The Social Effects of Exergames on Older Adults: Systematic Review and Metric Analysis

Jinhui Li, Mojisola Erdt, Luxi Chen, Yuanyuan Cao, Shan-Qi Lee, Yin-Leng Theng, Jinhui Li, Mojisola Erdt, Luxi Chen, Yuanyuan Cao, Shan-Qi Lee, Yin-Leng Theng

Abstract

Background: Recently, many studies have been conducted to investigate the effects of exergames on the social well-being of older adults.

Objective: The aim of this paper is to synthesize existing studies and provide an overall picture on the social effects of exergames on older adults.

Methods: A comprehensive literature search with inclusive criteria was conducted in major social science bibliographic databases. The characteristics of exergames, participants, methodology, as well as outcome measurements were extracted from the relevant studies included in the review. The bibliometric and altmetric outreach of the included studies were also investigated.

Results: A total of 10 studies were included in the review, with 8 studies having used the Nintendo Wii platform. Most of the studies recruited healthy older adults from local communities or senior activity centers. Three groups of social-related outcomes have been identified, including emotion-related, behavior-related, and attitude-related outcomes. A metric analysis has shown that the emotion-related and behavior-related outcomes received high attention from both the academic community and social media platforms.

Conclusions: Overall, the majority of exergame studies demonstrated promising results for enhanced social well-being, such as reduction of loneliness, increased social connection, and positive attitudes towards others. The paper also provided implications for health care researchers and exergame designers.

Keywords: active video games; ageing; citation analysis; literature review; psychosocial well-being.

Conflict of interest statement

Conflicts of Interest: None declared.

©Jinhui Li, Mojisola Erdt, Luxi Chen, Yuanyuan Cao, Shan-Qi Lee, Yin-Leng Theng. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 28.06.2018.

Figures

Figure 1
Figure 1
Flowchart of the systematic review process for the included studies.
Figure 2
Figure 2
Overview of the bibliometric outreach of included studies.
Figure 3
Figure 3
Overview of the altmetric outreach of included studies.

References

    1. United Nations. New York: United Nations; 2015. [2018-06-14]. World Population Ageing .
    1. Cheng Sheung-Tak, Fung Helene H., Li Lydia W., Li Tianyuan, Chi Iris. Successful Aging: Concepts, Reflections and Its Relevance to Asia. In: Cheng Sheung-Tak, Chi Iris, Fung Helene H., Li Lydia W., Woo Jean., editors. Successful Aging: Asian Perspectives. Netherlands: Springer; 2015.
    1. Read S, Grundy E, Foverskov E. Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review. Aging Ment Health. 2016 Mar;20(5):529–42. doi: 10.1080/13607863.2015.1023766.
    1. Bøen H, Dalgard OS, Bjertness E. The importance of social support in the associations between psychological distress and somatic health problems and socio-economic factors among older adults living at home: a cross sectional study. BMC Geriatr. 2012 Jun 08;12:27. doi: 10.1186/1471-2318-12-27. 1471-2318-12-27
    1. Alexandrino-Silva C, Alves TF, Tófoli LF, Wang Y, Andrade LH. Psychiatry: life events and social support in late life depression. Clinics. 2011;66(2):233–238. doi: 10.1590/S1807-59322011000200009.
    1. Singh A, Misra N. Loneliness, depression and sociability in old age. Ind Psychiatry J. 2009 Jan;18(1):51–5. doi: 10.4103/0972-6748.57861.
    1. Holmén K, Furukawa H. Loneliness, health and social network among elderly people—a follow-up study. Archives of Gerontology and Geriatrics. 2002 Nov;35(3):261–274. doi: 10.1016/S0167-4943(02)00049-3.
    1. Grenade L, Boldy D. Social isolation and loneliness among older people: Issues and future challenges in community and residential settings. Australian Health Review. 2008;32(3):468–478. doi: 10.1071/AH080468.
    1. Oh Y, Yang S. Defining exergames & exergaming. Meaningful Play 2010; October 21 - 23; East Lansing, MI, USA. 2010.
    1. Baranowski T, Maddison R, Maloney A, Medina E, Simons M. Building a Better Mousetrap (Exergame) to Increase Youth Physical Activity. Games Health J. 2014 Apr;3(2):72–8. doi: 10.1089/g4h.2014.0018.
    1. Maddison R, Simons M, Straker L, Witherspoon L, Palmeira A, Thin AG. Active video games: An opportunity for enhanced learning and positive health effects? Cognitive Technology Journal. 2013;18(1):6–13.
    1. Daley AJ. Can exergaming contribute to improving physical activity levels and health outcomes in children? Pediatrics. 2009 Aug;124(2):763–71. doi: 10.1542/peds.2008-2357.peds.2008-2357
    1. Kamel Boulos MN. Xbox 360 Kinect Exergames for Health. Games for Health Journal. 2012 Oct;1(5):326–330. doi: 10.1089/g4h.2012.0041.
    1. Mouawad MR, Doust CG, Max MD, McNulty PA. Wii-based movement therapy to promote improved upper extremity function post-stroke: a pilot study. J Rehabil Med. 2011 May;43(6):527–33. doi: 10.2340/16501977-0816.
    1. Chan CLF, Ngai EKY, Leung PKH, Wong S. Effect of the adapted Virtual Reality cognitive training program among Chinese older adults with chronic schizophrenia: a pilot study. Int J Geriatr Psychiatry. 2010 Jun;25(6):643–9. doi: 10.1002/gps.2403.
    1. Albores J, Marolda C, Haggerty M, Gerstenhaber B, Zuwallack R. The use of a home exercise program based on a computer system in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev. 2013;33(1):47–52. doi: 10.1097/HCR.0b013e3182724091.
    1. Kooiman BJ, Sheehan DP. The efficacy of exergames for social relatedness in online physical education. Cogent Education. 2015 Jun 3;2(1):1045808. doi: 10.1080/2331186X.2015.1045808.
    1. Marker AM, Staiano AE. Better Together: Outcomes of Cooperation Versus Competition in Social Exergaming. Games Health J. 2015 Feb;4(1):25–30. doi: 10.1089/g4h.2014.0066.
    1. Kim J, Timmerman CE. Effects of Supportive Feedback Messages on Exergame Experiences. Journal of Media Psychology. 2018 Jan;30(1):29–40. doi: 10.1027/1864-1105/a000175.
    1. Staiano AE, Abraham AA, Calvert SL. Motivating effects of cooperative exergame play for overweight and obese adolescents. J Diabetes Sci Technol. 2012 Jul 01;6(4):812–9. doi: 10.1177/193229681200600412.
    1. Chao Y, Musanti R, Zha P, Katigbak C. The Feasibility of an Exergaming Program in Underserved Older African Americans. West J Nurs Res. 2017 Jan 01;:193945916687529. doi: 10.1177/0193945916687529.
    1. Xu X, Li J, Pham TP, Salmon CT, Theng Y. Improving Psychosocial Well-Being of Older Adults Through Exergaming: The Moderation Effects of Intergenerational Communication and Age Cohorts. Games Health J. 2016 Dec;5(6):389–397. doi: 10.1089/g4h.2016.0060.
    1. Choi S, Guo L, Kang D, Xiong S. Exergame technology and interactive interventions for elderly fall prevention: A systematic literature review. Appl Ergon. 2017 Nov;65:570–581. doi: 10.1016/j.apergo.2016.10.013.S0003-6870(16)30226-5
    1. Larsen LH, Schou L, Lund HH, Langberg H. The Physical Effect of Exergames in Healthy Elderly-A Systematic Review. Games Health J. 2013 Aug;2(4):205–12. doi: 10.1089/g4h.2013.0036.
    1. Tahmosybayat R, Baker K, Godfrey A, Caplan N, Barry G. A systematic review and meta-analysis of outcome measures to assess postural control in older adults who undertake exergaming. Maturitas. 2017 Apr;98:35–45. doi: 10.1016/j.maturitas.2017.02.003.S0378-5122(17)30056-7
    1. Zeng N, Pope Z, Lee J, Gao Z. A systematic review of active video games on rehabilitative outcomes among older patients. Journal of Sport and Health Science. 2017 Mar;6(1):33–43. doi: 10.1016/j.jshs.2016.12.002.
    1. Chao Y, Scherer YK, Montgomery CA. Effects of using Nintendo Wii™ exergames in older adults: a review of the literature. J Aging Health. 2015 Apr;27(3):379–402. doi: 10.1177/0898264314551171.0898264314551171
    1. Li J, Theng Y, Foo S. Effect of Exergames on Depression: A Systematic Review and Meta-Analysis. Cyberpsychol Behav Soc Netw. 2016 Jan;19(1):34–42. doi: 10.1089/cyber.2015.0366.
    1. Matallaoui A, Koivisto J, Hamari J, Zarnekow R. How Effective Is “Exergamification”? A Systematic Review on the Effectiveness of Gamification Features in Exergames. Proceedings of the 50th Annual Hawaii International Conference on System Sciences; 2017 January; Hawai'i, USA. 2017. pp. 3316–3325.
    1. World Health Organization Definition of an older or elderly person. 2013. [2018-06-14].
    1. Bures R. Migration and the life course: is there a retirement transition? Int. J. Popul. Geogr. 1997 Jun;3(2):109–119. doi: 10.1002/(SICI)1099-1220(199706)3:2<109::AID-IJPG65>;2-I.
    1. Ministry of Community Development, Youth and Sports Committee on Ageing Issues: Report on the Ageing Population. 2006. [2018-06-14]. .
    1. Scopus. [2018-03-23]. .
    1. PlumX. [2018-03-23].
    1. Altmetric. [2018-03-23].
    1. Priem J, Taraborelli D, Groth P, Neylon C. Almetrics. 2010. [2018-03-23]. Altmetrics: A manifesto
    1. QS world university rankings. 2015. [2018-03-23]. .
    1. Schmidt BJ, Carvalho N, Krynski S, Ortega C, Liberman J, Kamei ME. Studies on thyroid and hypophysary thyrotrophic hormone (TSH) in Down syndrome. Arq Neuropsiquiatr. 1977 Mar;35(1):1–5.
    1. Jung Y, Li K, Janissa N, Gladys W, Lee K. Games for a better lifeffects of playing Wii games on the well-being of seniors in a long-term care facility. Proceedings of the Sixth Australasian Conference on Interactive Entertainment; Sydney, Australia. Proceedings of the Sixth Australasian Conference on Interactive Entertainment; December 17 - 19, 2009; Sydney, Australia. ACM; 2009.
    1. Kahlbaugh PE, Sperandio AJ, Carlson AL, Hauselt J. Effects of Playing Wii on Well-Being in the Elderly: Physical Activity, Loneliness, and Mood. Activities, Adaptation & Aging. 2011 Oct;35(4):331–344. doi: 10.1080/01924788.2011.625218.
    1. Keogh JWL, Power N, Wooller L, Lucas P, Whatman C. Physical and psychosocial function in residential aged-care elders: effect of Nintendo Wii Sports games. J Aging Phys Act. 2014 Apr;22(2):235–44. doi: 10.1123/japa.2012-0272.2012-0272
    1. Millington B. Exergaming in retirement centres and the integration of media and physical literacies. J Aging Stud. 2015 Dec;35:160–8. doi: 10.1016/j.jaging.2015.08.005.S0890-4065(15)30012-8
    1. Theng Y, Chua P, Pham T. Wii as entertainment and socialisation aids for mental and social health of the elderly. CHI '12 Extended Abstracts on Human Factors in Computing Systems; May 05 - 10, 2012; Austin, Texas, USA. ACM; 2012. pp. 691–702.
    1. Chao Y, Scherer YK, Montgomery CA, Wu Y, Lucke KT. Physical and psychosocial effects of Wii Fit exergames use in assisted living residents: a pilot study. Clin Nurs Res. 2015 Dec;24(6):589–603. doi: 10.1177/1054773814562880.1054773814562880
    1. Wu Z, Li J, Theng Y. Examining the Influencing Factors of Exercise Intention Among Older Adults: A Controlled Study Between Exergame and Traditional Exercise. Cyberpsychol Behav Soc Netw. 2015 Sep;18(9):521–7. doi: 10.1089/cyber.2015.0065.
    1. Higgins J, Green S. The Cochrane Collaboration. 2011. [2018-06-14]. Cochrane handbook for systematic reviews of interventions .
    1. EBSCO. [2018-03-23].
    1. Spek V, Cuijpers P, Nyklícek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007 Mar;37(3):319–28. doi: 10.1017/S0033291706008944.S0033291706008944
    1. Lee GR, Ishii-Kuntz M. Social interaction, loneliness, and emotional well-being among the elderly. Res Aging. 1987 Dec;9(4):459–82. doi: 10.1177/0164027587094001.
    1. Alhabash S, Wise K. Playing their game: Changing stereotypes of Palestinians and Israelis through videogame play. New Media & Society. 2014 Mar 02;17(8):1358–1376. doi: 10.1177/1461444814525010.
    1. Ruggiero D. The effect of a persuasive social impact game on affective learning and attitude. Computers in Human Behavior. 2015 Apr;45:213–221. doi: 10.1016/j.chb.2014.11.062. doi: 10.1016/j.chb.2014.11.062.
    1. American COSM, Chodzko-Zajko WJ, Proctor DN, Fiatarone SMA, Minson CT, Nigg CR, Salem GJ, Skinner JS. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009 Jul;41(7):1510–30. doi: 10.1249/MSS.0b013e3181a0c95c.
    1. Rosso AL, Taylor JA, Tabb LP, Michael YL. Mobility, disability, and social engagement in older adults. J Aging Health. 2013 Jun;25(4):617–37. doi: 10.1177/0898264313482489. 0898264313482489

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir