By CAFMI From Journal of Medical Internet Research (Open Access)
User Needs in Elder Fitness Technologies
Elder fitness technologies have become increasingly important as the global population ages. These technologies include wearable devices, mobile apps, exergames, and remote monitoring platforms designed to help older adults maintain physical activity, monitor health, and support overall wellness. This review analyzed 56 studies published between 2014 and 2024 to assess how well these tools meet elder users’ specific needs and preferences. The findings reveal that while basic functionality generally meets elder user requirements, several critical gaps remain. Most notably, interfaces often lack customization options and are not always adapted to the cognitive and physical limitations common among older adults. Such limitations may include small text sizes, complicated navigation schemas, and insufficient feedback mechanisms tailored to elder users’ understanding and comfort levels.
Design and Usability Challenges
Many elder fitness technologies have design flaws affecting usability and accessibility. The review highlights frequent issues such as small fonts, complex navigation paths, and minimal options for personalization, which can hinder adoption and sustained engagement. User preferences emphasize the need for simplicity, clear and timely feedback, and motivating elements that foster continued use. Social interaction features were also noted as valuable by older users, helping to maintain motivation through connection and support. Despite the availability of these technologies, a lack of comprehensive customization and adaptability restricts their potential impact.
Clinical Implications and Future Directions
For primary care clinicians, understanding these findings is vital in recommending elder fitness technologies that patients are more likely to use effectively. Adoption depends greatly on how well the technology suits the individual’s physical, cognitive, and motivational needs. Clinicians should advocate for solutions that prioritize inclusive design and social engagement, which can enhance patient adherence and wellness outcomes. The review stresses the importance of developing elder-centered policies and design standards to guide future technology innovation. Emphasizing user-centered design will likely improve both satisfaction and long-term health benefits for older adults using fitness technologies.
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