Department of Rehabilitation and Aged Care, Flinders University, Adelaide, South Australia, Australia.
BMC Geriatr. 2011 Oct 20;11:64. doi: 10.1186/1471-2318-11-64.
Interactive video games such as the Nintendo Wii Fit are increasingly used as a therapeutic tool in health and aged care settings however, their acceptability to older people is unclear. The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older people using a discrete choice experiment (DCE) before and after exposure to the intervention.
A DCE was administered to 21 participants in an interview style format prior to, and following several sessions of using the Wii Fit in physiotherapy. The physiotherapist prescribed the Wii Fit activities, supervised and supported the patient during the therapy sessions. Attributes included in the DCE were: mode of therapy (traditional or using the Wii Fit), amount of therapy, cost of therapy program and percentage of recovery made. Data was analysed using conditional (fixed-effects) logistic regression.
Prior to commencing the therapy program participants were most concerned about therapy time (avoiding programs that were too intensive), and the amount of recovery they would make. Following the therapy program, participants were more concerned with the mode of therapy and preferred traditional therapy programs over programs using the Wii Fit.
The usefulness of the Wii Fit as a therapy tool with hospitalised older people is limited not only by the small proportion of older people who are able to use it, but by older people's preferences for traditional approaches to therapy. Mainstream media portrayals of the popularity of the Wii Fit with older people may not reflect the true acceptability in the older hospitalised population.
互动视频游戏，如任天堂 Wii Fit，越来越多地被用作健康和老年护理环境中的治疗工具，但其在老年人中的可接受性尚不清楚。本研究的目的是使用离散选择实验（DCE）在接触干预措施前后确定任天堂 Wii Fit 作为住院老年人治疗工具的可接受性。
在接受 Wii Fit 物理治疗几次后，以访谈形式向 21 名参与者进行 DCE。物理治疗师规定了 Wii Fit 活动，在治疗期间对患者进行监督和支持。DCE 中的属性包括：治疗模式（传统或使用 Wii Fit）、治疗量、治疗计划的成本和恢复百分比。使用条件（固定效应）逻辑回归分析数据。
在开始治疗计划之前，参与者最关心的是治疗时间（避免过于密集的治疗方案）和他们将获得的恢复量。在治疗计划之后，参与者更关心治疗模式，并更喜欢传统的治疗方案，而不是使用 Wii Fit 的方案。
Wii Fit 作为住院老年人治疗工具的实用性不仅受到能够使用它的老年人比例较小的限制，还受到老年人对传统治疗方法的偏好的限制。主流媒体对老年人中 Wii Fit 普及的描述可能并不反映住院老年人中真正的可接受性。
