Bingocize: A Novel Mobile Application for Older Adult Health

Study Overview
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Brief Summary
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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
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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.

Official Title
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Bingocize: A Novel Mobile Application to Help Maintain or Improve Older Adults' Health, Function, and Cognition

Conditions
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Activities of Daily Living, Accidental Fall, Sarcopenia, Arteriosclerosis, Diabetes Mellitus, Type 2, Hypertension, Cognitive Decline, Executive Function, Cognitive Aging

Intervention / Treatment
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* Behavioral: Socially-Based Exercise Intervention for Older Adults


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: In each wave of the study (14 weeks per wave), participant groups are randomly assigned to one of four conditions (A,B,C,D). Condition A receives exercise + health education. Condition B receives exercise only. Condition C receives health education only. Condition D receives nothing.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise + Health Education + Bingo<br>Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises AND health information on fall risks + diet/nutrition. | Behavioral: Socially-Based Exercise Intervention for Older Adults<br>* A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors<br>* Other names: Bingocize;|
| Active Comparator: Exercise + Bingo<br>Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises ONLY. | Behavioral: Socially-Based Exercise Intervention for Older Adults<br>* A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors<br>* Other names: Bingocize;|
| Active Comparator: Health Education + Bingo<br>Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating health information on fall risks + diet/nutrition ONLY. | Behavioral: Socially-Based Exercise Intervention for Older Adults<br>* A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors<br>* Other names: Bingocize;|
| No Intervention: Bingo Only<br>Participants use the Bingocize app to play bingo only. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Executive Function - Inhibition Measure 1 | Flanker Task | Baseline and 12 Weeks | 
| Changes in Executive Function - Updating | Dot Counting Task | Baseline and 12 Weeks | 
| Changes in Executive Function - Shifting | Set Shifting Task | Baseline and 12 Weeks | 
| Changes in Executive Function - Fluency | Phonemic and Category Fluency Tasks | Baseline and 12 Weeks | 
| Change in lower-body muscular strength | 30-second chair stands | Baseline and 12 Weeks | 
| Change in dynamic balance | 360 degree turns & Timed Up-And-Go | Baseline and 12 Weeks | 
| Changes in Executive Function - Inhibition Measure 2 | Continuous Performance Task | Baseline and 12 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Knowledge of Fall Risks and Proper Diet/Nutrition | Multiple-choice questions covering: recognition of health terms, weight management, proper diet, bone health, environmental fall risks, careful movement | Baseline and 12 Weeks | 
| Changes in upper body muscular strength | Grip strength tests | Baseline and 12 Weeks | 
| Changes in Fall Efficacy | Self-report scale assessing confidence in activities that may be perceived as having risk for falling | Baseline and 12 Weeks | 
| Changes in Dietary Habits | Dietary Screener Questionnaire (DSQ) assessing nutritional intake over past 30 days | Baseline and 12 Weeks | 
| Changes in Quality of Life | CDC Health related quality of life measure | Baseline and 12 Weeks | 
| Changes in Weight | Weight calculated by scale measurement | Baseline and 12 Weeks | 
| Changes in Blood Pressure | Blood pressure calculated by sphygmomanometer | Baseline and 12 Weeks |