Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training

Background Improving cognitive function in healthy older adults is a global concern. Cognitive training delays mental deterioration. The utilization of robots and board games for aiding older adults in cognitive training represents a prominent technological trend and is a subject of meriting investi...

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Main Authors: Chiu-Mieh Huang, Su-Fei Huang, Yu-Ting Chen, Ching-Hao Chang, Hsiu-Chun Chien, Ying-Jie Chang, Kuei-Yu Huang, Jong-Long Guo
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241312576
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author Chiu-Mieh Huang
Su-Fei Huang
Yu-Ting Chen
Ching-Hao Chang
Hsiu-Chun Chien
Ying-Jie Chang
Kuei-Yu Huang
Jong-Long Guo
author_facet Chiu-Mieh Huang
Su-Fei Huang
Yu-Ting Chen
Ching-Hao Chang
Hsiu-Chun Chien
Ying-Jie Chang
Kuei-Yu Huang
Jong-Long Guo
author_sort Chiu-Mieh Huang
collection DOAJ
description Background Improving cognitive function in healthy older adults is a global concern. Cognitive training delays mental deterioration. The utilization of robots and board games for aiding older adults in cognitive training represents a prominent technological trend and is a subject of meriting investigation. Objective This study evaluates the acceptability and factors influencing the continuous usage intention of a robot-assisted board game (RABG) for cognitive training in community-dwelling older adults based on the decomposed theory of planned behavior (DTPB). Methods In this explanatory study, we developed an RABG with six educational modules. The experiences of 126 older adults recruited from northern Taiwan who completed the program were assessed using a DTPB-based questionnaire. Partial least-squares structural equation modeling was used to examine the correlations. Results The results demonstrate the DTPB's sufficient fitness and 79.9% explanatory power for the continuous usage intention of the RABG, confirming the effectiveness of the proposed structural model. Perceived usefulness positively affected attitude and continuous usage intention, indicating that perceived usefulness is critical in promoting older adults’ continuous usage intention. The interpersonal influence was a major antecedent of subjective norms. Self-efficacy affects perceived behavioral control. Attitudes and perceived behavioral control affected users’ intentions to use the RABG. Conclusions Our findings support the applicability of the DTPB in evaluating RABGs for cognitive training in older adults, suggesting its potential integration in future interventions.
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spelling doaj-art-f61b7705cf8c436288af02edfba828e12025-01-07T08:03:49ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076241312576Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive trainingChiu-Mieh Huang0Su-Fei Huang1Yu-Ting Chen2Ching-Hao Chang3Hsiu-Chun Chien4Ying-Jie Chang5Kuei-Yu Huang6Jong-Long Guo7 Institute of Clinical Nursing, College of Nursing, , Taipei, Taiwan Department of Intelligent Technology and Long-Term Care, , Taipei, Taiwan Keelung City Health Bureau, Keelung, Taiwan Department of Health Promotion and Health Education, College of Education, , Taipei, Taiwan Institute of Health Behaviors and Community Sciences, College of Public Health, , Taipei, Taiwan Taipei Municipal Chenggong High School, Taipei, Taiwan Department of Chinese Medicine, , Taipei, Taiwan Department of Health Promotion and Health Education, College of Education, , Taipei, TaiwanBackground Improving cognitive function in healthy older adults is a global concern. Cognitive training delays mental deterioration. The utilization of robots and board games for aiding older adults in cognitive training represents a prominent technological trend and is a subject of meriting investigation. Objective This study evaluates the acceptability and factors influencing the continuous usage intention of a robot-assisted board game (RABG) for cognitive training in community-dwelling older adults based on the decomposed theory of planned behavior (DTPB). Methods In this explanatory study, we developed an RABG with six educational modules. The experiences of 126 older adults recruited from northern Taiwan who completed the program were assessed using a DTPB-based questionnaire. Partial least-squares structural equation modeling was used to examine the correlations. Results The results demonstrate the DTPB's sufficient fitness and 79.9% explanatory power for the continuous usage intention of the RABG, confirming the effectiveness of the proposed structural model. Perceived usefulness positively affected attitude and continuous usage intention, indicating that perceived usefulness is critical in promoting older adults’ continuous usage intention. The interpersonal influence was a major antecedent of subjective norms. Self-efficacy affects perceived behavioral control. Attitudes and perceived behavioral control affected users’ intentions to use the RABG. Conclusions Our findings support the applicability of the DTPB in evaluating RABGs for cognitive training in older adults, suggesting its potential integration in future interventions.https://doi.org/10.1177/20552076241312576
spellingShingle Chiu-Mieh Huang
Su-Fei Huang
Yu-Ting Chen
Ching-Hao Chang
Hsiu-Chun Chien
Ying-Jie Chang
Kuei-Yu Huang
Jong-Long Guo
Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
Digital Health
title Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
title_full Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
title_fullStr Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
title_full_unstemmed Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
title_short Applicability of the decomposed theory of planned behavior for the evaluation of community-dwelling older adults’ acceptance in continuous usage of robot-assisted board games for cognitive training
title_sort applicability of the decomposed theory of planned behavior for the evaluation of community dwelling older adults acceptance in continuous usage of robot assisted board games for cognitive training
url https://doi.org/10.1177/20552076241312576
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