Exergames Designed for Older Adults: A Pilot Evaluation on Psychosocial Well-Being

Li, Jinhui; Xu, Xuexin; Pham, Tan Phat; Theng, Yin‐Leng; Katajapuu, Niina; Luimula, Mika

doi:10.1089/g4h.2017.0072

Cited by 43 publications

(17 citation statements)

References 31 publications

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“…Exergames have been gradually implemented in rehabilitation [ 37 , 38 ], education [ 39 ], and other fields [ 40 ], and have been widely accepted by a range of populations from children [ 41 , 42 ] to the elderly [ 43 , 44 ]; moreover, positive results were found for individuals with various diseases such as dementia [ 45 ], stroke [ 46 ], Parkinson disease [ 34 ], multiple sclerosis [ 47 ], cystic fibrosis [ 48 ], and cancer [ 49 ]. Recent studies have demonstrated the feasibility, acceptability, and effectiveness of exergaming in improving physical functions such as gait and balance [ 50 ], motion control [ 51 ], and exercise capacity [ 52 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Exergaming in Improving Cognitive and Physical Function in People With Mild Cognitive Impairment or Dementia: Systematic Review

Zhao

Feng

et al. 2020

JMIR Serious Games

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Background Individuals with mild cognitive impairment and dementia have impaired physical and cognitive functions, leading to a reduced quality of life compared with those without such impairment. Exergaming, which is defined as a combination of exercise and gaming, is an innovative, fun, and relatively safe way to exercise in a virtual reality or gaming environment. Therefore, exergaming may help people living with mild cognitive impairment or dementia to overcome obstacles that they may experience regarding regular exercise and activities. Objective The aim of this systematic review was to review studies on exergaming interventions administered to elderly individuals with mild cognitive impairment and dementia, and to summarize the results related to physical and cognitive functions such as balance, gait, executive function, and episodic memory. Methods We searched Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, PsycINFO, Amed, and Nursing Database for articles published from the inception of the respective databases to January 2019. We included all clinical trials of exergaming interventions in individuals with mild cognitive impairment and dementia for review. The risk of bias was independently evaluated by two reviewers using the Cochrane Collaboration and Risk of Bias in Non-randomized Studies of Interventions tools. Results Ten studies involving 702 participants were included for review. There was consistent evidence from 7 studies with a low risk of bias showing statistically significant effects of exergaming on cognitive functioning in people with mild cognitive impairment and dementia. With respect to physical function, 3 of 5 full-scale studies found positive results, and the intensity of most games was classified as moderate. Conclusions Overall, exergaming is an innovative tool for improving physical and cognitive function in people with mild cognitive impairment or dementia, although there is high heterogeneity among studies in terms of the duration, frequency, and gaming platform used. The quality of the included articles was moderate to high. More high-quality studies with more accurate outcome indicators are needed for further exploration and validation of the benefits of exergaming for this population.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Exergaming in Improving Cognitive and Physical Function in People With Mild Cognitive Impairment or Dementia: Systematic Review

Zhao

Feng

et al. 2020

JMIR Serious Games

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“…AR can provide a more immersive and fulfilling experience for how people interact and engage in different activities, and allow for personalization and enhanced interactivity. Research has also shown that exercise games, such as our SAS booth, have higher enjoyment and promote sustainable physical activity over traditional interventions (46,47).…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of two brief digital health promotion game booths utilizing augmented reality and motion detection to promote well-being at a gerontechnology summit in Hong Kong

Sit

Lai²,

Kwok³

et al. 2022

Front. Public Health

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BackgroundThe acceleration of population aging calls for simple and effective interventions catered for older people. Gerontechnology, the combination of gerontology and technology, can promote quality of life in older adults. However, public health-related events incorporating information communication technology (ICT) for older people have seldom been evaluated.ObjectiveWe reported the development and evaluation of two simple and brief digital health promotion games hosted at the annual Hong Kong Gerontech and Innovation Expo cum Summit (GIES) in 2018 and 2019 to promote well-being.MethodsTwo game booths (Dinosaur Augmented Reality photo-taking in 2018, Sit-and-Stand fitness challenge in 2019) were designed by our interdisciplinary team. Four gaming technologies were employed: augmented reality, chroma key (green screen), motion detection and 3D modeling. Immediately after the game, we administered a brief questionnaire survey to assess participant satisfaction, happiness and perceived benefits, and collected qualitative data through observations and informal interviews.ResultsMajority of 1,186 and 729 game booth participants in 2018 and 2019, respectively, were female (73.4% and 64.7%) and older adults (65.5 and 65.2%). Overall satisfaction toward the game booths was high (4.64 ± 0.60 and 4.54 ± 0.68 out of 5), with females and older adults reporting higher scores. Average personal and family happiness of participants in 2018 were 8.2 and 8.0 (out of 10). 90.3 and 18.4% of participants in 2019 chose one or more personal (e.g. enhance healthy living habits 62.4%, enhance personal happiness 61.6%) and family (e.g. enhance family happiness 15.6%, improve family relationships 10.8%) benefits of the game booth, respectively. Participants showed enthusiasm toward the technologies, and pride in their physical abilities in the fitness challenge.ConclusionOur report on the development and evaluation of brief game interventions with ICT showed high satisfaction and immediate perceived benefits in community participants. Females and older adults reported higher satisfaction. Simple tools measuring happiness and perceived benefits showed positive results. Older adults were receptive and enthusiastic about the new technologies. Our findings can inform researchers and organizers of similar events. More research on simple and enjoyable ICT interventions is needed to attract older adults and promote their well-being.Trial registrationThe research protocol was registered at the National Institutes of Health (Identifier number: NCT03960372) on May 23, 2019.

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“…Recent studies have shown that the use of exergames can be beneficial in restoring balance and reducing the risk and frequency of falls in conventional physiotherapy [9], [13], [17]- [21]. Exergames involve dual-task motor and cognitive activities and may promote improvement in cognitive-motor function, degree of independence and adherence of individuals to therapy [13].…”

Section: Designing Exergames For Older Adultsmentioning

confidence: 99%

“…However, exercise intervention programs that tackle the issue to prevent falls in older non-fallers still have some challenges such as "poor program adherence" and "insufficient exercise intensity" that can compromise the intervention [4], [5]. Playing exergames has been an alternative [6] and suggests that playing video games can keep motivation in intrinsic ways [7] and that older adults could learn how to use technology in the same ways as young people, but the emphasis should be on learning time to familiarize and on positive feedback to avoid the fear of technology [8] , [9]. Authors state that the use of this type of technology may be effective in reducing the risk and incidence of falls in conventional physiotherapeutic treatment [4], [7], [10]- [14].…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality and Augmented Reality Exergames for older fallers: considerations about design and applicability by physical therapists

Pereira

Bacha

Silva

et al. 2021

Anais Estendidos Do XX Simpósio Brasileiro De Jogos E Entretenimento Digital (SBGames Estendido 2021)

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This work investigates the application of virtual reality (VR) and augmented reality (AR) exergames for older fallers, through a literature review and an exploratory technological research. We developed an exergame called BALLOONS to understand the main design concerns and to be able to evaluate the applicability based on physical therapists evaluation. Three different immersive systems running the same game BALLONS were implemented, two as VR exergames and one as an AR exergame. Test and evaluation sessions were conducted with eleven physiotherapists. The results point to a positive evaluation by experts in terms of safety, tolerability, and acceptability. The findings also suggest the need for technical improvements, such as the development of lighter and more comfortable headsets, to increase acceptability and the need of a larger variety of cognitive activities and frequency adjustments of physical exercise, to increase applicability and value for rehabilitation.

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Exergames Designed for Older Adults: A Pilot Evaluation on Psychosocial Well-Being

Abstract: The study highlighted the effect of fun and entertainment elements on the psychosocial effect of exergames and called for simpler interactive systems and easier exergame tasks for the older adults.

Cited by 43 publications

References 31 publications

Effectiveness of Exergaming in Improving Cognitive and Physical Function in People With Mild Cognitive Impairment or Dementia: Systematic Review

Effectiveness of Exergaming in Improving Cognitive and Physical Function in People With Mild Cognitive Impairment or Dementia: Systematic Review

Development and evaluation of two brief digital health promotion game booths utilizing augmented reality and motion detection to promote well-being at a gerontechnology summit in Hong Kong

Virtual Reality and Augmented Reality Exergames for older fallers: considerations about design and applicability by physical therapists

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