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Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative

Rachel L. Knight Orcid Logo, Kelly Mackintosh Orcid Logo, Andrea Tales Orcid Logo, Ralph Maddison Orcid Logo, Emily J. Oliver Orcid Logo, Deborah Morgan Orcid Logo, Melitta McNarry Orcid Logo

Journal of Ageing and Longevity, Volume: 5, Issue: 4, Start page: 55

Swansea University Authors: Kelly Mackintosh Orcid Logo, Andrea Tales Orcid Logo, Deborah Morgan Orcid Logo, Melitta McNarry Orcid Logo

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DOI (Published version): 10.3390/jal5040055

Abstract

Assistive technologies are increasingly promoted to mitigate age-related declines in cognitive and physical function. Given high levels of sedentary behaviour in older adult care-home residents, technologies promoting physical activity may be beneficial. However, there is little evidence concerning...

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Published in: Journal of Ageing and Longevity
ISSN: 2673-9259
Published: MDPI AG 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa71129
first_indexed 2025-12-11T09:38:48Z
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Given high levels of sedentary behaviour in older adult care-home residents, technologies promoting physical activity may be beneficial. However, there is little evidence concerning their implementation, evaluation, use, and effects in care-home settings. This evidence gap is particularly notable in terms of the perspectives and experiences of care-home staff. This narrative reflects on insights gained from exploring key feasibility factors related to delivering an immersive cycling intervention in residential care homes from the perspective of care-home staff. Contemporaneous field notes, conversations with care-home managers and staff, and a discussion group involving six care-home staff and one care-home management group representative, as part of a workshop event, identified that standard research timescales and designs may be unsuitable for this research type, highlighting the need for comprehensive community engagement. Cultural and sector-wide considerations of risk and sensitivity to staffing and wider resource pressures are needed to determine optimal technology implementation and use. While assistive physical activity-focused technologies have potential benefits for adult care-home residents, especially those with cognitive impairment, their implementation and use in research and practice require careful planning. Flexible data collection and research designs that capture implementation processes and how participants&#x2019; use varies in dynamic contexts are required. Technologies that require high levels of staff supervision are often impractical. 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spelling 2026-01-09T10:08:33.3321457 v2 71129 2025-12-11 Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 9b53a866ddacb566c38ee336706aef5f 0000-0003-4825-4555 Andrea Tales Andrea Tales true false 6ab809844c56957c0e9773518a251516 0000-0002-3107-3945 Deborah Morgan Deborah Morgan true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2025-12-11 EAAS Assistive technologies are increasingly promoted to mitigate age-related declines in cognitive and physical function. Given high levels of sedentary behaviour in older adult care-home residents, technologies promoting physical activity may be beneficial. However, there is little evidence concerning their implementation, evaluation, use, and effects in care-home settings. This evidence gap is particularly notable in terms of the perspectives and experiences of care-home staff. This narrative reflects on insights gained from exploring key feasibility factors related to delivering an immersive cycling intervention in residential care homes from the perspective of care-home staff. Contemporaneous field notes, conversations with care-home managers and staff, and a discussion group involving six care-home staff and one care-home management group representative, as part of a workshop event, identified that standard research timescales and designs may be unsuitable for this research type, highlighting the need for comprehensive community engagement. Cultural and sector-wide considerations of risk and sensitivity to staffing and wider resource pressures are needed to determine optimal technology implementation and use. While assistive physical activity-focused technologies have potential benefits for adult care-home residents, especially those with cognitive impairment, their implementation and use in research and practice require careful planning. Flexible data collection and research designs that capture implementation processes and how participants’ use varies in dynamic contexts are required. Technologies that require high levels of staff supervision are often impractical. Implications for researchers, developers, and care-home operators are discussed with respect to improved informed decision-making and implementation. Journal Article Journal of Ageing and Longevity 5 4 55 MDPI AG 2673-9259 assistive technology; ageing; physical activity; research methodology/design; cognition 12 12 2025 2025-12-12 10.3390/jal5040055 Opinion COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Not Required This work was supported by a grant from The Sir Halley Stewart Trust [grant number: 2929]. 2026-01-09T10:08:33.3321457 2025-12-11T09:31:34.1187250 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Rachel L. Knight 0000-0002-9181-2615 1 Kelly Mackintosh 0000-0003-0355-6357 2 Andrea Tales 0000-0003-4825-4555 3 Ralph Maddison 0000-0001-8564-5518 4 Emily J. Oliver 0000-0002-1795-8448 5 Deborah Morgan 0000-0002-3107-3945 6 Melitta McNarry 0000-0003-0813-7477 7 71129__35941__307a152b7faf48b58b24637f6169b890.pdf 71129.VOR.pdf 2026-01-09T10:06:20.2712735 Output 193052 application/pdf Version of Record true © 2025 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. true eng https://creativecommons.org/licenses/by/4.0/
title Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
spellingShingle Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
Kelly Mackintosh
Andrea Tales
Deborah Morgan
Melitta McNarry
title_short Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
title_full Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
title_fullStr Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
title_full_unstemmed Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
title_sort Technology-Driven Physical Activity Research in Care Homes: A Reflective Narrative
author_id_str_mv bdb20e3f31bcccf95c7bc116070c4214
9b53a866ddacb566c38ee336706aef5f
6ab809844c56957c0e9773518a251516
062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
9b53a866ddacb566c38ee336706aef5f_***_Andrea Tales
6ab809844c56957c0e9773518a251516_***_Deborah Morgan
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Kelly Mackintosh
Andrea Tales
Deborah Morgan
Melitta McNarry
author2 Rachel L. Knight
Kelly Mackintosh
Andrea Tales
Ralph Maddison
Emily J. Oliver
Deborah Morgan
Melitta McNarry
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container_volume 5
container_issue 4
container_start_page 55
publishDate 2025
institution Swansea University
issn 2673-9259
doi_str_mv 10.3390/jal5040055
publisher MDPI AG
college_str Faculty of Science and Engineering
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department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description Assistive technologies are increasingly promoted to mitigate age-related declines in cognitive and physical function. Given high levels of sedentary behaviour in older adult care-home residents, technologies promoting physical activity may be beneficial. However, there is little evidence concerning their implementation, evaluation, use, and effects in care-home settings. This evidence gap is particularly notable in terms of the perspectives and experiences of care-home staff. This narrative reflects on insights gained from exploring key feasibility factors related to delivering an immersive cycling intervention in residential care homes from the perspective of care-home staff. Contemporaneous field notes, conversations with care-home managers and staff, and a discussion group involving six care-home staff and one care-home management group representative, as part of a workshop event, identified that standard research timescales and designs may be unsuitable for this research type, highlighting the need for comprehensive community engagement. Cultural and sector-wide considerations of risk and sensitivity to staffing and wider resource pressures are needed to determine optimal technology implementation and use. While assistive physical activity-focused technologies have potential benefits for adult care-home residents, especially those with cognitive impairment, their implementation and use in research and practice require careful planning. Flexible data collection and research designs that capture implementation processes and how participants’ use varies in dynamic contexts are required. Technologies that require high levels of staff supervision are often impractical. Implications for researchers, developers, and care-home operators are discussed with respect to improved informed decision-making and implementation.
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