The purpose of this study was to investigate the physical and psychosocial effects of the Wii Fit exergames incorporating self-efficacy theory on assisted living residents. The study was a quasi-experimental pre/post-test design. Thirty-two participants were recruited from two assisted living facilities. Sixteen participants received the Wii Fit exergames incorporating self-efficacy theory twice a week for 4 weeks. The other participants received a health education program. Physical function, fear of falling, depression, and quality of life were evaluated. T tests were used for data analysis. After the 4-week intervention, the Wii Fit group showed significant improvements in balance (p < .01), mobility (p < .01), and depression (p < .05). The education group showed no significant improvement in any of the outcomes. Integrating concepts of self-efficacy theory with the exergames show promise as a potential tool to improve and maintain physical and psychosocial health for older adults.
American College of Sports Medicine. (2010). ACSM’s resource manual for guidelines for exercise testing and prescription (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
2.
BanduraA. (1997). Self-efficacy: The exercise of control. New York, NY: W.H. Freeman.
3.
BergK. O.Wood-DauphineeS. L.WilliamsJ. I.MakiB. (1992). Measuring balance in the elderly: Validation of an instrument. Canadian Journal of Public Health, 83(Suppl. 2), S7-S11.
4.
ChaoY. Y.SchererK. Y.WuY. B.LuckeK.MontgomeryA. C. (2013). The feasibility of an intervention combining self-efficacy theory and Wii Fit exergames in assisted living residents: A pilot study. Geriatric Nursing, 34, 377-382. doi:10.1016/j.gerinurse.2013.05.006
5.
EsculierJ. F.VaudrinJ.BériaultP.GagnonK.TremblayL. E. (2012). Home-based balance training programme using Wii Fit with balance board for Parkinsons’s disease: A pilot study. Journal of Rehabilitation Medicine, 44, 144-150. doi:10.2340/16501977-0922
GuM. O.ConnV. S. (2008). Meta-analysis of the effects of exercise interventions on functional status in older adults. Research in Nursing & Health, 31, 594-603. doi:10.1002/nur.20290
8.
JorgensenM. G.LaessoeU.HendriksenC.NielsenO. B.AagaardP. (2013). Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: A randomized controlled trial. The Journals of Gerontology Series A: Biological Sciences & Medical Sciences, 68, 845-852. doi:10.1093/gerona/gls222
9.
LangeB. S.RequejoP.FlynnS. M.RizzoA. A.Valero-CuevasF. J.BakerL.WinsteinC. (2010). The potential of virtual reality and gaming to assist successful aging with disability. Physical Medicine and Rehabilitation Clinics of North America, 21, 339-356. doi:10.1016/j.pmr.2009.12.007
10.
LaverK.GeorgeS.RatcliffeJ.QuinnS.WhiteheadC.DaviesO.CrottyM. (2012). Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: A feasibility trial. Disability and Rehabilitation, 34, 1-7. doi:10.3109/09638288.2012.662570
11.
LeeL.-L.ArthurA.AvisM. (2008). Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: A discussion paper. International Journal of Nursing Studies, 45, 1690-1699. doi:10.1016/j.ijnurstu.2008.02.012
PodsiadloD.RichardsonS. (1991). The timed “up & go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39, 142-148.
15.
RendonA. A.LohmanE. B.ThorpeD.JohnsonE. G.MedinaE.BradleyB. (2012). The effect of virtual reality gaming on dynamic balance in older adults. Age and Ageing, 41, 549-552. doi:10.1093/ageing/afs053
16.
ResnickB. (2003). The theory of self-efficacy. In SmithM. J.LiehrP. R. (Eds.), Middle range theory for nursing (2nd ed., pp. 49-68). New York, NY: Springer.
17.
ResnickB.GalikE.Gruber-BaldiniA. L.ZimmermanS. (2009). Implementing a restorative care philosophy of care in assisted living: Pilot testing of Res-Care-AL. Journal of the American Academy of Nurse Practitioners, 21, 123-133. doi:10.1111/j.1745-7599.2008.00394.x
18.
ResnickB.Gruber-BaldiniA. L.ZimmermanS.GalikE.Pretzer-AboffI.RussK.HebelJ. R. (2009). Nursing home resident outcomes from the Res-Care intervention. Journal of the American Geriatrics Society, 57, 1156-1165. doi:10.1111/j.1532-5415.2009.02327.x
19.
ResnickB.JenkinsL. S. (2000). Testing the reliability and validity of the Self-Efficacy for Exercise Scale. Nursing Research, 49, 154-159.
20.
RosenbergD.DeppC. A.VahiaI. V.ReichstadtJ.PalmerB. W.KerrJ.. . . JesteD. V. (2010). Exergames for subsyndromal depression in older adults: A pilot study of a novel intervention. The American Journal of Geriatric Psychiatry, 18, 221-226. doi:10.1097/JGP.0b013e3181c534b5
21.
SheikhJ. I.YesavageJ. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5, 165-173.
22.
ShubertT. E. (2010). The use of commercial health video games to promote physical activity in older adults. Annals of Long-Term Care, 18(5), 27-32.
23.
SteffenT. M.HackerT. A.MollingerL. (2002). Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical Therapy, 82, 128-137.
24.
TinettiM. E.RichmanD.PowellL. (1990). Falls efficacy as a measure of fear of falling. Journal of Gerontology, 45, P239-P243. doi:10.1093/geronj/45.6.P239
WareJ.KosinskiM.DeweyJ.GandekB. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. Lincoln, RI: QualityMetric.
27.
WilliamsB.DohertyN. L.BenderA.MattoxH.TibbsJ. R. (2011). The effect of Nintendo Wii on balance: A pilot study supporting the use of the Wii in occupational therapy for the well elderly. Occupational Therapy in Health Care, 25, 131-139. doi:10.3109/07380577.2011.560627
28.
WilliamsM. A.SoizaR. L.JenkinsonA. M.StewartA. (2010). EXercising with Computers in Later Life (EXCELL): Pilot and feasibility study of the acceptability of the Nintendo® WiiFit in community-dwelling fallers. BMC Research Notes, 3(1), Article 238. doi:10.1186/1756-0500-3-238
29.
WollersheimD.MerkesM.ShieldsN.LiamputtongP.WallisL.ReynoldsF.KohL. (2010). Physical and psychosocial effects of Wii video game use among older women. International Journal of Emerging Technologies and Society, 8(2), 85-98.
