The Social Effects of Exergames on Older Adults: A Systematic Review and Metric Analysis

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Background: Recently, many studies have been conducted to investigate the effects of exergames on the social well-being among older adults.Objective: The aim of this paper is to synthesise existing studies and provide an overall picture on the social effects of exergames on older adults. Methods:A comprehensive literature search with inclusive criteria was conducted in major social science bibliographic databases.The characteristics exergames, participants, methodology, as well as outcome measurements were extracted from the relevant studies included in the review.The bibliometric and altmetric outreach of the included studies were also investigated.Results: A total of 10 studies were included in the review, with 8 studies having applied Nintendo"s Wii platform.Most of the studies recruited healthy older adults from local communities or senior activity centers.Three groups of social-related outcomes have been identified, including emotion-related, behaviorrelated, and attitude-related outcomes.A metric analysis has shown that the emotion-related and behavior-related outcomes received high attention from both the academic community and social media platforms.Conclusions: Overall, the majority of exergame studies demonstrated promising results for enhanced social well-being, such as reduction of loneliness, increased social connection and positive attitudes towards others.The paper also provided implications for healthcare researchers and exergame designers.