In-class Active Video Game Supplementation and Adherence to Cardiac Rehabilitation

Ruivo, Jorge; Karim, Kay; OʼShea, Roisin; Oliveira, Rosa Honorato de; Keary, Louis; O'Brien, Claire Elizabeth; Gormley, John

doi:10.1097/hcr.0000000000000224

Cited by 26 publications

(116 citation statements)

References 13 publications

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“…Adherence was reported in two different ways: as dropout rates and/or as proportion of sessions/days completed. With respect to dropouts, only three studies 47,53,60 did not lose any participants, while six studies lost between 2.0% and 8.4%, 18,49,51,56‐57,59 three studies lost 12.7%‐17.9%, 55,58,61 one study lost 26.2%, 48 one study lost 28.3%, 50 and one study lost 43.8% 54 of the participants. When considering the proportion of intervention sessions/days attended by the participants, only seven studies reported data, 50‐51,54‐56,60,61 with attendance rates to the exergame intervention being ~30%, 56 62%, 54 63.9%, 60 ~77%, 50,55 and ~84% 51,61 .…”

Section: Resultsmentioning

confidence: 96%

“…The number of participants in the studies varied from 15 60 to 88 52 . Two studies examined exclusively men, 47,50 three exclusively women, 32,51,60 while 11 studies assessed a mixed sex sample 18,48‐49,52‐56,58‐59,61 and one study did not report the participants’ sex 57 . In total, 236 men and 297 women participated in the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of study participants ranged from 14 59 to 78.7 61 . Only four 18,32,49,57 of 17 included studies reported the participants’ body mass index, ranging from a mean of 23.05 kg/m 2 32 to a median of 28 kg/m 2 49 . One study 59 calculated the body mass index values (3.15 kg/m 2 ) using adolescents' assessed height and weight and standardized using the lambda, mu, and sigma (LMS) method based on national age and sex‐based norms from the Centers for Disease Control and Prevention 62 .…”

Section: Resultsmentioning

confidence: 99%

“…Only one study evaluated healthy young individuals 32 and other older adults 52 . The remaining 15 studies investigated participants with some type of disease 18,47‐51,53‐61 …”

Section: Resultsmentioning

confidence: 99%

“…The weekly frequency of exergame sessions for chronic studies ranged from two 47,49,51,56 to seven 18 with the most common frequencies being two 47,49,51,56 and three times per week 50,59‐61 . Session duration ranged from 10 minutes 60 to 86 minutes 50 .…”

Section: Resultsmentioning

confidence: 99%

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The effects of exergames on anxiety levels: A systematic review and meta‐analysis

Viana

Dankel

Loenneke

et al. 2020

Scandinavian Med Sci Sports

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There are currently many different approaches to performing exergames and there is still no consensus as to whether exergames are able to reduce anxiety levels, as well as whether exergames provide greater reductions on anxiety levels when added to traditional forms of clinical interventions. Therefore, the aim of the present systematic review and meta‐analysis was to access data from studies that evaluated the effects of exergames on anxiety levels in humans. PubMed, Scopus and Cochrane databases were searched up to 22 February 2019. Inclusion criteria were acute and chronic (short‐term and long‐term interventions) studies which evaluated the effects of exergames in anxiety levels as primary or secondary aim. Of the 1342 studies found, 17 and 10 were included in qualitative analyses and meta‐analyses, respectively. The within‐group analysis found that exergames (standardized mean difference [SMD]: −0.57 [95% Confidence interval (CI): −0.86 to −0.28], P < .001) and usual care (SMD: −0.21 [95% CI: −0.34 to −0.08], P = .002) resulted in significant improvements on anxiety levels. However, the between‐group meta‐analysis on the effects of control interventions vs exergames (SMD: 0.02 [95% CI: −0.55 to 0.60], P = .939) found no significant difference between groups in anxiety levels reductions. There was also no significant difference (SMD: −0.04 [95% CI: −0.32 to 0.25], P = .805) between usual care vs exergames plus usual care interventions in anxiety levels reductions. Although exergames demonstrated within‐group improvements in anxiety levels across different clinical populations, it was not greater than the effects from non‐exercise interventions. Also, given the paucity of studies, small sample sizes, different research designs, and different population investigated, the existing evidence is insufficient to support the advantages of usual care supplemented by exergame intervention over usual care standalone in anxiety levels reduction.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Only one study evaluated healthy young individuals 32 and other older adults 52 . The remaining 15 studies investigated participants with some type of disease 18,47‐51,53‐61 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The effects of exergames on anxiety levels: A systematic review and meta‐analysis

Viana

Dankel

Loenneke

et al. 2020

Scandinavian Med Sci Sports

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Interventions to promote patient utilisation of cardiac rehabilitation

Pio

Chaves

Davies

et al. 2019

Cochrane Database of Systematic Reviews

106

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Exergaming for Quality of Life in Persons Living with Chronic Diseases: A Systematic Review and Meta‐analysis

Cugusi

Prosperini

Mura

2020

PM&R

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Objective To evaluate the evidence of effectiveness of exergame‐based rehabilitative interventions on health‐related quality of life (HRQoL) in persons with chronic diseases. Type Systematic review and meta‐analysis. Literature survey Randomized and nonrandomized controlled trials of exergame rehabilitation interventions in populations with chronic diseases reporting HRQoL outcomes were identified by searching PubMed, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar, using keywords and MeSH terms for papers published between January 2005 and March 2019. Methodology Risk of bias was assessed by using the PEDro scale. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) system was used to score the quality of evidence. Pooled effects were reported as standardized mean differences (SMDs) or weighted mean difference (MDs) and 95% confidence intervals (CIs), using a random‐effects model. Heterogeneity was weighted by inconsistency I2 tests. Synthesis Thirty‐four trials were identified (1594 participants). Overall, the evidence was low quality. Exergames significantly improved HRQoL in populations with chronic diseases, with a small effect size (32 studies; 1544 participants; SMD 0.24; 95% CI 0.1 to 0.4; I2 = 27%) and specifically in people with neurological disorders (20 studies, 956 participants, SMD 0.22; 95% CI 0.2 to 0.4; I2 = 49%), rheumatologic diseases (four studies, 210 participants, SMD 0.39; 95% CI 0.1 to 0.7; I2 = 4%), and cardiorespiratory and chronic metabolic conditions (five studies, 309 participants, SMD 0.23; 95% CI 0.0 to 0.5; I2 = 0%). Exergaming interventions in health care settings demonstrated similarly small but positive effects (22 studies, 905 participants, SMD 0.30; 95% CI 0.1 to 0.5; I2 = 41%), whereas those carried out in home‐based contexts did not. Conclusions Exergame‐based rehabilitative interventions performed in health care settings led to small but statistically significant improvements in HRQoL in persons with chronic diseases.

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In-class Active Video Game Supplementation and Adherence to Cardiac Rehabilitation

Abstract: The additional use of AVGs during CR sessions is feasible, safe, and significantly improved daily PA and EE. A dropout reduction trend among its users, which needs to be confirmed in a larger trial, raises awareness to AVG supplementation as a promising strategy to increase CR adherence.

Cited by 26 publications

References 13 publications

The effects of exergames on anxiety levels: A systematic review and meta‐analysis

The effects of exergames on anxiety levels: A systematic review and meta‐analysis

Interventions to promote patient utilisation of cardiac rehabilitation

Exergaming for Quality of Life in Persons Living with Chronic Diseases: A Systematic Review and Meta‐analysis

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