Wendy Rodger, Kerby Centre Senior Manager Information, Education and Recreation September 14, 2012
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1 Wendy Rodger, Kerby Centre Senior Manager Information, Education and Recreation September 14, 2012
2 WHAT YOU WILL LEARN?? Goals of Wii Balance Anticipated Results of each year Learnings from each year Conclusions from each year Recommendations from each year Wii Balance manual
3 WII BALANCE PROJECT 3 year ACICR project with learnings built on each year 1 year project to develop a user manual Target group: older adults aged 55+ community dwelling independent
4 WII BALANCE GOALS 1. Increase awareness of fall prevention strategies Stride length Foot wear Base of support
5 2. Increase physical activity WII BALANCE GOALS
6 3. Increase self confidence in daily living activities WII BALANCE GOALS
7 4. Increase in muscular strength, flexibility, agility and balance WII BALANCE GOALS
8 PURPOSE OF THE PROJECT YEAR 1 Increase in physical activity, balance, selfconfidence and socialization in different avenue than normal daily living
9 ANTICIPATED RESULTS ROM of shoulders, wrists, hips, knees & ankles application of techniques in ADLs Effective use of Wii as a tool to enhance balance, mobility & agility in physical activity
10 PHASE 1 - TESTING Pre and post testing Balance Efficacy Scale Seniors Fitness Test (6 exercises) Dynamometer Mid and final evaluations
11 WII SPORTS - BOWLING
12 WII SPORTS - TENNIS
13 WII SPORTS - GOLF
14 WII SPORTS - BASEBALL
15 WII SPORTS - BOXING
16 LEARNINGS FROM PHASE 1 Most effective in twos or singles System is highly adaptable for different functional levels More fit do realize benefits on ADLs and other activities
17 LEARNINGS FROM PHASE 1 Speed of play is issue for frail Technology issues Transfer of skill from real to virtual games More education on risk factors for falling
18 LEARNINGS FROM PHASE 1 (CONT) Learning curve for games Wii Sports for dynamic balance Wii Fit for static balance and body awareness
19 LEARNINGS FROM PHASE 1 Tracking of scores manually for future reference. Games provide mechanism to increase body awareness and centre of gravity
20 PHASE 1 EVALUATION - CONCLUSIONS Small sample size Qualitative data indicated a positive effect on balance feeling of better balance in ADLs understanding of balance
21 PHASE 1 EVALUATION - RECOMMENDATIONS Stricter adherence to post-testing ADLs were being re-assessed with balance competency in mind
22 PHASE 2 EVALUATION - CONCLUSIONS More training for trainers on proper body alignment & balance Streamlined reporting systems (charts)
23 PHASE 2 ANTICIPATED RESULTS confidence in ADLs in skill in games and enjoyment hand/eye coordination in flexibility, MS, coordination and balance
24 PHASE 2 ANTICIPATED RESULTS body awareness & impact on daily living in problem solving in games in socialization with peers & others Effectiveness of non-fitness trainer
25 PHASE 2 - TESTING Pre and post testing Seniors Fitness Test Fullerton Short Form Advanced Balance Test Dynamometer Mid term and final evaluations
26 WII FIT - HULA HOOP
27 WII FIT - SKI JUMP
28 WII FIT - STRENGTH TRAINING
29 WII FIT - YOGA
30 PHASE 2 - LEARNINGS More want single sessions Teach how to work system Charge a nominal fee for ownership We all learn in different ways
31 PHASE 2 - LEARNINGS Learning curve for Wii Fit activities More than one/wk sessions needed for some Commitment of trainers to program
32 PHASE 2 - LEARNINGS Important to go back & play Wii Sports so progress can be seen Combo of games and balance activities works
33 PHASE 3 - LEARNINGS Participants value the training Body testing in Wii Fit is valuable to participants
34 PHASE 2 EVALUATIONS - CONCLUSIONS Recognize the connection between increased balance & confidence in ADLs. Increased opportunities for socialization with peers and family - beating grandson at bowling
35 PHASE 2 EVALUATION - CONCLUSIONS Not possible to conclude that Nintendo Wii fixes balance problems Limitations of study sample size, socialization tool, testing, reliable tests
36 PHASE 2 EVALUATION - RECOMMENDATIONS Well designed and well implemented Revisions to progress charts Capitalize on teaching moments (bus) Generational appeal
37 PHASE 3 ANTICIPATED RESULTS confidence in daily living activities Maintain or scores on flexibility, muscular strength, agility and balance in awareness of components of balance training and risk factors for fall prevention
38 PHASE 3 - TESTING Pre and post testing Seniors Fitness Test Fullerton Short Form Advanced Balance test Dynamometer Knowledge, Attitude and Behaviour Questionnaire
39 PHASE 3 - LEARNINGS Socialization aspect with men Non-dominant hand training More responsibility to choose activities in sessions Joined other exercise programs at Kerby Centre Joined new Fit Room (Feb, 2011)
40 PHASE 3 - LEARNINGS Real value to the training 2 sessions/wk, one self-directed Self referral to Fall Clinic by one user Enjoyed testing and the comparison of results in the games and activities
41 PHASE 3 EVALUATION -CONCLUSIONS Quantitative data is inclusive due to small sample size and inconsistent reporting Qualitative results provide valuable insight into benefits and perceived benefits
42 PHASE 3 EVALUATION - CONCLUSIONS awareness of importance of balance training confidence in balance activities in flexibility, concentration and confidence in ADLs
43 PHASE 3 EVALUATION - CONCLUSIONS Multi-faceted: Social benefits Physical benefits Cognitive benefits Enjoyment of games/activities
44 PHASE 3 EVALUATION - RECOMMENDATIONS Project should continue and expand. Additional resources needed Important need for programs Self-efficacies Balance Flexibility Fall prevention Social support
45 WII BALANCE MANUAL User s manual for professionals and older adults Advisory committee was struck content and editorial
46 Purpose: From the learnings of phases 1 & 2 share with others in an accessible format. 2 Workshops were held to share. WII BALANCE MANUAL
47 WII BALANCE MANUAL WHAT S IN IT! Introduction on Balance Why use the Wii Lots of photos Wii remote with what each button does Models doing the activities/sports Screen prints of the games and activities
48 Charts Skill Development progressions Training Activities Testing Forms Evaluation WII BALANCE MANUAL
49 Nintendo Wii manuals were not user-friendly or complete enough for many of the seniors. 200 copies were produced. WII BALANCE MANUAL
50 Workshop held for launch in November, 2011 Evaluations from workshop were excellent WII BALANCE MANUAL
51 Evaluation Feedback form was sent by mail or to all who received the manual for feedback on user friendliness, effectiveness of manual, WII BALANCE MANUAL
52 WII BALANCE MANUAL Available in print Available off the Kerby Centre website
53 CONTACT INFORMATION Wendy Rodger (403)
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