Acceptance and commitment therapy and Nintendo Wii gameplay in sedentary long-term care facility residents.

There has been much debate on best practices for limiting negative outcomes associated with relocation, sedentary lifestyle, and social isolation after older adults relocate to a residential care facility. Research has supported the effectiveness of Acceptance and Commitment Therapy as a psychological intervention utilizing mindfulness and acceptance techniques along with values-based action to improve participants' perceptions of life worth. The aim of this study was to explore how sedentary and socially isolated older adults living in a residential care facility experienced a combined intervention of acceptance and commitment therapy with Nintendo Wii Gameplay that was designed to improve their senses of life worth and initiation and adherence to physical activity. Four participants were observed during the intervention and were interviewed after the intervention. Inductive and deductive data analysis revealed that each of the participants perceived that the intervention increased their mental health and their social functioning levels. The participants comprehended and valued acceptance and commitment therapy and its potential to facilitate their initiation and their adherence to physical activity. Nintendo Wii Gameplay provided a convenient outlet for physical activity where the older adults with minimal functionality could successfully and safely participate in activities they once enjoyed especially if they were performed in small groups and with the support of an affirming and interactive facilitator. [ABSTRACT FROM AUTHOR]