Evidence map›Paper›PMID 30503231›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2018

Barriers, Facilitators and Interventions to Support Virtual Reality Implementation in Rehabilitation: A Scoping Review.

Stephanie Miranda Nadine Glegg, Danielle Elaine Levac

2 registry-linked trialsAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 88 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04429945 nacompletednot on this mapstarted 2021, after this paper: background citation

Immersive Virtual Reality to Improve Outcomes in Patients With Stroke: A Pilot Study

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2021 to 2022Enrolled10ConditionsStrokeArmsVirtual Reality
NCT05188040 nacompletednot on this mapstarted 2022, after this paper: background citation

Virtual Reality in Hand Therapy Effectiveness and Implementation

TypeinterventionalSponsorTimothy UhlRan2022 to 2023Enrolled9ConditionsDistal Radius Fracture, Chronic Regional Pain Syndrome, Flexor Tendon RuptureArmsVirtual Reality Exercises
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Stephanie Miranda Nadine GleggRehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada; Therapy Department, Sunny Hill Health Centre for Children, 3644 Slocan Street, Vancouver, BC V5M 3E8 Canada(∗). Electronic address: sglegg@cw.bc.ca.
Danielle Elaine LevacDepartment of Physical Therapy, Movement & Rehabilitation Science, Northeastern University, Boston, MA(†).

Funding

Enhancing transfer of motor skill learning from virtual to physical environments in children with cerebral palsyK01HD093838 · NICHD · NORTHEASTERN UNIVERSITY · PI LEVAC, DANIELLE ELAINE · 2018 to 2021
$495k
NICHD NIH HHS K01 HD093838
6 · The paper itself

Abstract

Virtual reality and active video games (VR/AVGs) are promising rehabilitation tools because of their potential to facilitate abundant, motivating, and feedback-rich practice. However, clinical adoption remains low despite a growing evidence base and the recent development of clinically accessible and rehabilitation-specific VR/AVG systems. Given clinicians' eagerness for resources to support VR/AVG use, a critical need exists for knowledge translation (KT) interventions to facilitate VR/AVG integration into clinical practice. KT interventions have the potential to support adoption by targeting known barriers to, and facilitators of, change. This scoping review of the VR/AVG literature uses the Theoretical Domains Framework (TDF) to (1) structure an overview of known barriers and facilitators to clinical uptake of VR/AVGs for rehabilitation; (2) identify KT strategies to target these factors to facilitate adoption; and (3) report the results of these strategies. Barriers/facilitators and evaluated or proposed KT interventions spanned all but 1 and 2 TDF domains, respectively. Most frequently cited barriers/facilitators were found in the TDF domains of Knowledge, Skills, Beliefs About Capabilities, Beliefs About Consequences, Intentions, Goals, Environmental Context and Resources, and Social Influences. Few studies empirically evaluated KT interventions to support adoption; measured change in VR/AVG use did not accompany improvements in self-reported skills, attitudes, and knowledge. Recommendations to target frequently identified barriers include technology development to meet end-user needs more effectively, competency development for end-users, and facilitated VR/AVG implementation in clinical settings. Subsequent research can address knowledge gaps in both clinical and VR/AVG implementation research, including on KT intervention effectiveness and unexamined TDF domain barriers. LEVEL OF EVIDENCE: IV.

Indexed as

Health Services AccessibilityRehabilitationVirtual RealityAttitude of Health PersonnelHumans

Identifiers

PMID30503231
PMCPMC6752033

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.