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
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...
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/11/e073307.full |
| _version_ | 1797434840511938560 |
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| author | Hannah Louise Bradwell Katie Jane Edwards Ray B Jones Anna C Whittaker Alison Warren Katie Edwards Sheena Asthana Richard Haynes John Ritchie Arunangsu Chatterjee Alison Dawson Leonie Cooper Rory Baxter Simone A Tomaz Swen Gaudl Alejandro Veliz-Reyes Gemma C Ryde Tanja Križaj Katharine Willis Catherine H Hennessy Hannah Bradwell Pete Coffee Gregory Mannion Gemma Ryde Alejandro Veliz Reyes Simone Tomaz Karen Watchman Katherine Willis |
| author_facet | Hannah Louise Bradwell Katie Jane Edwards Ray B Jones Anna C Whittaker Alison Warren Katie Edwards Sheena Asthana Richard Haynes John Ritchie Arunangsu Chatterjee Alison Dawson Leonie Cooper Rory Baxter Simone A Tomaz Swen Gaudl Alejandro Veliz-Reyes Gemma C Ryde Tanja Križaj Katharine Willis Catherine H Hennessy Hannah Bradwell Pete Coffee Gregory Mannion Gemma Ryde Alejandro Veliz Reyes Simone Tomaz Karen Watchman Katherine Willis |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T10:38:41Z |
| format | Article |
| id | doaj.art-6f681a8022c54d1486badff1445fbd6e |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-09T10:38:41Z |
| publishDate | 2023-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6f681a8022c54d1486badff1445fbd6e2023-12-01T19:20:08ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-073307Staff 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 Hannah Louise Bradwell0Katie Jane Edwards1Ray B Jones2Anna C Whittaker3Alison Warren4Katie EdwardsSheena Asthana5Richard Haynes6John Ritchie7Arunangsu Chatterjee8Alison DawsonLeonie Cooper9Rory Baxter10Simone A Tomaz11Swen Gaudl12Alejandro Veliz-Reyes13Gemma C Ryde14Tanja Križaj15Katharine Willis16Catherine H Hennessy17Hannah BradwellPete CoffeeGregory MannionGemma RydeAlejandro Veliz ReyesSimone TomazKaren WatchmanKatherine WillisCentre for Health Technology, University of Plymouth, Plymouth, UKCentre for Health Technology, University of Plymouth, Plymouth, UKCentre for Health Technology, University of Plymouth, Plymouth, UKFaculty of Health Sciences and Sport, University of Stirling, Stirling, UKCentre for Health Technology, University of Plymouth, Plymouth, UKCentre for Health Technology, University of Plymouth, Plymouth, UKFaculty of Arts & Humanities, University of Stirling, Stirling, UKFaculty of Arts & Humanities, University of Stirling, Stirling, UKFaculty of Medicine, University of Leeds, Leeds, UKCentre for Health Technology, University of Plymouth, Plymouth, UKCentre for Health Technology, University of Plymouth, Plymouth, UKFaculty of Health Sciences and Sport, University of Stirling, Stirling, UKDepartment of Applied IT, University of Gothenburg, Gothenburg, SwedenFaculty of Arts, Humanities & Business, University of Plymouth, Plymouth, UKInstitute of Cardiovascular and Medical Sciences, University of Stirling, Stirling, UKCentre for Health Technology, University of Plymouth, Plymouth, UKFaculty of Arts, Humanities & Business, University of Plymouth, Plymouth, UKFaculty of Social Sciences, University of Stirling, Stirling, UKObjectives 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.https://bmjopen.bmj.com/content/13/11/e073307.full |
| spellingShingle | Hannah Louise Bradwell Katie Jane Edwards Ray B Jones Anna C Whittaker Alison Warren Katie Edwards Sheena Asthana Richard Haynes John Ritchie Arunangsu Chatterjee Alison Dawson Leonie Cooper Rory Baxter Simone A Tomaz Swen Gaudl Alejandro Veliz-Reyes Gemma C Ryde Tanja Križaj Katharine Willis Catherine H Hennessy Hannah Bradwell Pete Coffee Gregory Mannion Gemma Ryde Alejandro Veliz Reyes Simone Tomaz Karen Watchman Katherine Willis 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 BMJ Open |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/13/11/e073307.full |
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