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Home-Based Exergame Program for Community-Dwelling Older Adults

Not Applicable
Completed
Conditions
Exergaming
Frail Elderly
Interventions
Other: Home-based exergame program
Registration Number
NCT05802537
Lead Sponsor
Kyungdong University
Brief Summary

The purpose of this study was to investigate the effect of a home-based exergame program on physical function, fall efficacy, depression, and quality of life in older adults. For the purpose of the study, the investigators established the following hypotheses. Older adults who participate in a home-based exergame program will experience significant improvements in physical function, fall efficacy, depression, and quality of life compared to those who do not participate in the program.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 75 years or older
  • the ability to walk independently with or without a walking aid
  • a mini-mental state examination score ≥ 24.
Exclusion Criteria
  • musculoskeletal disorders such as fractures or dislocations
  • neurological impairment
  • mental disorders
  • uncontrolled endocrine, cardiovascular, or urinary system diseases

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Online educationHome-based exergame programOnline education on fall prevention and musculoskeletal health management was provided once a week for 50 minutes, one day a week, for 8 weeks.
Home-based exergame programHome-based exergame programThe home-based exergame program was conducted at the participants' homes for 50 min, three times a week, for eight weeks.
Primary Outcome Measures
NameTimeMethod
Berg balance scaleChange from baseline after intervention at 8 weeks

To evaluate dynamic postural balance, the Berg balance scale was used. It has a perfect score of 56 and consists of 14 items, with a perfect score of 4 for each item.

Functional reaching testChange from baseline after intervention at 8 weeks

Functional reaching test was used to evaluate movement limits.

Timed up-and-go testChange from baseline after intervention at 8 weeks

Timed up-and-go test was used to assess functional movement and mobility.

One-leg standing testChange from baseline after intervention at 8 weeks

The one-leg standing test was used to evaluate static postural balance. The one-leg standing test is a simple, reliable, and valid test for assessing balance and fall risk in older adults.

Five-times sit-to-stand testChange from baseline after intervention at 8 weeks

Five-times sit-to-stand test was used to evaluate lower-extremity muscle strength.

Secondary Outcome Measures
NameTimeMethod
Falls EfficacyChange from baseline after intervention at 8 weeks

Falls efficacy was evaluated using the Modified Falls Efficacy Scale (MFES), which was specifically developed for older adults. The MFES consists of 14 questions, each scored from 0 (not confident) to 10 (very confident). The total score ranges from 0 to 140, with higher scores indicating greater confidence in performing activities without falling, which is considered a better outcome.

DepressionChange from baseline after intervention at 8 weeks

Depression was measured using the Geriatric Depression Scale-15 (GDS-15), a validated screening tool for older adults. The GDS-15 consists of 15 yes/no questions, with scores ranging from 0 to 15. Higher scores represent more severe depressive symptoms, which is considered a worse outcome.

Health-Related Quality of LifeChange from baseline after intervention at 8 weeks

Health-related quality of life was measured using the 36-Item Short Form Health Survey (SF-36), which assesses multiple domains of health status, including physical functioning, pain, role limitations, emotional problems, mental health, social functioning, vitality, and general health. The SF-36 contains 36 items, each rated on a scale from 1 to 5, with the total score converted to a range from 0 to 100. Higher scores indicate better health outcomes, reflecting a better quality of life.

Trial Locations

Locations (1)

Kyungdong University

🇰🇷

Wonju, Gangwon-do, Korea, Republic of

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