Mobile Exergaming for Health-Effects of a serious game application for smartphones on physical activity and exercise adherence in type 2 diabetes mellitus-study protocol for a randomized controlled trial
Mobile Exergaming for Health-Effects of a serious game application for smartphones on physical activity and exercise adherence in type 2 diabetes mellitus-study protocol for a randomized controlled trial
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DOI：
10.1186/s13063-017-1853-3
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发表时间：
2017-03-06
期刊：
影响因子：
2.5
通讯作者：
Schmidt-Trucksass, Arno
中科院分区：
文献类型：
--
作者：
Hochsmann, Christoph;Walz, Steffen P.;Schmidt-Trucksass, Arno
背景资料：Exergaming是一种新的方法，以增加久坐不动的人，如2型糖尿病（T2 DM）患者的定期体力活动（PA）的动机。由于现有的exergames不提供健身水平调整，个性化的锻炼，通常是固定的（电视绑定），因此无法随时随地启用PA，我们开发了一种基于智能手机的游戏式软件应用程序（MOBIGAME），专门为中年T2 DM患者设计，以诱导更健康，更积极的生活方式，作为成功的T2 DM治疗和管理的一部分。在一项随机对照试验中，我们的目的是检查我们的智能手机为基础的游戏应用程序是否可以导致增加每日PA在T2 DM患者是持久的，在中长期，这些增加是否大于那些在对照组。方法：这项研究被设计为一项随机对照试验。我们计划共招募42例T2 DM患者[45-70岁，体重指数（BMI）>= 25 kg/m2，每日PA低，定期使用智能手机]。实验干预（持续24周）包括个性化的多维家庭为基础的运动和日常PA的促进管理通过MOBIGAME。对照干预包括一次性的标准生活方式咨询，包括促进基线活动。主要结果是每日PA测量为每天的步数。次要结果是通过参与者智能手机的使用数据（实验干预）和自我记录的运动日志条目（对照干预）测量的运动坚持性。我们将使用协方差分析来检验实验组和对照组之间在干预后每日PA（以及所有其他结果）方面存在差异的假设。对于每个分析，估计（95%的置信区间）两组之间的结果的差异将reported.Discussion：本研究将探讨一种新的智能手机为基础的，游戏般的软件应用程序的有效性，以促进定期的日常PA之间的非活动性T2 DM患者。这项试验的结果可能对未来的PA促进干预措施具有重要意义，并为此类应用程序作为其他慢性疾病治疗的一部分的一般可转移性提供相关信息。
Background: Exergaming is a novel approach to increase motivation for regular physical activity (PA) among sedentary individuals such as patients with type 2 diabetes mellitus (T2DM). Because existing exergames do not offer fitness-level adjusted, individualized workouts and are normally stationary (TV bound), thus not enabling PA anywhere and at any time, we developed a smartphone-based, game-like software application (MOBIGAME) specifically designed for middle-aged T2DM patients to induce a healthier, more active lifestyle as part of successful T2DM treatment and management. In a randomized controlled trial we aim to examine whether our smartphone-based game application can lead to increases in daily PA in T2DM patients that are persistent in the mid to long term and whether these increases are greater than those in a control group.Methods: This study is designed as a randomized controlled trial. We plan to recruit a total of 42 T2DM patients [45-70 years, body mass index (BMI) >= 25 kg/m(2), low daily PA, regular smartphone use]. The experimental intervention (duration 24 weeks) includes individualized multidimensional home-based exercise and daily PA promotion administered through MOBIGAME. The control intervention consists of a one-time standard lifestyle counseling including the promotion of baseline activities.The primary outcome is daily PA measured as steps per day. Secondary outcome is exercise adherence measured via the usage data from the participants' smartphones (experimental intervention) and as self-recorded exercise log entries (control intervention).We will test the hypothesis that there will be differences between the experimental and control group with respect to post-interventional daily PA (as well as all other outcomes) using analysis of covariance. For each analysis, an estimate (with 95% confidence interval) of the difference in outcome between both groups will be reported.Discussion: This research will investigate the effectiveness of a novel smartphone-based, game-like software application to be used as a way to promote regular daily PA among inactive T2DM patients. The results of this trial may have important implications for future PA-promoting interventions and provide relevant information for the general transferability of such applications to be used as part of the treatment in other chronic diseases.