Development of an Exergame for Urban-dwelling Older Adults With Functional Limitations: Results and Lessons Learned.

BACKGROUND: Falls at home are common and potentially fatal for disabled older adults. To address this problem, we created an academic-community partnership involving disabled, urban-dwelling older adults and their families, the housing authority, a Tai Chi master, and a university. OBJECTIVES: We conducted a pilot to assess safety, acceptability, and feasibility of a Wii-based exergame designed to increase disabled older adults' strength and balance. METHODS: A working prototype was developed and evaluated. Then, we piloted a refined version with 19 disabled urban-dwelling older adults. RESULTS: The program was enjoyable, feasible, and acceptable. Participants described multiple functional improvements. Of the 16 who completed at least three gaming sessions, average balance score increased 25% and gait speed increased 19%. CONCLUSIONS: This pilot showed promising results for improving strength and balance in the home setting, and yielded valuable lessons about health technology development with community partners.