Investigating Movement Confidence in People with Dementia and Mild Cognitive Impairment While Using Motion-based Technology

WHO AND WHAT?

Motion-based technologies (MBT) provide similar benefits to conventional exercises in older adults; more specifically in individuals with mild cognitive impairments (MCI) and dementia. Not only do they provide higher flexibility of use and safety for users, they also have less spatial requirements. In this study, we examined the impact of Xbox Kinect Bowling on the movement confidence among people with dementia and MCI. 

HOW?

Video footage of 35 participants was gathered at the beginning and the end of a 10-week MBT intervention using Xbox Kinect software. Data was analyzed using a coding scheme to evaluate movement confidence in participants. Indicators of movement confidence were specifically identified and changes in these measures were calculated throughout the intervention sessions. 

FINDINGS

We found that all participants were confident using Xbox Kinect Bowling at week 1, which did not change throughout the intervention. Additionally, the percentages of "No Cueing" and "Hip Shifting" (both measured of movement confidence) had significantly increased as the intervention progressed. Increases in the percentages of other movement confidence indicators were also observed; however, no statistical significance was noted.

IMPORTANCE

In this study, we showed the feasibility of using Xbox Kinect Bowling to measure and improve the movement confidence in persons with dementia and MCI.