Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study
BackgroundDuring the COVID-19 epidemic, opportunities for social interaction and physical activity among older people are decreasing, which may have a negative impact on their health. As a solution, a web-based group exercise program provided through a videoconferencing platf...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-01-01
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| Series: | JMIR Aging |
| Online Access: | https://aging.jmir.org/2023/1/e39898 |
| _version_ | 1827857692033548288 |
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| author | Kazuki Hyodo Tetsuhiro Kidokoro Daisuke Yamaguchi Michitaka Iida Yuya Watanabe Aiko Ueno Takayuki Noda Kenji Kawahara Sumiyo Nishida Yuko Kai Takashi Arao |
| author_facet | Kazuki Hyodo Tetsuhiro Kidokoro Daisuke Yamaguchi Michitaka Iida Yuya Watanabe Aiko Ueno Takayuki Noda Kenji Kawahara Sumiyo Nishida Yuko Kai Takashi Arao |
| author_sort | Kazuki Hyodo |
| collection | DOAJ |
| description |
BackgroundDuring the COVID-19 epidemic, opportunities for social interaction and physical activity among older people are decreasing, which may have a negative impact on their health. As a solution, a web-based group exercise program provided through a videoconferencing platform would be useful. As a web-based exercise program that older adults can easily, safely, and enjoyably perform at home, we developed a short-duration, light-intensity aerobic dance exercise program. Before studying the effectiveness of this exercise program, its characteristics, such as feasibility, safety, enjoyment, and system usability, should be examined among older adults.
ObjectiveThis pilot study aimed to examine the feasibility, safety, and enjoyment of a web-based aerobic dance exercise program and the usability of a web-based exercise delivery system using a videoconferencing platform for older adults.
MethodsThis study was designed as a prospective single-arm pilot study. A total of 16 older adults participated in an 8-week web-based aerobic dance program held every morning (8:30 AM to 8:50 AM) on weekdays at home. Retention and adherence rates were measured for the program’s feasibility. Safety was assessed by the heart rate reserve, an index of exercise intensity calculated from heart rate, and the number of adverse events during exercise sessions. Enjoyment of this exercise program was assessed by an 11-point Likert scale ranging from 0 (not enjoyable at all) to 10 (extremely enjoyable) obtained through telephone interviews after the first-, third-, sixth-, and eighth-week intervention. For usability, the ease of the videoconferencing platform system was assessed through telephone interviews after the intervention.
ResultsA female participant with hypertension dropped out in the second week because of the continuously reported high blood pressure (≥180 mmHg) before attending the exercise session in the first week. Therefore, the retention rate was 93.8% (15/16). Among the remaining participants, the median (IQR) overall adherence rate was 97.4% (94.7-100). Regarding safety, the mean (SD) heart rate reserve during the aerobic dance exercise was 29.8% (6.8%), showing that the exercise was relatively safe with very light to light intensity. There were no adverse events during the exercise session. The enjoyment score (0-10 points) significantly increased from the first (6.7 [1.7]) to sixth (8.2 [1.3]) and eighth week (8.5 [1.3]). Regarding usability, 11 participants reported difficulties at the beginning, such as basic touch panel operations and the use of unfamiliar applications; however, all got accustomed to it and subsequently reported no difficulty.
ConclusionsThis study showed high feasibility, enjoyment, and safety of the web-based aerobic dance exercise program in older adults, and the web-based exercise delivery system may have areas for improvement, albeit without serious problems. Our web-based aerobic dance exercise program may contribute to an increase in physical and social activities among older adults. |
| first_indexed | 2024-03-12T12:45:16Z |
| format | Article |
| id | doaj.art-3b5c2215fcd24b1a86c2b6e83feb5135 |
| institution | Directory Open Access Journal |
| issn | 2561-7605 |
| language | English |
| last_indexed | 2024-03-12T12:45:16Z |
| publishDate | 2023-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Aging |
| spelling | doaj.art-3b5c2215fcd24b1a86c2b6e83feb51352023-08-28T23:26:24ZengJMIR PublicationsJMIR Aging2561-76052023-01-016e3989810.2196/39898Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot StudyKazuki Hyodohttps://orcid.org/0000-0002-2976-1351Tetsuhiro Kidokorohttps://orcid.org/0000-0002-1494-5123Daisuke Yamaguchihttps://orcid.org/0000-0002-9711-6549Michitaka Iidahttps://orcid.org/0000-0003-1875-6474Yuya Watanabehttps://orcid.org/0000-0003-3970-1202Aiko Uenohttps://orcid.org/0000-0002-8707-3661Takayuki Nodahttps://orcid.org/0000-0002-4460-2105Kenji Kawaharahttps://orcid.org/0000-0003-3047-7507Sumiyo Nishidahttps://orcid.org/0000-0003-3398-6569Yuko Kaihttps://orcid.org/0000-0002-7176-0352Takashi Araohttps://orcid.org/0000-0002-4790-5021 BackgroundDuring the COVID-19 epidemic, opportunities for social interaction and physical activity among older people are decreasing, which may have a negative impact on their health. As a solution, a web-based group exercise program provided through a videoconferencing platform would be useful. As a web-based exercise program that older adults can easily, safely, and enjoyably perform at home, we developed a short-duration, light-intensity aerobic dance exercise program. Before studying the effectiveness of this exercise program, its characteristics, such as feasibility, safety, enjoyment, and system usability, should be examined among older adults. ObjectiveThis pilot study aimed to examine the feasibility, safety, and enjoyment of a web-based aerobic dance exercise program and the usability of a web-based exercise delivery system using a videoconferencing platform for older adults. MethodsThis study was designed as a prospective single-arm pilot study. A total of 16 older adults participated in an 8-week web-based aerobic dance program held every morning (8:30 AM to 8:50 AM) on weekdays at home. Retention and adherence rates were measured for the program’s feasibility. Safety was assessed by the heart rate reserve, an index of exercise intensity calculated from heart rate, and the number of adverse events during exercise sessions. Enjoyment of this exercise program was assessed by an 11-point Likert scale ranging from 0 (not enjoyable at all) to 10 (extremely enjoyable) obtained through telephone interviews after the first-, third-, sixth-, and eighth-week intervention. For usability, the ease of the videoconferencing platform system was assessed through telephone interviews after the intervention. ResultsA female participant with hypertension dropped out in the second week because of the continuously reported high blood pressure (≥180 mmHg) before attending the exercise session in the first week. Therefore, the retention rate was 93.8% (15/16). Among the remaining participants, the median (IQR) overall adherence rate was 97.4% (94.7-100). Regarding safety, the mean (SD) heart rate reserve during the aerobic dance exercise was 29.8% (6.8%), showing that the exercise was relatively safe with very light to light intensity. There were no adverse events during the exercise session. The enjoyment score (0-10 points) significantly increased from the first (6.7 [1.7]) to sixth (8.2 [1.3]) and eighth week (8.5 [1.3]). Regarding usability, 11 participants reported difficulties at the beginning, such as basic touch panel operations and the use of unfamiliar applications; however, all got accustomed to it and subsequently reported no difficulty. ConclusionsThis study showed high feasibility, enjoyment, and safety of the web-based aerobic dance exercise program in older adults, and the web-based exercise delivery system may have areas for improvement, albeit without serious problems. Our web-based aerobic dance exercise program may contribute to an increase in physical and social activities among older adults.https://aging.jmir.org/2023/1/e39898 |
| spellingShingle | Kazuki Hyodo Tetsuhiro Kidokoro Daisuke Yamaguchi Michitaka Iida Yuya Watanabe Aiko Ueno Takayuki Noda Kenji Kawahara Sumiyo Nishida Yuko Kai Takashi Arao Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study JMIR Aging |
| title | Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study |
| title_full | Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study |
| title_fullStr | Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study |
| title_full_unstemmed | Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study |
| title_short | Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study |
| title_sort | feasibility safety enjoyment and system usability of web based aerobic dance exercise program in older adults single arm pilot study |
| url | https://aging.jmir.org/2023/1/e39898 |
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