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Immersive Tai Chi for Home-Based Exercise in Older Adults: Usability and Feasibility Study
XiaCheng Song1, Nazlena Mohamad Ali1, Mohamad Hidir Mhd Salim1
1Institute of Visual Informatics, National University of Malaysia, Aras 1, Bangi, Selangor, 43600, Malaysia, 60 3 8927 2413.
JMIR Serious Games
|January 28, 2026
Summary
Virtual reality (VR) and mixed reality (MR) Tai Chi exergames are feasible for older adults, showing high usability and positive experiences. Further research is needed to confirm long-term effectiveness for active aging at home.
Area of Science:
- Gerontology
- Human-Computer Interaction
- Digital Health
Background:
- Physical exercise is vital for active aging, but adherence among older adults is low.
- Virtual reality (VR) and mixed reality (MR) Tai Chi exergames offer novel solutions for home-based exercise promotion.
- These immersive technologies show particular promise for community-dwelling older adults.
Purpose of the Study:
- Evaluate the usability and feasibility of VR/MR Tai Chi exergames for older adults.
- Assess subjective experience, physiological comfort, and objective performance.
- Explore relationships between usability factors and quantify links between accuracy and subjective experience.
Main Methods:
- Recruited 86 community-dwelling older adults; 70 provided valid data after screening.
- Participants were assigned to 1 of 4 VR/MR variants (soothing/intense).
- Primary outcomes included the Game Experience Questionnaire, Virtual Reality Sickness Questionnaire (VRSQ), and gameplay logs.
Main Results:
- The VR/MR Tai Chi game showed good usability and acceptability.
- High scores for positive affect and competence, low scores for challenge.
- Acceptable physiological comfort, though 18.6% were excluded due to VR discomfort.
Conclusions:
- VR/MR Tai Chi exergames are a feasible and attractive option for promoting physical activity in older adults at home.
- Satisfaction may be influenced by novelty; longer-term studies are needed.
- Findings guide design choices and suggest future research in real-world settings.
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