Older adults’ experiences of implementing exergaming programs: a systematic review and qualitative meta-synthesis

作者：Hongting Ning, Dian Jiang, Yan Du, Xiaoyang Li, Hong‐yu Zhang, Linan Wu, Xi Chen, Weihong Wang, Jundan Huang, Hui Feng · 发表于：Age and Ageing · 年份：2022 · DOI：10.1093/ageing/afac251 · 被引用次数：36 · 研究领域：Aging and Gerontology Research、Frailty in Older Adults、Technology Use by Older Adults

OBJECTIVE: this study sought to systematically review and synthesize qualitative data to explore older adult exergame experiences and perceptions. METHODS: a comprehensive search was conducted in seven databases from the earliest available date to May 2022. All qualitative and mixed-method studies available in English and explored exergame experiences in older adults were included. Tools from the Joanna Briggs Institute were used for data extraction and synthesis. Data were extracted using the Capability, Opportunity and Motivation Model of Behaviour (COM-B model) as a guide, and a pragmatic meta-aggregative approach was applied to synthesize the findings. RESULTS: this systematic review identified 128 findings and aggregated 9 categories from the 10 qualitative research articles included, and three synthesized findings were: older adult capability, opportunities in the exergaming program and motivation in the exergaming program. Capability consisted of attitude toward exergames, age- or health-related impairments and exergame knowledge and skills. Opportunities included older adult-friendly exergame design and social influence. Motivation included self-efficacy, support, instruction and feedback, health benefits, as well as unpleasant exergaming experiences. CONCLUSIONS: it is crucial to tailor the exergaming program to suit the older population. We identified barriers and facilitators of implementing exergaming in older adults and found most barriers are surmountable. The r...