Skip to main content
Top
Published in: BMC Geriatrics 1/2021

Open Access 01-12-2021 | Research article

Use of a technology-based system to motivate older adults in performing physical activity: a feasibility study

Authors: Els Knippenberg, Annick Timmermans, Steven Palmaers, Annemie Spooren

Published in: BMC Geriatrics | Issue 1/2021

Login to get access

Abstract

Background

Maintaining or initiating regular physical activity (PA) is important for successful aging. Technology-based systems may support and stimulate older adults to initiate and persevere in performing PA. The aim of the current study was to assess to which extent a customised Kinect system is 1) a credible tool to increase PA in older adults, 2) motivating to perform PA by older adults, and 3) easy to be used in older adults.

Methods

A mixed-method cross-sectional feasibility study was performed in 5 aged care facilities in Flanders, Belgium. Aged participants were asked to perform a 20–30 min test with the intelligent Activity-based Client-centred Training (i-ACT) system. After the test, the ‘Credibility and Expectancy Questionnaire’ (CEQ), the ‘Intrinsic Motivation Inventory’(IMI), the System Usability Scale (SUS), and semi-structured interviews were conducted in the older adults. Feedback was gathered using the thinking aloud method in both aged participants and healthcare professionals.

Results

A total of 48 older adults (20 males and 28 females, mean age = 81.19 (SD = 8.10)), were included. The scores pertaining to system credibility and expectancy, system usability, and motivation towards use were moderate to good. Participants reported that they liked using the i-ACT system, but that the context could be more attractive by adding more visualisations. Twelve professionals stated that they observed involvement in older adults but think that i-ACT is better used in day care centres.

Conclusions

This study indicates that i-ACT is a usable and motivational system to engage older adults to perform PA and therefore supports successful aging. Future research is necessary to investigate the efficacy of i-ACT to perform PA and the transfer to regain and/or maintain engagement in ADLs that older adults find meaningful and purposeful at an older age. Also, further development of i-ACT is advisable to adapt the i-ACT system towards implementation at the home of older adults.

Trial registration

ClinicalTrial.​gov ID NCT04489563, 23 July 2020 - Retrospectively registered.
Literature
3.
go back to reference Bonder BR, Bello-Haas VD. Functional Performance in Older Adults. 3 ed: F.A. Davis 2008. Bonder BR, Bello-Haas VD. Functional Performance in Older Adults. 3 ed: F.A. Davis 2008.
4.
go back to reference Rowe JW, Kahn RL. Successful Aging1. The Gerontologist. 1997;37(4):433–40.CrossRef Rowe JW, Kahn RL. Successful Aging1. The Gerontologist. 1997;37(4):433–40.CrossRef
5.
go back to reference Fanning J, Awick EA, Wójcicki TR, Gothe N, Roberts S, Ehlers DK, et al. Effects of a DVD-delivered exercise intervention on maintenance of physical activity in older adults. J Phys Act Health. 2016;13(6):594–8.CrossRef Fanning J, Awick EA, Wójcicki TR, Gothe N, Roberts S, Ehlers DK, et al. Effects of a DVD-delivered exercise intervention on maintenance of physical activity in older adults. J Phys Act Health. 2016;13(6):594–8.CrossRef
6.
go back to reference Keadle SK, Arem H, Moore SC, Sampson JN, Matthews CE. Impact of changes in television viewing time and physical activity on longevity: a prospective cohort study. Int J Behav Nutr Phys Act. 2015;12(1):156.CrossRef Keadle SK, Arem H, Moore SC, Sampson JN, Matthews CE. Impact of changes in television viewing time and physical activity on longevity: a prospective cohort study. Int J Behav Nutr Phys Act. 2015;12(1):156.CrossRef
7.
go back to reference Canadian Association of Occupational Therapists. Enabling Occupation: An Occupational Therapy Perspective. Rev Ed ed: CAOT; 2002 01/01/2002. Canadian Association of Occupational Therapists. Enabling Occupation: An Occupational Therapy Perspective. Rev Ed ed: CAOT; 2002 01/01/2002.
8.
go back to reference Roberts S, Awick E, Fanning JT, Ehlers D, Motl RW, McAuley E. Long-term maintenance of physical function in older adults following a DVD-delivered exercise intervention. J Aging Phys Act. 2017;25(1):27–31.CrossRef Roberts S, Awick E, Fanning JT, Ehlers D, Motl RW, McAuley E. Long-term maintenance of physical function in older adults following a DVD-delivered exercise intervention. J Aging Phys Act. 2017;25(1):27–31.CrossRef
11.
go back to reference de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154.CrossRef de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154.CrossRef
12.
go back to reference Frost R, Belk C, Jovicic A, Ricciardi F, Kharicha K, Gardner B, et al. Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis. BMC Geriatr. 2017;17(1):157.CrossRef Frost R, Belk C, Jovicic A, Ricciardi F, Kharicha K, Gardner B, et al. Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis. BMC Geriatr. 2017;17(1):157.CrossRef
13.
go back to reference Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA. Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002;23(1):62–9.CrossRef Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA. Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002;23(1):62–9.CrossRef
14.
go back to reference Burton E, Farrier K, Galvin R, Johnson S, Horgan NF, Warters A, et al. Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis. Clin Interv Aging. 2019;14:1045–64.CrossRef Burton E, Farrier K, Galvin R, Johnson S, Horgan NF, Warters A, et al. Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis. Clin Interv Aging. 2019;14:1045–64.CrossRef
16.
go back to reference Molina KI, Ricci NA, de Moraes SA, Perracini MR. Virtual reality using games for improving physical functioning in older adults: a systematic review. J Neuroeng Rehabil. 2014;11:156.CrossRef Molina KI, Ricci NA, de Moraes SA, Perracini MR. Virtual reality using games for improving physical functioning in older adults: a systematic review. J Neuroeng Rehabil. 2014;11:156.CrossRef
17.
go back to reference Itakussu EY, Valenciano PJ, Trelha CS, Marchiori L, editors. Benefits of Exercis Training with NINTENDO® Wii for Healthy Elderly Population: Literature Review. 2015. Itakussu EY, Valenciano PJ, Trelha CS, Marchiori L, editors. Benefits of Exercis Training with NINTENDO® Wii for Healthy Elderly Population: Literature Review. 2015.
18.
go back to reference Webster D, Celik O. Systematic review of Kinect applications in elderly care and stroke rehabilitation. J Neuroeng Rehabil. 2014;11:108.CrossRef Webster D, Celik O. Systematic review of Kinect applications in elderly care and stroke rehabilitation. J Neuroeng Rehabil. 2014;11:108.CrossRef
19.
go back to reference De Boissieu P, Denormandie P, Armaingaud D, Sanchez S, Jeandel C. Exergames and elderly: a non-systematic review of the literature. Eur Geriatr Med. 2017;8(2):111–6.CrossRef De Boissieu P, Denormandie P, Armaingaud D, Sanchez S, Jeandel C. Exergames and elderly: a non-systematic review of the literature. Eur Geriatr Med. 2017;8(2):111–6.CrossRef
20.
go back to reference Nuic D, Vinti M, Karachi C, Foulon P, Van Hamme A, Welter M-L. The feasibility and positive effects of a customised videogame rehabilitation programme for freezing of gait and falls in Parkinson’s disease patients: a pilot study. J Neuroeng Rehabil. 2018;15(1):31.CrossRef Nuic D, Vinti M, Karachi C, Foulon P, Van Hamme A, Welter M-L. The feasibility and positive effects of a customised videogame rehabilitation programme for freezing of gait and falls in Parkinson’s disease patients: a pilot study. J Neuroeng Rehabil. 2018;15(1):31.CrossRef
21.
go back to reference American Occupational Therapy Association. Occupational therapy practice framework: domain and process. Am J Occup Ther. 2002;56(6):609–39. American Occupational Therapy Association. Occupational therapy practice framework: domain and process. Am J Occup Ther. 2002;56(6):609–39.
22.
go back to reference Siegert RJ, Taylor WJ. Theoretical aspects of goal-setting and motivation in rehabilitation. Disabil Rehabil. 2004;26(1):1–8.CrossRef Siegert RJ, Taylor WJ. Theoretical aspects of goal-setting and motivation in rehabilitation. Disabil Rehabil. 2004;26(1):1–8.CrossRef
23.
go back to reference Spooren AI, Janssen-Potten YJ, Kerckhofs E, Seelen HA. Outcome of motor training programmes on arm and hand functioning in patients with cervical spinal cord injury according to different levels of the ICF: a systematic review. J Rehabil Med. 2009;41(7):497–505.CrossRef Spooren AI, Janssen-Potten YJ, Kerckhofs E, Seelen HA. Outcome of motor training programmes on arm and hand functioning in patients with cervical spinal cord injury according to different levels of the ICF: a systematic review. J Rehabil Med. 2009;41(7):497–505.CrossRef
24.
go back to reference Enemark Larsen A, Rasmussen B, Christensen JR. Enhancing a client-Centred practice with the Canadian occupational performance measure. Occup Ther Int. 2018;2018:5956301.CrossRef Enemark Larsen A, Rasmussen B, Christensen JR. Enhancing a client-Centred practice with the Canadian occupational performance measure. Occup Ther Int. 2018;2018:5956301.CrossRef
25.
go back to reference Prescott S, Fleming J, Doig E. Goal setting approaches and principles used in rehabilitation for people with acquired brain injury: a systematic scoping review. Brain Inj. 2015;29(13–14):1515–29.CrossRef Prescott S, Fleming J, Doig E. Goal setting approaches and principles used in rehabilitation for people with acquired brain injury: a systematic scoping review. Brain Inj. 2015;29(13–14):1515–29.CrossRef
26.
go back to reference Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The Canadian occupational performance measure: a research and clinical literature review. Can J Occup Ther Rev Can D’ergother. 2004;71(4):210–22.CrossRef Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The Canadian occupational performance measure: a research and clinical literature review. Can J Occup Ther Rev Can D’ergother. 2004;71(4):210–22.CrossRef
27.
go back to reference Vanroy J, Seghers J, van Uffelen J, Boen F. Can a framed intervention motivate older adults in assisted living facilities to exercise? BMC Geriatr. 2019;19(1):46.CrossRef Vanroy J, Seghers J, van Uffelen J, Boen F. Can a framed intervention motivate older adults in assisted living facilities to exercise? BMC Geriatr. 2019;19(1):46.CrossRef
28.
go back to reference Knippenberg E, Van Hout L, Smeets W, Palmaers S, Timmermans A, Spooren A. Developing an intelligent activity-based client-centred training system with a user-centred approach. Technol Health Care. 2020;28(4):355–68.CrossRef Knippenberg E, Van Hout L, Smeets W, Palmaers S, Timmermans A, Spooren A. Developing an intelligent activity-based client-centred training system with a user-centred approach. Technol Health Care. 2020;28(4):355–68.CrossRef
29.
go back to reference Tashakkori A, Teddlie C, Teddlie CB. Mixed methodology: combining qualitative and quantitative approaches: sage; 1998. Tashakkori A, Teddlie C, Teddlie CB. Mixed methodology: combining qualitative and quantitative approaches: sage; 1998.
30.
go back to reference Jager J, Putnick DL, Bornstein MH. II. More than just convenient: the scientific merits of homogeneous convenience samples. Monogr Soc Res Child Dev 2017;82(2):13–30. Jager J, Putnick DL, Bornstein MH. II. More than just convenient: the scientific merits of homogeneous convenience samples. Monogr Soc Res Child Dev 2017;82(2):13–30.
31.
go back to reference Deci EL, Eghrari H, Patrick BC, Leone DR. Facilitating internalization: the self-determination theory perspective. J Pers. 1994;62(1):119–42.CrossRef Deci EL, Eghrari H, Patrick BC, Leone DR. Facilitating internalization: the self-determination theory perspective. J Pers. 1994;62(1):119–42.CrossRef
32.
go back to reference Markland D, Hardy L. On the factorial and construct validity of the intrinsic motivation inventory: conceptual and operational concerns. Res Q Exerc Sport. 1997;68(1):20–32.CrossRef Markland D, Hardy L. On the factorial and construct validity of the intrinsic motivation inventory: conceptual and operational concerns. Res Q Exerc Sport. 1997;68(1):20–32.CrossRef
33.
go back to reference McAuley E, Duncan T, Tammen VV. Psychometric properties of the intrinsic motivation inventory in a competitive sport setting: a confirmatory factor analysis. Res Q Exerc Sport. 1989;60(1):48–58.CrossRef McAuley E, Duncan T, Tammen VV. Psychometric properties of the intrinsic motivation inventory in a competitive sport setting: a confirmatory factor analysis. Res Q Exerc Sport. 1989;60(1):48–58.CrossRef
34.
go back to reference Tsigilis N, Theodosiou A. Temporal stability of the intrinsic motivation inventory. Percept Mot Skills. 2003;97(1):271–80.CrossRef Tsigilis N, Theodosiou A. Temporal stability of the intrinsic motivation inventory. Percept Mot Skills. 2003;97(1):271–80.CrossRef
35.
go back to reference Bangor A, Kortum PT, Miller JT. An empirical evaluation of the system usability scale. Intl J Hum Comput Interact. 2008;24(6):574–94.CrossRef Bangor A, Kortum PT, Miller JT. An empirical evaluation of the system usability scale. Intl J Hum Comput Interact. 2008;24(6):574–94.CrossRef
36.
go back to reference Borkovec TD, Nau SD. Credibility of analogue therapy rationales. J Behav Ther Exp Psychiatry. 1972;3(4):257–60.CrossRef Borkovec TD, Nau SD. Credibility of analogue therapy rationales. J Behav Ther Exp Psychiatry. 1972;3(4):257–60.CrossRef
37.
go back to reference Devilly GjB, T D. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry 2000;31:73–86. Devilly GjB, T D. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry 2000;31:73–86.
38.
go back to reference Ericsson KA, Simon HA. Verbal reports as data. Psychol Rev. 1980;87(3):215.CrossRef Ericsson KA, Simon HA. Verbal reports as data. Psychol Rev. 1980;87(3):215.CrossRef
39.
go back to reference Boren T, Ramey J. Thinking aloud: reconciling theory and practice. IEEE Trans Prof Commun. 2000;43(3):261–78.CrossRef Boren T, Ramey J. Thinking aloud: reconciling theory and practice. IEEE Trans Prof Commun. 2000;43(3):261–78.CrossRef
40.
go back to reference Mortelmans D. Handboek kwalitatieve onderzoeksmethoden. Acco: Leuven; 2007. Mortelmans D. Handboek kwalitatieve onderzoeksmethoden. Acco: Leuven; 2007.
41.
go back to reference Howitt D. Introduction to qualitative research methods in psychology: putting theory into practice: Pearson UK; 2019. Howitt D. Introduction to qualitative research methods in psychology: putting theory into practice: Pearson UK; 2019.
42.
go back to reference Knippenberg E, Spooren A. Opportunities of markerless motion detection systems for use in neurological rehabilitation: a qualitative study on patient and therapist perspective. Austin Journal of Robotics and Automation. 2016;3(1). Knippenberg E, Spooren A. Opportunities of markerless motion detection systems for use in neurological rehabilitation: a qualitative study on patient and therapist perspective. Austin Journal of Robotics and Automation. 2016;3(1).
43.
go back to reference Chen TL, Bhattacharjee T, Beer JM, Ting LH, Hackney ME, Rogers WA, et al. Older adults’ acceptance of a robot for partner dance-based exercise. PLoS One. 2017;12(10):e0182736.CrossRef Chen TL, Bhattacharjee T, Beer JM, Ting LH, Hackney ME, Rogers WA, et al. Older adults’ acceptance of a robot for partner dance-based exercise. PLoS One. 2017;12(10):e0182736.CrossRef
44.
go back to reference Barry G, Galna B, Rochester L. The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil. 2014;11(1):33.CrossRef Barry G, Galna B, Rochester L. The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil. 2014;11(1):33.CrossRef
45.
go back to reference Gallagher R, Damodaran H, Werner WG, Powell W, Deutsch JE. Auditory and visual cueing modulate cycling speed of older adults and persons with Parkinson’s disease in a virtual cycling (V-cycle) system. J Neuroeng Rehabil. 2016;13(1):77.CrossRef Gallagher R, Damodaran H, Werner WG, Powell W, Deutsch JE. Auditory and visual cueing modulate cycling speed of older adults and persons with Parkinson’s disease in a virtual cycling (V-cycle) system. J Neuroeng Rehabil. 2016;13(1):77.CrossRef
46.
go back to reference Knippenberg E, Verbrugghe J, Lamers I, Palmaers S, Timmermans A, Spooren A. Markerless motion capture systems as training device in neurological rehabilitation: a systematic review of their use, application, target population and efficacy. J Neuroeng Rehabil. 2017;14(1):61.CrossRef Knippenberg E, Verbrugghe J, Lamers I, Palmaers S, Timmermans A, Spooren A. Markerless motion capture systems as training device in neurological rehabilitation: a systematic review of their use, application, target population and efficacy. J Neuroeng Rehabil. 2017;14(1):61.CrossRef
47.
go back to reference van Seben R, Reichardt L, Smorenburg S, Buurman B. Goal-setting instruments in geriatric rehabilitation: a systematic review. J Frailty Aging. 2017;6(1):37–45.PubMed van Seben R, Reichardt L, Smorenburg S, Buurman B. Goal-setting instruments in geriatric rehabilitation: a systematic review. J Frailty Aging. 2017;6(1):37–45.PubMed
48.
go back to reference Morgan GS, Willmott M, Ben-Shlomo Y, Haase AM, Campbell RM. A life fulfilled: positively influencing physical activity in older adults–a systematic review and meta-ethnography. BMC Public Health. 2019;19(1):362.CrossRef Morgan GS, Willmott M, Ben-Shlomo Y, Haase AM, Campbell RM. A life fulfilled: positively influencing physical activity in older adults–a systematic review and meta-ethnography. BMC Public Health. 2019;19(1):362.CrossRef
Metadata
Title
Use of a technology-based system to motivate older adults in performing physical activity: a feasibility study
Authors
Els Knippenberg
Annick Timmermans
Steven Palmaers
Annemie Spooren
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2021
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-021-02021-3

Other articles of this Issue 1/2021

BMC Geriatrics 1/2021 Go to the issue