Healthc Inform Res.  2016 Apr;22(2):65-72. 10.4258/hir.2016.22.2.65.

Effects of a Combined Exercise Program Using an iPad for Older Adults

• Lee J
• Jung D
• Byun J
• Lee M

• KMID: 2166930
• DOI: http://doi.org/10.4258/hir.2016.22.2.65

Abstract

OBJECTIVES
The purpose of this study was to examine the function, health status, and efficacy effects of a combined exercise program using an iPad among older women in Korea, a tech-savvy country.
METHODS
The study employed a pretest and posttest experimental design with a control group. The experimental group of subjects comprised 16 female older adults and the control group comprised 10 who were aged 65 years or older. The experimental group participated in a supervised group-based exercise program and an individualized home-based exercise program that involved the use of an iPad. The combined group and home-based exercise program consisted of group exercise, which took place in a senior center for 30 minutes weekly, and a home-based iPad exercise program, which the subjects followed at least 3 times a week. The collected data were analyzed using the Statistical Analysis System (SAS ver. 9.3 TS Level 1M0) program, which utilized a chi-square test, a Fisher exact test, a t-test, and a repeated-measures ANOVA.
RESULTS
The results showed that cognitive status changed significantly over time, and there was an interaction between group and time. Further, self-efficacy for exercise and outcome expectations for exercise changed significantly over time.
CONCLUSIONS
Exercise programs using iPad interventions may be useful for the management of cognitive functioning and the integration of functional physical abilities in older adults.

Keyword

Age; Exercise; Equipment and Supplies; Physiology; Self Efficacy

MeSH Terms

Adult*
Equipment and Supplies
Female
Humans
Korea
Physiology
Research Design
Self Efficacy
Senior Centers

Reference

1. World Health Organization. Global recommendations on physical activity for health. Geneva, Switzerland: World Health Organization;2014.

2. Gu MO, Conn VS. Meta-analysis of the effects of exercise interventions on functional status in older adults. Res Nurs Health. 2008; 31(6):594–603.

3. Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009; 41(7):1510–1530.

4. Windle G, Hughes D, Linck P, Russell I, Woods B. Is exercise effective in promoting mental well-being in older age? A systematic review. Aging Ment Health. 2010; 14(6):652–669.

5. Centers for Disease Control and Prevention. Data for the selected characteristics of 2008 Physical Activity Guidelines for Americans [Internet]. Washington (DC): Centers for Disease Control and Prevention;2012. cited at 2014 Jun 04. Available from: http://www.cdc.gov/nchs/data/hus/2012/067.pdf.

6. Korea Ministry of Health and Welfare. Guidelines for healthy life projects in Korea. Seoul: Ministry of Health and Welfare;2007.

7. Centers for Disease Control and Prevention (CDC). Arthritis as a potential barrier to physical activity among adults with heart disease: United States, 2005 and 2007. MMWR Morb Mortal Wkly Rep. 2009; 58(7):165–169.

8. Chao YY, Scherer YK, Wu YW, Lucke KT, Montgomery CA. The feasibility of an intervention combining self-efficacy theory and Wii Fit exergames in assisted living residents: a pilot study. Geriatr Nurs. 2013; 34(5):377–382.

9. Husebo AM, Dyrstad SM, Soreide JA, Bru E. Predicting exercise adherence in cancer patients and survivors: a systematic review and meta-analysis of motivational and behavioural factors. J Clin Nurs. 2013; 22(1-2):4–21.

10. Wright A, Lloyd-Davies A, Williams S, Ellis R, Strike P. Individual active treatment combined with group exercise for acute and subacute low back pain. Spine (Phila Pa 1976). 2005; 30(11):1235–1241.

11. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89(9):1322–1327.

12. Suttanon P, Hill KD, Said CM, Williams SB, Byrne KN, LoGiudice D, et al. Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer's disease: a pilot randomized controlled trial. Clin Rehabil. 2013; 27(5):427–438.

13. Bandura A. Self-efficacy: the exercise of control. New York (NY): W. H. Freeman Publisher;1997.

14. Glasgow RE, Boles SM, McKay HG, Feil EG, Barrera M Jr. The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results. Prev Med. 2003; 36(4):410–419.

15. Jorgensen MG, Laessoe U, Hendriksen C, Nielsen OB, Aagaard P. Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2013; 68(7):845–852.

16. Dang J, Zhang J, Guo Z, Lu W, Cai J, Shi Z, et al. A pilot study of iPad-assisted cognitive training for schizophrenia. Arch Psychiatr Nurs. 2014; 28(3):197–199.

17. Lister C, West JH, Richards R, Crookston B, Hall PC, Redelfs AH. Technology for health: a qualitative study on barriers to using the iPad for diet change. Health. 2013; 5(4):761–768.

18. Marceglia S, Bonacina S, Zaccaria V, Pagliari C, Pinciroli F. How might the iPad change healthcare? J R Soc Med. 2012; 105(6):233–241.

19. Chae CH, Kim JY, Kim HT. Effects of the aerobic exercise with resistance exercise program on the improvement of muscle strength and cardiovascular risk factor in the elderly women. Korean J Sports Sci. 2008; 17(4):1593–1603.

20. Kang Y, Na DL, Hahn S. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 1997; 15(2):300–308.

21. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. MD State Med J. 1965; 14:56–61.

22. Speake DL, Cowart ME, Pellet K. Health perceptions and lifestyles of the elderly. Res Nurs Health. 1989; 12(2):93–100.

23. Resnick B, Jenkins LS. Testing the reliability and validity of the Self-Efficacy for Exercise scale. Nurs Res. 2000; 49(3):154–159.

24. Resnick B. Reliability and validity of the Outcome Expectations for Exercise Scale-2. J Aging Phys Act. 2005; 13(4):382–394.

25. Bellg AJ, Borrelli B, Resnick B, Hecht J, Minicucci DS, Ory M, et al. Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium. Health Psychol. 2004; 23(5):443–451.

26. Chae C, Kim J, Kim HT. Effects of the aerobic exercise with resistance exercise program on the improvement of muscle strength and cardiovascular risk factor in the elderly women. Korean J Sports Sci. 2008; 17(4):1593–1603.

27. McDonnell MN, Smith AE, Mackintosh SF. Aerobic exercise to improve cognitive function in adults with neurological disorders: a systematic review. Arch Phys Med Rehabil. 2011; 92(7):1044–1052.

28. Tseng CN, Gau BS, Lou MF. The effectiveness of exercise on improving cognitive function in older people: a systematic review. J Nurs Res. 2011; 19(2):119–131.

29. Resnick B, Hammersla M, Michael K, Galik E, Klinedinst J, Demehin M. Changing behavior in senior housing residents: testing of phase I of the PRAISEDD-2 intervention. Appl Nurs Res. 2014; 27(3):162–169.

30. Fahlman MM, Topp R, McNevin N, Morgan AL, Boardley DJ. Structured exercise in older adults with limited functional ability. J Gerontol Nurs. 2007; 33(6):32–39.

31. Kim MY. Effect of self-growth program on the state anxiety of nursing students before initial clinical experience. J Korean Acad Psychiatr Ment Health Nurs. 1999; 8(1):83–96.