扩展现实对健康和程序性焦虑的干预:基于评论综述的全景元分析
Tom Arthur1, G J Melendez-Torres1, David Harris1
1Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom.
Journal of medical Internet research
|January 8, 2025
概括
扩展现实 (XR) 干预措施有效地减少了患者在各种健康和程序环境中的焦虑. 然而,需要更多的研究来确认可通用性,并提高最终结论的方法质量.
科学领域:
- 医疗信息学 医疗信息学
- 心理学 心理学 心理学
- 人与计算机的交互
背景情况:
- 扩展现实 (XR) 技术在减轻健康和程序性焦虑方面表现有前途.
- 对焦虑的XR干预措施的全球有效性和上下文变化尚不清楚.
研究的目的:
- 综合利用全景元分析对健康和程序性焦虑的XR干预的证据.
- 探索影响不同XR模式和临床背景的患者结果的因素.
主要方法:
- 全景元分析18个元分析,包括83个试验,发表到2023年5月.
- 包括针对健康/程序性焦虑的患者导向的XR干预,不包括生理措施和非沉浸式技术.
- 使用3级通用线性模型分析标准化平均差异,通过元回归探索年龄,沉浸和机制.
主要成果:
- 与对照组相比,XR干预显著降低了程序性 (d=-0.75) 和一般健康焦虑 (d=-0.82).
- 影响在儿科患者群体和治疗程序性焦虑的非沉浸式技术中更为明显.
- 观察到异质效应,可能受到出版偏差的影响.
结论:
- 在临床环境中,XR干预措施在减少患者焦虑方面表现出广泛的有效性.
- 在影响的概括性和现有证据的方法质量方面,仍然存在不确定性.
- 虽然有希望,但目前的证据不足以确定XR对特定焦虑症的疗效.
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