Understanding the Wii Exergames Use: Voices from Assisted Living Residents

Chao, Ying-Yu; Lucke, Kathleen T.; Scherer, Yvonne K.; Montgomery, Carolyn A.

doi:10.1002/rnj.216

Cited by 13 publications

(45 citation statements)

References 27 publications

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“…The findings have clinical implications for nursing care in shoulder rehabilitation. This study supports the effectiveness of exergames in addition to the various motivational attributes mentioned (Chao et al, 2016) in increasing joint range and functionality of the shoulder joint. Although given the paucity of studies, small sample sizes, and the different pathologies of patients, the evidence is still insufficient and needs further study.…”

Section: Discussionsupporting

confidence: 82%

Exergames to Improve Rehabilitation for Shoulder Injury: Systematic Review and GRADE Evidence Synthesis

Fernandes

Magalhães

Gomes³

et al. 2022

Rehabilitation Nursing

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Introduction: The use of exergames has become an increasingly frequent intervention in rehabilitation, referred to as a fun and motivating activity that involves patients. This systematic review aimed to evaluate the effectiveness of exergames in the rehabilitation of the shoulder joint compared to other types of care. Methods: We performed a systematic review and GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) evidence synthesis. The search was conducted using the following databases: MEDLINE, CINAHL, SPORTDiscus, SCOPUS, SciELO, Psychology and Behavioral Sciences Collection, Cochrane Central Register of Controlled Trials, and PEDRo. Databases were searched from the first record until July 2021. Randomized controlled trials using exergames as an intervention were included. Results: The search resulted in 1,048 records. A total of 10 articles published between 2013 and 2020 met inclusion criteria and were reviewed for this study. A positive impact was observed in using exergames to increase shoulders' range of motion, namely, extension, flexion, abduction, internal and external rotation, and functionality postinjury. Conclusions: The results of this review provide evidence of the benefits of exergames in shoulder joint rehabilitation. However, more robust clinical trials need to be developed that assess the effectiveness of using exergames as a complement to traditional rehabilitation and assess participants' degree of satisfaction, motivation, and adherence.

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Section: Discussionsupporting

confidence: 82%

Exergames to Improve Rehabilitation for Shoulder Injury: Systematic Review and GRADE Evidence Synthesis

Fernandes

Magalhães

Gomes³

et al. 2022

Rehabilitation Nursing

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“…Their attitudes ranged from being skeptical to being indifferent to being motivated to learn something new. Although some were confident about their ability to learn, others doubted their ability to manage it [ 22 , 32 , 36 , 37 , 39 ]. Some had already used technology before joining the respective studies, mainly to promote feeling safe (eg, burglary alarms or emergency response systems) [ 30 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…Others wished that digital technology would take away the decision whether to alarm family members and would support being acknowledged in the illness situation by health care professionals [ 24 , 30 ]. Again, others wanted to challenge themselves with something new or decrease the generation gap between themselves and the younger generation by keeping up with the times, so that they could join conversations as they did not want to be old-fashioned [ 22 , 25 , 28 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Helpful routines could also be established through scheduled videoconferencing times [ 23 , 24 , 36 ]. Structured programs with planned and supervised exercises “requiring a commitment on their part motivated them to exercise regularly and adhere to an exercise program” [ 22 ]. However, committing oneself to an aim or being motivated did not seem sufficient for all older adults.…”

Section: Resultsmentioning

confidence: 99%

“…Older adults with cognitive impairments familiarized themselves with the device, for instance, by being instructed verbally by technicians or family members, by reading instructions on little memos, watching other people use it, and experimenting with it [ 27 , 38 , 39 ]. It was helpful to have a program or digital technology tailored to older adults’ needs to motivate and ensure a feeling of safety, such as modifying exercises or adapting digital technology to prevent false alarms caused by pets [ 22 , 30 , 35 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

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A Conceptual Model of Experiences With Digital Technologies in Aging in Place: Qualitative Systematic Review and Meta-synthesis

Hechinger¹,

Hentschel²,

Aumer³

et al. 2022

JMIR Aging

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Background Older adults with chronic illnesses or dependency on care who strive to age in place need support and care depending on their illness. Digital technology has enabled the possibility of supporting older adults in their wishes to age in place. However, current studies have mainly focused on the solitary evaluation of individual technologies or on evaluating technologies for specific illnesses. Objective This study aimed to synthesize research on the experiences of older people from the Western culture with chronic illnesses or care needs and their families with digital technology for aging in place. From the meta-synthesis, a model was derived that can be useful for the development of assistive devices in old age and that can support health care providers and professionals in their work with affected individuals. Methods A systematic review and qualitative meta-synthesis was performed using an inductive approach, as proposed by Sandelowski and Barroso. We performed a systematic literature search in 6 databases from 2000 to 2019, with an update in 2021 and, in addition, conducted a hand search in 2 databases, relevant journals, and reference lists. The results of each study were analyzed using initial and axial coding, followed by theoretical coding. A conceptual model was derived. Results A total of 7776 articles were identified. Articles were screened independently by 2 authors based on the eligibility criteria. Finally, of the 7776 studies, 18 (0.23%) were included in the meta-synthesis. The derived conceptual model describes older adults with chronic illnesses or dependency on care and their family members in an individual process of reflection and decision-making, starting with the use of a digital device. Older adults live in times of change. They experience stable and unstable times of illness as they are part of a changing digital world. Hence, older adults and their families consider digital technology a solution to their current situation. As they become familiar with a specific digital technology, they refine their needs and demands, gain confidence in its use, and note its advantages and disadvantages. They weigh hopes, needs, demands, and experiences in a process of reflection to decide on convenience and inconvenience. Independent of their decision, they achieve peace of mind either with or without digital technology. This process can restart repeatedly during the illness trajectory of older adults. Conclusions This study promotes a differentiated understanding of older adults’ experiences with digital technology. The conceptual model can be useful for the development of assistive technology in old age. Moreover, it can guide health care professionals in their work with older adults and their families to provide individual counseling to find the appropriate digital technology for their respective situations.

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Exergaming to Increase Physical Activity in Older Adults: Feasibility and Practical Implications

Rytterström,

Strömberg,

Jaarsma

et al. 2024

Curr Heart Fail Rep

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Purpose of Review To evaluate the feasibility of exergaming among older adults, focusing on acceptability, demand, implementation, and practicality. Additionally, to offer practical implications based on the review's findings. Recent Findings Exergaming is a safe for older adults, potentially increasing physical activity, balance, cognition, and mood. Despite these possible benefits, barriers such as unfamiliarity with equipment, complex controls, and unclear instructions may challenge older adults in exergaming. Summary Based on the experience of older adults, they found exergaming enjoyable, particularly the social interactions. Exergaming was perceived as physically and cognitively demanding, with technical and safety challenges. Introducing exergaming requires thorough familiarization, including written and video instructions, follow-up support, and home accessibility. To be able to follow improvements during exergaming as well as age-appropriate challenges are important for successful integration into daily life. Based on these findings, an ExerGameFlow model for older adults was developed which provides practical implications for future design of exergames and interventions.

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Understanding the Wii Exergames Use: Voices from Assisted Living Residents

Abstract: An intervention incorporating self-efficacy and Wii exergames did result in the identification of cognitive, physical, and psychosocial benefits and barriers to exercise.

Cited by 13 publications

References 27 publications

Exergames to Improve Rehabilitation for Shoulder Injury: Systematic Review and GRADE Evidence Synthesis

Exergames to Improve Rehabilitation for Shoulder Injury: Systematic Review and GRADE Evidence Synthesis

A Conceptual Model of Experiences With Digital Technologies in Aging in Place: Qualitative Systematic Review and Meta-synthesis

Exergaming to Increase Physical Activity in Older Adults: Feasibility and Practical Implications

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