User attitudes and implementation requirements of a tele-exercise intervention for people aging with lower body mobility impairment

Background: Persons aging with mobility disabilities encounter barriers to exercise participation, such as lack of transportation, inaccessible facilities, and absence of tailored exercises programs. Tele-exercise lessens these barriers by enabling participation in remote exercise classes from home. Objective: This study's goal was to assess the feasibility (user attitudes and implementation requirements) of a tele-exercise (Tai Chi) class for adults aging with mobility disabilities. Method: This was a mixed-method feasibility study; participants (N=19; age M=61.2±10.81) aging with a mobility impairment participated in a seated Tai Chi exercise class via videoconferencing software. User attitudes and usability were assessed using questionnaires and a semi-structured interview, while implementation requirements were assessed using a semi-structured interview and observational methods. Results: Participants expressed positive attitudes toward the tele-exercise class, specifically the physical, emotional, and social benefits. Age- and disability-specific requirements to implement a tele-exercise intervention were identified, including large font size, adjustable volume, tailored exercises, and environmental design. Conclusion: Findings provide guidance for the implementation and deployment of remote tele-exercise classes and interventions for persons aging with mobility disabilities.