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Technology-Assisted Physical Activity Interventions for Older People in Their Home-Based Environment: Scoping Review

R. Dubbeldam, R. Stemplewski, I. Pavlova, M. Cyma-Wejchenig, S. Lee, P. Esser, E. Bentlage, V. Alcan, ÖS. Çevik, E. Epiphaniou, F. Gallè, A. Langeard, S. Gafner, M. Ahmed, N. Bandaru, A. Erden Güner, E. Göz, I. Kara, A. Kabuk, I. Türkoglu, Z....

. 2025 ; 8 (-) : e65746. [pub] 20250915

Jazyk angličtina Země Kanada

Typ dokumentu časopisecké články, scoping review, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc25021579

BACKGROUND: Technology-assisted physical activity interventions for older adults in their home-based environment have been used to promote physical activity. Previous research has reported that such interventions benefit body composition, aerobic fitness, cognitive abilities, and postural control, reducing the risk of falls and maintaining regular physical activity among the older population. OBJECTIVE: While previous reviews on technology-assisted physical activity interventions focused on health-related outcomes, this scoping review explores the characteristics of the technology in relation to the characteristics of populations, purpose of the activity, and usability in terms of adverse events, drop-outs, adherence, and user experience. METHODS: A full search was performed in Medline, Embase, CINAHL, SportDiscus, and Web of Science. Sources were considered for inclusion if the participants aged on average 60 years and older, if the physical activity intervention was assisted by technology, and if performed within home-based environments. RESULTS: We identified 8496 sources. After title and abstract screening, 455 full texts were assessed, and 148 were included, representing 12,717 participants aged 74 (SD 6) years. In total, 63% (93/148) of the sources reported on the population's health status. The main purpose of the interventions was balance (75/148, 51%), and strength and power (64/148, 43%) and the intervention purposes were not related to the embedded technology. In studies where the participant's health status was reported as healthy, 53% (78/148) implemented exergames compared to only 27% (40/148) in studies with participants with a clinical condition. Mobile apps (30/148, 20%) and trackers (16/148, 11%) were implemented likewise in both groups. The technology was embedded to provide continuous exercise information (40/148, 27%) and exercise feedback (40/148, 27%) or to record real-time movement data (38/148, 26%). Adverse events were reported in 46% (68/148) of the sources with three quarters (49/68) reporting no adverse events. Only two mild events were related to technology. Dropout rates were reported in 68% (100/148) of the sources, with no differences between intervention (16 SD 16%) and control (14 SD 12%) groups. Dropout reasons related to technology are only 3% (3/100). Adherence was reported in 53% (79/148) sources and was slightly higher in the intervention group (80 SD 18%) compared to the control group (71 SD 25%). A significantly higher adherence was found between interventions that were tailored (83 SD 15%) versus those that were not (75 SD 21%). General enjoyment of the technology was captured in 37% (55/148) of the sources. Within those sources, 91% rated positive (91/100), 7% neutral (7/100), and 2% negative (2/100). Occasionally reported wishes were related to goal setting, feedback, technical support, exercise variation, and social setting. CONCLUSIONS: Various technologies were successfully used in healthy and clinical older populations, though evidence regarding their implementation in physical activity interventions in hospital settings remains limited. The embedded technology was not a reason for additional dropouts, led to slightly better adherence, and adverse events were rarely related to technology. When assessed, the technology was well accepted and positively enjoyed.

Centre for Movement Occupation and Rehabilitation Sciences Oxford Brookes University Oxford United Kingdom

Department of Digital Technologies in Physical Activity University of Physical Education Poznan Poland

Department of Electrical and Electronics Engineering Faculty of Engineering Tarsus University Tarsus Turkey

Department of Fundamentals of Nursing Hamidiye Faculty of Nursing Health Sciences University İstanbul Turkey

Department of Medical Movement and Wellbeing Sciences University of Naples Parthenope Naples Italy

Department of Movement Science Institute for Sport and Exercise Sciences University Münster Horstmarer Landweg 62B Münster 48149 Germany 49 15785719390

Department of Physical Therapy and Rehabilitation Institute of Health Sciences Dokuz Eylul University Izmir Turkey

Department of Physiology Faculty of Medicine Mersin University Mersin Turkey

Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Karadeniz Technical University Trabzon Turkey

Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Tarsus University Tarsus Turkey

Department of Theory and Methods of Physical Culture Ivan Boberskyj Lviv State University of Physical Culture Lviv Ukraine

Faculty of Health and Social Sciences University of South Eastern Norway Kongsberg Norway

Faculty of Health Sciences Zonguldak Bülent Ecevit University Zonguldak Turkey

Faculty of Physical Culture Palacký University Olomouc Olomouc Czech Republic

Faculty of Sport and Physical Education University of Novi Sad Novi Sad Serbia

HEPA Macedonia National Organisation for the Promotion of Health Enhancing Physical Activity Skopje North Macedonia

Institut of Sport Science Otto Von Guericke Universität of Magdeburg Magdeburg Germany

Lab of Computing Medical Informatics and Biomedical Imaging Technologies School of Medicine Aristotle University of Thessaloniki Thessaloniki Greece

Normandy University UNICAEN INSERM COMETE CYCERON Caen France

School of Health Sciences HES SO Valais Wallis Leukerbad Switzerland

School of Humanities Social and Education Sciences European University Cyprus Engomi Cyprus

The Levinsky Wingate Academic Center Wingate Institute Netanya Israel

Citace poskytuje Crossref.org

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