ArticleBMC geriatrics2022
Barriers and enablers for older adults participating in a home-based pragmatic exercise program delivered and monitored by Amazon Alexa: a qualitative study.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Alexa, let's train now! - A systematic review and classification approach to digital and home-based physical training interventions aiming to support healthy cognitive aging.Journal of sport and health science · 2024Pooled it
- Experiences and outcomes of older adults with obesity transitioning from gym- to home-based resistance training due to COVID-19 lockdowns: a mixed-methods analysis of a RCT.BMC geriatrics · 2025Trial
- Older Adults' Perspectives on Participating in a Synchronous Online Exercise Program: Qualitative Study.JMIR aging · 2025Trial
- Developing Consumer Consensus on Remote Assessment and Management of Physical Function in Older Adults (RAMP): International Modified Delphi Process.JMIR aging · 2026Article
- Voice-Assisted Technology for People With Parkinson's Disease Experiencing Speech and Voice Difficulties: Co-Designing Solutions Using Design Thinking.JMIR rehabilitation and assistive technologies · 2026Article
- Toward Inclusive Design Heuristics for Digital Health Interventions for the Aging Population: Scoping Review.Journal of medical Internet research · 2025Article
- Experiences of technology for increasing physical activity of older adults: a qualitative systematic review and meta-synthesis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025Review
- Staying engaged: a scoping review of psychological and motivational drivers of adherence to technology-supported physical activity in older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025Review
- Exploring Speech and Language Therapists' Perspectives of Voice-Assisted Technology as a Tool for Dysarthria: Qualitative Study.JMIR rehabilitation and assistive technologies · 2025Article
- Review
- Defying distance: exercise providers' perspectives on remote physical activity supports for older adults: a mixed-methods study.Frontiers in public health · 2025Article
- Digital interaction and active aging: the impact of social media use on physical activity behavior mediated by social capital and self-efficacy.Frontiers in psychology · 2025Article
- Knowledge, Attitudes, and Practice Regarding Physical Exercise in Type 2 Diabetic and Non-Diabetic Staff at a Tertiary Institution.International journal of environmental research and public health · 2024Article
- Experiences with home monitoring technology in older adults with traumatic brain injury: a qualitative study.BMC geriatrics · 2024Article
- The Best of Two Worlds to Promote Healthy Cognitive Aging: Definition and Classification Approach of Hybrid Physical Training Interventions.JMIR aging · 2024Article
- From Command to Care: A Scoping Review on Utilization of Smart Speakers by Patients and Providers.Mayo Clinic proceedings. Digital health · 2024Review
- Landscape of Digital Technologies Used in the National Health Service in England: Content Analysis.JMIR formative research · 2024Article
- Investigating the Integration and the Long-Term Use of Smart Speakers in Older Adults' Daily Practices: Qualitative Study.JMIR mHealth and uHealth · 2024Article
- Article
- Coadaptation Between Smart Technologies and Older Adults Over Time: Protocol for a Scoping Review.JMIR research protocols · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe remote delivery and monitoring of individually-tailored exercise programs using voice-controlled intelligent personal assistants (VIPAs) that support conversation-based interactions may be an acceptable alternative model of digital health delivery for older adults. The aim of this study was to evaluate the enablers and barriers for older adults participating in a home-based exercise program delivered and monitored by VIPAs.
methodThis qualitative study used videoconferencing to conduct semi-structured interviews following a 12-week, prospective single-arm pilot study in 15 adults aged 60 to 89 years living alone in the community. All participants were prescribed an individualized, brief (10 min, 2-4 times per day), home-based muscle strengthening and balance exercise program delivered and monitored using an Amazon Echo Show 5 device (Alexa). Qualitative interview data were analysed using inductive thematic analysis.
resultsAll 15 participants (aged 70.3 ± 4.3 years, mean ± SD) attended the semi-structured interview. Themes including enjoyability and ease of use, social engagement and motivation were enablers for participation in the exercise program. Errors in voice recognition, lack of feedback, and preference for other existing digital health modes of exercise delivery were barriers associated with the Alexa technology.
conclusionsThis qualitative study identified enablers and barriers associated with using an Alexa device to deliver and monitor an individualized, home-based exercise program in older adults living alone. Future interventions using VIPAs should focus on reducing technical errors, providing regular exercise feedback, and comparing participants' experiences of exercise programs delivered by VIPAs to programs delivered via other digital health tools.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.