Published on in Vol 19, No 7 (2017): July

Motivational Determinants of Exergame Participation for Older People in Assisted Living Facilities: Mixed-Methods Study

Motivational Determinants of Exergame Participation for Older People in Assisted Living Facilities: Mixed-Methods Study

Motivational Determinants of Exergame Participation for Older People in Assisted Living Facilities: Mixed-Methods Study

Authors of this article:

Wytske Meekes1 Author Orcid Image ;   Emma Kate Stanmore1 Author Orcid Image


  1. Palestra G, Rebiai M, Courtial E, Koutsouris D. Evaluation of a Rehabilitation System for the Elderly in a Day Care Center. Information 2018;10(1):3 View
  2. Karssemeijer E, Aaronson J, Bossers W, Donders R, Olde Rikkert M, Kessels R. The quest for synergy between physical exercise and cognitive stimulation via exergaming in people with dementia: a randomized controlled trial. Alzheimer's Research & Therapy 2019;11(1) View
  3. Santos L, Okamoto K, Hiragi S, Yamamoto G, Sugiyama O, Aoyama T, Kuroda T. Pervasive game design to evaluate social interaction effects on levels of physical activity among older adults. Journal of Rehabilitation and Assistive Technologies Engineering 2019;6:205566831984444 View
  4. Santos G, Wolf R, Silva M, Rodacki A, Pereira G. Does exercise intensity increment in exergame promote changes in strength, functional capacity and perceptual parameters in pre-frail older women? A randomized controlled trial. Experimental Gerontology 2019;116:25 View
  5. Del Rio Guerra M, Martin-Gutierrez J. Evaluation of Full-Body Gestures Performed by Individuals with Down Syndrome: Proposal for Designing User Interfaces for All Based on Kinect Sensor. Sensors 2020;20(14):3930 View
  6. van Santen J, Dröes R, Twisk J, Blanson Henkemans O, van Straten A, Meiland F. Effects of Exergaming on Cognitive and Social Functioning of People with Dementia: A Randomized Controlled Trial. Journal of the American Medical Directors Association 2020;21(12):1958 View
  7. Randriambelonoro M, Perrin C, Blocquet A, Kozak D, Fernandez J, Marfaing T, Bolomey E, Benhissen Z, Frangos E, Geissbuhler A, Graf C. Hospital-to-Home Transition for Older Patients: Using Serious Games to Improve the Motivation for Rehabilitation – a Qualitative Study. Journal of Population Ageing 2020;13(2):187 View
  8. Khalili-Mahani N, De Schutter B. Affective Game Planning for Health Applications: Quantitative Extension of Gerontoludic Design Based on the Appraisal Theory of Stress and Coping. JMIR Serious Games 2019;7(2):e13303 View
  9. Stanmore E, Mavroeidi A, de Jong L, Skelton D, Sutton C, Benedetto V, Munford L, Meekes W, Bell V, Todd C. The effectiveness and cost-effectiveness of strength and balance Exergames to reduce falls risk for people aged 55 years and older in UK assisted living facilities: a multi-centre, cluster randomised controlled trial. BMC Medicine 2019;17(1) View
  10. Costa M, Vieira L, Barbosa E, Mendes Oliveira L, Maillot P, Otero Vaghetti C, Giovani Carta M, Machado S, Gatica-Rojas V, Monteiro-Junior R. Virtual Reality-Based Exercise with Exergames as Medicine in Different Contexts: A Short Review. Clinical Practice & Epidemiology in Mental Health 2019;15(1):15 View
  11. Alexander G, Georgiou A, Doughty K, Hornblow A, Livingstone A, Dougherty M, Jacobs S, Fisk M. Advancing health information technology roadmaps in long term care. International Journal of Medical Informatics 2020;136:104088 View
  12. Dobbins S, Hubbard E, Flentje A, Dawson-Rose C, Leutwyler H. Play provides social connection for older adults with serious mental illness: A grounded theory analysis of a 10-week exergame intervention. Aging & Mental Health 2020;24(4):596 View
  13. Sturnieks D, Menant J, Valenzuela M, Delbaere K, Sherrington C, Herbert R, Lampit A, Broadhouse K, Turner J, Schoene D, Lord S. Effect of cognitive-only and cognitive-motor training on preventing falls in community-dwelling older people: protocol for the smart±step randomised controlled trial. BMJ Open 2019;9(8):e029409 View
  14. Su Z, Zeng C. The Effects of Health Consideration on Exergaming Behavior in College Students: A Structural Equation Perspective. Research Quarterly for Exercise and Sport 2022;93(1):96 View
  15. Santos L, Okamoto K, Funghetto S, Cavalli A, Hiragi S, Yamamoto G, Sugiyama O, Castanho C, Aoyama T, Kuroda T. Effects of Social Interaction Mechanics in Pervasive Games on the Physical Activity Levels of Older Adults: Quasi-Experimental Study. JMIR Serious Games 2019;7(3):e13962 View
  16. Valenzuela T, Razee H, Schoene D, Lord S, Delbaere K. An Interactive Home-Based Cognitive-Motor Step Training Program to Reduce Fall Risk in Older Adults: Qualitative Descriptive Study of Older Adults’ Experiences and Requirements. JMIR Aging 2018;1(2):e11975 View
  17. van Santen J, Dröes R, Holstege M, Henkemans O, van Rijn A, de Vries R, van Straten A, Meiland F, Whitehouse P. Effects of Exergaming in People with Dementia: Results of a Systematic Literature Review. Journal of Alzheimer's Disease 2018;63(2):741 View
  18. García-Bravo S, Cuesta-Gómez A, Campuzano-Ruiz R, López-Navas M, Domínguez-Paniagua J, Araújo-Narváez A, Barreñada-Copete E, García-Bravo C, Flórez-García M, Botas-Rodríguez J, Cano-de-la-Cuerda R. Virtual reality and video games in cardiac rehabilitation programs. A systematic review. Disability and Rehabilitation 2021;43(4):448 View
  19. Tahmosybayat R, Baker K, Godfrey A, Caplan N, Barry G. Movements of older adults during exergaming interventions that are associated with the Systems Framework for Postural Control: A systematic review. Maturitas 2018;111:90 View
  20. Villafaina S, Borrega-Mouquinho Y, Fuentes-García J, Collado-Mateo D, Gusi N. Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial. International Journal of Environmental Research and Public Health 2019;17(1):161 View
  21. Haghighi Osgouei R, Soulsby D, Bello F. Rehabilitation Exergames: Use of Motion Sensing and Machine Learning to Quantify Exercise Performance in Healthy Volunteers. JMIR Rehabilitation and Assistive Technologies 2020;7(2):e17289 View
  22. Parke S, Hough C, E. Bunnell A. The Feasibility and Acceptability of Virtual Therapy Environments for Early ICU Mobilization. PM&R 2020;12(12):1214 View
  23. Santos L, Okamoto K, Otsuki R, Hiragi S, Yamamoto G, Sugiyama O, Aoyama T, Kuroda T. Promoting Physical Activity in Japanese Older Adults Using a Social Pervasive Game: Randomized Controlled Trial. JMIR Serious Games 2021;9(1):e16458 View
  24. Schättin A, Häfliger S, Meyer A, Früh B, Böckler S, Hungerbühler Y, de Bruin E, Frese S, Steinlin Egli R, Götz U, Bauer R, Martin-Niedecken A. Design and Evaluation of User-Centered Exergames for Patients With Multiple Sclerosis: Multilevel Usability and Feasibility Studies. JMIR Serious Games 2021;9(2):e22826 View
  25. Li J, Li C, Chia B, Chen X, Pham T, Theng Y. Exergaming as a Community Program for Older Adults: The Effects of Social Interaction and Competitive Information. Journal of Aging and Physical Activity 2021;29(3):466 View
  26. Vorwerg S, Stamm O, Müller-Werdan U. Movement Training in Augmented Reality for Older Adults with Essential Hypertension: A Qualitative Study Determining Training Requirements. Games for Health Journal 2020;9(6):436 View
  27. Da Silva Júnior J, Biduski D, Bellei E, Becker O, Daroit L, Pasqualotti A, Tourinho Filho H, De Marchi A. A Bowling Exergame to Improve Functional Capacity in Older Adults: Co-Design, Development, and Testing to Compare the Progress of Playing Alone Versus Playing With Peers. JMIR Serious Games 2021;9(1):e23423 View
  28. Joo S, Lee C, Joo N, Kim C. Feasibility and Effectiveness of a Motion Tracking-Based Online Fitness Program for Office Workers. Healthcare 2021;9(5):584 View
  29. Marinus N, Hansen D, Feys P, Meesen R, Timmermans A, Spildooren J. Cycling: how can we activate care-dependent older adults with a mild cognitive impairment?. Disability and Rehabilitation: Assistive Technology 2023;18(6):896 View
  30. Corregidor-Sánchez A, Polonio-López B, Martin-Conty J, Rodríguez-Hernández M, Mordillo-Mateos L, Schez-Sobrino S, Criado-Álvarez J. Exergames to Prevent the Secondary Functional Deterioration of Older Adults during Hospitalization and Isolation Periods during the COVID-19 Pandemic. Sustainability 2021;13(14):7932 View
  31. Izountar Y, Benbelkacem S, Otmane S, Khababa A, Masmoudi M, Zenati N. VR-PEER: A Personalized Exer-Game Platform Based on Emotion Recognition. Electronics 2022;11(3):455 View
  32. Crane B, Drazich B, Taylor J, Moored K, Ahmad O, Krakauer J, Carlson M. Older Adults and Three-Dimensional Exergaming: Motivators and Barriers to Participation and Retention. Games for Health Journal 2023;12(2):150 View
  33. Stamm O, Dahms R, Reithinger N, Ruß A, Müller-Werdan U. Virtual reality exergame for supplementing multimodal pain therapy in older adults with chronic back pain: a randomized controlled pilot study. Virtual Reality 2022;26(4):1291 View
  34. Ko L, Tai W, Lee P. Emerging technology as an essential factor in changing lifestyles and reshaping exercise behaviour in Taiwan. Sport in Society 2023;26(3):409 View
  35. Seinsche J, de Bruin E, Carpinella I, Ferrarin M, Moza S, Rizzo F, Salatino C, Giannouli E. Older adults' needs and requirements for a comprehensive exergame-based telerehabilitation system: A focus group study. Frontiers in Public Health 2023;10 View
  36. Ringgenberg N, Mildner S, Hapig M, Hermann S, Kruszewski K, Martin-Niedecken A, Rogers K, Schättin A, Behrendt F, Böckler S, Schmidlin S, Jurt R, Niedecken S, Brenneis C, Bonati L, Schuster-Amft C, Seebacher B. ExerG: adapting an exergame training solution to the needs of older adults using focus group and expert interviews. Journal of NeuroEngineering and Rehabilitation 2022;19(1) View
  37. Shah S, Karlsen A, Solberg M, Hameed I. A social VR-based collaborative exergame for rehabilitation: codesign, development and user study. Virtual Reality 2023;27(4):3403 View
  38. Guimarães V, Oliveira E, Carvalho A, Cardoso N, Emerich J, Dumoulin C, Swinnen N, De Jong J, de Bruin E. An Exergame Solution for Personalized Multicomponent Training in Older Adults. Applied Sciences 2021;11(17):7986 View
  39. Zhao C, Zhao C, Li Y, Zhao M, Wang L, Guo J, Zhang L, Sun Y, Ye X, Zhu W. The Effects of Active Video Game Exercise Based on Self-Determination Theory on Physical Fitness and Cognitive Function in Older Adults. Journal of Clinical Medicine 2022;11(14):3984 View
  40. Tuan S, Chang L, Sun S, Lin K, Tsai Y. Using exergame-based exercise to prevent and postpone the loss of muscle mass, muscle strength, cognition, and functional performance among elders in rural long-term care facilities: A protocol for a randomized controlled trial. Frontiers in Medicine 2022;9 View
  41. Buyle M, Jung Y, Pavlou M, Gonzalez S, Bamiou D. The role of motivation factors in exergame interventions for fall prevention in older adults: A systematic review and meta-analysis. Frontiers in Neurology 2022;13 View
  42. Shahab A, Misquith C, Bashir Z. Impact of virtual reality on cardiac rehabilitation-related anxiety: a protocol for systematic review and meta-analysis. Open Heart 2022;9(2):e002094 View
  43. Marley W, Barratt A, Pigott T, Granat M, Wilson J, Roy B. A multicenter randomized controlled trial comparing gamification with remote monitoring against standard rehabilitation for patients after arthroscopic shoulder surgery. Journal of Shoulder and Elbow Surgery 2022;31(1):8 View
  44. Yau Y, Hsiao C. The Technology Acceptance Model and Older Adults’ Exercise Intentions—A Systematic Literature Review. Geriatrics 2022;7(6):124 View
  45. van Santen J, Meiland F, Dröes R, van Straten A, Bosmans J. Cost‐effectiveness of exergaming compared to regular day‐care activities in dementia: Results of a randomised controlled trial in The Netherlands. Health & Social Care in the Community 2022;30(5) View
  46. Suleiman‐Martos N, García‐Lara R, Albendín‐García L, Romero‐Béjar J, Cañadas‐De La Fuente G, Monsalve‐Reyes C, Gomez‐Urquiza J. Effects of active video games on physical function in independent community‐dwelling older adults: A systematic review and meta‐analysis. Journal of Advanced Nursing 2022;78(5):1228 View
  47. Thalmann M, Ringli L, Adcock M, Swinnen N, de Jong J, Dumoulin C, Guimarães V, de Bruin E. Usability Study of a Multicomponent Exergame Training for Older Adults with Mobility Limitations. International Journal of Environmental Research and Public Health 2021;18(24):13422 View
  48. Wu S, Ji H, Won J, Jo E, Kim Y, Park J. The Effects of Exergaming on Executive and Physical Functions in Older Adults With Dementia: Randomized Controlled Trial. Journal of Medical Internet Research 2023;25:e39993 View
  49. Shiau C, Lim S, Cheng L, Lau Y. Effectiveness of Game-Based Self-Management Interventions for Individuals with Diabetes: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Games for Health Journal 2021;10(6):371 View
  50. Kim H, O'Sullivan D, Chung S. Applying Gamification Principles and Therapeutic Movement Sequences to Design an Interactive Physical Activity Game: Development Study. JMIR Serious Games 2022;10(4):e38133 View
  51. Bashir Z, Misquith C, Shahab A, Has P, Bukhari S. The impact of Virtual Reality on Anxiety and Functional Capacity in Cardiac Rehabilitation: A Systematic Review and Meta-analysis. Current Problems in Cardiology 2023;48(5):101628 View
  52. Ning H, Jiang D, Du Y, Li X, Zhang H, Wu L, Chen X, Wang W, Huang J, Feng H. Older adults’ experiences of implementing exergaming programs: a systematic review and qualitative meta-synthesis. Age and Ageing 2022;51(12) View
  53. Swinnen N, de Bruin E, Guimarães V, Dumoulin C, De Jong J, Akkerman R, Vandenbulcke M, Stubbs B, Vancampfort D. The feasibility of a stepping exergame prototype for older adults with major neurocognitive disorder residing in a long-term care facility: a mixed methods pilot study. Disability and Rehabilitation 2024;46(5):896 View
  54. Ren Y, Lin C, Zhou Q, Yingyuan Z, Wang G, Lu A. Effectiveness of virtual reality games in improving physical function, balance and reducing falls in balance-impaired older adults: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics 2023;108:104924 View
  55. Henrique P, Perez F, Becker O, Bellei E, Biduski D, Korb A, Pochmann D, Dani C, Elsner V, De Marchi A. Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study. JMIR Research Protocols 2021;10(10):e32729 View
  56. Hou H, Li H. Effects of exergame and video game training on cognitive and physical function in older adults: A randomized controlled trial. Applied Ergonomics 2022;101:103690 View
  57. Zhou Z, Li J, Wang H, Luan Z, Du S, Wu N, Chen Y, Peng X. Experience of using a virtual reality rehabilitation management platform for breast cancer patients: a qualitative study. Supportive Care in Cancer 2023;31(5) View
  58. Mo N, Feng J, Liu H, Chen X, Zhang H, Zeng H. Effects of Exergaming on Musculoskeletal Pain in Older Adults: Systematic Review and Meta-analysis. JMIR Serious Games 2023;11:e42944 View
  59. Das S, Adhikary A, Laghari A, Mitra S. Eldo-care: EEG with Kinect sensor based telehealthcare for the disabled and the elderly. Neuroscience Informatics 2023;3(2):100130 View
  60. Barth M, Möbius R, Themann P, Güresir E, Matzke C, Winkler D, Grunert R. Functional improvement of patients with Parkinson syndromes using a rehabilitation training software. Frontiers in Neurology 2023;14 View
  61. Høeg E, Van der Kaap-Deeder J. Beyond Intrinsic Motivation: Why Researchers Should Consider the Full Motivation Continuum in Games for Health Research. Games for Health Journal 2024;13(1):1 View
  62. Malthouse R, Križaj T, Warren A, Turner K. A scoping review and thematic analysis of the use of technology in everyday occupations amongst adults aged 55 years or older in supported housing. Journal of Housing and the Built Environment 2023 View
  63. Kang D, Park J, Eun S. Home-Based Virtual Reality Exergame Program after Stroke Rehabilitation for Patients with Stroke: A Study Protocol for a Multicenter, Randomized Controlled Trial. Life 2023;13(12):2256 View
  64. Seinsche J, de Bruin E, Saibene E, Rizzo F, Carpinella I, Ferrarin M, Moza S, Ritter T, Giannouli E. A Newly Developed Exergame-Based Telerehabilitation System for Older Adults: Usability and Technology Acceptance Study. JMIR Human Factors 2023;10:e48845 View
  65. Hosseini M, Thomas R, Pilutti L, Fallavollita P, Jutai J. Acceptance of physical activity virtual reality games by residents of long-term care facilities: a scoping review. Disability and Rehabilitation: Assistive Technology 2023:1 View
  66. Hosseini M, Thomas R, Pilutti L, Fallavollita P, Jutai J. Assessing virtual reality acceptance in long-term care facilities: a quantitative study with older adults. Disability and Rehabilitation: Assistive Technology 2023:1 View
  67. Tuan S, Chang L, Sun S, Li C, Chen G, Tsai Y. Clinical effectiveness of a exergame-based exercise via RingFit Adventure to prevent and postpone frailty and sarcopenia among elders in rural long-term care facilities: a randomized controlled trial (Preprint). Journal of Medical Internet Research 2024 View
  68. Stanmore E, Eost-Telling C, Meekes W, Banham K, Chillala J, Roy B, Firth J. Exergames for falls prevention in sheltered homes: a feasibility study. Frontiers in Public Health 2024;12 View

Books/Policy Documents

  1. Santos L, Okamoto K, Hiragi S, Yamamoto G, Sugiyama O, Aoyama T, Kuroda T. Human Aspects of IT for the Aged Population. Social Media, Games and Assistive Environments. View
  2. Li Y, Muñoz J, Mehrabi S, Middleton L, Cao S, Boger J. HCI in Games. View
  3. Miloulis S, Kakkos I, Anastasiou A, Matsopoulos G, Koutsouris D. Modern Challenges and Approaches to Humanitarian Engineering. View