Interactive Exergaming With Otago Exercise Program on Mobility in Community-Dwelling Older Adults

NCT06814678 | Not Yet Recruiting

• 2 other identifiers: 202412HM008Taiwan Nurses Association
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This clinical trial aims to evaluate the effectiveness of interactive exergaming combined with Otago Exercise Program on mobility among community-dwelling older adults aged 65 and above. The main research questions are: Does this combined exercise intervention improve elderly mobility? Does this program enhance muscle strength and psychological well-being? Researchers will compare two groups: one group will do the combined exercise program for 12 weeks, while the other group will continue their usual activities. Participants will:

• Have their health checked three times: at the start, after 12 weeks, and 3 months later
• If in the exercise group, attend exercise sessions twice a week for 12 weeks
• Complete tests about their physical abilities and how they feel emotionally Who can take part:
• Adults age 65 or older
• People who need more than 12 seconds to stand up and sit down 5 times
• People who can stand for at least 30 seconds with support People cannot take part if they have serious vision problems, recent leg injuries, major illnesses, significant memory problems, or mental health conditions.

Conditions

Physical Functional Performance; Psychological Health; Physical Fitness; Mobility Limitation; Aging

Keywords

Otago Exercise Program; Interactive exergaming; Mobility decline; Community-dwelling older adults; Physical performance; Intrinsic capacity; Psychological health; Muscle strength

Outcome Measures

Primary Outcomes (2)

• Mobility Performance

  Measured by Short Physical Performance Battery (SPPB) Scale: 0-12 points, higher scores indicate better performance

  Baseline, 12 weeks, 3 months

• Lower Extremity Strength

  Measured by digital dynamometer Unit: Kilograms (kg)

  Baseline, 12 weeks, 3 months

Secondary Outcomes (4)

• Intrinsic Capacity Score

  baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2)

• Loneliness Level

  Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2)

• Depression Symptoms

  Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2)

• Well-being Status

  Measured at baseline (T0), post 12-week intervention (T1), and 3-month follow-up (T2)

Study Arms (2)

Control Group with Usual Care

PLACEBO COMPARATOR

Participants in the control group will maintain their usual daily activities and routine care without any specific exercise intervention during the 12-week study period. They will receive standard health education materials and regular check-ups but no structured exercise program

Other: Control Group with Usual Care

Interactive Exergaming with Otago Exercise Program

EXPERIMENTAL

A 12-week structured program consisting of 120 minutes per week divided into two 60-minute sessions. Each session combines Otago Exercise Program for strength and balance with interactive exergaming activities, conducted in community centers under certified instructor supervision with standardized equipment. Exercise intensity progresses according to individual performance.

Behavioral: Interactive Exergaming with Otago Exercise Program

Interventions

Interactive Exergaming with Otago Exercise Program BEHAVIORAL

Participants will receive a 12-week structured program combining interactive exergaming and Otago Exercise Program. Sessions include balance training, strength exercises, and functional mobility activities delivered through interactive gaming platforms, supervised by trained instructors.

Interactive Exergaming with Otago Exercise Program

Control Group with Usual Care OTHER

Participants will maintain their regular activities at community centers or facilities, including cognitive therapy, oral exercises, and upper limb training programs, during the 12-week study period

Control Group with Usual Care

Eligibility Criteria

• Age: 65 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Age ≥ 65 years
• Abnormal mobility based on ICOPE screening (Five-time chair stand test \> 12 seconds)
• Able to stand holding handrail for \> 30 seconds

You may not qualify if:

• Severe visual impairment
• Lower limb fracture
• Acute serious illness
• Moderate to severe cognitive impairment (SPMSQ \> 5 errors)
• Diagnosed psychiatric disorders

Sponsors & Collaborators

• National Taiwan University: lead

Study Sites (1)

No. 105, Yusheng Street, Shilin District, Taipei City 111, Taiwan

Taipei, Taipei, 111024, Taiwan

Location

MeSH Terms

Conditions

Psychological Well-Being; Mobility Limitation

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Central Study Contacts

JIA-JING SUN, MS

CONTACT

+886966040719; c22881@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcomes assessor who performs all measurements and evaluations will be blinded to group allocation throughout the study period. This assessor will not be involved in intervention delivery or have any contact with participants during exercise sessions to maintain masking
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate, Registered Nurse

Model Details: This cluster-randomized controlled trial uses parallel assignment where community centers are randomly allocated to either receive interactive exergaming combined with Otago Exercise Program intervention or usual care control group. All eligible participants within each cluster follow the same intervention protocol

Study Record Dates

• First Submitted: January 24, 2025
• First Posted: February 7, 2025
• Study Start: February 11, 2025
• Primary Completion: December 15, 2025
• Study Completion: March 31, 2026
• Last Updated: February 7, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)