Integration of VR and AR Dementia Prevention Health Education Progrom for Older Adults With Mild Cognitive Impairment

NCT06888986 | Completed

• 1 other identifier: 202212HM033
• Study Type: interventional
• Target: 139
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized controlled trial is to evaluate the effectiveness of Virtual Reality (VR)-based cognitive health education for older adults with mild cognitive impairment (MCI) in Taiwan. The study aims to assess whether VR-supported interventions improve cognitive health knowledge, health literacy, and self-management skills among participants. The primary research questions are:

1. 1.Does the VR-based intervention enhance participants' knowledge related to dementia and their health literacy?
2. 2.Does the VR-based intervention improve cognitive function, mental well-being, and self-efficacy compared to a control group?
3. 3.Intervention group: This group will receive the "VR Dementia Prevention Health Education Module," an immersive virtual reality program designed to enhance dementia-related knowledge and coping strategies.
4. 4.Control group: This group will receive standard, routine health education without VR exposure.

Conditions

Mild Cognitive Impairment (MCI); Dementia; Health Literacy; Self-Efficacy; Attitude to Health; Virtual Reality; Health Education; eHealth; Older Adults (65 Years and Older)

Outcome Measures

Primary Outcomes (2)

• Change in Dementia-Related Knowledge

  Dementia-related knowledge will be assessed using the Dementia Knowledge Assessment Scale (DKAS), a validated tool for evaluating comprehensive understanding of dementia. The DKAS includes 25 true/false items and provides an additional "Don't Know" response option to reduce guessing.

  Baseline (Day 0, prior to intervention start) Immediate Post-Intervention (Day 0, following completion of the VR session, approximately 2 hours after Baseline assessment) Follow-up (Month 3, 12 weeks post-intervention, to assess retention effects)

• Change in Health Literacy

  Health literacy concerning dementia prevention will be evaluated using the Dementia Health Literacy Scale (DHLS). The DHLS includes 20 items rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). This scale features three subdomains: Functional Health Literacy (8 items) - Evaluates the ability to manage dementia-related information for daily needs; Communicative Health Literacy (5 items) - Assesses skills in accessing, understanding, and applying dementia-related health information during interactions; and Critical Health Literacy (7 items) - Gauges higher-order cognitive skills and the ability to critically analyze dementia-related health information.

  Baseline (Day 0, prior to intervention start) Immediate Post-Intervention (Day 0, following completion of the VR session, approximately 2 hours after Baseline assessment) Follow-up (Month 3, 12 weeks post-intervention, to assess retention effects)

Secondary Outcomes (2)

• Change in Self-Efficacy Related to Dementia Prevention

  Baseline (Day 0, prior to intervention start) Immediate Post-Intervention (Day 0, following completion of the VR session, approximately 2 hours after Baseline assessment) Follow-up (Month 3, 12 weeks post-intervention, to assess retention effects)

• Change in Attitudes Toward Dementia

  Baseline (Day 0, prior to intervention start) Immediate Post-Intervention (Day 0, following completion of the VR session, approximately 2 hours after Baseline assessment) Follow-up (Month 3, 12 weeks post-intervention, to assess retention effects)

Study Arms (2)

Experimental Group (VR Dementia Prevention Education)

EXPERIMENTAL

Participants in this arm will take part in the VR Dementia Prevention Health Education Module, an immersive virtual reality (VR) intervention aimed at enhancing dementia-related knowledge, health literacy, self-efficacy, and attitudes toward dementia. The intervention combines 360-degree panoramic VR technology with interactive educational content to create a realistic and engaging learning experience for older adults with mild cognitive impairment (MCI).

Behavioral: VR Dementia Prevention Health Education Module

Control Group (No Intervention)

NO INTERVENTION

Participants in this arm will not receive any active intervention during the study. They will continue with their usual daily routine, without exposure to VR-based health education or any structured dementia-related educational programs. This group serves as a comparison to evaluate the effects of the VR Dementia Prevention Health Education Module administered to the experimental group.

Interventions

VR Dementia Prevention Health Education Module BEHAVIORAL

A virtual reality (VR) cognitive health education program designed to enhance knowledge related to dementia, improve health literacy, boost self-efficacy, and shape attitudes towards dementia. Participants engage with 360-degree immersive VR modules using VR headsets that simulate real-world scenarios related to dementia. The intervention comprises five interactive VR sessions, each addressing important topics in dementia prevention and management. Trained research staff will guide participants to ensure safe and effective interaction with the VR system.

Experimental Group (VR Dementia Prevention Education)

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Adults aged 65 years and older.
• AD-8 score of 2 or higher, indicating possible cognitive impairment.
• Ability to understand and follow basic instructions in Mandarin or Taiwanese.
• Capacity to provide informed consent or have a legally authorized representative to provide consent.
• Ability to tolerate and interact with VR equipment (e.g., wearing a VR headset, using hand controllers).

You may not qualify if:

• Diagnosed with moderate to severe dementia (i.e., unable to follow basic instructions).
• Presence of severe visual, auditory, or motor impairments that hinder interaction with VR devices.
• Diagnosed with severe psychiatric disorders (e.g., schizophrenia, major depressive disorder).
• Unable to communicate effectively in Mandarin or Taiwanese.

Sponsors & Collaborators

• National Taiwan Normal University: lead

Study Sites (1)

National Taiwan Normal University

Taipei, Taiwan

Location

MeSH Terms

Conditions

Cognitive Dysfunction; Dementia; Health Education

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 11, 2025
• First Posted: March 21, 2025
• Study Start: September 30, 2024
• Primary Completion: May 8, 2025
• Study Completion: August 10, 2025
• Last Updated: February 19, 2026

Record last verified: 2026-02

Locations

TW (1)