The Effect of Convergence Gamification Training in Community-Dwelling Older People: A Multicenter,Randomized Controlled Trial |
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| Institution: | 1. Department of Rehabilitation Medicine, Biomedical Research Institute of Pusan National University Hospital, Pusan, Republic of Korea;2. Department of Public health, Graduate School, Inje University, Pusan, Republic of Korea;3. Department of Physical Medicine and Rehabilitation of Jeonbuk National University Medical School, Jeonju, Republic of Korea;4. Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea;5. Department of Biostatistics, Clinical Trial Center, Biomedical Research Institute, Pusan National University Hospital, Pusan, Republic of Korea;1. Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA;2. Department of Economics and Health Care Management, University of Minnesota Duluth Labovitz School of Business and Economics, Duluth, MN, USA;3. Oregon Health Sciences University School of Medicine, Portland, OR, USA;4. Department of Biostatistics, Brown University School of Public Health, Providence, RI, USA;5. General Medicine, Harvard Medical School, Boston, MA, USA;6. Section of General Medicine, Massachusetts General Hospital, Boston, MA, USA;7. Hebrew Senior Life, Hinda and Arthur Marcus Institute for Aging Research, Boston, MA, USA;8. Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA;9. Long Term Services and Supports Center of Innovation, Providence VA Medical Center, Providence, RI, USA;1. University of Sydney, Faculty of Health and Medicine, Sydney, Australia;2. University Centre for Rural Health, Lismore, Australia;3. Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands;4. Living Lab in Ageing and Long-Term Care, Maastricht, the Netherlands;1. Columbia University School of Nursing, Center for Health Policy, New York, NY, USA;2. Economics, Sociology & Statistics, RAND Corporation, Washington, DC, USA;3. Economics, Sociology & Statistics, Boston, MA, USA |
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| Abstract: | ObjectivesIt is necessary to improve the health of older adults through exercise, but there is no concrete way to implement it or an environment in which they can exercise continuously. Our objective was to confirm the safety and efficacy of information technology (IT) convergence gamification exercise equipment for older adults. We tried to demonstrate equivalence to conventional exercise by comparing the functional improvement.DesignRandomized controlled trial, with 8-week-long IT convergence exercises 3 times a week vs conventional exercise.Setting and Participants40 community-dwelling participants aged 60-85 years.MethodParticipants were randomly divided into a conventional exercise group (group 1) and an IT convergence exercise group (group 2). Both groups were trained for 8 weeks, and functional assessment was performed before training (pre-evaluation), after training, and after 4 weeks of rest.ResultsThere were functional improvements in both groups. A comparison of the differences in the functional assessment between pre-evaluation and after 8 weeks of training yielded the following results. In group 1, the mean Five Times Sit to Stand Test–30 seconds was scored as 3.60 ± 2.56 (P < .015); Five Times Sit to Stand Test–5 times, ?1.75 ± 2.04 s (P < .015); Berg Balance Scale, 1.05 ± 1.39 (P < .015); Timed Up-and-Go test, ?0.64 ± 0.64 s (P < .015); and 10-m Walking Test, ?0.35 ± 0.47 s (P < .015). And in group 2, the mean Five Times Sit to Stand Test–30 seconds (s) was scored as 3.70 ± 2.62 (P < .015), Five Times Sit to Stand Test–5 times, ?1.65 ± 1.59 s (P < .015); Berg Balance Scale, 1.05 ± 1.00 (P < .015); Timed Up-and-Go test, ?0.93 ± 0.68 s (P < .015); 10-m Walking Test, ?0.41 ± 0.489 s (P < .015); Chair Sit and Reach test, 2.23 ± 3.19 cm (P < .015); and Korean version of the Falls Efficacy Scale–International, ?1.05 ± 1.43 (P < .015).Conclusion and ImplicationsThe results of this study suggest that the IT convergence gamification exercise equipment such as balpro110 has exercise effects similar to conventional exercise and also has advantages as an alternative to exercise for older adults in the next generation. |
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| Keywords: | Aged exercise information technology physical activity |
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