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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: 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
Author(s): Bradwell, p;lHannah Louise
Cooper, Leonie
Edwards, Katie Jane
Baxter, Rory
Tomaz, Simone A
Ritchie, John
Gaudl, Swen
Veliz-Reyes, Alejandro
Ryde, Gemma C
Križaj, Tanja
Warren, Alison
Chatterjee, Arunangsu
Haynes, Richard
Hennessy, Catherine H
Whittaker, Anna C
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Keywords: Staff perceptions
Virtual reality
treadmill exercise
care home residents
qualitative feedback study
Issue Date: 23-Nov-2023
Date Deposited: 27-Nov-2023
Citation: Bradwell pL, Cooper L, Edwards KJ, Baxter R, Tomaz SA, Ritchie J, Gaudl S, Veliz-Reyes A, Ryde GC, Križaj T, Warren A, Chatterjee A, Haynes R, Hennessy CH & Whittaker AC (2023) 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. <i>BMJ Open</i>, 13 (11), Art. No.: e073307.
Abstract: 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.
DOI Link: 10.1136/bmjopen-2023-073307
Rights: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:
Notes: Additional co-authors: Katharine Willis, Sheena Ashana and Ray B. Jones
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