Dominika Muršec

Animal-assisted interventions can support emotional well-being and social engagement, but their use may be limited by allergies, infection risks, and animal-handling requirements. As a scalable alternative, artificial intelligence-based pet therapy, including socially assistive and robotic pets, has been introduced in health care and community settings. This systematic review, conducted in accordance with PRISMA guidelines, searched PubMed, CINAHL Ultimate/MEDLINE, Scopus, Web of Science, and SAGE for studies published between 2014 and 2025 that evaluated the reported effects of AI-based pet therapy on patient outcomes. Of the 584 records identified, 27 studies met the inclusion criteria after duplicate removal and screening. Most studies involved older adults with dementia, although children, veterans, and community-dwelling adults were also represented. Across studies, AI-based pet therapy was associated with reduced agitation, anxiety, stress, and pain, as well as improved mood, communication, and social engagement. PARO was the most frequently studied robotic pet, and interventions were typically delivered 1–3 times weekly for 30–60 min over 4–12 weeks. Overall, AI-based pet therapy appears to be a promising complementary non-pharmacological approach, particularly for people with dementia and hospitalized children, although stronger evidence from larger, more standardized, and longer-term studies is still needed.

Background: Cardiovascular disease (CVD) remains the leading cause of death. Primary prevention relies heavily on health risk assessments and lifestyle changes, which can reduce long-term risk and mortality. Digital health offers an accessible and cost-effective approach to support prevention, enabling data sharing and visualization of key indicators such as blood pressure and glucose fluctuations. These visual insights may help patients better understand the effects of lifestyle changes and enhance communication with health care providers. Objective: This research aims to evaluate whether the use of CVD risk visualization (Petal-X) and continuous glucose monitoring (CGM), alone or in combination, is associated with lifestyle changes and the perception of person-centered care (PCC) among patients at increased risk of CVD. Methods: We conducted a 4-arm, single-blind, 2×2 factorial randomized controlled feasibility trial in primary care. A total of 119 participants were enrolled, of whom 101 completed the 6-month follow-up. Participants were randomized to 1 of 4 arms: (1) Petal-X CVD risk visualization+CGM; (2) CGM only; (3) Petal-X only; or (4) standard care with routine lifestyle counseling and no digital tools. CGM was used for 10 days in the CGM arms. Since this was a feasibility trial, no formal sample size calculation was performed. Primary outcomes are healthy lifestyle (Health Lifestyle and Personal Control Questionnaire [HLPCQ]) and perception of PCC (Person-Centered Practice Inventory—Service User [PCPI–SU]), and secondary outcomes (Systematic Coronary Risk Evaluation 2 [SCORE2], anthropometrics, and biological age) were assessed at baseline and 6 months. Descriptive statistics and Kruskal-Wallis tests ( K independent samples) were used for analyses. Results: At baseline, mean SCORE2 values ranged from 3.84 (SD 2.08) in intervention group 3 to 4.87 (SD 2.61) in intervention group 1, with the control group having a mean value of 4.53 (SD 3.63). Regarding the assessment of a healthy lifestyle, the domain of daily routine had the highest baseline scores across all groups (eg, mean 19.24, SD 5.87 in intervention group 1), and these scores improved by the final evaluation, although there were no statistically significant differences ( P =.42) in changes between the groups. The perception of PCC was rated highest across all groups in the domain of shared decision-making, with no statistically significant differences ( P =.26) between the groups. Results indicated improvements in healthy lifestyle habits, but the impact of interventions on perceived changes remained insignificant. Conclusions: Healthy lifestyle and perceived PCC scores improved, although no statistically significant between-group differences were found. Risk visualization appears to be a key tool for increasing CVD awareness and strengthening patient involvement in care planning. Longer interventions with larger samples are needed to clarify these effects and optimize digital tools for lifestyle change.

Higiena rok je eden ključnih ukrepov za preprečevanje bolnišničnih okužb in s tem zagotavljanja kakovosti v zdravstvenih organizacijah. Poučevanje zdravstvenih delavcev in stalno izobraževanje sta zato nujno potrebna, za kar so na voljo tudi novejše metode kot je navidezna resničnost, ki omogoča realistično izkušnjo z uporabo naglavnega zaslona. V okviru projekta INOTEH-ZDRAV smo s 360-stopinjsko kamero posneli postopek umivanja in razkuževanja rok v okolju bolniške sobe na podlagi pripravljenega scenarija, po principu petih trenutkov za higieno rok Svetovne zdravstvene organizacije. Posnetek smo obdelali s programoma Insta360 Studio in Adobe Premiere Pro, s pomočjo programske platforme Unity pa vključili interakcije s katerimi so uporabniki svoje znanje sproti preverjali. Na ta način omogočamo vključitev modernih tehnologij v izobraževanje in hkrati zagotavljamo ustrezne učne vsebine tudi z uporabo navidezne resničnosti.

The use of immersive technology in healthcare education is on the rise, yet its impact on learner engagement, knowledge retention, and specifically in areas like hand hygiene training, remains underexplored. The aim of this scoping review was to summarize the existing studies of immersive technology in hand hygiene training of healthcare providers and health professions students. A scoping review following the Levac et al. framework was conducted. The literature search was performed in databases PubMed, CINAHL Ultimate, ScienceDirect (Elsevier), Web of Science in addition to Google Scholar and ProQuest Dissertation & Theses. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis: Extension for Scoping Reviews (PRIMSA-ScR) guideline was used to report the results. We analysed data using tabular and descriptive summary. In the final analysis 11 studies from seven countries were included. Most of the studies (n = 10, 90,91%) used virtual reality in hand hygiene training of healthcare providers and health professions students. Most studies have found that immersive technology is useful in teaching hand hygiene (n = 6, 54,55%). There are some theories and concepts that support the teaching of hand hygiene with immersive technology, but most of the research is not supported by them. Theories or concepts were included in two studies (18,18%). Immersive technology, especially virtual reality, enhances hand hygiene learning and engagement compared to traditional methods. However, most studies lack theoretical support. To advance this field, exploring immersive technology for further research and incorporating relevant theories is encouraged. Additionally, conducting a thorough cost-effectiveness analysis and establishing a robust evaluation framework, encompassing both short-term and long-term outcomes, will be beneficial for a comprehensive understanding of the impact of immersive technology in hand hygiene education.

Infection control is crucial for high-quality patient care. One of the most effective and commonly used infection control procedures is hand hygiene which, it is known, requires repeated refresher training. There are many ways to educate healthcare professionals about hand hygiene, including the use of mobile applications (apps). Our aim is to review such hand hygiene apps, and to identify which have been available since 2021 and to assess their quality. We conducted a review using the PRISMA diagram to document our app selection process in the Google Play Store and Apple store in March 2024. For the evaluation of apps, we used the user version of the Mobile Application Rating Scale questionnaire (uMARS). Of 16 apps only five adhere to WHO hand hygiene guidelines. Timers were included in 12 of the 16 apps and reminders were included in 10 of 16 apps. The highest overall uMARS scoring app was Give Me 5–Hand Hygiene (4.31 ± 0.28), while Wash your hands! (1.17 ± 0.14) had the lowest score. We found that more than half of the apps were unavailable from the 2021 review. We believe that app-based education could effectively sustain hand hygiene knowledge in healthcare settings.