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2025 ; 22
(1
): 18
Nephropedia Template TP
gab.com Text
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English Wikipedia
Requirements of health professionals and affected persons for an App-based
dual-task training for hearing impaired older adults - a Delphi survey
#MMPMID41131509
Wollesen B
; Ambrens M
; Wunderlich A
; Delbaere K
Eur Rev Aging Phys Act
2025[Oct]; 22
(1
): 18
PMID41131509
show ga
BACKGROUND: Age-related hearing impairments significantly impact social
interactions and physical activities for older adults. Recent studies have
highlighted potential benefits of cognitive-motor training but lack specificity
regarding the unique needs of this population. This study aimed to determine the
preferences and specific needs of older adults with hearing impairments to
develop tailored cognitive-motor training systems. METHODS: A three-round Delphi
survey was conducted involving health and exercise professionals (round 1:
n?=?18; round 2: n?=?12; round 3: n?=?11) and older adults with hearing
impairments (round 1: n?=?18; round 2: n?=?14; round 3: n?=?15). Round 1
collected qualitative input; rounds 2 and 3 assessed relevance and agreement of
the items (??70% agreement) using structured questions. Descriptive Statistics
analyses and one-way ANOVA were used to compare responses between expert and user
responses. RESULTS: The study gathered 570 responses that were clustered in 148
items and 35 were removed due to low relevance. Key themes included app features,
exercise characteristics, especially dual-task combinations, feedback and
monitoring, as well as barriers and facilitators. While revealing a high level of
consensus the data showed significant differences between the groups. For
example, in the preference for training types, health professionals differed from
hearing-impaired participants. While professionals emphasised the integration of
sensory challenges and dual-task exercises, participants preferred less demanding
physical activities and those incorporating music or ambient sounds. Strength
exercises and prescribed frequent sessions were deemed less feasible, indicating
a preference for more adaptable and enjoyable training regimes. CONCLUSIONS:
Digital dual-task training programs for hearing-impaired older adults should be
tailored to individual capabilities and preferences. Programs that are flexible,
easy to use and support autonomy may promote greater engagement. Integrating
sensory accommodation and user-centred design could enhance physical and
cognitive outcomes, contributing to improved independence and quality of life.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material
available at 10.1186/s11556-025-00386-7.