Huang Chiu-Mieh, Huang Su-Fei, Chen Yu-Ting, Chang Ching-Hao, Chien Hsiu-Chun, Chang Ying-Jie, Huang Kuei-Yu, Guo Jong-Long
Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Department of Intelligent Technology and Long-Term Care, MacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan.
Digit Health. 2025 Jan 6;11:20552076241312576. doi: 10.1177/20552076241312576. eCollection 2025 Jan-Dec.
Improving cognitive function in healthy older adults is a global concern. Cognitive training delays mental deterioration. The utilization of robots and board games for aiding older adults in cognitive training represents a prominent technological trend and is a subject of meriting investigation.
This study evaluates the acceptability and factors influencing the continuous usage intention of a robot-assisted board game (RABG) for cognitive training in community-dwelling older adults based on the decomposed theory of planned behavior (DTPB).
In this explanatory study, we developed an RABG with six educational modules. The experiences of 126 older adults recruited from northern Taiwan who completed the program were assessed using a DTPB-based questionnaire. Partial least-squares structural equation modeling was used to examine the correlations.
The results demonstrate the DTPB's sufficient fitness and 79.9% explanatory power for the continuous usage intention of the RABG, confirming the effectiveness of the proposed structural model. Perceived usefulness positively affected attitude and continuous usage intention, indicating that perceived usefulness is critical in promoting older adults' continuous usage intention. The interpersonal influence was a major antecedent of subjective norms. Self-efficacy affects perceived behavioral control. Attitudes and perceived behavioral control affected users' intentions to use the RABG.
Our findings support the applicability of the DTPB in evaluating RABGs for cognitive training in older adults, suggesting its potential integration in future interventions.
改善健康老年人的认知功能是一个全球性问题。认知训练可延缓智力衰退。利用机器人和棋盘游戏辅助老年人进行认知训练是一个突出的技术趋势，值得研究。
本研究基于计划行为分解理论（DTPB），评估社区居住老年人对用于认知训练的机器人辅助棋盘游戏（RABG）的可接受性以及影响其持续使用意愿的因素。
在这项解释性研究中，我们开发了一个包含六个教育模块的RABG。使用基于DTPB的问卷对从台湾北部招募的126名完成该项目的老年人的体验进行评估。采用偏最小二乘结构方程模型来检验相关性。
结果表明DTPB对RABG的持续使用意愿具有足够的拟合度和79.9%的解释力，证实了所提出结构模型的有效性。感知有用性对态度和持续使用意愿有积极影响，表明感知有用性在促进老年人持续使用意愿方面至关重要。人际影响是主观规范的主要前因。自我效能影响感知行为控制。态度和感知行为控制影响用户使用RABG的意愿。
我们的研究结果支持DTPB在评估用于老年人认知训练的RABG方面的适用性，表明其在未来干预措施中潜在的整合作用。
