Recalibrating disparities in perceived and actual balance abilities in older adults: A mixed-methods evaluation of a novel exergaming intervention
dc.contributor.author | Ellmers, TJ | |
dc.contributor.author | Paraskevopoulos, IT | |
dc.contributor.author | Williams, AM | |
dc.contributor.author | Young, WR | |
dc.date.accessioned | 2019-09-30T13:42:05Z | |
dc.date.issued | 2018-03-22 | |
dc.description.abstract | Background: Published reports suggest a disparity between perceived and actual balance abilities, a trait associated with increased fall-risk in older adults. We investigate whether it is possible to 'recalibrate' these disparities using a novel gaming intervention. Methods: We recruited 26 older adults for a 4-week intervention in which they participated in 8-sessions using a novel gaming intervention designed to provide explicit, augmented feedback related to postural control. Measures of perceived balance abilities (Falls Efficacy Scale-International) and actual postural control (limits of stability) were assessed pre- and post-intervention. We used focus groups to elicit the opinions of participants about how the game may have influenced balance abilities and confidence. Results: A stronger alignment was observed between postural control and perceived balance capabilities post-intervention (i.e., significant correlations between Falls Efficacy Scale-International scores and limits of stability which were not present pre-intervention). Also, significant improvements in measures of postural control were observed, with these improvements confined to the aspects of postural control for which the exergame provided explicit, augmented feedback. Qualitative data revealed that the intervention made participants more "aware" of their balance abilities. Conclusions: Our results demonstrate that it is possible to recalibrate the perceptions of older adults relating to their balance abilities through a targeted, short-term intervention. We propose that the post-intervention improvements in postural control may have been, in part, the result of this recalibration; with altered perceptions leading to changes in balance performance. Findings support the application of novel interventions aimed at addressing the psychological factors associated with elderly falls. | en_GB |
dc.description.sponsorship | The Richard Benjamin Trust | en_GB |
dc.identifier.citation | Vol. 15: 26 | en_GB |
dc.identifier.doi | 10.1186/s12984-018-0369-8 | |
dc.identifier.grantnumber | 1125561 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/38980 | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.rights | © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_GB |
dc.subject | Self-efficacy | en_GB |
dc.subject | Balance confidence | en_GB |
dc.subject | Perceived balance abilities | en_GB |
dc.subject | Exergame intervention | en_GB |
dc.title | Recalibrating disparities in perceived and actual balance abilities in older adults: A mixed-methods evaluation of a novel exergaming intervention | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-09-30T13:42:05Z | |
dc.identifier.issn | 1743-0003 | |
dc.description | This is the final version. Available from the publisher via the DOI in this record. | en_GB |
dc.description | The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. | en_GB |
dc.identifier.journal | Journal of NeuroEngineering and Rehabilitation | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2018-03-11 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2018-03-22 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-09-30T13:38:43Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2019-09-30T13:42:08Z | |
refterms.panel | C | en_GB |
refterms.depositException | publishedGoldOA | |
refterms.depositExceptionExplanation | https://doi.org/10.1186/s12984-018-0369-8 |
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reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
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(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.