Conference PaperPDF Available

Results from the EU-project iStoppFalls : feasibility, effectiveness, user experience and acceptance of a new technology based approach for fall prevention


Abstract and Figures

The prevention of falls and related disability is one of the public health challenges. The challenge is to provide forms of exercises which increase the lonqer-term compliance on such programs. Exergames are a promising pathway to increase the appeal of and engagement in exercise. It can be utilized to monitor exercise and deliver performance feedback. Therefore, the consortium, including University Siegen, German Sport University Cologne, University Polytechnic of Valencia, Philips Research Europe, Austrian Institute of Technology, Neuroscience Research Australia, developed a new Information and Communication (ICT)-based system for fall prevention and fall risk assessment in community-dwelling older people at home. In this paper we want to show some selected results. We hypothesized that the iStoppFalls exercise program would reduce the physiological fall risk, increase quality of life, and dual task interference. In addition this ICT-based exercise program is feasible for older people in terms of exercise adherence, acceptability and safety.
Content may be subject to copyright.
Results from the EU-project iStoppFalls: feasibility, effectiveness, user
experience and acceptance of a new technology based approach for fall
Sabine Eichberg1, Konstantin Aal2, Daryoush Vaziri2 & Rainer Wieching2
1German Sport Univiersity Cologne, 2University Siegen,
Key words: Exergame, fall risk, usability, dual task, living lab, older adults
Falls are mostly associated with loss of individual independence and high burden of
costs. The prevention of falls and related disability is one of the public health chal-
lenges (World Health Organization, 2007). The fall risk is multifactorial and com-
prises factors like gait instability, muscle weakness, balance difficulties, and cogni-
tive decline (American Geriatrics Society & British Geriatrics Society, 2011). Sys-
tematic reviews and meta-analyses show the evidence of multicomponent interven-
tions with a focus on balance and strength training that last at least six months in
preventing falls (Gillespie et al., 2012). The challenge is to provide forms of exer-
cises which increase the longer-term compliance on such programs (Uzor & Baillie,
2014). Exergames are a promising pathway to increase the appeal of and engage-
ment in exercise. It can be utilized to monitor exercise and deliver performance
feedback (Schoene et al., 2014).
Therefore, the consortium, including University Siegen, German Sport University
Cologne, University Polytechnic of Valencia, Philips Research Europe, Austrian In-
stitute of Technology, Neuroscience Research Australia, developed a new Infor-
mation and Communication (ICT)-based system for fall prevention and fall risk as-
sessment in community-dwelling older people at home. The objectives of the
iStoppFalls project were
1) to reduce risk of falls, and thus improve quality of life
2) to offer improved fall prediction & prevention measures
3) to fit very well inside basic daily behavioral settings
4) to provide self-learning solutions with advanced reasoning
5) to provide advanced HCI technologies (usability & accessibility).
In this paper we want to show some selected results. We hypothesized that the
iStoppFalls exercise program would reduce the physiological fall risk, increase
quality of life, and dual task interference. In addition this ICT-based exercise pro-
gram is feasible for older people in terms of exercise adherence, acceptability and
One hundred fifty-three community-dwelling older people aged 65 years and older
took part in this international, multicenter, single-blinded, two-group randomized
trial. Study sites were located in Germany (Cologne), Spain (Valencia) and Austral-
ia (Sydney).
2 presentations and poster
Living Lab
Another part of the study was conducted in a Living Lab (Ogonowski et al., 2013)
with the aim to investigate the integration of ICT-based preventive exergames into
the daily routines of older adults in the long term (six months), to gain a better un-
derstanding of appropriation processes, and how exergames affect participants’
usage behavior. The Living Lab approach enabled the project consortium to use
qualitative methods and gave participants an active role in the evaluation process.
Over the six-month period researchers worked very closely with the participants
and gained data from semi-structured interviews with additional observations proto-
cols, usability tests and workshops. All data were supplemented by notes with indi-
vidual experiences and observations from home visits, the social event and regular
exchanges with participants via email, instant messaging and phone as well as by
logging data of system usage.
System Overview
The iStoppFalls system consists of several technical components: a set-top box
with controller, a Mini-PC with the exergame, a Microsoft Kinect for movement de-
tection and gesture/voice control, a Senior Mobility Monitor (SMM) for mobility
tracking, a tablet PC as an alternative input/output device for the iTV system, an a
TV with the iTV program. A more detailed description of the system is provided in
the work of Marston et al. (2015).
Figure 1. iStoppFalls exergames: balance games (upper panel) and strength training (lower panel) (retrieved
and modified from Marston et al., 2015).
The training program consists balance and strength exercises in the form of video
games using exergame technology (see Figure 1). The three Balance Exergames
were based on the Weight-bearing Exercise for Better Balance (WEBB) program
( and focus on weight shifting, knee bending, and/or stepping in
different directions. Cognitive tasks targeting semantic and working memory were
added at higher levels (dual-task). Strength exercises for the lower extremities in-
cluding knee extension, knee flexion, hip abduction, calf raises, and toe raises were
based on the strength exercise component of the Otago exercise program (Camp-
bell et al., 1997). Progression was achieved by increasing the number of repetitions
and sets, and adding 1-3 kg ankle cuff weights). Participants conducted a 16-week
exercise program based on recommendations by Sherrington and colleagues
(2011); 180 min per week with at least three balance sessions (40 min each) and
three strength sessions (20 min each).
Primary outcomes: The short version of the Physiological Profile Assessment (PPA)
estimated individual fall risk based on five sensorimotor tests, indicated in five cate-
gories from mild to marked (Lord et al., 2003). The European Quality of Life 5 Di-
mensions (EQ-5D) questionnaire was used to assess quality of life
Secondary outcomes: Dual-task ability was assessed by asking participants to
count backwards by three starting from a random 3-digit number while walking over
a 10 m distance. For this analysis participants were divided into fallers (at least one
fall in the last 12 months) and non-fallers (no fall). Usability and enjoyment was as-
sessed by the 10-item System Usability Scale (SUS; Mullen et al., 2011) and the 8-
item Physical Activity Enjoyment Scale (PACES; Borsci et al., 2009). The Dynamic
Acceptance Model for the Re-evaluation of Technologies (DART; Amberg et al.,
2005) was used for the analysis and evaluation of user acceptance of products or
At baseline intervention and control group were comparable regarding socio-
demographic factors, health status, leisure time activities and computer experience.
The intervention group played the balance exergames 96 times for an overall net
duration (without instructions) of four hours. Strength exercises were performed 224
times for an overall net duration of five hours. On average 20 exergames were
played per week and person with an average duration of 35 minutes per week. Dur-
ing the observation period no adverse events occurred while playing the exergame.
Fall risk
After 16 weeks of intervention fall risk was significantly reduced in the intervention
group compared to the control group (F1,127=4.54, p<.05), see figure 2.
4 presentations and poster
Figure 2.Fall risk score of intervention vs. control group (per-protocol analysis).
In addition, the intervention group was divided into high-adherence (>90 min exer-
cise per week) and low-adherence group (<90 min exercise per week). The sub-
group analyses show the highest reduction in fall risk in the high-adherence group
compared to low-adherence group and control group (F2,125=3.12, p<0.05).
Dual task
Another subgroup analysis concerns the difference between fallers and non-fallers
regarding gait speed, counting backwards, dual task interference and dual task
costs at baseline.
Fallers did not have slower gait speed and poorer cognitive function under single
and dual task condition (all p>.05). Video-based physical training slightly improved
gait speed (F1,128=4.022, p<.05) and cognitive function (F2,128=3.60, p<0.06) under
dual task condition. However, fallers did not profit more from training than non-
fallers (all p>.05).
Acceptance and usability
Older adults enjoyed using the system and playing the exergames. System usability
was perceived as good. The participants showed a high acceptance rate, although
they rated a high System-/ IT-complexity. In addition, it seems the system attracts
specific subgroups; female, young-old, and IT-literate participants. E.g. women
played more games than men, women preferred balance games, whereas men pre-
ferred strength training.
The iStoppFalls system was developed for fall prevention in older adults. It is feasi-
ble and safe for use at home; adverse events did not occur while playing the exer-
game. Physiological fall risk was reduced in the intervention group with the highest
p< 0.05
reduction in persons who trained 90 min and more per week. Also gait speed and
cognitive function both under dual task condition were improved. However, there
was no difference between falls and non-fallers. These benefits may be small and
the clinical relevance should be confirmed in further analyses.
The study had certain limitations. Overall adherence to the intervention was rea-
sonable, but did not reach the recommended dose of exercise (180 min per week;
Sherrington et al., 2011) and the low progression of level of difficulty. These factors
could be the reason of the small positive changes in fall risk and the dual task inter-
The older adults in this sample were healthy and show relatively high fitness (ex-
pressed in high levels of quality of life and a mild fall risk). Further studies should
include individuals with rather low physical and low cognitive abilities, a high fall
risk, and several experienced falls, respectively. Like demented older adults for ex-
ample, on which a new German national research project with members of the
iStoppFalls consortium will focus on in the future.
One could also suppose that the training intensity was too low for the rather fit
study group included in the iStoppFalls study as described here. Therefore, for fur-
ther research, several approaches could be pursued. One the one hand, a closer
screening of adherence and more reminder functions could be included in the sys-
tem. One the other hand, more and different types of games could be provided to
match individual preferences.
In our study population balance games were more seen as a warm-up, and the
OTAGO based strength training as the “real” training. Higher levels were more mo-
tivating. Combined physical exercises and cognitive task were highly valued. A
weakness of the iStoppFalls system was the limited number of different games, like
dancing or others. Older adults would like to have more variety here.
Analysis of motivational effects comprised that the opportunity of self-monitoring,
was a very important aspect for the older adults involved in our study. Very active
older adults were more looking for competition; active older adults were predomi-
nately interested in their personal health status. An increased awareness of health,
fitness and fall risk related issues was reported by the older adults themselves, and
thus improved health literacy could be observed. Participants felt more confident
and safe during physical indoor and outdoor activities, and were more motivated to
engage in physical activities. Finally, increased IT-literacy could be achieved, as
older adults learned to use new devices and applications.
The newly developed ICT-based fall prevention and risk assessment program
iStoppFalls is feasible and safe for unsupervised use at home by community-
dwelling older adults. The use of iStoppFalls significantly reduced the physiological
fall risk of the intervention group vs. control in a 4 months international randomized
controlled trial with 153 participants in three countries (Gschwind et al. 2015).
Those participants with the highest fall risk and best adherence benefitted most
from the program. Putting the individual fall risk under older adults own control was
an important measure of success.
6 presentations and poster
Amberg, M., Fischer, S. &Schröder, M. (2005). An evaluation framework for the acceptance of web-based
aptitude tests. The Electronic Journal of Information Systems Evaluation, 8, 151-158.
American Geriatrics Society and British Geriatics Society, Panel on Prevention of Falls in Older Persons.
(2011). Summary of the updated American Geriatrics Society/British Geriatrics Society clinical prac-
tice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society, 59,
Borsci, S., Federici, S. & Lauriola, M. (2009). On the dimensionality of the system usability scale: a test of
alternative measurement models. Cognitive Processing, 10, 193-197. DOI:10.1007/s10339-009-
Campbell, A.J., Robertson, M.C., Gardner, M.M., Norton, R.N., Tilyard, M.W. & Buchner, D.M. (1997). Ran-
domised controlled trial of a general practice programme of home based exercise to prevent falls in
elderly women. British Medical Journal, 315, 1065-1069.
Gillespie, L.D., Robertson, M.C., Gillespie, W.J., Lamb, S.E., Cumming, R.G., & Rowe, B.H. (2010). Interven-
tions for preventing falls in older people living in the community (review). Cochrane Database of Sys-
tematic Reviews. DOI: 10.1002/14651858.CD007146.pub2.
Goodwin, V. A., Abbott, R. A., Whear, R., Bethel, A., Ukoumunne, O. C., Thompson-Coon, J., & Stein, K.
(2014). Multiple component interventions for preventing falls and fall-related injuries among older
people: Systematic review and meta-analysis. BMC Geriatrics, 14, 15. Retrieved from
Gschwind, Y.J., Eichberg, S., Ejupi, A., de Rosario, H., Kroll, M., Marston, H.R., Drobics, M., Annegarn, J.,
Wieching, R., Lord, S.R., Aal, K, Vaziri, D., Woodbury, A., Fink, D. & Delbaere, K. (2015). ICT-based
system to predict and prevent falls (iStoppFalls): results from an international multicenter randomized
controlled trial. European Review of Aging and Physical Activity, 12, 10. DOI: 10.1186/s11556-015-
Kendzierski, D. & Decarlo, K.J. (1991). Physical-Activity Enjoyment Scale two validation studies. Journal of
Sport and Exercise Psychology 13, 50-64.
Lord, S.R., Menz, H.B. & Tiedemann, A. (2003). A physiological profile approach to falls risk assessment and
prevention. Physical Therapy, 83, 237-252.
Marston, H.R. Woodbury, A., Gschwind, Y.J., Kroll, M., Fink, D., Eichberg, S., Kreiner, K., Ejupi, A., Anne-
garn, J. de Rosario, H., Wienholtz, A., Wieching, R & Delbaere, K. (in press). The design of a pur-
pose-built exergame for fall prediction and prevention for older adults. European Review of Aging
and Physical Activity.
Mullen, S.P., Olson, E.A., Phillips, S.M., Szabo, A.N., Wojcicki, T.R., Mailey, E.L., Gothe, N.P., Fanning, J.T.,
Kramer, A.F. & McAuley, E. (2011). Measuring enjoyment of physical activity in older adults: invari-
ance of the physical activity enjoyment scale (PACES) across groups and time. International Journal
of Behavioral Nutrition and Physical Activity, 8,103. DOI:10.1186/1479-5868-8-103.
Ogonowski, C., Ley, B., Hess, J., Wan, L. & Wulf, V. (2013). Designing for the living room: long-term user
involvement in a living lab. In Proceedings of the SIGCHI Conference on Human Factors in Compu-
ting Systems (pp. 1539-1548). New York, NY: ACM. DOI:10.1145/2470654.2466205.
Schoene, D., Valenzuela, T., Lord, S. R., & de Bruin, E.D. (2014). The effect of interactive cognitive-motor
training in reducing fall risk in older people: a systematic review. BMC Geriatrics, 14(1), 107.
Sherrington, C., Tiedemann, A., Fairhall, N., Close, J.C. & Lord, S.R. (2011). Exercise to prevent falls in old-
er adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bulle-
tin, 22,78-83.
Uzor, S. & Baillie, L. (2014). Investigating the long-term use of exergames in the home with elderly fallers. In
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 2813-2822).
New York: ACM Press. DOI:10.1145/2556288.2557160.
World Health Organization (2007). WHO gobal report on falls prevention in older age. Geneva: World Health
Organization (WHO).
Ein möglichst hohes Niveau motorischer Fertigkeiten und Fähigkeiten auch im späteren Erwachsenenalter bis hin zur Hochaltrigkeit beizubehalten bzw. einer Verschlechterung entgegenzuwirken ist ein wichtiges Ziel, um die Selbstständigkeit älterer Menschen lange zu ermöglichen. Es werden die physiologischen Veränderungen und die Veränderungen in der Motorik erläutert, wobei insbesondere auf die theoretischen Ansätze der Multidirektionalität und Plastizität eingegangen wird. Besonderheiten des motorischen Lernens werden ebenso behandelt wie der Einfluss körperlicher Aktivität auf die Kognition. Einen weiteren Schwerpunkt des Kapitels bilden die Bedeutung und Inhalt der Sturzprophylaxe älterer Menschen.
Auf Grund der Vorteile der virtuellen Realität (Dreidimensionalität, Interaktion mit dem Nutzer, standardisierte Bedingungen) wird sie zunehmend auch in der sportwissenschaftlichen Forschung und Sportpraxis eingesetzt. Das Kapitel beschäftigt sich mit technologischen Grundlagen sowie den Anforderungen an die VR zur Nutzung im Sport. Anwendungsfelder insbesondere in der Sportmotorik werden vorgestellt. Die Kombination mit bewegungsrelevanten Messverfahren (z. B.: Motion Capturing, Kraftmessplatten, EMG, EEG und Eyetracking) können Aufschluss über das Bewegungsverhalten des Menschen in einer virtuellen Umgebung im Vergleich zur realen Welt geben.
Full-text available
Background: Falls and fall-related injuries are a serious public health issue. Exercise programs can effectively reduce fall risk in older people. The iStoppFalls project developed an Information and Communication Technology-based system to deliver an unsupervised exercise program in older people's homes. The primary aims of the iStoppFalls randomized controlled trial were to assess the feasibility (exercise adherence, acceptability and safety) of the intervention program and its effectiveness on common fall risk factors. Methods: A total of 153 community-dwelling people aged 65+ years took part in this international, multicentre, randomized controlled trial. Intervention group participants conducted the exercise program for 16 weeks, with a recommended duration of 120 min/week for balance exergames and 60 min/week for strength exercises. All intervention and control participants received educational material including advice on a healthy lifestyle and fall prevention. Assessments included physical and cognitive tests, and questionnaires for health, fear of falling, number of falls, quality of life and psychosocial outcomes. Results: The median total exercise duration was 11.7 h (IQR = 22.0) over the 16-week intervention period. There were no adverse events. Physiological fall risk (Physiological Profile Assessment, PPA) reduced significantly more in the intervention group compared to the control group (F1,127 = 4.54, p = 0.035). There was a significant three-way interaction for fall risk assessed by the PPA between the high-adherence (>90 min/week; n = 18, 25.4 %), low-adherence (<90 min/week; n = 53, 74.6 %) and control group (F2,125 = 3.12, n = 75, p = 0.044). Post hoc analysis revealed a significantly larger effect in favour of the high-adherence group compared to the control group for fall risk (p = 0.031), postural sway (p = 0.046), stepping reaction time (p = 0.041), executive functioning (p = 0.044), and quality of life (p for trend = 0.052). Conclusions: The iStoppFalls exercise program reduced physiological fall risk in the study sample. Additional subgroup analyses revealed that intervention participants with better adherence also improved in postural sway, stepping reaction, and executive function. Trial registration: Australian New Zealand Clinical Trials Registry Trial ID: ACTRN12614000096651 International Standard Randomised Controlled Trial Number: ISRCTN15932647.
Full-text available
Falls in older people represent a major age-related health challenge facing our society. Novel methods for delivery of falls prevention programs are required to increase effectiveness and adherence to these programs while containing costs. The primary aim of the Information and Communications Technology-based System to Predict and Prevent Falls (iStoppFalls) project was to develop innovative home-based technologies for continuous monitoring and exercise-based prevention of falls in community-dwelling older people. The aim of this paper is to describe the components of the iStoppFalls system. The system comprised of 1) a TV, 2) a PC, 3) the Microsoft Kinect, 4) a wearable sensor and 5) an assessment and training software as the main components. The iStoppFalls system implements existing technologies to deliver a tailored home-based exercise and education program aimed at reducing fall risk in older people. A risk assessment tool was designed to identify fall risk factors. The content and progression rules of the iStoppFalls exergames were developed from evidence-based fall prevention interventions targeting muscle strength and balance in older people. The iStoppFalls fall prevention program, used in conjunction with the multifactorial fall risk assessment tool, aims to provide a comprehensive and individualised, yet novel fall risk assessment and prevention program that is feasible for widespread use to prevent falls and fall-related injuries. This work provides a new approach to engage older people in home-based exercise programs to complement or provide a potentially motivational alternative to traditional exercise to reduce the risk of falling.
Full-text available
It is well-known physical exercise programs can reduce falls in older people. Recently, several studies have evaluated interactive cognitive-motor training that combines cognitive and gross motor physical exercise components. The aim of this systematic review was to determine the effects of these interactive cognitive-motor interventions on fall risk in older people. Studies were identified with searches of the PubMed, EMBASE, and Cochrane CENTRAL databases from their inception up to 31 December 2013. Criteria for inclusion were a) at least one treatment arm that contained an interactive cognitive-motor intervention component; b) a minimum age of 60 or a mean age of 65 years; c) reported falls or at least one physical, psychological or cognitive fall risk factor as an outcome measure; d) published in Dutch, English or German. Single case studies and robot-assisted training interventions were excluded. Due to the diversity of populations included, outcome measures and heterogeneity in study designs, no meta-analyses were conducted. Thirty-seven studies fulfilled the inclusion criteria. Reporting and methodological quality were often poor and sample sizes were mostly small. One pilot study found balance board training reduced falls and most studies reported training improved physical (e.g. balance and strength) and cognitive (e.g. attention, executive function) measures. Inconsistent results were found for psychological measures related to falls-efficacy. Very few between-group differences were evident when interactive cognitive-motor interventions were compared to traditional training programs. The review findings provide preliminary evidence that interactive cognitive-motor interventions can improve physical and cognitive fall risk factors in older people, but that the effect of such interventions on falls has not been definitively demonstrated. Interactive cognitive-motor interventions appear to be of equivalent efficacy in ameliorating fall risk as traditional training programs. However, as most studies have methodological limitations, larger, high-quality trials are needed.
Full-text available
Limited attention has been paid in the literature to multiple component fall prevention interventions that comprise two or more fixed combinations of fall prevention interventions that are not individually tailored following a risk assessment. The study objective was to determine the effect of multiple component interventions on fall rates, number of fallers and fall-related injuries among older people and to establish effect sizes of particular intervention combinations. Medline, EMBASE, CINAHL, PsychInfo, Cochrane, AMED, UK Clinical Research Network Study Portfolio, Current Controlled Trials register and Australian and New Zealand Clinical Trials register were systematically searched to August 2013 for randomised controlled trials targeting those aged 60 years and older with any medical condition or in any setting that compared multiple component interventions with no intervention, placebo or usual clinical care on the outcomes reported falls, number that fall or fall-related injuries. Included studies were appraised using the Cochrane risk of bias tool. Estimates of fall rate ratio and risk ratio were pooled across studies using random effects meta-analysis. Data synthesis took place in 2013. Eighteen papers reporting 17 trials were included (5034 participants). There was a reduction in the number of people that fell (pooled risk ratio = 0.85, 95% confidence interval (95% CI) 0.80 to 0.91) and the fall rate (pooled rate ratio = 0.80, 95% CI 0.72 to 0.89) in favour of multiple component interventions when compared with controls. There was a small amount of statistical heterogeneity (I2 = 20%) across studies for fall rate and no heterogeneity across studies examining number of people that fell. This systematic review and meta-analysis of randomised controlled trials found evidence that multiple component interventions that are not tailored to individually assessed risk factors are effective at reducing both the number of people that fall and the fall rate. This approach should be considered as a service delivery option.
Conference Paper
Full-text available
Living Labs provide a research infrastructure for long-term user involvement in Participatory Design processes. Users take part in software co-creation during context analysis, for concept development, reflecting on early-stage prototypes and evaluations in the field. In this paper we describe lessons learned from our Living Lab in the area of home entertainment, with 27 participants from 16 households, over a 2.5 year period. We show that this kind of long-term participation of users involves various challenges over the lifetime of the project. We highlight several aspects that need to be considered carefully when setting up such a Living Lab, concerning the selection of participants, maintenance of participants' motivation, establishment of a trust relationship, and the coordination of collaboration.
Full-text available
Two studies examined the reliability and validity of the Physical Activity Enjoyment Scale (PACES). In Study 1, each of 37 undergraduates rode an exercise bicycle under control and external focus conditions. As predicted, Ss reported enjoying the exercise more, as measured by the PACES, in the external focus condition. Moreover, there was a significant negative correlation in the control condition between Ss PACES scores and their scores on a measure of boredom proneness. In Study 2, each of 37 undergraduates rode an exercise bicycle and jogged on a minitrampoline in separate sessions; each then chose one of these activities for their 3rd session. As predicted, there was a significant relationship between Ss PACES ratings (completed after each activity) and their choices of activity. Test–retest reliability was high for jogging and moderate for bicycling. The PACES had high internal consistency in both studies. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Rehabilitation has been shown to significantly reduce the risk of falling in older adults. However, low adherence to rehabilitation exercises in the home means that seniors often do not get the therapy that they require. We propose that the use of tailored exergames could encourage adherence to falls rehabilitation in the home, as exergames have proved successful in clinical settings. We describe the results from the first known study to investigate the longterm (12 weeks) use of exergames, designed in close collaboration with elderly users, for falls rehabilitation in the home. Our findings suggest that there is an untapped potential of exergames for home rehabilitation use, as our findings show that there was better adherence to exercise in participants who used the exergames, versus those who used standard care. Finally, we make recommendations for designers, on the design of exergames for the rehabilitation of seniors.
Aptitude tests analyse the aptitude of persons for studying at a specific school or university as well as for working within a specific company. Due to the recent technology advances, web-based solutions are increasingly used for the implementation of aptitude tests. These web-based aptitude tests can be utilised for rather standardized test methods, testing a large amount of users. Based on the fact that web-based aptitude tests are getting more and more common, a high user acceptance is important, especially since test results tend to be taken more seriously. Furthermore, the design of the test should be helpful and support the use of the test. In this context, the target of our research is to provide a framework for the evaluation of the user acceptance for web-based aptitude tests. The research method is based on an exemplary web-based aptitude test and includes the following steps: Firstly, we used the Dynamic Accep- tance Model for the Re-evaluation of Technologies (DART) as a basis for the adoption of web-based aptitude tests. DART is an instrument designed for the analysis and evaluation of the user acceptance of innovative technologies, prod- ucts or services. Based on a literature review and expert interviews, we identified the most important acceptance indica- tors. In a next step, we evaluated the defined acceptance indicators in a survey with test persons who carried out one selected web-based aptitude test. Afterwards, we analysed the reliability and validity of the developed evaluation frame- work. The result shows that a detailed analysis of the influencing factors is generally possible with the use of DART. This approach helps to define a balanced set of measurable acceptance indicators for the evaluation of the user acceptance. Finally, we described lessons learned and the ongoing process to measure the acceptance of web-based aptitude tests.