Abstract
Falls at home are common and potentially fatal for disabled older adults. To address this problem, we created an academic-community partnership involving disabled, urban-dwelling older adults and their families, the housing authority, a Tai Chi master, and a university. We conducted a pilot to assess safety, acceptability, and feasibility of a Wii-based exergame designed to increase disabled older adults' strength and balance. A working prototype was developed and evaluated. Then, we piloted a refined version with 19 disabled urban-dwelling older adults. The program was enjoyable, feasible, and acceptable. Participants described multiple functional improvements. Of the 16 who completed at least three gaming sessions, average balance score increased 25% and gait speed increased 19%. This pilot showed promising results for improving strength and balance in the home setting, and yielded valuable lessons about health technology development with community partners.
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