JMIR Publications

ABSTRACT

Background:

Physical activity (PA) enhances physical health as well as cognitive and brain health, yet motivating older adults to initiate and sustain PA remains challenging, a difficulty exacerbated by the COVID-19 pandemic. Active Augmented Reality (AAR) games provide an enjoyable and accessible means for PA promotion among older adults in independent living environments, mitigating barriers such as poor weather and unfavorable neighborhood environments.

Objective:

This feasibility study examines the potential of AAR games to enhance PA levels and cognitive functions among older adults.

Methods:

A mixed-method design was employed among 16 participants aged 65–85. Participants played four 10-minute AAR games. PA levels were assessed using accelerometers and heart rate monitors. Cognitive function was evaluated pre- and post-gameplay using NIH Toolbox tests. Surveys and semi-structured interviews were conducted afterwards, providing both quantitative and qualitative insights into the feasibility and appeal of AAR gameplay from the target population.

Results:

Participants engaged in moderate-to-vigorous physical activity (MVPA) during gameplay, as measured by accelerometers and heart rate monitors. Cognitive assessments revealed significant improvements in visual reasoning, suggesting potential cognitive benefits from a single bout of AAR gameplay. Surveys indicated high levels of motivation, enjoyment, and positive emotions associated with AAR gameplay, with participants appreciating its accessibility and suitability for free-living environments. Interview feedback emphasized the need for adaptable game designs to cater to diverse physical abilities and individual preferences.

Conclusions:

The findings highlight AAR games as a promising tool for providing an accessible and enjoyable alternative for PA and cognitive engagement among older adults. Future research should investigate the long-term effects, sustainability, and broader applicability of AAR interventions to fully realize their potential in enhancing health and well-being in aging populations. Clinical Trial: N/A