KMID : 1104420240350010010
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Research in Community and Public Health Nursing 2024 Volume.35 No. 1 p.10 ~ p.21
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Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study
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Chae Duck-Hee
Keiko Asami Kim Ja-Seon Kim Kuk-Hyeon Ryu Jee-Heon Ardith Z. Doorenbos
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Abstract
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Purpose: To sustain behavior change, an intervention strategy that considers the contribution of affect to daily physical activity behavior regulation is needed. Although virtual reality-based physical activity interventions have the potential to improve emotional status, interventions using virtual reality videos in a free-living environment are lacking. This pilot study assessed the feasibility and preliminary efficacy of a home-based intervention using 360-degree virtual videos and wearable activity trackers to improve mood and physical activity.
Methods: A one-group pilot study of 12 middle-aged migrant women asked participants to watch virtual reality videos and perform moderate-intensity walking 5 days per week for 4 weeks, then complete surveys and focus group interviews. The intervention¡¯s feasibility and preliminary efficacy were assessed by examining recruitment, retention, adherence, acceptability, mood, physical activity, and exercise self-efficacy.
Results: A word-of-mouth approach was effective for recruiting participants. Although the weekly intervention adherence rate ranged from 53.5% to 83.5%, retention (92.3%) and acceptability (91.7%) were high. Participants were satisfied with the ¡°visual status indicators,¡± ¡°sense of accomplishment and confidence,¡± ¡°emotional engagement and sense of presence,¡± ¡°joy from exercise,¡± ¡°external motivation through supervision,¡± ¡°easy to control virtual reality device,¡± and ¡°extra benefits¡± of the intervention. Participants had significant decreases in negative affect (p=.016). Positive affect, physical activity, and exercise self-efficacy showed trends toward improvement.
Conclusion: This home-based intervention employing virtual reality videos and Fitbit activity trackers is feasible and shows preliminary efficacy in improving mood. Further research is warranted to evaluate its effectiveness in a more rigorous randomized controlled trial.
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KEYWORD
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Affect, Exercise, Migrant, Virtual reality, Women
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