Staff perceptions towards virtual reality-motivated treadmill exercise for care home residents: a qualitative feedback study with key stakeholders and follow-up interview with technology developer.

Staff perceptions towards virtual reality-motivated treadmill exercise for care home residents: a qualitative feedback study with key stakeholders and follow-up interview with technology developer.
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DOI:
10.1136/bmjopen-2023-073307
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发表时间:
2023-11-23
期刊:
影响因子:
2.9
通讯作者:
Jones, Ray B.
Jones, Ray B.
中科院分区:
医学3区
文献类型:
--
作者:
Bradwell, Hannah Louise;Cooper, Leonie;Edwards, Katie Jane;Baxter, Rory;Tomaz, Simone A.;Ritchie, John;Gaudl, Swen;Veliz-Reyes, Alejandro;Ryde, Gemma C.;Krizaj, Tanja;Warren, Alison;Chatterjee, Arunangsu;Willis, Katharine;Haynes, Richard;Hennessy, Catherine H.;Whittaker, Anna C.;Asthana, Sheena;Jones, Ray B.

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卫生和保健资源面临越来越大的压力,部分原因是人口老龄化。体育活动有助于健康老龄化,但激励运动是具有挑战性的。我们的目的是探索员工对虚拟现实(VR)全方位跑步机(MOTUS)的看法,旨在增加老年人护理之家居民的身体活动。互动研讨会和定性评价。2021年9月至11月,在英格兰康沃尔郡的六所养老院和两所大学举办了八场互动研讨会。44名工作人员参与,包括护理院、支助生活、临床护理和合规管理人员、护理人员、活动协调员、职业治疗师和物理治疗师。参与者尝试了虚拟现实跑步机系统,然后是焦点小组,探讨设备设计、潜在用途或养老院居民的障碍。对焦点小组的发言进行录音、逐字抄录和专题分析。我们随后对技术开发人员进行了后续访谈(2022年9月),以探索反馈的影响。分析产生了七个关键主题:预期效益、可接受性、使用问题、负面影响问题、适宜/不适宜、改进和当前设计。参与者普遍对VR能够激励养老院居民的身体活动持积极态度,并指出了几个潜在的好处(增加锻炼、刺激、社会互动和康复)。尽管有报道称有可能,但由于他们的站立姿势,工作人员对体弱多病的老年居民的安全感到担忧。与会者建议改进设计,以提高安全性、可用性和可及性。设计师得到的反馈导致了一种新的坐式VR跑步机的开发,以解决人们对跌倒的担忧,同时保持锻炼的动力。后续的开发者访谈确定了学术与产业合作的重要价值。使用vr驱动的锻炼有可能增加锻炼,鼓励回忆,并促进养老院居民进行有意义的活动。工作人员的担忧导致重新设计了坐式跑步机,以满足那些身体虚弱无法使用站立式跑步机的人。这项新颖的研究证明了利益相关者反馈在产品设计中的重要性。
Health and care resources are under increasing pressure, partly due to the ageing population. Physical activity supports healthy ageing, but motivating exercise is challenging. We aimed to explore staff perceptions towards a virtual reality (VR) omnidirectional treadmill (MOTUS), aimed at increasing physical activity for older adult care home residents. Interactive workshops and qualitative evaluation. Eight interactive workshops were held at six care homes and two university sites across Cornwall, England, from September to November 2021. Forty-four staff participated, including care home, supported living, clinical care and compliance managers, carers, activity coordinators, occupational therapists and physiotherapists. Participants tried the VR treadmill system, followed by focus groups exploring device design, potential usefulness or barriers for care home residents. Focus groups were audio-recorded, transcribed verbatim and thematically analysed. We subsequently conducted a follow-up interview with the technology developer (September 2022) to explore the feedback impact. The analysis produced seven key themes: anticipated benefits, acceptability, concerns of use, concerns of negative effects, suitability/unsuitability, improvements and current design. Participants were generally positive towards VR to motivate care home residents’ physical activity and noted several potential benefits (increased exercise, stimulation, social interaction and rehabilitation). Despite the reported potential, staff had safety concerns for frail older residents due to their standing position. Participants suggested design improvements to enhance safety, usability and accessibility. Feedback to the designers resulted in the development of a new seated VR treadmill to address concerns about falls while maintaining motivation to exercise. The follow-up developer interview identified significant value in academia–industry collaboration. The use of VR-motivated exercise holds the potential to increase exercise, encourage reminiscence and promote meaningful activity for care home residents. Staff concerns resulted in a redesigned seated treadmill for those too frail to use the standing version. This novel study demonstrates the importance of stakeholder feedback in product design.
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