Abstract

Abstract

Background: As a novel intervention method that combines exercise and games, exergames have demonstrated a positive impact on enhancing the cognitive and physical functions of older adults with mild cognitive impairment (MCI). However, older individuals are often more vulnerable when it comes to adopting new technologies, and the majority of currently available exergames have not been specifically designed for older adults. Furthermore, there remains a dearth of knowledge and evidence regarding the experiences and needs of Chinese seniors with MCI about exergames.

Objectives: The purpose of this qualitative study was to investigate the experience and needs of exergames among older adults with MCI.

Methods: Semi-structured personal interviews were conducted with MCI seniors. We applied the phenomenological method and analyzed the interview records to uncover the experience of MCI seniors engaging in exergames and identify their needs for exergames. We then summarized our qualitative findings and suggested strategies to utilize our results as a foundation for developing appropriate exergames for older adults with MCI in the future. The COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist was used to ensure the study met the recommended standards of qualitative data reporting.

Results: Twenty-one participants (mean age 70.2, SD 7.6 years) were interviewed. MCI seniors' experience of exergames includes five parts: attitudes towards exergames vary, both entertaining and interesting, promote physical activity and exercise, pass the time and relieve loneliness, and conditions of use are not restricted. MCI seniors' needs for exergames include the desire to design senior-friendly exergames, ensure science and safety in the process of sports, provide a good gaming experience, exercise physical and cognitive function, and provide support and training.

Conclusions: Customizing exergames to meet the unique needs of seniors with MCI is of utmost importance. By examining the experience and needs of MCI seniors regarding exergames, this study offers valuable insights that can inform the development of suitable exergames for this population group and guide the implementation of exergame interventions among older adults with MCI. Furthermore, future studies should consider extending these findings to broader population cohorts for a comprehensive understanding.