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An Interactive Physical-Cognitive Game-Based Training System Using Kinect for Older Adults: Development and Usability
Teerawat Kamnardsiri1,2, Kochaphan Phirom3, Sirinun Boripuntakul3
1Research Group of Modern Management and Information Technology, College of Arts, Media and Technology, Chiang Mai University, Chiang Mai, Thailand.
JMIR Serious Games
|October 27, 2021
Summary
This study developed an interactive physical-cognitive game-based exercise system for older adults, showing high enjoyment and usability. Further research is needed to confirm its effectiveness in reducing fall risk.
Area of Science:
- Gerontology
- Rehabilitation Science
- Human-Computer Interaction
Background:
- Declines in physical and cognitive functions increase fall risk in older adults.
- Interactive game-based systems offer a promising approach for simultaneous physical and cognitive exercise, potentially enhancing adherence and reducing fall risk.
- There is a limited number of studies on combined physical-cognitive game-based training systems for fall risk reduction.
Purpose of the Study:
- To develop an interactive physical-cognitive game-based training system for older adults.
- To evaluate the usability and enjoyment of this game-based exercise system.
Main Methods:
- A prototype was developed by integrating expert knowledge and literature on fall prevention exercises.
- Usability testing involved 5 older adults playing 5 different games with varying difficulty levels.
- Participants rated their enjoyment using the Physical Activity Enjoyment Scale (PACES) and provided qualitative feedback.
Main Results:
- The game-based exercise system demonstrated high user enjoyment, with an average PACES score of 123 out of 126.
- Participants provided positive feedback on the well-designed interactions and user-friendly interfaces.
- Specific games included Fruits Hunter, Where Am I?, Whack a Mole, Sky Falls, and Crossing Poison River.
Conclusions:
- The interactive physical-cognitive game-based exercise system shows promise for implementation in older adults.
- The system's usability and high enjoyment suggest potential for engaging older adults in beneficial exercise.
- The effectiveness of this game-based exercise program for fall risk reduction requires further investigation.

