Usability and acceptability of balance exergames in older adults: A scoping review

Nawaz, Ather; Skjæret, Nina; Helbostad, Jorunn L.; Vereijken, Beatrix; Boulton, Elisabeth; Svanæs, Dag

doi:10.1177/1460458215598638

Cited by 85 publications

(55 citation statements)

References 36 publications

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“…The secondary aim was to explore whether the exergame intervention can influence physical and/or cognitive functions as well as cortical activity at rest. We hypothesized a high usability of the newly developed exergame training for older adults due to following a user-centered development and design approach and based on findings from literature showing a high usability of virtual reality and technology-based training for the older population [32,35]. Moreover, positive effects on gait parameters, balance, functional muscle strength as well as attentional and executive functions and brain activity in alpha frequency have been hypothesized.…”

Section: Introductionmentioning

confidence: 99%

A usability study of a multicomponent video game-based training for older adults

Adcock

Sonder

Schättin

et al. 2020

Eur Rev Aging Phys Act

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Background: Aging is often accompanied by a decline in sensory, motor and cognitive functions. These age-and lifestyle-related impairments may lead to reduced daily life functioning including gait disturbances, falling and injuries. Most daily life activities, e.g. walking, are tasks which require the concurrent interplay of physical and cognitive functions. Promising options for combined physical-cognitive training are video game-based physical exercises, so-called exergames. This study aimed to [i] determine the usability of a newly developed multicomponent exergame and [ii] explore its effects on physical functions, cognition and cortical activity. Methods: Twenty-one healthy and independently living older adults were included (10 female, 71.4 ± 5.8 years, range: 65-91) and performed 21 training sessions (each 40 min) over seven weeks. The multicomponent exergame included strength and balance training with Tai Chi-inspired and dance exercises. Participants rated the usability of the exergame (System Usability Scale) and reported on their emotional experience (Game Experience Questionnaire). Attendance and attrition rates were calculated to determine training compliance. Before and after the intervention, physical and cognitive functions as well as resting state electroencephalography (EEG) were assessed. Results: Results showed a high training attendance rate (87.1%, 18/21 training sessions on average) and a low attrition rate (9.5%, 2 drop-outs). System usability was rated high with a mean score of 75/100. Affective game experience was rated favorable. Gait speed under dual-task condition, lower extremity muscle strength and reaction times in a cognitive task (divided attention) showed significant improvements (p < .05). No significant pre-post differences were found for resting state EEG. Conclusions: The newly developed exergame seems usable for healthy older adults. Nevertheless, some aspects of the exergame prototype can and should be improved. The training showed to positively influence physical and cognitive functions in a small convenience sample. Future trials are warranted which evaluate the feasibility and usability of the exergame training in a more "real-life" in-home setting and assess the behavioral and neuroplastic changes in a larger population after a longer training period with comparison to a control group.

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Section: Introductionmentioning

confidence: 99%

A usability study of a multicomponent video game-based training for older adults

Adcock

Sonder

Schättin

et al. 2020

Eur Rev Aging Phys Act

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“…Exercise can improve postural control and thereby reduce the risk of falls among the older population [2]. Exergames, a combination of exercise and digital games (also called active video games), have been proposed as a way to improve postural control [3]. Although there is a considerable number of exergames available [4], the number of unsupervised intervention studies involving older adults is still limited [5].…”

Section: Introductionmentioning

confidence: 99%

Assessing dynamic postural control during exergaming in older adults: A probabilistic approach

et al. 2018

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Digital games controlled by body movements (exergames) have been proposed as a way to improve postural control among older adults. Exergames are meant to be played at home in an unsupervised way. However, only few studies have investigated the effect of unsupervised home-exergaming on postural control. Moreover, suitable methods to dynamically assess postural control during exergaming are still scarce. Dynamic postural control (DPC) assessment could be used to provide both meaningful feedback and automatic adjustment of exergame difficulty. These features could potentially foster unsupervised exergaming at home and improve the effectiveness of exergames as tools to improve balance control. The main aim of this study is to investigate the effect of six weeks of unsupervised home-exergaming on DPC as assessed by a recently developed probabilistic model. High probability values suggest 'deteriorated' postural control, whereas low probability values suggest 'good' postural control. In a pilot study, ten healthy older adults (average 77.9, SD 7.2 years) played an ice-skating exergame at home half an hour per day, three times a week during six weeks. The intervention effect on DPC was assessed using exergaming trials recorded by Kinect at baseline and every other week. Visualization of the results suggests that the probabilistic model is suitable for real-time DPC assessment. Moreover, linear mixed model analysis and parametric bootstrapping suggest a significant intervention effect on DPC. In conclusion, these results suggest that unsupervised exergaming for improving DPC among older adults is indeed feasible and that probabilistic models could be a new approach to assess DPC.

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“…Os autores mencionam facilidade de uso, acessibilidade, baixo custo da tecnologia, incentivo ao aumento da intensidade dos exercícios e motivação, como fatores desencadeadores desta aceitação. Da mesma forma, Nawaz et al (2015), em uma revisão que avaliou a aceitação do uso de tecnologia em processos de reabilitação com idosos, concluíram que os participantes da maioria dos estudos incluídos aprovaram a experiência e sentiram-se satisfeitos.…”

Section: Introductionunclassified

Avaliação da aceitação do game Motion Rehab por idosos com sequelas de AVE

Marchi¹,

Rieder²,

Colussi³

et al. 2016

Anais Do XVI Simpósio Brasileiro De Computação Aplicada À Saúde (SBCAS 2016)

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O objetivo da pesquisa foi avaliar a aceitação do game Motion Rehab por idosos com sequelas de AVE que o utilizaram em um processo de reabilitação. Participaram 10 idosos de ambos os sexos, com idade média de 67,7 ± 7,1 anos, com predominância do AVE isquêmico e frequentadores deum Centro de Reabilitação Física. Para a avaliação foi utilizado um questionário construído com base no Modelo de Aceitação de Tecnologia (Technology Acceptance Model - TAM). Os resultados mostram que as idosas têm uma tendência maior a aceitar o game como ferramenta auxiliar de reabilitação. A avaliação também aponta que o game é um elemento motivador, servindo de estímulo à realização dos exercícios durante cada sessão de fisioterapia.

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Usability and acceptability of balance exergames in older adults: A scoping review

Cited by 85 publications

References 36 publications

A usability study of a multicomponent video game-based training for older adults

A usability study of a multicomponent video game-based training for older adults

Assessing dynamic postural control during exergaming in older adults: A probabilistic approach

Avaliação da aceitação do game Motion Rehab por idosos com sequelas de AVE

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