Institute of Psychology, Heidelberg University, Heidelberg, Germany.
Network Aging Research, Heidelberg University, Heidelberg, Germany.
Exp Aging Res. 2024 Oct-Dec;50(5):692-704. doi: 10.1080/0361073X.2023.2256630. Epub 2023 Sep 13.
Age simulation suits are increasingly used in health care education. However, empirical evidence that quantifies the simulated performance losses in established geriatric tests and compares those declines with reference data of older adults is scarce.
In a standardized lab setting, we compared performance of = 61 participants (46 middle-aged, 15 young adults) with and without age simulation suit, for example in the Timed Up and Go Test (+dual task), Short Physical Performance Battery, grip strength, and 30-Second-Chair- Standing Test. Additionally, we compared the results with suit to established reference values of older adults in different age groups.
Reduced performance was observed in both groups when wearing the suit, yet to different degrees dependent on the assessment and user age. For one, larger declines were observed in more challenging and complex tasks across age groups. In addition, comparisons with reference values revealed age-differential "instant aging" effects.
A simulated "fourth age," where frailty and impairments are accumulating, was not reached in the majority of assessments, especially not among younger participants. In conclusion, existing age simulation suits may have some educational and empathy potential, but so far, they fail in simulating the age period with most serious functional loss.
年龄模拟服在医疗保健教育中越来越多地被使用。然而,对于在既定老年测试中量化模拟表现损失并将这些下降与老年人的参考数据进行比较的经验证据还很少。
在标准化的实验室环境中,我们比较了 61 名参与者(46 名中年,15 名年轻成年人)在穿着年龄模拟服和不穿年龄模拟服时的表现,例如在计时起立行走测试(+双重任务)、简短身体表现电池、握力和 30 秒椅子站立测试中的表现。此外,我们将结果与不同年龄组的老年人的既定参考值进行了比较。
当穿着模拟服时,两个组的表现都有所下降,但下降的程度取决于评估和使用者的年龄。一方面,在所有年龄组中,更具挑战性和复杂性的任务的下降幅度更大。此外,与参考值的比较显示出年龄差异的“即时老化”效应。
在大多数评估中,模拟的“第四年龄”,即虚弱和损伤积累的阶段,并没有达到,尤其是在年轻参与者中。总之,现有的年龄模拟服可能具有一些教育和同理心的潜力,但到目前为止,它们还无法模拟功能丧失最严重的年龄段。