8 research outputs found
Exergames for falls prevention in sheltered homes:A feasibility study
Introduction:Falls prevention is a global priority given its substantial impact on older adults and cost to healthcare systems. Advances in telerehabilitation technology such as `exergamingâ show potential for delivering accessible, engaging exercise programs for older adults. This study aimed to establish the feasibility, acceptability and usability of exergaming in sheltered housing.Methods: A mixed-methods study with participants randomised in 2 sheltered housing facilities to intervention (nâ=â1 home, 12 participants) and control (nâ=â1 home 2, 12 participants) provided usual care for all, (physiotherapy prescribed strength and balance exercises and falls prevention advice) and a 6-week supervised exergaming programme (MIRA) offered 3 times per week to the intervention group only. At 6 weeks, feasibility, usability and acceptability outcomes were collected and analysed using descriptive statistics; qualitative focus groups with participants and interviews with staff were also completed and thematically analysed to elicit barriers and facilitators to usability and acceptability.Results: Mean exercise per week increased from 10.6 to 14.1 minutes in the control group and 9.6 to 36.8 minutes in the intervention group. All study processes and measures appeared feasible; 72% of those invited consented to taking part and 92% completed 6-week follow-up. Individual domains for the System Usability Scores (SUS) showed participants felt veryconfidentâusingthesystemwithâport(70%),wodââsinâââor(70%),̲like to use exergames frequentlyâ (50%) and found the system easyâuseâ(90%).However,theyalsofe<theyââ(90%).,â<âneeded to learn a lot at the beginningâ (40%) and would `need technical supportâ (70%) for independent use of the exergames. Mean overall SUS was 63 reflecting moderate usability for independent use. Qualitative data indicated exergames were well received and highlighted motivational and social aspects; costs and set up. Staff also felt exergaming complemented traditional care.Discussion: Our study contributes to the evidence guiding the use of exergames to deliver suitable falls prevention interventions for older adults within sheltered housing in community settings.<br/
Exergames for falls prevention in sheltered homes:A feasibility study
Introduction:Falls prevention is a global priority given its substantial impact on older adults and cost to healthcare systems. Advances in telerehabilitation technology such as `exergamingâ show potential for delivering accessible, engaging exercise programs for older adults. This study aimed to establish the feasibility, acceptability and usability of exergaming in sheltered housing.Methods: A mixed-methods study with participants randomised in 2 sheltered housing facilities to intervention (nâ=â1 home, 12 participants) and control (nâ=â1 home 2, 12 participants) provided usual care for all, (physiotherapy prescribed strength and balance exercises and falls prevention advice) and a 6-week supervised exergaming programme (MIRA) offered 3 times per week to the intervention group only. At 6 weeks, feasibility, usability and acceptability outcomes were collected and analysed using descriptive statistics; qualitative focus groups with participants and interviews with staff were also completed and thematically analysed to elicit barriers and facilitators to usability and acceptability.Results: Mean exercise per week increased from 10.6 to 14.1 minutes in the control group and 9.6 to 36.8 minutes in the intervention group. All study processes and measures appeared feasible; 72% of those invited consented to taking part and 92% completed 6-week follow-up. Individual domains for the System Usability Scores (SUS) showed participants felt veryconfidentâusingthesystemwithâport(70%),wodââsinâââor(70%),̲like to use exergames frequentlyâ (50%) and found the system easyâuseâ(90%).However,theyalsofe<theyââ(90%).,â<âneeded to learn a lot at the beginningâ (40%) and would `need technical supportâ (70%) for independent use of the exergames. Mean overall SUS was 63 reflecting moderate usability for independent use. Qualitative data indicated exergames were well received and highlighted motivational and social aspects; costs and set up. Staff also felt exergaming complemented traditional care.Discussion: Our study contributes to the evidence guiding the use of exergames to deliver suitable falls prevention interventions for older adults within sheltered housing in community settings.<br/
Reporting quality of published reviews of commercial and publicly available mobile health apps (mHealth app reviews): A scoping review protocol
\ua9 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.Introduction Reviews of commercial and publicly available smartphone (mobile) health applications (mHealth app reviews) are being undertaken and published. However, there is variation in the conduct and reporting of mHealth app reviews, with no existing reporting guidelines. Building on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we aim to develop the Consensus for APP Review Reporting Items (CAPPRRI) guidance, to support the conduct and reporting of mHealth app reviews. This scoping review of published mHealth app reviews will explore their alignment, deviation, and modification to the PRISMA 2020 items for systematic reviews and identify a list of possible items to include in CAPPRRI. Method and analysis We are following the Joanna Briggs Institute approach and Arksey and O\u27Malley\u27s five-step process. Patient and public contributors, mHealth app review, digital health research and evidence synthesis experts, healthcare professionals and a specialist librarian gave feedback on the methods. We will search SCOPUS, CINAHL Plus, AMED, EMBASE, Medline, APA PsycINFO and the ACM Digital Library for articles reporting mHealth app reviews and use a two-step screening process to identify eligible articles. Information on whether the authors have reported, or how they have modified the PRISMA 2020 items in their reporting, will be extracted. Data extraction will also include the article characteristics, protocol and registration information, review question frameworks used, information about the search and screening process, how apps have been evaluated and evidence of stakeholder engagement. This will be analysed using a content synthesis approach and presented using descriptive statistics and summaries. This protocol is registered on OSF (https://osf.io/5ahjx). Ethics and dissemination Ethical approval is not required. The findings will be disseminated through peer-reviewed journal publications (shared on our project website and on the EQUATOR Network website where the CAPPRRI guidance has been registered as under development), conference presentations and blog and social media posts in lay language
Ageing Simulation in Health and Social Care Education: A mixed methods systematic review
Abstract
Aim: To identify, evaluate and summarise evidence from qualitative, quantitative and mixed method studies conducted utilising age-suits or other age simulation equipment, with health and social care students.
Design: Convergent segregated mixed method review design as outlined by the Johanna Briggs Institute
Data Sources: CINAHL (+ with Full Text), MEDLINE, PsycINFO, PubMed, SocINDEX, Web of Science, Cochrane Library, Emerald Insight, Proquest nursing, Science Direct, Wiley Online and BioMed Central (January 2000 â January 2020)
Review methods: Convergent segregated synthesis was used to synthesise evidence from the studies, and the MERSQI checklist used to appraise quality.
Results: A total of 23 studies were reviewed: one randomised control, two post-test only randomised control, three quasi-experimental, 15 one-group pre / post studies and two qualitative studies. Of the seventeen studies carrying out inferential statistics on attitude scores post intervention, 11 reported an improvement, three indicated no significant change and three reported worsening scores. Key themes included use of appropriate scales, type of equipment utilised, location and length of interactions, debriefing, and contextualisation of interventions in broader teaching.
Conclusion: The impact of ageing simulation interventions on health and social care studentâs attitudes to older people was predominantly positive. However, further high-quality research is warranted to understand the optimal use of such interventions within the context of healthcare for a growing ageing population.
Impact: It is important health and social care staff have appropriate knowledge and training to enable them to provide high quality care to older people, and challenge potential ageism in the system. This review adds to the body of work around the use of simulation and experiential learning to educate health and social care students regarding ageing and ageism. It also offers recommendations for using ageing simulations effectively to inform attitudes of prospective professionals who will influence future health and social care.
Keywords: Simulation, Ageing, Age-suit, Nursing, Health and social care, Education, Attitudes, Empathy, Experiential learning, Systematic revie
Digital technologies to prevent falls in people living with dementia or mild cognitive impairment: A rapid systematic overview of systematic reviews
\ua9 2024 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.Objective: Falls are a common cause of potentially preventable death, disability and loss of independence with an annual estimated cost of \ua34.4bn. People living with dementia (PlwD) or mild cognitive impairment (MCI) have an increased fall risk. This overview evaluates evidence for technologies aiming to reduce falls and fall risk for PlwD or MCI. Methods: In October 2022, we searched five databases for evidence syntheses. We used standard methods to rapidly screen, extract data, assess risk of bias and overlap, and synthesise the evidence for each technology type. Results: We included seven systematic reviews, incorporating 22 relevant primary studies with 1,412 unique participants. All reviews had critical flaws on AMSTAR-2: constituent primary studies were small, heterogeneous, mostly non-randomised and assessed as low or moderate quality. Technologies assessed were: wearable sensors, environmental sensor-based systems, exergaming, virtual reality systems. We found no evidence relating to apps. Review evidence for the direct impact on falls was available only from environmental sensors, and this was inconclusive. For wearables and virtual reality technologies there was evidence that technologies may differentiate PlwD who fell from those who did not; and for exergaming that balance may be improved. Conclusions: The evidence for technology to reduce falls and falls risk for PlwD and MCI is methodologically weak, based on small numbers of participants and often indirect. There is a need for higher-quality RCTs to provide robust evidence for effectiveness of fall prevention technologies. Such technologies should be designed with input from users and consideration of the wider implementation context
Individualised funding interventions to improve health and social care outcomes for people with a disability: a mixed-methods systematic review
The World Health Organisation estimates that 15% of the worldâs population live with a disability
and that this number will continue to grow into the future, but with the attendant challenge of
increasing unmet need due to poor access to health and social care (WHO, 2013). Historically, the
types of supports available to people with a disability were based on medical needs only. More
recently, however, the importance of social care needs, such as keeping active and socialising, has
been recognised (Malley et al., 2012). There is now an international policy imperative for people
with a disability to live autonomous, self-determined lives whereby they are empowered and as
independent as possible, choosing their supports and self-directing their lives (Perreault &
Vallerand, 2007; Saebu, Sørensen, & Halvari, 2013).
One way to achieve self-determination is by means of a personal budget (United Nations, 2006).
Personal budgets are just one example of many terms used to describe individualised funding â a
mechanism to provide personalised and self-directed supports for people with a disability, which
places them at the centre of decision-making around how and when they are supported (Carr,
2010). Individualised funding â which is rooted in the Independent Living Movement (Jon Glasby
& Littlechild, 2009) - has evolved to take many forms. These include, for example, directpayments,
whereby funds are given directly to the person with a disability who then self-manages
this money to meet their individual needs, capabilities, life circumstances and aspirations
(Ăiseanna TacaĂochta, 2014a). Alternatively, a microboard, brokerage model, or âmanagedâ
personal budget provide a similar amount of freedom for the person with a disability, but an
intermediary service assumes responsibility for administrative tasks, while sometimes also
providing support, guidance and information to enable the person to successfully plan, arrange and
manage their supports or care plans (Carr, 2010). Other types of models also exist, largely guided
by country-specific contexts, such as social benefits systems