Evidence map›Paper›PMID 39709349›Full record

ArticleBMC geriatrics2024

ExerG - an exergame-based training device for the rehabilitation of older adults: a functional model usability study.

Jane Muheim, Isabella Hotz, Franziska Kübler, Silvia Herren, Simon Sollereder, Katharina Kruszewski, Anna Lisa Martin-Niedecken, Alexandra Schättin, Frank Behrendt, Sonja Böckler and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Jane MuheimInstitute of Physiotherapie, Zurich University of Applied Sciences (ZHAW), Winterthur, Switzerland.
Isabella HotzDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Franziska KüblerDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Silvia HerrenResearch Department, Reha Rheinfelden, Rheinfelden, Switzerland.
Simon SollerederDepartment for Recovery & Rehabilitation, Center On Clinical Stroke Research, VASCage GmbH, Innsbruck, Austria.
Katharina KruszewskiDepartment for Clinical Trials, Center On Clinical Stroke Research, VASCage GmbH, Innsbruck, Austria.
Anna Lisa Martin-NiedeckenDepartment of Design, Subject Area Game Design, Zurich University of the Arts, Zurich, Switzerland.
Alexandra SchättinSphery Ltd, Zurich, Switzerland.
Frank BehrendtResearch Department, Reha Rheinfelden, Rheinfelden, Switzerland. frank.behrendt@unibas.ch.
Sonja BöcklerDepartment of Design, Subject Area Game Design, Zurich University of the Arts, Zurich, Switzerland.
Stefan SchmidlinDepartment of Design, Subject Area Game Design, Zurich University of the Arts, Zurich, Switzerland.
Roman JurtDepartment of Design, Subject Area Game Design, Zurich University of the Arts, Zurich, Switzerland.
Stephan NiedeckenSphery Ltd, Zurich, Switzerland.
Yanick RiedererSphery Ltd, Zurich, Switzerland.
Christian BrenneisDepartment of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Leo H BonatiResearch Department, Reha Rheinfelden, Rheinfelden, Switzerland.
Barbara Seebacher *Department of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Corina Schuster-Amft *Research Department, Reha Rheinfelden, Rheinfelden, Switzerland.

Funding

Active and Assisted Living programme AAL-2020-7-48-CP
6 · The paper itself

Abstract

backgroundExergames are interactive technology-based exercise programs. By combining physical and cognitive training components, they aim to preserve independence in older adults and reduce their risk of falling. This study explored whether primary end users (PEU, healthy older adults and patients with neurological and geriatric diagnoses) and secondary end users (SEU, health professionals) evaluated the ExerG functional model to be usable, providing a positive experience and therefore acceptable.

methodsWe conducted a multi-methods study using several assessments to quantify usability and enjoyment outcomes, along with semi-structured interviews to gain an in-depth understanding of the users' experiences. Descriptive statistics were used for quantitative outcome measures. For qualitative data, a thematic analysis (TA) using an inductive, data-driven approach was carried out to develop themes for each user group.

resultsWe interviewed 20 PEUs (13 healthy older adults, 7 patients) and 22 SEUs at two rehabilitation centres in Austria and Switzerland. Users' scores of over 70 on the System Usability Scale denoted good usability. On the Physical Activity Enjoyment Scale-16, both PEU groups rated the ExerG highly. Our TA approach identified four themes per user group. Themes from both PEU groups confirmed their enjoyment of training with the ExerG, however more variety and greater challenges were requested. Whilst the patient group appreciated the security given by the harness system, the healthy older adults reported feeling restricted. SEU themes reflected their approval of this novel training device, although a desire for increased difficulty and more individualisation was expressed. Clear instructions and an easy-to-use harness system were acknowledged and useful feedback for the developers emerged.

conclusionsThe ExerG is usable, offers a positive experience, and can therefore be regarded as an acceptable solution for the combined physical and mental training of older adults. Our findings contribute to the ongoing development of the ExerG, which will be a welcome addition to current training options for this target group. Further research is needed to confirm its effectiveness in preserving or improving functional independence in daily life and reducing the risk of falling.

Indexed as

Exercise TherapyRehabilitationVideo GamesAgedAged, 80 and overExerciseFemaleHumansMaleMiddle AgedExercise rehabilitationExergamingGeriatricsOlder adultsUser-centred designVirtual reality

Identifiers

PMID39709349
PMCPMC11662804

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Registered trials

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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.