노인의 심리적 장애 질병 치료를 위한 통합적 접근 방식에 따른 가상현실 기능성 게임
Evaluating a VR-Serious Game According to an Integrated Approach for the Treatment of Psychological Disorders of the Elderly
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
연구목적: 본 연구의 목적은 전 세계적으로 노인들에게 있어 급격히 증가하고 있는 알츠하이머, 치매, 불안, 우울증과 같은 심리적 장애 질병과 만성 통증과 같은 신체적 활동 장애를 가상현실 기반의 기능성 게임을 적용하여 기능 향상에 대한 효과성을 검증하는 것이다. 연구방법: 노인의 인지 기능을 향상하기 위한 기능성 게임 개발이 전 세계적으로 다양한 연구가 진행되고 있다. 기존의 연구들은 단일 시나리오 기반의 한 개의 질병에만 국한된 것이고 통합적으로 접근한 사례가 없다. 본 논문에서는 심리적 장애 질병과 만성 통증에 대해 다루었던 개별적인 게임들을 분석하여 12개의 특징을 추출하였다. 이러한 특징들을 조합하여 노인에게 효과적인 통합적인 접근 방식의 게임 시스템을 제안한다. 제안된 게임 시스템을 기반으로 프로토타입을 개발하여 20명의 노인을 대상으로 효과성 검증을 진행하였다. 연구결과: 본 논문에서는 심리적 장애 질병에 대한 다양한 심리적 장애 질병을 가지고 있는 노인들 대상으로 신체적 기능과 기억력 향상에 대해 실험을 진행하였다. 매주 신체적 활동을 한 가상현실 게임에서는 점진적인 기능 향상을 보였고, 경로 찾기와 같은 기억력 게임에서는 시간이 지날수록 긍정적인 결과를 보였다. 결론: 노인을 위한 기능성 게임들이 일반적으로 단일 접근 방법으로서 연구되고 있어서 심리적 장애 질병은 통합적으로 접근할 필요가 있다. 본 연구에서는 심리적 질병 장애에 대한 기능성 게임 시스템을 분석하여 12개의 특징을 추출하였고 이를 기반으로 통합적인 시스템을 제안하였다. 이를 기반으로 가상현실 기능성 게임을 개발하여 노인들 대상으로 효과성을 검증한 결과 신체적 활동 및 기억력 회복에50은 결과를 보였다.
Abstract
Objective: The purpose of this study is to verify the effectiveness of applying virtual reality-based serious games for the functional improvement of patients with psychological disorders such as Alzheimer’s, dementia, anxiety, depression and chronic pain, which are rapidly increasing among the elderly worldwide. Methods: There are several studies which show that serious games improve the cognitive function of the elderly. However, most of these games are limited to one disease based on a single scenario, and none of the studies used an integrated approach. In this paper, we propose 12 important game features by analyzing games related to psychological disorders and chronic pain. Furthermore, we suggest an integrated game system that combines these features. We tested the effectiveness of the proposed game system on 20 elderly subjects. Results: In this paper, we tested the improvement of physical function and memory in the elderly with psychological diseases. The first experiment showed a gradual improvement in physical function after a virtual reality game based on weekly exercise. The second experiment showed that the path-finding time gradually shortened as time passed in the path-finding virtual reality game. Conclusions: In conclusion, there is a need for an integrated approach toward psychological disorders and diseases of the elderly. In this study, we proposed an integrated game system with 12 features after analyzing and extracting these from a functional game system for psychological disorders. Based on these features, we developed a virtual reality serious game and tested its effectiveness for the elderly, showing good results for physical activity and memory recovery.
참고문헌 (36)
- 권유경, "노인 우울증의 인지행동적 중재에 대한 일 고려", 인지발달중재학회지, 7(2), pp.25~47 (2016), 인지발달중재학회
- 김대건, "경도인지장애 어르신을 위한 인지학습 프로그램의 효과성 연구", 인지발달중재학회지, 7(1), pp.107~128 (2016), 인지발달중재학회
- Alcid, A. S., "Analysis, design, development, implementation, and evaluation of a serious game designed to inform users on environmental issues", International Journal of Computing Sciences Research, 1(1), pp.11~23 (2017)[DOI]
- Alzheimer's Association, "2018 Alzheimer's disease facts and figures", Alzheimer's &Dementia, 14(3), pp.367~429 (2018)[DOI]
- "Could a VR walk in the woods relive chronic pain?" (2017)[URL]
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Amorim, M. C. P., "Sound communication in fishes", pp.1~33 (2015), Springer
- Babin, S. E., "Color Theory: Effects of Color in Medical Environments", pp.2013
- "Mobile game Sea Hero Quest ‘helps dementia research’" (2016)[URL]
- Bruun-Pedersen, J., "Motivating elderly to exercise-recreational virtual environment for indoor biking", IEEE International Conference on Serious Games and Applications for Health, pp.1~9 (2016)
- Carvalho, M. B., "An activity theory-based model for serious games analysis and conceptual design", Journal of ELSEVIER Computers & Education, 87, pp.166~181 (2015)[DOI]
- Coughlan, G., "Toward personalized cognitive diagnostics of at-genetic-risk’s Alzheimer’s disease", PNAS, 116(19), pp.9285~9292 (2019)[DOI]
- Dearing, B. G., "Photosensitive Assessment : A Study of Color Preference, Depression and Temperament", Subtle Energies &Energy Medicine Journal Archives, 7(2), pp.89~110 (1996)
- "The Virtual Forest" (2021)[URL]
- Fiske, A., "Depression in older adults", Annual review of clinical psychology, 5, pp.363~389 (2009)[DOI]
- "The first study to find brain games prevent dementia shows why statistics don’t tell the whole story" (2017)[URL]
- Garcia-Betances, R. I., "Using virtual reality for cognitive training of the elderly", American Journal of Alzheimer's Disease & Other Dementias®, 30(1), pp.49~54 (2015)[DOI]
- "DEEP-VR: A stunning virtual reality game for anxiety and depression (Pt.5)" (2018)[URL]
- Hao, S., "Survey on serious game for elderly", International Journal of Information Technology, 21(2), pp.1~22 (2015)
- "Alzheimer’s Statistics-United States & Worldwide Stats: BrainTest" (2016)[URL]
- Hofmann, S. G., "The efficacy of cognitive behavioral therapy : A review of meta-analyses", Cognitive therapy and research, 36(5), pp.427~440 (2012)[DOI]
- Jones, T., "The impact of virtual reality on chronic pain", PLOS ONE, 11(12), pp.e0167523~ (2016)[DOI]
- Kurt, S., "The Effects of Color on the Moods of College Students", SAGE Open, 4(1), pp.1~12 (2014)[DOI]
- "Training the Older Brain in 3-D: Video Game Enhances Cognitive Control" (2013)[URL]
- "Brain training game linked to lower dementia risk a decade later" (2017)[URL]
- Mendels, J., "The Relationship Between Depression and Anxiety", JAMA Psychiatry, 27(5), pp.649~653 (1972)[DOI]
- "Virtual gaming makes easier workouts a reality" (2017)[URL]
- Ray, S., "Dementia and cognitive decline", A review of the evidence, 27, pp.10~12 (2014), Age UK
- "VR Panaromic For Depressed Elderly" (2021)[URL]
- Robert, P., "Recommendations for the use of Serious Games in people with Alzheimer's Disease, related disorders and frailty", Frontiers in aging neuroscience, 6(54), pp.1~13 (2014)[DOI]
- Slimani, A., "Improving serious game design through a descriptive classification : A comparation of methodologies", Journal of Theoretical and Applied Information Technology, 92(1), pp.130~143 (2016)
- "Digital Pain Reduction Kit Against Chronic Pain" (2018)[URL]
- Tong, T., "Serious games for dementia", Proceedings of the 26th international conference on World Wide Web Companion, pp.1111~1115 (2017)
- "Bravemind: Virtual Reality Exposure Therapy" (2017)[URL]
- "Depression and Other Common Mental Disorders" (2017)[URL]
- Zygouris, S., "Can a virtual reality cognitive training application fulfill a dual role? Using the virtual supermarket cognitive training application as a screening tool for mild cognitive impairment", Journal of Alzheimer's Disease, 44(4), pp.1333~1347 (2015)[DOI]