Accepted for/Published in: JMIR Formative Research
Date Submitted: Mar 6, 2025
Date Accepted: Oct 24, 2025
Using video feedback and movement analysis to facilitate physical functioning for older adults living at home: exploring health care professionals’ perspectives with a co-design approach
ABSTRACT
Background:
Maintaining and motivating physical functioning among older adults has substantial health-related benefits, such as reducing the risk of falls and increasing the opportunities for independent living. Supporting preventative actions among older adults also has socioeconomic relevance. Previous studies have shown that digital tools involving video feedback can facilitate reflection and learning by encouraging active engagement.
Objective:
The study aimed to explore health care professionals’ experiences of using a video-based tool as part of the rehabilitation, to facilitate physical functioning among older adults (≥65 years) living at home.
Methods:
An experience-based co-design approach was employed, involving 20 health care professionals. Nine iterative workshops were conducted, followed by nine group interviews in 2022–2023. The data were analyzed using reflexive thematic analysis as described by Braun and Clarke.
Results:
The results from this study captured the experiences of health care professionals using a video-based tool to facilitate physical functioning in older adults living at home. The participants described a focus on supporting patient commitment, creating a shared language in the context of collaboration in the rehabilitation process, as well as trying to navigate thresholds to adopting the video-based tool into practice.
Conclusions:
From the perspective of health care professionals, video feedback has the potential to improve movement performance in daily activities and may play a crucial role in providing motivation and promoting sustainable physical functioning among older adults. Clinical recommendations include training health care professionals to introduce video feedback in a patient-centered manner and using it to foster shared communication that promotes professional development and patient engagement. Further research is needed to assess the impact of video-feedback on older adults’ health outcomes and to identify strategies for implementation in complex rehabilitation needs.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.