Health Games Come of Age: An Expert Panel Discussion

Ferguson, Moderator: Bill; Baranowski, Participants: Tom; Bingham, Peter M.; Lieberman, Debra; Medina, Ernie; Schell, Jesse; Yohannan, Sam K.

doi:10.1089/g4h.2012.1014

Cited by 5 publications

(2 citation statements)

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“…Video games have attracted attention as a novel way of delivering health care interventions with the potential to motivate change in health behaviors [23]. Video games can be designed to incorporate a physical activity or exercise component, and these are known as active video games (AVGs) or exergames [24].…”

Section: Introductionmentioning

confidence: 99%

Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis

Simmich¹,

Deacon²,

Russell³

2019

JMIR Serious Games

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BackgroundExercise and physical activity are key components of treatment for chronic respiratory diseases. However, the level of physical activity and adherence to exercise programs are low in people with these diseases. Active video games (AVGs) may provide a more engaging alternative to traditional forms of exercise.ObjectiveThis review examines the effectiveness of game-based interventions on physiological outcome measures, as well as adherence and enjoyment in subjects with chronic respiratory diseases.MethodsA systematic search of the literature was conducted, with full texts and abstracts included where they involved an AVG intervention for participants diagnosed with respiratory conditions. A narrative synthesis of included studies was performed. Additionally, meta-analysis comparing AVGs with traditional exercise was undertaken for 4 outcome measures: mean heart rate (HR) during exercise, peripheral blood oxygen saturation (SpO2) during exercise, dyspnea induced by the exercise, and enjoyment of the exercise.ResultsA total of 13 full-text papers corresponding to 12 studies were included in the review. Interventions predominantly used games released for the Nintendo Wii (8 studies) and Microsoft Xbox Kinect (3 studies). There were 5 studies that examined the acute effects of a single session of AVGs and 7 studies that examined the long-term effects after multiple sessions of AVGs. Trials conducted over more than 1 session varied in duration between 3 and 12 weeks. In these, AVG interventions were associated with either similar or slightly greater improvements in outcomes such as exercise capacity when compared with a traditional exercise control, and they also generally demonstrated improvements over baseline or nonintervention comparators. There were a few studies of unsupervised AVG interventions, but the reported adherence was high and maintained throughout the intervention period. Additionally, AVGs were generally reported to be well liked and considered feasible by participants.For outcome measures measured during a single exercise session, there was no significant difference between an AVG and traditional exercise for HR (mean difference 1.44 beats per minute, 95% CI –14.31 to 17.18), SpO2 (mean difference 1.12 percentage points, 95% CI –1.91 to 4.16), and dyspnea (mean difference 0.43 Borg units, 95% CI –0.79 to 1.66), but AVGs were significantly more enjoyable than traditional exercise (Hedges g standardized mean difference 1.36, 95% CI 0.04-2.68).ConclusionsThis review provides evidence that AVG interventions, undertaken for several weeks, can provide similar or greater improvements in exercise capacity and other outcomes as traditional exercise. Within a single session of cardiovascular exercise, an AVG can evoke similar physiological responses as traditional exercise modalities but is more enjoyable to subjects with chronic respiratory diseases. However, there is very limited evidence for adherence and effectiveness in long-term unsupervised trials, which should be the focus of future research.

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Section: Introductionmentioning

confidence: 99%

Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis

Simmich¹,

Deacon²,

Russell³

2019

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…Video games have attracted attention as a novel way of delivering healthcare interventions with the potential to motivate change in health behaviours [22]. Video games can be designed to incorporate a physical activity or exercise component, and these are known as active video games (AVGs) or exergames [23].…”

Section: Introductionmentioning

confidence: 99%