Technology Support Challenges and Recommendations for Adapting an Evidence-Based Exercise Program for Remote Delivery to Older Adults: Exploratory Mixed Methods Study.
Technology Support Challenges and Recommendations for Adapting an Evidence-Based Exercise Program for Remote Delivery to Older Adults: Exploratory Mixed Methods Study.
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作者：
Gell N;Hoffman E;Patel K
在新冠肺炎大流行期间，远程锻炼已经成为老年人参与集体锻炼的一种手段。然而，人们对老年人获取远程锻炼的技术支持需求知之甚少。本研究旨在调查老年人向远程锻炼过渡的需求，找出接受和继续参与远程锻炼的障碍和促进者，并描述老年人开始远程锻炼所遇到的技术支持挑战和成功。我们采用探索性、序贯混合方法研究设计。参与者是患有症状性膝骨性关节炎的老年人(N=44)，他们开始参加一个名为Enhance Fitness的远程传递计划。在课程开始之前，参与者中的一小部分(n=10)完成了关于他们的技术支持需求以及技术采用的障碍和促进者的半结构化电话访谈。所有参与者都完成了调查，包括高级技术接受模型量表和技术需求评估。研究小组记录了在16周内进行的48次会议遇到的技术挑战和上座率。从采访中得出了四个主题：参与者希望远程练习项目中有促进问责的功能，直接接触到能够排除故障并提供技术指导的有帮助的人是重要的，参与高价值活动的机会激发了坚持解决技术问题的意愿，以及相信学习新事物的能力取代了与技术相关的挫折。在参加远程锻炼课程的参与者(平均年龄74岁，SD 6.3岁；38/44，86%女性；平均2.5岁，SD 0.9慢性病)中，71%(31/44)的人拥有带有网络摄像头的计算机，但41%(18/44)的人几乎没有或根本没有视频会议经验。最初的技术培训课程平均持续19.3分钟(SD 10.3)，24%(11/44)需要后续帮助电话。在远程演练的前两周，47%的参与者(21/44)需要技术援助，在第3至16周，这一比例下降到12%(5/44)。前6次会议的出席人数中位数为100%，随后的42次会议的出席人数中位数为93%。在适当的支持下，老年人可以成功地参与远程锻炼。建议包括个性化的技术指导课程，体验式学习，以及提供备用技术援助，特别是在课程的前两周。这一领域最佳实践的继续发展可能会使以前难以接触到的老年人群体参与到增强健康的循证运动计划中。
Tele-exercise has emerged as a means for older adults to participate in group exercise during the COVID-19 pandemic. However, little is known about the technology support needs of older adults for accessing tele-exercise. This study aims to examine the needs of older adults for transition to tele-exercise, identify barriers to and facilitators of tele-exercise uptake and continued participation, and describe technology support challenges and successes encountered by older adults starting tele-exercise. We used an exploratory, sequential mixed methods study design. Participants were older adults with symptomatic knee osteoarthritis (N=44) who started participating in a remotely delivered program called Enhance Fitness. Before the start of the classes, a subsample of the participants (n=10) completed semistructured phone interviews about their technology support needs and the barriers to and facilitators for technology adoption. All of the participants completed the surveys including the Senior Technology Acceptance Model scale and a technology needs assessment. The study team recorded the technology challenges encountered and the attendance rates for 48 sessions delivered over 16 weeks. Four themes emerged from the interviews: participants desire features in a tele-exercise program that foster accountability, direct access to helpful people who can troubleshoot and provide guidance with technology is important, opportunities to participate in high-value activities motivate willingness to persevere through the technology concerns, and belief in the ability to learn new things supersedes technology-related frustration. Among the participants in the tele-exercise classes (mean age 74, SD 6.3 years; 38/44, 86% female; mean 2.5, SD 0.9 chronic conditions), 71% (31/44) had a computer with a webcam, but 41% (18/44) had little or no experience with videoconferencing. The initial technology orientation sessions lasted on average 19.3 (SD 10.3) minutes, and 24% (11/44) required a follow-up assistance call. During the first 2 weeks of tele-exercise, 47% of participants (21/44) required technical assistance, which decreased to 12% (5/44) during weeks 3 to 16. The median attendance was 100% for the first 6 sessions and 93% for the subsequent 42 sessions. With appropriate support, older adults can successfully participate in tele-exercise. Recommendations include individualized technology orientation sessions, experiential learning, and availability of standby technical assistance, particularly during the first 2 weeks of classes. Continued development of best practices in this area may allow previously hard-to-reach populations of older adults to participate in health-enhancing, evidence-based exercise programs.
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影响因子：
5.1
作者：
Keadle SK;McKinnon R;Graubard BI;Troiano RP
通讯作者：
Troiano RP
影响因子：
2.6
作者：
Donesky, DorAnne;Selman, Lucy;Howie-Esquivel, Jill
通讯作者：
Howie-Esquivel, Jill
DOI：
10.1080/21551197.2019.1600097
发表时间：
2019-04-03
影响因子：
--
作者：
Batsis, John A.;Naslund, John A.;Carpenter-Song, Elizabeth
通讯作者：
Carpenter-Song, Elizabeth
影响因子：
1.4
作者：
Bethancourt, Hilary J.;Rosenberg, Dori E.;Arterburn, David E.
通讯作者：
Arterburn, David E.
影响因子：
4.7
作者：
Lee, Wei-Chen;Ory, Marcia G
通讯作者：
Ory, Marcia G