Accepted for/Published in: JMIR Aging
Date Submitted: Aug 26, 2021
Date Accepted: Mar 14, 2022
Date Submitted to PubMed: Mar 16, 2022
Acceptability of Digital Technology and Tele-exercise in the age of COVID-19
ABSTRACT
Background:
With the COVID-19 pandemic, telehealth has been increasingly utilised to offset negative outcomes of social isolation and functional decline in seniors. Crucial to the success of telehealth is end-user adoption.
Objective:
To investigate perception and acceptability of digital technology amongst senior Asians
Methods:
The Healthy Ageing Promotion Program for You (HAPPY) dual-task exercise was conducted virtually to participants ≥60years. Questionnaires were administered digitally, namely: demographics, perceptions on digital technology and evaluation of HAPPY, 6-item Lubben Social Network Scale, intrinsic capacity using the Integrated Care for Older People tool, functional screening with FRAIL scale and five-time chair rise. Descriptive analysis was used.
Results:
42 participants were interviewed. Mean age 69.1±4.7years. Hearing, vision and 3-item recall difficulty were present in 15%, 12.5% and 23% respectively. 27.5% had possible sarcopenia, 15% were prefrail. More than 20% were at risk of social isolation. 90.4% agreed that technology is good and 78.5% agreed that technology would allow them to be independent for longer. 78.5% agreed they have the necessary knowledge and 90.5% had available technological assistance. However, 57.2% were still apprehensive about using technology. Despite 71.4% seniors owning their device, 35.7% felt finances were limiting. Through digital HAPPY, 45.2% reported feeling stronger, 47.6% had improved spirits, 40.4% and 38.1% had improved mood and memory respectively.
Conclusions:
Majority of seniors believe in digital technology, have the necessary knowledge and help but almost half still feel apprehensive and have financial barriers to adopting technology. Digitally-administered exercise program especially in a group setting is a feasible option to enhance intrinsic capacity in seniors. However, more work is needed in elucidating sources of apprehension and financial barriers to adopting technology. Clinical Trial: NA
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