User acceptance and continuance intention of the BeSt age mHealth application for physical activity promotion and fall prevention in nursing homes - Scorecard - MDSpire

User acceptance and continuance intention of the BeSt age mHealth application for physical activity promotion and fall prevention in nursing homes

  • By

  • Jonathan Diener

  • Jelena Krafft

  • Kerem Doğan

  • Iris Ten Klooster

  • Janina Krell-Roesch

  • Lisette van Gemert-Pijnen

  • Alexander Woll

  • Kathrin Wunsch

  • June 23, 2026

  • 0 min

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Clinical Scorecard: Acceptance and Ongoing Use of the BeSt Age Mobile Health Application for Promoting Physical Activity and Preventing Falls in Nursing Home Residents

At a Glance

CategoryDetail
ConditionFall prevention in nursing home residents
Key MechanismsUse of mobile health applications to promote physical activity and enhance usability and perceived usefulness
Target PopulationNursing home residents, particularly older adults with cognitive impairments
Care SettingNursing homes

Key Highlights

  • Falls among nursing home residents occur at a rate of 1.7 falls per resident annually.
  • The BeSt Age App showed positive usability ratings (87.1 points) among nursing home employees.
  • Employee adherence to the app was 85.6%, while resident adherence was 75.1%.
  • Perceived usefulness and usability significantly predicted continuance intention for app usage.
  • The study emphasizes the importance of employee-mediated technology interventions.

Guideline-Based Recommendations

Diagnosis

  • Assess fall risk in nursing home residents regularly.

Management

  • Implement multicomponent training focusing on strength, aerobic endurance, balance, and flexibility at least twice per week.

Monitoring & Follow-up

  • Evaluate user acceptance and adherence to mobile health applications in nursing homes.

Risks

  • Falls can lead to severe health consequences for nursing home residents.

Patient & Prescribing Data

Nursing home residents with moderate cognitive impairment and low digital competence.

Mobile health applications can support personalized physical activity and fall prevention programs.

Clinical Best Practices

  • Encourage nursing home employees to utilize mobile health applications for resident engagement.
  • Focus on enhancing usability and perceived usefulness to improve technology acceptance.
  • Monitor and support adherence to physical activity programs among residents.

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