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Older Adults Pay an Additional Cost When Texting and Walking: Effects of Age, Environment, and Use of Mixed Reality on Dual-Task Performance.

Physical therapy
January 1, 1970
Tal Krasovsky et al. (3 authors)
Comparative StudyJournal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effect of age, environment, and mixed reality on texting while walking (TeWW) performance.

Results Summary

Indoors, both young and older adults experienced similar interference while texting and walking, but only older adults showed increased gait variability under dual-task conditions. Outdoors, TeWW led to larger age-related differences in gait variability, texting accuracy, and dual-task costs, with young adults performing better if they had higher visual scanning and cognitive flexibility. Mixed reality did not improve walking or texting performance.

Population

Young adults (n=30; 27.8±4.4 years) and older adults (n=20; 68.9±3.9 years).

Effective Dosage

Not applicable

Duration

Not specified

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Texting while walking (TeWW)
increase
pedestrian injury
people of all ages
-
associated with
#1
dual-task walking
decrease
performance
with age
-
decline
#2
Texting while walking (TeWW) indoors
no change
walking and texting
young and older adults
-
similar interference
#3
Texting while walking (TeWW) indoors under dual task conditions
increase
gait variability
older adults
-
increased
#4
Texting while walking (TeWW) outdoors
increase
gait variability, texting accuracy, and gait dual-task costs
older adults
-
associated with larger age-related differences
#5
Texting while walking (TeWW)
decrease
gait costs
young adults with better visual scanning and cognitive flexibility
-
performed with lower gait costs
#6
mixed reality display
no change
walking or texting
young and older adults
-
unhelpful and did not modify
#7
Texting while walking (TeWW)
increase
dual-tasking
older adults
-
pay an additional 'price'
#8
Texting while walking (TeWW)
neutral
dual-task performance
older adults as well as for clinical populations
-
potential as an ecologically valid assessment and/or an intervention paradigm
#9
Abstract

BACKGROUND: Texting while walking (TeWW) has become common among people of all ages, and mobile phone use during gait is increasingly associated with pedestrian injury. Although dual-task walking performance is known to decline with age, data regarding the effect of age on dual-task performance in ecological settings are limited. OBJECTIVE: The objective of this study was to evaluate the effect of age, environment (indoors/outdoors), and mixed reality (merging of real and virtual environments) on TeWW performance. DESIGN: A cross-sectional design was used. METHODS: Young (n = 30; 27.8 ± 4.4 years) and older (n = 20; 68.9 ± 3.9 years) adults performed single- and dual-task texting and walking indoors and outdoors, with and without a mixed reality display. Participants also completed evaluations of visual scanning and cognitive flexibility (Trail Making Test) and functional mobility (Timed "Up & Go" Test). RESULTS: Indoors, similar interference to walking and texting occurred for both groups, but only older adults' gait variability increased under dual task conditions. Outdoors, TeWW was associated with larger age-related differences in gait variability, texting accuracy, and gait dual-task costs. Young adults with better visual scanning and cognitive flexibility performed TeWW with lower gait costs (r = 0.52-0.65). The mixed reality display was unhelpful and did not modify walking or texting. LIMITATIONS: Older adults tested in this study were relatively high functioning. Gaze of participants was not directly monitored. CONCLUSIONS: Although young and older adults possess the resources necessary for TeWW, older adults pay an additional "price" when dual-tasking, especially outdoors. TeWW may have potential as an ecologically valid assessment and/or an intervention paradigm for dual-task performance among older adults as well as for clinical populations.

Medical Subject Headings (MeSH)
AdultAgedAttentionCognitionFemaleGaitHumansMaleMiddle AgedPostural BalanceTask Performance and AnalysisText MessagingVisual PerceptionWalkingYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations31
Citations/Year4.4
Relative Citation Ratio2.77
NIH Percentile83.2%
Research Impact Scores
APT Score0.75
Weight Score1.73
Normalized Score0.61
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