Hwang Suyoung, Kim Hyunmoon, Yi Eun-Surk
Department of Exercise Rehabilitation & Welfare, Gachon University, Incheon 21936, Republic of Korea.
Department of IT Policy and Management, Soongsil University, 369, Sangdo-ro, Dongjak-gu, Seoul 06978, Republic of Korea.
Healthcare (Basel). 2025 Aug 29;13(17):2157. doi: 10.3390/healthcare13172157.
The global acceleration of population aging presents profound challenges to the physical, psychological, and social well-being of older adults. As traditional exercise programs face limitations in accessibility, personalization, and sustained social support, there is a critical need for innovative, inclusive, and community-integrated digital movement solutions. This study aimed to develop and evaluate Movement Poomasi, a hybrid digital healthcare application designed to promote physical activity, improve digital accessibility, and strengthen social connectedness among older adults. From March 2023 to November 2023, Movement Poomasi was developed through an iterative user-centered design process involving domain experts in physical therapy and sports psychology. In this study, the term UI/UX-short for user interface and user experience-refers to the overall design and interaction framework of the application, encompassing visual layout, navigation flow, accessibility features, and user engagement optimization tailored to older adults' sensory, cognitive, and motor characteristics. The application integrates adaptive exercise modules, senior-optimized UI/UX, voice-assisted navigation, and peer-interaction features to enable both home-based and in-person movement engagement. A two-phase usability validation was conducted. A 4-week pilot test with 15 older adults assessed the prototype, followed by a formal 6-week study with 50 participants (≥65 years), stratified by digital literacy and activity background. Quantitative metrics-movement completion rates, session duration, and engagement with social features-were analyzed alongside semi-structured interviews. Statistical analysis included ANOVA and regression to examine usability and engagement outcomes. The application has continued iterative testing and refinement until May 2025, and it is scheduled for re-launch under the name Wello! in August 2025. Post-implementation UI refinements significantly increased navigation success rates (from 68% to 87%, = 0.042). ANOVA revealed that movement selection and peer-interaction tasks posed greater cognitive load ( < 0.01). A strong positive correlation was found between digital literacy and task performance ( = 0.68, < 0.05). Weekly participation increased by 38%, with 81% of participants reporting enhanced social connectedness through group challenges and hybrid peer-led meetups. Despite high satisfaction scores (mean 4.6 ± 0.4), usability challenges remained among low-literacy users, indicating the need for further interface simplification. The findings underscore the potential of hybrid digital platforms tailored to older adults' physical, cognitive, and social needs. Movement Poomasi demonstrates scalable feasibility and contributes to reducing the digital divide while fostering active aging. Future directions include AI-assisted onboarding, adaptive tutorials, and expanded integration with community care ecosystems to enhance long-term engagement and inclusivity.
全球人口老龄化加速给老年人的身体、心理和社会福祉带来了严峻挑战。由于传统运动项目在可及性、个性化和持续社会支持方面存在局限性,因此迫切需要创新、包容且融入社区的数字运动解决方案。本研究旨在开发并评估Movement Poomasi,这是一款混合式数字医疗应用程序,旨在促进老年人的身体活动、提高数字可及性并增强社会联系。2023年3月至2023年11月,Movement Poomasi通过以用户为中心的迭代设计过程开发而成,该过程涉及物理治疗和运动心理学领域的专家。在本研究中,术语UI/UX(用户界面和用户体验的缩写)指的是应用程序的整体设计和交互框架,包括视觉布局、导航流程、可及性特征以及根据老年人的感官、认知和运动特征进行优化的用户参与度。该应用程序集成了自适应运动模块、针对老年人优化的UI/UX、语音辅助导航和同伴互动功能,以实现居家和线下运动参与。进行了两阶段的可用性验证。对15名老年人进行了为期4周的试点测试以评估原型,随后对50名参与者(≥65岁)进行了为期6周的正式研究,参与者按数字素养和活动背景分层。对运动完成率、课程时长和社交功能参与度等定量指标进行了分析,并结合了半结构化访谈。统计分析包括方差分析和回归分析,以检验可用性和参与度结果。该应用程序持续进行迭代测试和优化,直至2025年5月,并计划于2025年8月以Wello!的名称重新推出。实施后的UI改进显著提高了导航成功率(从68%提高到87%,P = 0.042)。方差分析显示,运动选择和同伴互动任务带来了更大的认知负荷(P < 0.01)。发现数字素养与任务表现之间存在强正相关(r = 0.68,P < 0.05)。每周参与度提高了38%,81%的参与者报告称通过小组挑战和混合式同伴主导的聚会增强了社会联系。尽管满意度得分很高(平均4.6 ± 0.4),但低素养用户仍存在可用性挑战,这表明需要进一步简化界面。研究结果强调了针对老年人身体、认知和社会需求量身定制的混合数字平台的潜力。Movement Poomasi展示了可扩展的可行性,并有助于缩小数字鸿沟,同时促进积极老龄化。未来的方向包括人工智能辅助的入门引导、自适应教程以及与社区护理生态系统的扩展集成,以增强长期参与度和包容性。