Effects of virtual reality exposure therapy in motivation, engagement, adherence and hemodynamic parameters in patients with cardiovascular diseases

• Grant number: 17/12254-8
• Support Opportunities: Scholarships in Brazil - Master
• Start date: May 01, 2018
• End date: August 19, 2018
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
• Principal Investigator: Luiz Carlos Marques Vanderlei
• Grantee: Mayara Moura Alves da Cruz
• Host Institution: Faculdade de Ciências e Tecnologia (FCT). Universidade Estadual Paulista (UNESP). Campus de Presidente Prudente. Presidente Prudente , SP, Brazil

Abstract

Introduction: despite of the benefits promoted by cardiovascular rehabilitation for cardiovascular diseases, low adherence of patients is a concern of physical therapists. Low adherence can be related to several factors, among them, motivation and engagement to the treatment. Alternative therapies can improve motivation, engagement and thus can increase adherence. In this context, virtual reality exposure therapy (VRT) appears as an option. In addition, acute hemodynamic responses of VRT compared to the conventional cardiovascular rehabilitation therapy (CT) still need to be investigated. Objective: to investigate engagement, motivation, barriers and adherence of VRT in patients with cardiovascular diseases or patients with risk factors who regularly participate in CT. Another objective is to evaluate its acute hemodynamic responses. Methods: regularly participants of CT will be invited and randomly allocated for CT or CT+VRT interventions. Interventions will be performed for 12 weeks. The primary outcome consists in assessing patients' engagement (engagement scale), the motivation (inventory of intrinsic motivation), barriers (barrier scale for cardiac rehabilitation) and adherence (by the frequency recorded on the patient's chart). The secondary outcome is to evaluate the acute hemodynamic responses (blood pressure, heart rate, respiratory rate, oxygen saturation and subjective effort perception) before, during and after a session of TRV or CT. Statistical analysis: the homogeneity of the data will be evaluated through the Mauchley sphericity test. If the assumed sphericity is violated, Greenhouse-Geisser correction will be applied. To identify the differences between moments and interventions the two way repeated measures with Bonferroni post-test will be applied. The statistical significance will be set at 5%. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

ALVES DA CRUZ, MAYARA MOURA; RICCI-VITOR, ANA LAURA; BONINI BORGES, GIOVANNA LOMBARDI; DA SILVA, PAULA FERNANDA; TURRI-SILVA, NATALIA; TAKAHASHI, CAROLINA; GRACE, SHERRY L.; MARQUES VANDERLEI, LUIZ CARLOS. A Randomized, Controlled, Crossover Trial of Virtual Reality in Maintenance Cardiovascular Rehabilitation in a Low-Resource Setting: Impact on Adherence, Motivation, and Engagement. PHYSICAL THERAPY, v. 101, n. 5, MAY 2021. (17/12254-8)

DA CRUZ, MAYARA MOURA ALVES; GRIGOLETTO, ISIS; RICCI-VITOR, ANA LAURA; DA SILVA, JESSICA MALEK; FRANCO, MARCIA RODRIGUES; VANDERLEI, LUIZ CARLOS MARQUES. Perceptions and preferences of patients with cardiac conditions to the inclusion of virtual reality-based therapy with conventional cardiovascular rehabilitation: A qualitative study. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 26, n. 3, p. 6-pg., 2022-05-01. (17/12254-8)

ALVES DA CRUZ, MAYARA MOURA; RICCI-VITOR, ANA LAURA; BONINI BORGES, GIOVANNA LOMBARDI; DA SILVA, PAULA FERNANDA; RIBEIRO, FELIPE; MARQUES VANDERLEI, LUIZ CARLOS. Acute Hemodynamic Effects of Virtual Reality-Based Therapy in Patients of Cardiovascular Rehabilitation: A Cluster Randomized Crossover Trial. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 101, n. 4, p. 642-649, APR 2020. (17/12254-8)

Academic Publications

(References retrieved automatically from State of São Paulo Research Institutions)

CRUZ, Mayara Moura Alves da. Effects of therapy based on virtual reality on motivation, engagement, adherence and hemodynamic repercussions in patients with heart disease. 2018. Master's Dissertation - Universidade Estadual Paulista (Unesp). Faculdade de Ciências e Tecnologia. Presidente Prudente Presidente Prudente.