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2 results

  • The effects of virtual reality interventions on occupational participation and distress from symptoms in palliative care patients: A pilot study

  • Julian Corvin, Zara Hoskinson, Beth Mozolic-Staunton, Laetitia Hattingh, Russell Plumbridge-Jones
  • Journal:
    Palliative & Supportive Care , First View
    Published online by Cambridge University Press:
    12 April 2024, pp. 1-8
    • Article
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  • Background

    Virtual reality (VR) offers the prospect of a safe and effective adjunct therapeutic modality to promote mental health and reduce distress from symptoms in palliative care patients. Common physiological and psychological symptoms experienced at the end of life may impact the person’s participation in day-to-day activities that bring them meaning. The purpose of this study was to examine the effect of VR interventions on occupational participation and distress from symptoms.

    Objectives

    To describe the stimulus, results, and learnings from a single-site pilot study of virtual reality therapy in a specialist palliative care setting.

    Methods

    Participants engaged in a VR session lasting from 9 to 30 minutes related to coping with pain, inner peace and mindfulness, adventure, and bucket list.

    Methods measures

    The pilot prospective quantitative observational cohort study was conducted from November 2021 through March 2022 using a pre-post VR intervention research design. Quantitative data was collected using patient-rated assessments and a wireless pulse oximeter. Occupational performance, satisfaction, and distress symptoms were measured using the Canadian Occupational Performance Measure and the Palliative Care Outcomes Collaboration Symptom Assessment Scale (PCOC SAS). The intervention and study design adhered to international guidelines.

    Results

    Ten participants engaged in the VR interventions. Data showed significantly improved occupational performance and satisfaction scores (p < .001), decreases in PCOC SAS distress from pain (p = .01), fatigue (p < .001), and heart rate (p = .018). No adverse side effects were observed.

    Significance of results

    Outcomes included an analysis of virtual reality’s effectiveness to alleviate symptom burden and increase occupational participation for palliative care patients. Of specific interest to the research team was the application of virtual reality in a community–based and inpatient palliative care context to supplement allied health services and its feasibility of integration into standard palliative care.

    Conclusion

    VR therapy showed positive improvements in the participants’ occupational performance, satisfaction, and distress from pain and fatigue.

  • 5 - Digital ICT Challenges for Digital Entrepreneurship

  • from Part II - Digital Business Systems
  • Vincenzo Morabito, Università Commerciale Luigi Bocconi, Milan
  • Book:
    Digital Entrepreneurship
    Published online:
    16 December 2021
    Print publication:
    06 January 2022, pp 99-120

  • Summary

    Digital entrepreneurs create digital businesses through digital media funnels such as web applications, social media, mobile SMS and emails, providing digital products and services. Nowadays, it is relatively seamless for digital entrepreneurs to adopt the diverse digital tools and techniques in developing their products and services. Moreover, the avalanche that is the current digital era is changing the processes for many existing business models, in the financial sector, the health sector and many more. As a result of these changes, digital entrepreneurs are faced with new challenges and exposed to unprecedented risks. This chapter discusses the challenges faced by digital entrepreneurs and start-ups within business sectors such as fintech, insurtech, retailtech, biotech, healthtech and fashiontech. In addition, two case studies that demonstrate the existing challenges are highlighted with their corresponding focus points. The chapter concludes with a summary of the key points addressed and a few recommendations for digital entrepreneurs.