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• W4312141386 abstract "<sec> <title>BACKGROUND</title> Digital loneliness interventions for older adults are promising, yet conclusive evidence is lacking due to few randomized controlled trials (RCTs) and difficulties with recruitment. Process evaluation of performed RCTs is essential to inform future interventions. Still, it is rarely carried out, resulting in an overly optimistic view of the impact of eHealth interventions on loneliness in older adults and options to conduct such research fully remotely. </sec> <sec> <title>OBJECTIVE</title> This paper describes a mixed methods process evaluation of a digitally conducted RCT assessing the effectiveness of a mobile social gaming application to facilitate meaningful social interactions in older adults. </sec> <sec> <title>METHODS</title> The RCT included a main group of older adults (aged 65+) and a side group (aged 18-64). The side group allowed a network to play with the older adults. We analyzed the questionnaire and game data of the main and side groups to evaluate recruitment and onboarding, intervention adherence, and intervention acceptability. We furthermore conducted 6 post-RCT evaluation interviews and 1 focus group with a total of 4 RCT participants and 5 welfare organization representatives that aided in RCT recruitment. </sec> <sec> <title>RESULTS</title> In total, 371 people aged 18+ signed up for the RCT, of which 64% (238/371) were 65+. Of the total sample, 20% (76/371) installed the app and signed informed consent, showing a large drop-out during onboarding. The high number of questions was a relevant barrier for participants. Both questionnaire and gameplay adherence were low. Participants indicated that the games elicited contact and a feeling of togetherness and proposed challenging and competitive games with increasing difficulty levels. They suggested focusing on enjoying the games rather than administering questionnaires. </sec> <sec> <title>CONCLUSIONS</title> Conducting a remote digital trial of a social gaming intervention for older adults is a great challenge. Remote recruitment and informed consent acquisition may often not result in sufficient participation. Personal engagement with fellow participants and researchers might be essential for adherence and enjoyment. Future digital gaming interventions should start with small-scale studies with in-person contact, repeated instructions, and fewer questionnaires. </sec> <sec> <title>CLINICALTRIAL</title> <p /> </sec>" @default.
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• W4312141386 date "2022-12-19" @default.
• W4312141386 modified "2023-10-18" @default.
• W4312141386 title "A Digital Gaming Intervention to Strengthen the Social Networks of Dutch Older Adults: Process Evaluation of a Randomized Controlled Trial (Preprint)" @default.
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• W4312141386 doi "https://doi.org/10.2196/preprints.45173" @default.
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