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Virtual reality video promotes effectiveness in advance care planning
1Department of Palliative Medicine, Chi-Mei Medical Center, No. 901, Zhonghua Rd., Tainan, 710, Taiwan. yaoerh@gmail.com.
BMC Palliative Care
|August 18, 2020
Summary
Virtual reality videos effectively aid advance care planning by clarifying end-of-life decisions. This tool increased certainty and decreased the desire for life-sustaining treatments among participants.
Area of Science:
- Medical Ethics
- Palliative Care
- Health Technology
Background:
- Taiwan's Patient Autonomy Act (2019) enables legal advance decisions.
- A virtual reality (VR) video was developed to enhance understanding for advance care planning.
- This study assesses the impact of VR on end-of-life decision-making preferences and certainty.
Purpose of the Study:
- To evaluate the effectiveness of a VR video as a decision-making tool for advance care planning.
- To explore changes in participants' preferences regarding end-of-life medical options after VR intervention.
- To assess the impact of VR on decision certainty in advance care planning.
Main Methods:
- Adult participants (≥20 years) received a handout and completed pre-test questionnaires.
- Intervention group viewed a 6-minute VR video on end-of-life scenarios.
- Post-test questionnaires assessed preferences for CPR, life-sustaining treatments, and other medical options; a control group only read the handout.
Main Results:
- The VR group showed a significant decrease in preference for CPR, life-sustaining treatments, antibiotics, blood transfusions, and artificial nutrition/hydration.
- Uncertainty regarding these end-of-life medical options significantly decreased in the VR group.
- Participants found the VR intervention helpful for decision-making and understanding medical scenarios.
Conclusions:
- VR videos can be effective decision-making aids for advance care planning.
- The VR intervention improved users' understanding of medical situations and clarified end-of-life care preferences.
- This study demonstrates the VR video's utility in supporting informed decisions post-Patient Autonomy Act.
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