A device combining a virtual reality (VR) headset with hypnotic scenarios may represent an effective tool to reduce anxiety and opposition during hygiene care in patients with neurocognitive disorders presenting with behavioral and psychological symptoms.
The primary objective of this project is to assess the feasibility and effectiveness of VR headsets with hypnotic scenarios compared with standard care in patients with ADRD presenting behavioral disturbances during hygiene care.
Residents of the St-Victor center (CHU Amiens-Picardie), including nursing home units, reinforced care units, and long-term care units;
Patients diagnosed with ADRD presenting opposition or agitation during hygiene and toileting care;
Affiliation to a social security scheme,
Informed consent signed by the patient or legal representative.
Residents in terminal palliative care.
Crossover
VR headset
DeviceVR headset enabling the management of hypnotic scenarios. The headset will project immersive 3D images and deliver a hypnotic narrative, thus combining VR and hypnosis-based techniques. This intervention will be applied during hygiene and toileting care and compared to standard behavioral management traditionally used in the structures.
standard cares
Other interventionstandard cares
Effectiveness of VR headsets
Effectiveness of VR headsets delivering hypnotic scenarios versus standard cares in older adults with ADRD and behavioral disturbances (opposition or agitation), with the aim of reducing apprehension, pain, anxiety, and resistance during hygiene and toileting care. Evaluation with EPADE sclae
decrease number of patients with behavioral and psychological symptoms in VR headset group
reduced number of psychotropic drug per patient use in VR headset group
reduced number of psychotropic drug per patient use in VR headset group
Number of patients with improve quality of life in VH headset group
Number of patients with improve quality of life in VH headset group
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