The Feasibility of an Exergaming Program in Underserved Older African Americans

West J Nurs Res. 2018 Jun;40(6):815-833. doi: 10.1177/0193945916687529. Epub 2017 Jan 8.

Abstract

The study tested the feasibility and efficacy of an exergaming program in underserved older African American communities. The study is a single-group with pre- and posttest design. Twelve female participants ( M age = 64.17 ± 6.74 years) completed an exergaming program once or twice a week for 24 sessions over 14 weeks. Community health workers implemented the program through coaching and supporting mechanisms to motivate participants to exercise. A mixed-methods analysis was used to assess the intervention. After the program, participants showed significant improvements in lower body flexibility ( p = .012), and physical health-related quality of life ( p = .005). Four themes were identified related to the self-reported benefits of the exergaming program: (a) improving health, (b) feeling enjoyment, (c) getting connected, and (d) knowing you. The exergaming program provides an easy-to-implement and potentially effective intervention that can be used in community-directed centers to improve health and well-being in the underserved population.

Keywords: African Americans; community health workers; exergaming; older adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Black or African American / psychology*
  • Community Health Workers / psychology*
  • Exercise*
  • Feasibility Studies
  • Female
  • Health Behavior / physiology
  • Humans
  • Independent Living
  • Middle Aged
  • Program Evaluation / methods*
  • Quality of Life
  • Self Report*
  • Vulnerable Populations