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.

Autor:	Bradwell HL; Centre for Health Technology, University of Plymouth, Plymouth, UK hannah.bradwell@plymouth.ac.uk., Cooper L; Centre for Health Technology, University of Plymouth, Plymouth, UK., Edwards KJ; Centre for Health Technology, University of Plymouth, Plymouth, UK., Baxter R; Centre for Health Technology, University of Plymouth, Plymouth, UK., Tomaz SA; Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK., Ritchie J; Faculty of Arts & Humanities, University of Stirling, Stirling, UK., Gaudl S; Department of Applied IT, University of Gothenburg, Gothenburg, Sweden., Veliz-Reyes A; Faculty of Arts, Humanities & Business, University of Plymouth, Plymouth, UK., Ryde GC; Institute of Cardiovascular and Medical Sciences, University of Stirling, Stirling, UK., Križaj T; Centre for Health Technology, University of Plymouth, Plymouth, UK., Warren A; Centre for Health Technology, University of Plymouth, Plymouth, UK., Chatterjee A; Faculty of Medicine, University of Leeds, Leeds, UK., Willis K; Faculty of Arts, Humanities & Business, University of Plymouth, Plymouth, UK., Haynes R; Faculty of Arts & Humanities, University of Stirling, Stirling, UK., Hennessy CH; Faculty of Social Sciences, University of Stirling, Stirling, UK., Whittaker AC; Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK., Asthana S; Centre for Health Technology, University of Plymouth, Plymouth, UK., Jones RB; Centre for Health Technology, University of Plymouth, Plymouth, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Nov 23; Vol. 13 (11), pp. e073307. Date of Electronic Publication: 2023 Nov 23.
DOI:	10.1136/bmjopen-2023-073307
Abstrakt:	Objectives: 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. Design: Interactive workshops and qualitative evaluation. Settings: Eight interactive workshops were held at six care homes and two university sites across Cornwall, England, from September to November 2021. Participants: Forty-four staff participated, including care home, supported living, clinical care and compliance managers, carers, activity coordinators, occupational therapists and physiotherapists. Interventions: 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. Results: 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. Conclusion: 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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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