Jennifer O’Neil PT, PhD (candidate) and Chantal von Schoenberg DPT

Activity 1- In groups of 3-5 tell us about your interaction with technology (5 min)

Physical Activity: What to think about?

Technology : Additional tools for this population Facilitators and barriers

Activity 2- Be creative! (15-20min)

What have we learned?

What is your current

interaction with

technology in your

overall practice?

1

How are you currently

using technology with

the aging population?

2

67 year old, living in a care home, diagnosed with Alzheimer’s, Knee and Hip OA

Inherently lazy, with daily mood change (grumpier and aggressive):

“physio and exercises are stupid, and useless” = refuses to be active

Increased activity was triggered by curiosity and competitiveness

INTENSITY! INTENSITY! INTENSITY!

150 MINUTES/WKMOD-VIGOROUS INTENSITY

STRENGHT 2xWK

In our Tool Box

• Use simulated and controlled environment to

assess, treat and/or practice new behaviours

Virtual

Reality

Types Facilitator/Barriers Implementation?

• Two dimensional screen• Surrounding screen• Immersive head-mounted (mostly

assessments)

Most used:Intervention Nintendo Wii and Xbox Kinect (Choi et al., 2017)

Facilitators: Engaging, improve balance, reduce fear of falling (Jefferis et al., 2012).

Barriers: Cost & Space

Fall prevention programs,

Engagement,

Balance assessment .

• Tools facilitating tracking of activity repetition,

duration, frequency or patterns of physical activity in

an individual’s daily life.

Activity

Tracking

Devices

Types Facilitator/Barriers Implementation?

• Tri-axial sensors (gyroscope, accelerometers, magnetometers)

• Pedometers

Most accurate: tri-axial over pedometers(Cooper et al., 2018)

Facilitators: provide accurate retroaction (Cooper et al., 2018).

Barriers: Age, Motor abilities, cost, gender, site of tracker (Cadmus-Bertram et al., 2015).

Improve self-awareness leading to change in behaviour

• Synchronous supervision can facilitate real-

time assessments, live feedback as well as

improve equity in terms of access to services

Synchronous

Supervision

Types Facilitator/Barriers Implementation?

• Telephone• Videoconference• Text-messaging

Most tailorable: Videoconferencing

Facilitators: Improve access of specialized careBarriers: Speed of internet connection

Can be tailored to each individual (need, culture, language) (Savard et al.2018).

•Asynchronous supervision such as a recorded video

session or online session may be an appropriate tool

to provides some guidance for the individual.

Video-

Recording

Types Facilitator/Barriers Implementation?

• Asynchronous recorded exercises sessions

• Recorded DVD exercises

Facilitators: Low cost, on own time. Barriers: Age- younger older adult (mean age 67) versus older older adult (mean age 76); maintenance of P.A. can be achieved only in the younger members (Fanning et al., 2016).

Facilitate maintenance of PA

• APPs based on behaviour change models can

facilitate the uptake of physical activity.

Smart phone

Applications

Types Facilitator/Barriers Implementation?

• Smart phone • Tablets

Must be grounded in behaviours change theory

Facilitators: free, accessibleBarriers: owning a device, age- use of smartphones 69% in the 55 to 64 years old to only 18% in the 75 years and up (Stats Can. 2017)

Uptake of PA,

Change in behaviorExternal motivation

Activity 2Clinical Problem? Uptake or low physical activity

levels due to:

Proposed active Tx

solution

Individual

characteristics

Implementation

barriers and

facilitators

Solving environmental

barriers

Solving personal

barriers

Evidence behind

technology

Implementation

✓Consider personal factors

✓Collaborate with individual

✓Consider barriers and facilitators

✓Targets the original issue

Physical activity✓Guidelines✓Motion is Lotion ✓Not just about exercising ✓Don’t just sit there

Technology✓Types of tools✓Intervention vs Assessment✓Additional tool vs main

intervention✓Synchronous versus Asynchronous

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https://www.carrotapp.com/home-2/

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