Video exercise games (exergames) are becoming increasingly popular among elderly people. Many elderly experience reduced balance and muscle strength which make them at increased risk of falling. Muscle strength and balance training are the key components for preventing function decline and falls at old age. Exergames that are to be used among elderly users should be specifically designed for this group of people. This study aims to design and evaluate an exergame concept developed to fit the need and preferences of elderly users. First, seven elderly people tested three commercially available exergames. Feedback from focus group interviews revealed that the design of the existing exergames should be simplified and more closely related to activities that can be associated with older people's daily life. Based on the feedback a new exergame concept "in nature" was designed. The new exergame concept had a simple design, and included balance and muscle strengthening exercises related to real life activities. In the results of the workshop, the study provides eight design recommendations for exergame design for seniors.
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