MedPath

Bingocize: A Novel Mobile Application for Older Adult Health

Not Applicable
Completed
Conditions
Sarcopenia
Diabetes Mellitus, Type 2
Accidental Fall
Cognitive Decline
Hypertension
Cognitive Aging
Activities of Daily Living
Arteriosclerosis
Executive Function
Interventions
Behavioral: Socially-Based Exercise Intervention for Older Adults
Registration Number
NCT03629912
Lead Sponsor
Western Kentucky University
Brief Summary

This study tests the effectiveness of using a new mobile application (Bingocize®) to improve older adults' (a) adherence to an engaging exercise program, and (b) aspects of functional performance, health knowledge, dietary habits, and cognition.

Detailed Description

Health-promoting interventions designed to improve physical and mental fitness can help reduce health care costs; they can also help maintain, or even improve, older adults' quality of life. However, getting older adults to adhere to health-promoting exercise interventions remains difficult because such programs are often perceived as being time-consuming, painful, or unenjoyable. The present study's objective is to investigate the effectiveness of a novel technological exercise intervention program for older adults (Bingocize); in doing so, the program has the potential to improve older adults' independence and quality of life. Older adults will participate in a pre/post-intervention design with random assignment to either the experimental or one of three comparison/control groups; each group will play Bingocize in a social setting with other older adults. Participants in the experimental group will use the app to engage in twice-weekly Bingocize sessions for twelve weeks (i.e., Bingo+Exercise+Health Education); control groups will also use the app for twelve weeks but for either health education-only, exercise-only, or bingo-only.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
241
Inclusion Criteria
  • Normal or corrected normal vision
  • Mobility (i.e., not wheelchair bound)
  • English is native language
  • Minimum physical standards (e.g., ability to walk at least 10 meters)
  • No structured physical activity programs >150 minutes/week in last 6 months
Exclusion Criteria
  • Severe neurological impairments (e.g., Parkinson's)
  • Colorblindness
  • Dementia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Exercise + BingoSocially-Based Exercise Intervention for Older AdultsSocially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises ONLY.
Exercise + Health Education + BingoSocially-Based Exercise Intervention for Older AdultsSocially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises AND health information on fall risks + diet/nutrition.
Health Education + BingoSocially-Based Exercise Intervention for Older AdultsSocially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating health information on fall risks + diet/nutrition ONLY.
Primary Outcome Measures
NameTimeMethod
Executive Function Measure: Updating Verbal Working MemoryBaseline and 12 Weeks

Dot Counting Task designed to measure verbal working memory, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score is the total number of items correctly recalled across all six trials.

Minimum=0, Maximum=27, higher = better.

Executive Function Measure: Verbal FluencyBaseline and 12 Weeks

Verbal Fluency Task designed to measure fluency, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that represents the total number of words correctly recalled in two tasks: phonemic (letter) and semantic (category).

Minimum=0, Maximum=unlimited, higher = better.

Executive Function Measure of Inhibition: Continuous Performance TestBaseline and 12 Weeks

Continuance Performance Task is classic response inhibition task, part of the EXAMINER Battery (for scoring method, see References). The score here represents the number of trials out of 100 that the participant responded correctly (i.e., either successfully responded or successfully inhibited a response).

Minimum=0 Maximum=100, higher = better.

Chair Stands: Change in Lower-body Muscular StrengthBaseline and 12 Weeks

number of completed chair stands in 30 seconds, minimum=0, higher = better

Executive Function Measure: Set Shifting TaskBaseline and 12 Weeks

Set Shifting Task designed to measure attention during task switching, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10.

Minimum=0, Maximum=10, higher = better.

Executive Function Inhibition Measure 1: Flanker TaskBaseline and 12 Weeks

Flanker Task designed to measure inhibition, part of the EXAMINER Battery (for scoring method, see References section). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10.

Minimum=0, Maximum=10, higher = better.

Change in Dynamic Balance: 360 Degree TurnsBaseline and 12 Weeks

360 degree turns: time to complete. No minimum or maximum value set. Lower = better.

Timed Up and Go (TUG) Test: Change in Dynamic BalanceBaseline and 12 Weeks

Timed Up and Go (TUG) Test used to assess mobility and risk for falling. Number of seconds needed to stand up from a chair, walk 10 feet, turn around, walk back 10 feet, and sit back down in chair. No minimum or maximum value is set. Lower = better.

Secondary Outcome Measures
NameTimeMethod
Changes in Dietary Habits: Total Added Sugar IntakeBaseline and 12 Weeks

Dietary Screener Questionnaire (DSQ) assessing total added sugar intake over past 30 days

Diastolic Blood PressureBaseline and 12 Weeks

Diastolic Blood pressure calculated by sphygmomanometer

Crystallized Knowledge of Fall Risks and Proper Diet/NutritionBaseline and 12 Weeks

Multiple-choice questions constructed by project investigators that cover: recognition of health terms, weight management, proper diet, bone health, environmental fall risks, careful movement. Unit of measure = number correct. Minimum = 0, Maximum = 30. Higher = better.

Grip Strength: Changes in Upper Body Muscular StrengthBaseline and 12 Weeks

Grip strength tests using a hand-held dynamometer. No minimum or maximum set. Higher = better.

Fall Efficacy ScaleBaseline and 12 Weeks

Self-reported scale assessing confidence in doing activities that may be perceived as having risk for falling (see References).

Minimum = 10, Maximum = 100. Lower = better.

Changes in Quality of LifeBaseline and 12 Weeks

CDC Health related quality of life measure item 1 (general health). 1 = Excellent, 5 = Poor. Lower = Better.

Changes in WeightBaseline and 12 Weeks

Weight calculated by scale measurement

Systolic Blood PressureBaseline and 12 Weeks

Systolic Blood pressure calculated by sphygmomanometer.

Trial Locations

Locations (4)

Webster County Senior Center

🇺🇸

Dixon, Kentucky, United States

Chester County Senior Center

🇺🇸

Henderson, Tennessee, United States

Scotts Hill Senior Center

🇺🇸

Scotts Hill, Tennessee, United States

Johnson County Senior Center

🇺🇸

Johnson City, Tennessee, United States

© Copyright 2025. All Rights Reserved by MedPath