Home-Based Exergame Program for Community-Dwelling Older Adults

Study Overview
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Brief Summary
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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, we 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.

Official Title
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Home-Based Exergame Program for Community-Dwelling Older Adults

Conditions
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Exergaming, Frail Elderly

Intervention / Treatment
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* Other: Home-based exergame program


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 75 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Home-based exergame program<br>The home-based exergame program was conducted at the participants' homes for 50 min, three times a week, for eight weeks. | Other: Home-based exergame program<br>* The home-based exergame program was conducted at the participants' homes for 50 min, three times a week, for eight weeks. Online education on fall prevention and musculoskeletal health management was provided once a week for 50 minutes, one day a week, for 8 weeks.<br>* Other names: Online education;|
| Active Comparator: Online education<br>Online education on fall prevention and musculoskeletal health management was provided once a week for 50 minutes, one day a week, for 8 weeks. | Other: Home-based exergame program<br>* The home-based exergame program was conducted at the participants' homes for 50 min, three times a week, for eight weeks. Online education on fall prevention and musculoskeletal health management was provided once a week for 50 minutes, one day a week, for 8 weeks.<br>* Other names: Online education;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| One-leg standing test | 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. | Change from baseline after intervention at 8 weeks | 
| Berg balance scale | 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. | Change from baseline after intervention at 8 weeks | 
| Functional reaching test | Functional reaching test was used to evaluate movement limits. | Change from baseline after intervention at 8 weeks | 
| Timed up-and-go test | Timed up-and-go test was used to assess functional movement and mobility. | Change from baseline after intervention at 8 weeks | 
| Five-times sit-to-stand test | Five-times sit-to-stand test was used to evaluate lower-extremity muscle strength. | Change from baseline after intervention at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls Efficacy | The modified falls efficacy scale, which was developed for older adults specifically, was used to evaluate the fall efficacy. | Change from baseline after intervention at 8 weeks | 
| Depression | Depression was measured using the geriatric depression scale. | Change from baseline after intervention at 8 weeks | 
| Health-Related Quality of Life | The 36-item short-form health survey was used to measure health-related quality of life. | Change from baseline after intervention at 8 weeks |