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Effects of an immersive virtual reality reminiscence intervention on engagement, behavioral and psychological symptoms, and well-being of people with dementia: A randomized crossover trial

dc.contributor.authorPereira, Miguel
dc.contributor.authorLeite, Cláudia
dc.contributor.authorCampos, Carlos
dc.contributor.authorCoelho, Tiago
dc.contributor.authorCoelho, Tiago
dc.contributor.authorCampos, Carlos
dc.date.accessioned2025-11-03T14:24:00Z
dc.date.available2025-11-03T14:24:00Z
dc.date.issued2025-08-29
dc.description.abstractVirtual reality (VR) is a novel technology that can facilitate reminiscence in people with dementia. However, few studies have explored the role of VR’s immersiveness in enhancing therapeutic outcomes. This study aimed to analyze the effects of an immersive VR reminiscence session compared to a non-immersive session, focusing on engagement, behavioral and psychological symptoms (BPSD), and well-being, using behavioral observation and physiological metrics. A randomized crossover trial with a seven-day washout period was conducted. Engagement, BPSD and well-being were assessed before, during and after each intervention using both observational scales and heart rate variability analysis. 20 participants (average age 80.55 years, 90% women) were recruited. Significant pre-post differences were found in behavioral engagement (z=−2.67, p=0.008) and facial expression of apathy (z=−2.12, p=0.034) during the immersive intervention. Additionally, lower apathy in terms of purposeful activity was observed during the immersive intervention (z=−2.24, p=0.025). These results are particularly noteworthy given the sample size, which, although small, highlights a clear trend of behavioral and apathy change. The results suggest that VR’s immersiveness can enhance engagement in dementia intervention programs. As VR technology becomes more accessible and safer, continued research is needed to explore its therapeutic potential.por
dc.identifier.citationPereira, M., Leite, C., Campos, C., & Coelho, T. (2025). Effects of an immersive virtual reality reminiscence intervention on engagement, behavioral and psychological symptoms, and well-being of people with dementia: A randomized crossover trial. Journal of Alzheimer’s Disease, 107(4), 1517–1529. https://doi.org/10.1177/13872877251371236
dc.identifier.doi10.1177/13872877251371236
dc.identifier.eissn1875-8908
dc.identifier.issn1387-2877
dc.identifier.urihttp://hdl.handle.net/10400.22/30715
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSage Journals
dc.relationUIDB/05210/2020, UIDB/05380/2020
dc.relation.hasversionhttps://journals.sagepub.com/doi/10.1177/13872877251371236
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAlzheimer's disease
dc.subjectBehavioral and psychological symptoms
dc.subjectDementia
dc.subjectEngagement
dc.subjectHeart rate variability
dc.subjectReminiscence therapy
dc.subjectVirtual reality
dc.subjectWell-being
dc.titleEffects of an immersive virtual reality reminiscence intervention on engagement, behavioral and psychological symptoms, and well-being of people with dementia: A randomized crossover trialpor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage1529
oaire.citation.issue4
oaire.citation.startPage1517
oaire.citation.titleJournal of Alzheimer’s Disease
oaire.citation.volume107
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameCoelho
person.familyNameCampos
person.givenNameTiago
person.givenNameCarlos
person.identifier188655
person.identifier.ciencia-idB417-8E58-EF75
person.identifier.ciencia-idB518-6A52-D50F
person.identifier.orcid0000-0001-7847-2401
person.identifier.orcid0000-0002-5966-4050
person.identifier.ridJJC-7415-2023
person.identifier.scopus-author-id56583916600
person.identifier.scopus-author-id56567519500
relation.isAuthorOfPublication7c814c96-7746-4d89-ab01-ed2e4af5ab92
relation.isAuthorOfPublicationf9744770-c154-483e-b271-b58d1089d55f
relation.isAuthorOfPublication.latestForDiscovery7c814c96-7746-4d89-ab01-ed2e4af5ab92

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