The main purpose of this study is to determine the effect of Roy adaptation model-based virtual reality glasses application on adaptation difficulties, life satisfaction, and psychological well-being in the elderly using a randomized controlled experimental method. The hypotheses of the study are: H1: The Roy adaptation model-based virtual reality glasses application has an effect on adaptation difficulties in the elderly. H2: The Roy adaptation model-based virtual reality glasses application has an effect on life satisfaction in the elderly. H3: The Roy adaptation model-based virtual reality glasses application has an effect on psychological well-being in the elderly.
In the 21st century, advances in science and technology have led to demographic changes, resulting in an increase in the elderly population. In this process, developments in the field of health such as increased preventive health services and early diagnosis and treatment of diseases played an important role. Aging is a natural process and can be defined as a decrease in an individual's physical and spiritual functions and an increase in external dependency. Adapting the elderly to this period supports psychological well-being by increasing functionality and life satisfaction. The Roy Adaptation Model aims for nurses to meet the needs of individuals to adapt, and this model can also be applied to the elderly. With technological advances, innovations such as virtual reality are used in the field of health and help improve the quality of life of the elderly. In the literature, studies examining the effects of Roy Adaptation Model and virtual reality glasses application on adaptation difficulties, life satisfaction and psychological well-being in the elderly are limited. This study aims to determine the effects of Roy Adaptation Model and virtual reality glasses application on adaptation difficulties, life satisfaction and psychological well-being in the elderly and to lay the foundation for evidence-based research. The thesis is a pre-posttest randomized controlled study with experimental and control groups. In the thesis study, data were collected as pre-post test from the elderly living in nursing homes using the Personal Information Form, Adaptation Difficulty Assessment Scale in the Elderly, Life Satisfaction Scale in the Elderly, and Psychological Well-Being Scale in the Elderly.In the thesis study, the experimental group was shown educational videos and nature videos with VR SHINECON 360 degree virtual reality glasses, based on the Roy adaptation model adaptation areas titles (physiological needs, self-concept area, role function area, interdependence area) twice a week for four weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
50
RAM-based virtual reality glasses were applied to the experimental group for 4 weeks. Video contents: 1. week; 1st sub-dimension (physiological domain) 2. weeks; 2nd sub-dimension (self-space) Three weeks; 3rd sub-dimension (Role function/function area) week 4; 4th sub-dimension (Independence and interdependence/autonomy)
Adaptation Difficulty Assessment Scale in the Elderly, Life Satisfaction Scale in the Elderly , and Psychological Well-Being Scale in the Elderly
Kafkas University Faculty of Health Sciences
Kars, Turkey (Türkiye)
Adaptation Difficulty Assessment Scale in the Elderly
It is a 4-point Likert type scale consisting of 24 items, developed and validated by Şişman and Kutlu (2016) according to the Roy Adaptation Model, to determine the adequacy of elderly individuals in adapting to old age. Cronbach Alpha value is 0.93.The individual's compliance level is determined by adding up the total scores from the scale and dividing by the number of items. The lowest possible score is 0 and the highest is 3. It is seen that as the score obtained from the scale increases, the individual's adaptation level to old age decreases.
Time frame: one months
Life Satisfaction Scale for the Elderly
It was developed by Altay and Çalmaz in 2022. It has 14 items and 3 subscales that question the participation of elderly individuals in the process related to life satisfaction. Cronbach Alpha value is 0.874. The subscales of the Scale are represented by factors 1, 2 and 3: Self-acceptance (Factor 1), Motivation (Factor 2), Peace of mind (Factor 3). Responses to the items on this 5-point Likert scale are "I strongly disagree" and "I strongly agree". Each item is scored between 1 and 5. The total possible minimum score from the scale is 14, and the highest score that can be obtained is 70. It is known that life satisfaction increases as the score obtained from the scale increases.
Time frame: one months
Psychological Well-Being Scale in the Elderly
The scale developed by Gümüş Demir in 2022 consists of fifteen items. In line with the scoring of the scale, no cut-off score has been determined for the level of well-being in the elderly. The Cronbach's alpha internal consistency coefficient of the scale is 0.89. The scale was prepared using a 5-point Likert type response system and the score range varies between 15 and 75. High scores indicate an increase in the level of well-being.
Time frame: one months
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