Exercise Games and Physical Activity: Can a Home-based Exergame System Increase Physical Activity?
1 other identifier
interventional
72
1 country
2
Brief Summary
This study will be investigating an innovative and exciting way to increase physical activity in children between the ages of 9 and 12 years old. Families will be provided with a state-of-the-art exercise bike and video game console to have in their homes. The video games will provide a variety of play including racing, puzzle solving, collaborative play, team play and competitive play. We will be comparing whether a 'multi-player' condition has a greater adherence compared to a 'single-player' condition.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2013
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2013
CompletedFirst Submitted
Initial submission to the registry
December 29, 2013
CompletedFirst Posted
Study publicly available on registry
January 10, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedMay 7, 2015
May 1, 2015
1.3 years
December 29, 2013
May 5, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in physical activity
Physical activity will be measured via the Physical Activity Questionnaire for Children (PAQ-C) and objective data (use of gamebike) from the exergame. The PAQ-C assesses habitual moderate to vigorous physical activity in children and adolescents.
Baseline, 2 weeks, 4 weeks and 6 weeks.
Secondary Outcomes (10)
Change in motivation
Time 1 after first assignment of condition, 2 weeks, 4 weeks and 6 weeks
Change in health-related quality of life/psychosocial distress
Baseline, 2 weeks, 4 weeks and 6 weeks.
Change in health-related fitness
Baseline and 6 weeks
Change in parent and family based leisure time physical activity
Baseline and at follow-up (6 weeks)
Change in equipment and home environment
Baseline
- +5 more secondary outcomes
Other Outcomes (1)
Sociodemographic measures
Baseline
Study Arms (2)
Multi-player condition
EXPERIMENTALThe multi-player condition examines the aspect of online gaming and social interaction with adherence to the exergame.
Single-player condition
NO INTERVENTIONThis arm will look at whether those who play an exergame by themselves or with a computer generated player have the same adherence and use when compared to a multi-player condition.
Interventions
Children in the multi-player condition will be able to play with and compete against other children in real time.
Eligibility Criteria
You may qualify if:
- Participants will be children between the ages of 9 and 12 years old from the greater Victoria, B.C. area and Kingston, Ontario region. Children will be included if they participate in physical activity below Canadian recommended guidelines (for children under 60 minutes of activity daily).
- Participants must also pass the physical activity readiness protocol or seek physician clearance before participation.
- The families must also agree to having the exergaming station in an accessible location in their homes for the duration of the trial
- Will need high speed internet
You may not qualify if:
- Children outside of the ages of 9 - 12 years
- Children who are active greater than recommended guidelines (more than 60 minutes of daily activity)
- Children with special needs (i.e. autism spectrum disorder, ADHD/ADD)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Victorialead
- Canadian Cancer Society (CCS)collaborator
Study Sites (2)
University of Victoria
Victoria, British Columbia, STN-CSC, Canada
Queens University
Kingston, Ontario, K7L 3X5, Canada
Related Publications (64)
Statistics Canada. Table 102-0561 - Leading causes of death, total population, by age group and sex, Canada, annual, CANSIM (database). Journal [serial on the Internet]. 2012 Date: Available from: http://www5.statcan.gc.ca/cansim/pick-choisir?lang=eng&p2=33&id=1020561.
BACKGROUNDStein CJ, Colditz GA. Modifiable risk factors for cancer. Br J Cancer. 2004 Jan 26;90(2):299-303. doi: 10.1038/sj.bjc.6601509.
PMID: 14735167BACKGROUNDHarvard Report on Cancer Prevention. Volume 1: Causes of human cancer. Cancer Causes Control. 1996 Nov;7 Suppl 1:S3-59. doi: 10.1007/BF02352719. No abstract available.
PMID: 9091058BACKGROUNDAdami HO, Day NE, Trichopoulos D, Willett WC. Primary and secondary prevention in the reduction of cancer morbidity and mortality. Eur J Cancer. 2001 Oct;37 Suppl 8:S118-27. doi: 10.1016/s0959-8049(01)00262-3.
PMID: 11602378BACKGROUNDMonninkhof EM, Elias SG, Vlems FA, van der Tweel I, Schuit AJ, Voskuil DW, van Leeuwen FE; TFPAC. Physical activity and breast cancer: a systematic review. Epidemiology. 2007 Jan;18(1):137-57. doi: 10.1097/01.ede.0000251167.75581.98.
PMID: 17130685BACKGROUNDTardon A, Lee WJ, Delgado-Rodriguez M, Dosemeci M, Albanes D, Hoover R, Blair A. Leisure-time physical activity and lung cancer: a meta-analysis. Cancer Causes Control. 2005 May;16(4):389-97. doi: 10.1007/s10552-004-5026-9.
PMID: 15953981BACKGROUNDHarriss DJ, Atkinson G, Batterham A, George K, Cable NT, Reilly T, Haboubi N, Renehan AG; Colorectal Cancer, Lifestyle, Exercise And Research Group. Lifestyle factors and colorectal cancer risk (2): a systematic review and meta-analysis of associations with leisure-time physical activity. Colorectal Dis. 2009 Sep;11(7):689-701. doi: 10.1111/j.1463-1318.2009.01767.x. Epub 2009 Jan 17.
PMID: 19207713BACKGROUNDColley RC, Garriguet D, Janssen I, Craig CL, Clarke J, Tremblay MS. Physical activity of Canadian adults: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Rep. 2011 Mar;22(1):7-14.
PMID: 21510585BACKGROUNDColley RC, Garriguet D, Janssen I, Craig CL, Clarke J, Tremblay MS. Physical activity of Canadian children and youth: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Rep. 2011 Mar;22(1):15-23.
PMID: 21510586BACKGROUNDJedwab J. Actively Canadian: Who's the most active of us all? : Association for Canadian Studies; 2005.
BACKGROUNDStatistics Canada. Canadian Community Health Survey 1994-2003. Government of Canada; 2005 [updated 2005; cited 2005 April 13]; Available from: http://www.acs-aec.ca/Polls/Physical%20Activity%20and%20Obesity.pdf.
BACKGROUNDO'Connor TM, Jago R, Baranowski T. Engaging parents to increase youth physical activity a systematic review. Am J Prev Med. 2009 Aug;37(2):141-9. doi: 10.1016/j.amepre.2009.04.020.
PMID: 19589450BACKGROUNDNasuti G, Rhodes RE. Affective judgment and physical activity in youth: review and meta-analyses. Ann Behav Med. 2013 Jun;45(3):357-76. doi: 10.1007/s12160-012-9462-6.
PMID: 23297073BACKGROUNDRhodes RE, Fiala B, Conner M. A review and meta-analysis of affective judgments and physical activity in adult populations. Ann Behav Med. 2009 Dec;38(3):180-204. doi: 10.1007/s12160-009-9147-y.
PMID: 20082164BACKGROUNDBarnett A, Cerin E, Baranowski T. Active video games for youth: a systematic review. J Phys Act Health. 2011 Jul;8(5):724-37. doi: 10.1123/jpah.8.5.724.
PMID: 21734319BACKGROUNDBiddiss E, Irwin J. Active video games to promote physical activity in children and youth: a systematic review. Arch Pediatr Adolesc Med. 2010 Jul;164(7):664-72. doi: 10.1001/archpediatrics.2010.104.
PMID: 20603468BACKGROUNDPeng W, Crouse JC, Lin JH. Using active video games for physical activity promotion: a systematic review of the current state of research. Health Educ Behav. 2013 Apr;40(2):171-92. doi: 10.1177/1090198112444956. Epub 2012 Jul 6.
PMID: 22773597BACKGROUNDMark R, Rhodes RE, Warburton DER, Bredin SSG. Interactive video games and physical activity: A review of literature and future directions. Health and Fitness Journal of Canada. 2008;1:14-24.
BACKGROUNDBaranowski T, Buday R, Thompson DI, Baranowski J. Playing for real: video games and stories for health-related behavior change. Am J Prev Med. 2008 Jan;34(1):74-82. doi: 10.1016/j.amepre.2007.09.027.
PMID: 18083454BACKGROUNDPrimack BA, Carroll MV, McNamara M, Klem ML, King B, Rich M, Chan CW, Nayak S. Role of video games in improving health-related outcomes: a systematic review. Am J Prev Med. 2012 Jun;42(6):630-8. doi: 10.1016/j.amepre.2012.02.023.
PMID: 22608382BACKGROUNDWarburton DE, Bredin SS, Horita LT, Zbogar D, Scott JM, Esch BT, Rhodes RE. The health benefits of interactive video game exercise. Appl Physiol Nutr Metab. 2007 Aug;32(4):655-63. doi: 10.1139/H07-038.
PMID: 17622279BACKGROUNDWarburton DE, Sarkany D, Johnson M, Rhodes RE, Whitford W, Esch BT, Scott JM, Wong SC, Bredin SS. Metabolic requirements of interactive video game cycling. Med Sci Sports Exerc. 2009 Apr;41(4):920-6. doi: 10.1249/MSS.0b013e31819012bd.
PMID: 19276840BACKGROUNDMark RS, Rhodes RE. Testing the effectiveness of exercise videogame bikes among families in the home-setting: a pilot study. J Phys Act Health. 2013 Feb;10(2):211-21. doi: 10.1123/jpah.10.2.211. Epub 2012 Jun 12.
PMID: 22820629BACKGROUNDR. K. A Theory of Fun for Game Design. Paraglyph Press; 2004.
BACKGROUNDYee N. The Demographics, Motivations and Derived Experiences of Users of Massively-Multiuser Online Graphical Environments. PRESENCE: Teleoperators and Virtual Environments. 2006;15:309-29.
BACKGROUNDDishman RK, Buckworth J. Increasing physical activity: a quantitative synthesis. Med Sci Sports Exerc. 1996 Jun;28(6):706-19. doi: 10.1097/00005768-199606000-00010.
PMID: 8784759BACKGROUNDCarron AV, Hausenblas HA, Mack D. Social influence and exercise: A meta-analysis. Journal of Sport & Exercise Psychology. 1996;18:1-16.
BACKGROUNDCasiro NS, Rhodes RE, Naylor PJ, McKay HA. Correlates of intergenerational and personal physical activity of parents. Am J Health Behav. 2011 Jan-Feb;35(1):81-91. doi: 10.5993/ajhb.35.1.8.
PMID: 20950161BACKGROUNDRhodes RE, Naylor PJ, McKay HA. Pilot study of a family physical activity planning intervention among parents and their children. J Behav Med. 2010 Apr;33(2):91-100. doi: 10.1007/s10865-009-9237-0. Epub 2009 Nov 24.
PMID: 19937106BACKGROUNDYe Z, Hernandez H, Graham TCN, Fehlings D, Switzer L, Schumann I. Liberi and the Racer Bike: Exergaming Technology for Children with Cerebral Palsy. ASSETS. in press.
BACKGROUNDHernandez HA, Graham TCN, Fehlings D, Switzer L, Ye Z, Hamza MA, Savery C, Stach T, editors. Design of an exergaming station for children with cerebral palsy. 30th international conference on Human factors in computing systems - CHI '12; 2012; Austin, Texas.
BACKGROUNDPublic Health Agency of Canada. Canada's family guide to physical activity (6-9 years of age). Journal [serial on the Internet]. 2002 Date: Available from: http://www.phac-aspc.gc.ca/pau-uap/paguide/child_youth/pdf/kids_family_guide_e.pdf.
BACKGROUNDCanadian Society for Exercise Physiology. Canadian physical activity guidelines. Journal [serial on the Internet]. 2011 Date: Available from: http://www.csep.ca/english/view.asp?x=804
BACKGROUNDCanadian Society for Exercise Physiology. Physical activity readiness questionnaire. Journal [serial on the Internet]. 2012 Date: Available from: http://www.csep.ca/english/view.asp?x=698.
BACKGROUNDRhodes RE, Warburton DE, Bredin SS. Predicting the effect of interactive video bikes on exercise adherence: An efficacy trial. Psychol Health Med. 2009 Dec;14(6):631-40. doi: 10.1080/13548500903281088.
PMID: 20183536BACKGROUNDCohen J. A power primer. Psychol Bull. 1992 Jul;112(1):155-9. doi: 10.1037//0033-2909.112.1.155.
PMID: 19565683BACKGROUNDFaul F, Erdfelder E. GPOWER: A priori, post hoc, and compromise power analyses for MS DOS. 2.0 ed. Bonn, Germany: Dept. of Psychology; 1992.
BACKGROUNDKing AC, Stokols D, Talen E, Brassington GS, Killingsworth R. Theoretical approaches to the promotion of physical activity: forging a transdisciplinary paradigm. Am J Prev Med. 2002 Aug;23(2 Suppl):15-25. doi: 10.1016/s0749-3797(02)00470-1.
PMID: 12133734BACKGROUNDTravers KD. The social organization of nutritional inequities. Soc Sci Med. 1996 Aug;43(4):543-53. doi: 10.1016/0277-9536(95)00436-x.
PMID: 8844955BACKGROUNDTravers KD. Using qualitative research to understand the socio-cultural origins of diabetes among Cape Breton Mi'kmaq. Chronic Diseases in Canada. 1995;16:140-3.
BACKGROUNDDumas JE, Lynch AM, Laughlin JE, Phillips Smith E, Prinz RJ. Promoting intervention fidelity. Conceptual issues, methods, and preliminary results from the EARLY ALLIANCE prevention trial. Am J Prev Med. 2001 Jan;20(1 Suppl):38-47. doi: 10.1016/s0749-3797(00)00272-5.
PMID: 11146259BACKGROUNDRhodes RE, Blanchard CM, Benoit C, Levy-Milne R, Naylor PJ, Symons Downs D, Warburton DE. Physical activity and sedentary behavior across 12 months in cohort samples of couples without children, expecting their first child, and expecting their second child. J Behav Med. 2014 Jun;37(3):533-42. doi: 10.1007/s10865-013-9508-7. Epub 2013 Apr 19.
PMID: 23606310BACKGROUNDAjzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50:179-211.
BACKGROUNDAjzen I. Constructing a theory of planned behavior questionnaire. Journal [serial on the Internet]. 2006 Date: Available from: http://people.umass.edu/aizen/pdf/tpb.measurement.pdf.
BACKGROUNDBrown SG, Rhodes RE. Relationships among dog ownership and leisure-time walking in Western Canadian adults. Am J Prev Med. 2006 Feb;30(2):131-6. doi: 10.1016/j.amepre.2005.10.007.
PMID: 16459211BACKGROUNDRhodes RE, Plotnikoff RC. Can current physical activity act as a reasonable proxy measure of future physical activity? Evaluating cross-sectional and passive prospective designs with the use of social cognition models. Prev Med. 2005 May;40(5):547-55. doi: 10.1016/j.ypmed.2004.07.016.
PMID: 15749137BACKGROUNDRhodes RE, Macdonald HM, McKay HA. Predicting physical activity intention and behaviour among children in a longitudinal sample. Soc Sci Med. 2006 Jun;62(12):3146-56. doi: 10.1016/j.socscimed.2005.11.051. Epub 2006 Jan 9.
PMID: 16406632BACKGROUNDGodin G, Jobin J, Bouillon J. Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health. 1986 Sep-Oct;77(5):359-62. No abstract available.
PMID: 3791117BACKGROUNDGodin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985 Sep;10(3):141-6.
PMID: 4053261BACKGROUNDDiener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. doi: 10.1207/s15327752jpa4901_13.
PMID: 16367493BACKGROUNDGadermann AM, Schonert-Reichl KA, Zumbo BD. Investigating Validity evidence of the Satisfaction with Life Scale Adapted for Children. Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement. in press.
BACKGROUND54. Allison PD. Missing Data. Thousand Oaks: Sage Publications; 2002.
BACKGROUNDChuang JH, Hripcsak G, Heitjan DF. Design and analysis of controlled trials in naturally clustered environments: implications for medical informatics. J Am Med Inform Assoc. 2002 May-Jun;9(3):230-8. doi: 10.1197/jamia.m0997.
PMID: 11971884BACKGROUNDPatton MQ. Qualitative Evaluation and Research Methods. second ed. Newbury Park, NJ: Sage; 1990.
BACKGROUNDCrabtree BF, Miller WL. Doing Qualitative Research. Newbury Park, CA: Sage; 1992.
BACKGROUNDNintendo Co. Ltd., from R. Consolidated Sales Transition by Region. Journal [serial on the Internet]. 2012 Date: Available from: http://www.nintendo.co.jp/ir/library/historical_data/pdf/consolidated_sales_e1206.pdf.
BACKGROUNDBBC News. Microsoft Kinect 'fastest-selling device on record'. Journal [serial on the Internet]. 2011 Date: Available from: http://www.bbc.co.uk/news/business-12697975.
BACKGROUNDEntertainment Software Association. Industry Facts. Journal [serial on the Internet]. 2009 Date: Available from: http://www.theesa.com/facts/index.asp.
BACKGROUNDEntertainment Software Association. Essential Facts About the Computer and Video Game Industry. Journal [serial on the Internet]. 2012 Date: Available from: http://www.theesa.com/facts/pdfs/ESA_EF_2012.pdf.
BACKGROUNDNew York Times. Exercise games don't make kids more active. Journal [serial on the Internet]. 2012 Date: Available from: http://www.nytimes.com/2012/06/24/business/active-video-games-dont-make-youths-more-active.html?_r=0.
BACKGROUNDManske SR, editor. Explaining knowledge use among clients of the Program Training & Consultation Centre. Toronto; 2001; University of Toronto.
BACKGROUNDLee RG, Garvin T. Moving from information transfer to information exchange in health and health care. Soc Sci Med. 2003 Feb;56(3):449-64. doi: 10.1016/s0277-9536(02)00045-x.
PMID: 12570966BACKGROUNDWilliams D, Ducheneaut N, Li X, Zhang Y, Yee N, Nickell E. From Tree House to Barracks: The Social Life of Guilds in World of Warcraft. Games and Culture. 2006;1:338-61.
RESULTKaos MD, Beauchamp MR, Bursick S, Latimer-Cheung AE, Hernandez H, Warburton DER, Yao C, Ye Z, Graham TCN, Rhodes RE. Efficacy of Online Multi-Player Versus Single-Player Exergames on Adherence Behaviors Among Children: A Nonrandomized Control Trial. Ann Behav Med. 2018 Sep 13;52(10):878-889. doi: 10.1093/abm/kax061.
PMID: 30212848DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ryan Rhodes, Doctoral
University of Victoria
- PRINCIPAL INVESTIGATOR
Nicholas Graham, Doctoral
Queen's University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. Ryan Rhodes
Study Record Dates
First Submitted
December 29, 2013
First Posted
January 10, 2014
Study Start
September 1, 2013
Primary Completion
January 1, 2015
Study Completion
January 1, 2015
Last Updated
May 7, 2015
Record last verified: 2015-05