mixed Reality Case Studies in Healthcare and Defence , 2018 .

[20]  Laurie Buys,et al.  Photovoice in aged care: What do residents value? , 2019, Australasian journal on ageing.

[21]  Henry Been-Lirn Duh,et al.  Effects of field of view on presence, enjoyment, memory, and simulator sickness in a virtual environment , 2002, Proceedings IEEE Virtual Reality 2002.

[22]  Jenny Waycott,et al.  The Technology Explorers: Partnering with Older Adults to Engage with Virtual Reality and Virtual Avatars , 2019, Ageing and Digital Technology.

[23]  Rajiv Khosla,et al.  Human Robot Engagement and Acceptability in Residential Aged Care , 2017, Int. J. Hum. Comput. Interact..

[24]  Jeremy N. Bailenson,et al.  Virtual Reality , 2009, J. Media Psychol. Theor. Methods Appl..

[25]  Panote Siriaraya,et al.  Recreating living experiences from past memories through virtual worlds for people with dementia , 2014, CHI.

[26]  P. Burnard A method of analysing interview transcripts in qualitative research. , 1991, Nurse education today.

[27]  D. Wagenaar,et al.  Evaluation of the Faces Pain Scale for use with the elderly. , 1998, The Clinical journal of pain.

[28]  B. Bradley,et al.  A randomized, double-blind evaluation of D-cycloserine or alprazolam combined with virtual reality exposure therapy for posttraumatic stress disorder in Iraq and Afghanistan War veterans. , 2014, The American journal of psychiatry.

[29]  P. Pauli,et al.  Effect of combined multiple contexts and multiple stimuli exposure in spider phobia: A randomized clinical trial in virtual reality. , 2015, Behaviour research and therapy.

[30]  Jennifer C Hanson,et al.  Lewy body dementia. , 2009, International review of neurobiology.

[31]  Tanya Petrovich,et al.  Effectiveness of a Virtual Reality Forest on People With Dementia: A Mixed Methods Pilot Study , 2018, The Gerontologist.

[32]  L. Parkinson,et al.  Systematic review of interventions addressing social isolation and depression in aged care clients , 2016, Quality of Life Research.

[33]  U. Gupta Informed consent in clinical research: Revisiting few concepts and areas , 2013, Perspectives in clinical research.

[34]  George Drettakis,et al.  A Feasibility Study with Image-Based Rendered Virtual Reality in Patients with Mild Cognitive Impairment and Dementia , 2016, PloS one.

[35]  Kellie Morrissey,et al.  Exploring the Design of Tailored Virtual Reality Experiences for People with Dementia , 2018, CHI.

[36]  Jenny Waycott,et al.  Deploying new technology in residential aged care: staff members' perspectives , 2018, OZCHI.

[37]  J. Hayhurst How Augmented Reality and Virtual Reality is Being Used to Support People Living with Dementia—Design Challenges and Future Directions , 2018 .

[38]  L W Poon,et al.  A model of loneliness in older adults. , 1999, The journals of gerontology. Series B, Psychological sciences and social sciences.

[39]  C. Greaves,et al.  Effects of creative and social activity on the health and well-being of socially isolated older people: outcomes from a multi-method observational study , 2006, The journal of the Royal Society for the Promotion of Health.

[40]  David R. Thomas,et al.  A General Inductive Approach for Analyzing Qualitative Evaluation Data , 2006 .