The goal of this clinical trial is to verify that virtual reality is tolerably compatible with apathetic pathologies in patients and residents with major neurocognitive disorders. The main questions it aims to answer are: * Does virtual reality have an impact on symptoms of apathy in the elderly? * Is virtual reality well tolerated by the elderly? Participants will benefit from a 3-session virtual reality headset program with a healthcare professional. They will have one session per week for 3 weeks. They will be observed by another professional, who will complete observation grids on apathy, engagement in activity and tolerance of the virtual reality headset. There is not a comparison group: Researchers will compare the scores before and after the intervention: the participant will be his own control.
This study is a multicenter interventional exploratory study in two nursing homes and a geriatric long-term care service. Thirty patients will be included. They will be recruited from residents of the long-term care departments of two hospitals, and 4 nursing homes. A pre- and post-intervention comparison will be made by assessing apathy using the apathy inventory and the neuropsychiatric inventory in the care team version. A comparison of participants' engagement will be carried out through ecological observation of the interventions. This will be objectivized by the Caregiver Interaction Behavior Scale (ECPAI) before the immersion program, and during the first and third virtual reality sessions. An ECPAI scale taken during a conventional animation prior to the program will establish a baseline state for the participant. The main goal is to verify that virtual reality is tolerably compatible with apathetic pathologies in patients and residents with major neurocognitive disorders.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
Participants will take part in virtual reality sessions via headset. They will benefit from a before/after evaluation, and a 3-week intervention where they will have 1 virtual reality session per week.
Maison de retraite la Passerelle
Larajasse, Rhône, France
RECRUITINGMaison de retraite l'arc en ciel
Saint-Martin-en-Haut, Rhône, France
RECRUITINGUSLD Arcadie - CHU Rouen
Mont-Saint-Aignan, Seine Maritime, France
RECRUITINGEHPAD d'Enghien
Enghien-les-Bains, Val d'Oise, France
ACTIVE_NOT_RECRUITINGEHPAD Louis Grassi
Presles, Val d'Oise, France
ACTIVE_NOT_RECRUITINGHôpital Charles Foix
Ivry-sur-Seine, Val De Marne, France
RECRUITINGTolerance of virtual reality sessions
No change in Simulator Sickness Questionnaire (SSQ), or maintenance of "none" and "slight" scores. There are 16 items, each item is rated with the scale from none, slight, moderate to severe. After some calculations you have 3 subscores : Computation of nausea (N), oculomotor r disturbance (O), disorientation (D), and total simulator sickness (TS) scores.
Time frame: through study completion, an average of 6 months
Effectiveness of virtual reality sessions on apathy symptoms
Decrease in apathy scores on the Apathy Inventory (IA) (NPI). IA clinician assessment (0 to 4 score) has to take into account several factors: useful observation points, Patient history and social environment, personality, Information coming from the caregiver, Patient's responses to the clinical domains, autonomy. A score equal or upper to 4 is pathological.
Time frame: through study completion, an average of 6 months
Effectiveness of virtual reality sessions on apathy symptoms
Decrease in apathy scores on the Neuropsychiatric Inventory (NPI), caregiver version. The NPI-ES is based on responses from a member of the healthcare team involved in the patient's care. Responses refer to behaviours that have been present over the past week or other well-defined during other well-defined periods (e.g. 1 month ago, or since the last assessment). Answers should be brief, and can be formulated as "yes" or "no". In clinical practice, the most relevant factor to consider is the frequency x severity score for each area (a score greater than 2 is pathological).
Time frame: through study completion, an average of 6 months
Security
no technical problems endangering the user during sessions, resulting in the session being stopped
Time frame: through study completion, an average of 6 months
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