Effectiveness of Interactive Exergaming Combined with the Otago Exercise Program on Mobility in Older Individuals Living in Communities: a Cluster-Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Mobility Performance
研究概览
简要总结
This clinical trial aims to evaluate the effectiveness of interactive exergaming combined with Otago Exercise Program on mobility among community-dwelling older adults aged 65 and above. The main research questions are:
Does this combined exercise intervention improve elderly mobility? Does this program enhance muscle strength and psychological well-being?
Researchers will compare two groups: one group will do the combined exercise program for 12 weeks, while the other group will continue their usual activities.
Participants will:
- Have their health checked three times: at the start, after 12 weeks, and 3 months later
- If in the exercise group, attend exercise sessions twice a week for 12 weeks
- Complete tests about their physical abilities and how they feel emotionally
Who can take part:
- Adults age 65 or older
- People who need more than 12 seconds to stand up and sit down 5 times
- People who can stand for at least 30 seconds with support
People cannot take part if they have serious vision problems, recent leg injuries, major illnesses, significant memory problems, or mental health conditions.
详细描述
This cluster-randomized controlled trial investigates the integration of interactive exergaming with the evidence-based Otago Exercise Program (OEP) to enhance mobility among community-dwelling older adults. The study employs comprehensive methodology and rigorous assessment protocols to evaluate intervention effectiveness.
Methodology and Technical Implementation:
Assessment Tools and Measurements:
Primary Outcome Measures:
ICOPE (Integrated Care for Older People) screening tool evaluating six domains: cognition, mobility, nutrition, vision, hearing, and depression
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The outcomes assessor who performs all measurements and evaluations will be blinded to group allocation throughout the study period. This assessor will not be involved in intervention delivery or have any contact with participants during exercise sessions to maintain masking
入排标准
- 年龄范围
- 65 Years 至 99 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 65 years
- •Abnormal mobility based on ICOPE screening (Five-time chair stand test > 12 seconds)
- •Able to stand holding handrail for > 30 seconds
排除标准
- •Severe visual impairment
- •Lower limb fracture
- •Acute serious illness
- •Moderate to severe cognitive impairment (SPMSQ > 5 errors)
- •Diagnosed psychiatric disorders
研究组 & 干预措施
Control Group with Usual Care
Participants in the control group will maintain their usual daily activities and routine care without any specific exercise intervention during the 12-week study period. They will receive standard health education materials and regular check-ups but no structured exercise program
干预措施: Control Group with Usual Care (Other)
Interactive Exergaming with Otago Exercise Program
A 12-week structured program consisting of 120 minutes per week divided into two 60-minute sessions. Each session combines Otago Exercise Program for strength and balance with interactive exergaming activities, conducted in community centers under certified instructor supervision with standardized equipment. Exercise intensity progresses according to individual performance.
干预措施: Interactive Exergaming with Otago Exercise Program (Behavioral)
结局指标
主要结局
Mobility Performance
时间窗: Baseline, 12 weeks, 3 months
Measured by Short Physical Performance Battery (SPPB) Scale: 0-12 points, higher scores indicate better performance
Lower Extremity Strength
时间窗: Baseline, 12 weeks, 3 months
Measured by digital dynamometer Unit: Kilograms (kg)
次要结局
- Intrinsic Capacity Score(baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2))
- Loneliness Level(Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2))
- Depression Symptoms(Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2))
- Well-being Status(Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2))
研究者
JIA-JING SUN
PhD Candidate, Registered Nurse
National Taiwan University