Feasibility and acceptability of an exergame intervention for schizophrenia

Objectives To evaluate the feasibility and acceptability of an exergame intervention as a tool to promote physical activity in outpatients with schizophrenia. Design Feasibility/Acceptability Study and Quasi-Experimental Trial. Method Sixteen outpatients with schizophrenia received treatment as usual and they all completed an 8-week exergame intervention using Microsoft Kinect® (20 min sessions, biweekly). Participants completed pre and post treatment assessments regarding functional mobility (Timed Up and Go Test), functional fitness performance (Senior Fitness Test), motor neurological soft signs (Brief Motor Scale), hand grip strength (digital dynamometer), static balance (force plate), speed of processing (Trail Making Test), schizophrenia-related symptoms (Positive and Negative Syndrome Scale) and functioning (Personal and Social Performance Scale). The EG group completed an acceptability questionnaire after the intervention. Results Attrition rate was 18.75% and 69.23% of the participants completed the intervention within the proposed schedule. Baseline clinical traits were not related to game performance indicators. Over 90% of the participants rated the intervention as satisfactory and interactive. Most participants (76.9%) agreed that this intervention promotes healthier lifestyles and is an acceptable alternative to perform physical activity. Repeated-measures MANOVA analyses found no significant multivariate effects for combined outcomes. Conclusion This study established the feasibility and acceptability of an exergame intervention for outpatients with schizophrenia. The intervention proved to be an appealing alternative to physical activity. Future trials should include larger sample sizes, explore patients' adherence to home-based exergames and consider greater intervention dosage (length, session duration, and/or frequency) in order to achieve potential effects.

Aposentadoria e exergames: uma revisão integrativa da literatura sobre a possibilidade da prática de atividades físicas por idosos por meio de exergame

The practice of physical exercise and the adopting of a healthy lifestyle are some of the ways to minimize the physiological and pathological changes associated with aging. Therefore, it is interesting to search for new technologies that encourage the elderly to practice physical activities, such as Exergames. In this study, an integrative review was carried out through electronic databases, journals and scientific journals searching for articles and publications that relate the use of exergames by retirees and testing the viability of these technologies towards this target public. A total of twenty-seven articles made part of the review. After analyzing the results, it's clear that exergames are one of the pertinent options to motivate this public to adhere in a healthier lifestyle, being able to improve the physical, cognitive abilities and improve emotional states of its practitioners, can vary the intensity of exercise in accordance with the personal limitations of each one. But certain care and adjustments need to be made before starting to practice them

Exergames - Jogos Sérios para Promover o Exercício Físico

As novas tecnologias, em particular os meios de entretimento digital, oferecem diferentes soluções de interação para que as pessoas se possam divertir. O elevado (e crescente) número de jogos digitais disponíveis no mercado permitiu o aparecimento de um novo tipo de jogos digitais, os jogos sérios, com uma finalidade menos lúdica. O intuito desses jogos é usar as caraterísticas associadas aos jogos normais, mas direcioná-los para uma finalidade séria. Assim, além de divertir o utilizador estes jogos também possibilitam a transmissão de informação e conhecimento que de outra forma não teria o mesmo impacto, por falta de interesse e menor motivação dos utilizadores. Exergames são jogos digitais utilizados para o desenvolvimento pessoal como o propósito de melhorar o bem-estar das pessoas quer a nível físico quer a nível mental. Esses jogos requerem que partes do corpo estejam em constante movimento, sendo que alguns utilizam dispositivos de rastreio de movimentos do corpo como forma de interação com os sistemas. Os exergames são o foco desta tese, com uma análise das suas potencialidades e das diferentes áreas possíveis para a sua aplicabilidade. São analisados diferentes tipos de exergames consoante o dispositivo que irá permitir a utilização do jogo. Também são estudados algumas ferramentas externas que possibilitam a interação de aplicações móveis com equipamentos de exercício físico específicos. A componente prática da tese contempla a criação de um exergame para dispositivos móveis com o intuito de incentivar as pessoas para a prática de corridas de forma regular, para que possam ter um estilo de vida ativo e que contribui de forma direta para o bem-estar deles. Os testes realizados junto a um conjunto de pessoas conduziram a resultados positivos quer do jogo desenvolvido quer da utilidade deste tipo de jogos no desenvolvimento físico, o que permite afirmar que os exergames devido ao seu carácter sério, mas nunca deixando de parte a diversão e a interatividade, são motivadores extras para as pessoas praticarem exercício físico.

Exergames: Fator motivacional para a prática de atividades físicas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The Use of Nudges in Exergames to Moderate Player Exertion

Exergames are digital games with a physical exertion component. Exergames can help motivate fitness in people not inclined toward exercise. However, players of exergames sometimes over-exert, risking adverse health effects. These players must be told to slow down, but doing so may distract them from gameplay and diminish their desire to keep exercising. In this thesis we apply the concept of nudges—indirect suggestions that gently push people toward a desired behaviour—to keeping exergame players from over-exerting. We describe the effective use of nudges through a set of four design principles: natural integration, comprehension, progression, and multiple channels. We describe two exergames modified to use nudges to persuade players to slow down, and describe the studies evaluating the use of nudges in these games. PlaneGame shows that nudges can be as effective as an explicit textual display to control player over-exertion. Gekku Race demonstrates that nudges are not necessarily effective when players have a strong incentive to over-exert. However, Gekku Race also shows that, even in high-energy games, the power of nudges can be maintained by adding negative consequences to the nudges. We use the term "shove" to describe a nudge using negative consequences to increase its pressure. We were concerned that making players slow down would damage their immersion—the feeling of being engaged with a game. However, testing showed no loss of immersion through the use of nudges to reduce exertion. Players reported that the nudges and shoves motivated them to slow down when they were over-exerting, and fit naturally into the games.

Serious Game no tratamento de obesidade infantil: uma proposta de interação natural com monitoramento remoto

The number of overweight people has increased in the last few years. Factors such as attention to diet and changes in lifestyle are crucial in the prevention and control of obesity and diseases related to it. Experts believe that such actions are most effective when initiated during childhood, and that children raised in an environment that encourages physical activity ultimately become healthier adults. However, to arouse and maintain interest in such activities represent a major challenge, which are initially perceived as repetitive and boring, and, thus, soon abandoned. Computer games, traditionally seen as stimulants to a sedentary lifestyle are changing this perception using non-conventional controls that require constant movement of the player. Applications that combine the playfulness of such games to physical activity through devices, like Microsoft Kinect, might become interesting tools in this scenario, by using the familiarity of Natural User Interfaces along with the challenge and the fun of video games, in order to make attractive exercise routines for schoolchildren. The project carried out consists of an exergame composed of several activities designed and implemented with the participation of a Physical Educator, aimed at children between eight and ten years old, whose performance and progress can be remotely monitored by a professional via web interface. The application arising from this work was accompanied by tests with a group of graduating Physical Education students from the University of Rio Verde GO, and subsequently validated through questionnaires whose results are shown on this work.

The Use of Nudges in Exergames to Moderate Player Exertion

Exergames are digital games with a physical exertion component. Exergames can help motivate fitness in people not inclined toward exercise. However, players of exergames sometimes over-exert, risking adverse health effects. These players must be told to slow down, but doing so may distract them from gameplay and diminish their desire to keep exercising. In this thesis we apply the concept of nudges—indirect suggestions that gently push people toward a desired behaviour—to keeping exergame players from over-exerting. We describe the effective use of nudges through a set of four design principles: natural integration, comprehension, progression, and multiple channels. We describe two exergames modified to use nudges to persuade players to slow down, and describe the studies evaluating the use of nudges in these games. PlaneGame shows that nudges can be as effective as an explicit textual display to control player over-exertion. Gekku Race demonstrates that nudges are not necessarily effective when players have a strong incentive to over-exert. However, Gekku Race also shows that, even in high-energy games, the power of nudges can be maintained by adding negative consequences to the nudges. We use the term "shove" to describe a nudge using negative consequences to increase its pressure. We were concerned that making players slow down would damage their immersion—the feeling of being engaged with a game. However, testing showed no loss of immersion through the use of nudges to reduce exertion. Players reported that the nudges and shoves motivated them to slow down when they were over-exerting, and fit naturally into the games.