title: Understanding the Wii Exergames Use: Voices from Assisted Living Residents.
abstract: OBJECTIVE
  The study was to understand the facilitators and barriers to exercise using exergames among assisted living residents, particularly in the area of cognitive, physical, and psychosocial effects.
  
  
  METHODS
  Self-efficacy theory was incorporated into the design of the Wii Fit exergaming program.
  
  
  METHODS
  Fifteen participants (mean age: 87.07 ± 3.92) received the program twice a week for 4 weeks. Semi-structural individual interview was conducted after the program. Interview responses were analyzed using basic content analysis methods.
  
  
  RESULTS
  Five themes emerged that facilitated participants? desire to exercise: (1) health and mobility; (2) increased alertness; (3) elevated mindset; (4) social interaction; and (5) structured program. Barriers to engage in exercise included: (1) age- or health-related impairments to exercise; and (2) unpleasant experiences related to exercise.
  
  
  CONCLUSIONS
  An intervention incorporating self-efficacy and Wii exergames did result in the identification of cognitive, physical, and psychosocial benefits and barriers to exercise.
authors.affiliation: Rutgers, The State University of New Jersey, Newark, NJ, USA. yingyu.chao@rutgers.edu.
authors.forename: Ying-Yu
authors.initials: YY
authors.lastname: Chao
authors.affiliation: Elmira College, Elmira, NY, USA.
authors.forename: Kathleen T
authors.initials: KT
authors.lastname: Lucke
authors.affiliation: School of Nursing, University at Buffalo, Buffalo, NY, USA.
authors.forename: Yvonne K
authors.initials: YK
authors.lastname: Scherer
authors.affiliation: School of Nursing, University at Buffalo, Buffalo, NY, USA.
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Montgomery
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities / Q000458:organization & administration; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D009042:Motivation; D009742:Nursing Theory; D010865:Pilot Projects; D019145:Rehabilitation Nursing / Q000379:methods; D020377:Self Efficacy; D018910:Video Games / Q000639:trends*
keywords: Exergames; older adults; physical activity; self-efficacy theory