In prevention and health promotion with children and adolescents, extended reality (XR) technologies (including virtual reality, augmented reality, augmented virtuality, and mixed reality) are of interest, as they were shown to enhance learning in educational contexts. However, unlike in clinical research, there is no clear overview of its use for these purposes. Therefore, this scoping review provides an overview of XR in behavioral prevention and health promotion in childhood and adolescence. For this purpose, 10 databases were systematically searched for relevant entries, combined with outreach to professional societies and associations, and experts in the field. As a result, 27 reports were included that describe XR applications (mostly virtual reality) in different areas of prevention (e.g., substance use, violence, emotion regulation, road/fire/water safety). XR is often co-created through participatory action and seems to achieve good acceptance and feasibility, yet most studies so far are pilot studies with small and selective samples with mixed results. Although participatory research principles were often implemented, many dimensions of health equity and public health impact were also not considered. In conclusion, XR may be promising for behavioral prevention, but more rigorous efficacy studies using larger, representative samples and longitudinal observations are urgently needed to advance the field.

中文翻译：

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扩展现实技术如何用于儿童和青少年的行为预防和健康促进？范围界定审查


在儿童和青少年的预防和健康促进方面，扩展现实 （XR） 技术（包括虚拟现实、增强现实、增强虚拟现实和混合现实）令人感兴趣，因为它们被证明可以增强教育环境中的学习。然而，与临床研究不同，没有明确概述其用于这些目的。因此，本范围综述概述了 XR 在儿童和青少年行为预防和健康促进方面的应用。为此，系统地检索了 10 个数据库以查找相关条目，并联系了专业协会和协会以及该领域的专家。结果，纳入了 27 份报告，描述了 XR 在不同预防领域（例如，药物使用、暴力、情绪调节、道路/消防/水安全）中的应用（主要是虚拟现实）。XR 通常是通过参与式行动共同创造的，并且似乎获得了良好的接受度和可行性，但到目前为止，大多数研究都是试点研究，样本量小且选择性强，结果喜忧参半。尽管经常实施参与式研究原则，但健康公平和公共卫生影响的许多方面也没有得到考虑。总之，XR 在行为预防方面可能很有希望，但迫切需要使用更大、更具代表性的样本和纵向观察进行更严格的疗效研究来推动该领域的发展。