Exploring the Benefits of a Multi-Technology Exergaming Platform for Physical and Emotional Well-Being in Older Adults

The growing interest in exergames reflects their potential to address the physical and emotional challenges of older adults. However, existing research has primarily focused on single-technology solutions, limiting adaptability and user engagement. This study evaluates a multi-technology exergaming platform designed for older adults, integrating Kinect motion detection, virtual reality (VR), and a smart floor system to enhance balance, usability, enjoyment, and emotional states. The exergames were developed following a human-centered design approach, incorporating feedback from older adults and health professionals to promote usability, safety, and engagement. Participants engaged in weekly sessions featuring diverse and adaptive exergames targeting balance, strength, and cognitive skills. The six-month study included 30 participants aged 65–80 years, with assessments using validated measures such as the Berg Balance Scale (BBS), the System Usability Scale (SUS), the Physical Activity Enjoyment Scale (PACES), and the Positive and Negative Affect Schedule (PANAS). Results indicated significant improvements in balance (BBS score: +1.99%, p < 0.001) and emotional well-being, with increased positive affect (PA: +4.5%, p = 0.027) and reduced negative affect (NA: −6.4%, p = 0.009). High usability (SUS: 82.8) and enjoyment (PACES: 114.6) scores demonstrated broad acceptance and engagement. Minimal VR sickness was reported. These findings demonstrate the potential of the platform to enhance physical and emotional health, addressing critical needs in active aging.