NCT06965179

Brief Summary

The rapid global increase in the elderly population has made supportive interventions for enhancing quality of life and psychological well-being in older adults increasingly important. Physical activity not only improves physiological functioning but also positively impacts mental health in the elderly. Exercise and even light physical activity contribute to reduced depressive symptoms, improved quality of life, and increased social engagement. Game-based activities such as bocce and Jenga encourage physical movement while also supporting cognitive functioning, thereby enhancing psychological well-being. Although relatively new in Türkiye, bocce has been utilized in nursing homes to promote active aging, while Jenga is a mentally stimulating activity known to improve cognitive performance. In this context, the impact of game-based interventions on life satisfaction and psychological well-being has gained significance. Nurses play a crucial role in facilitating older adults' participation in such activities, supporting their holistic care, and enhancing their well-being. The aim of this study is to investigate the effects of game-based activities-specifically bocce and Jenga-on life satisfaction, quality of life, and psychological well-being among older adults.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 16, 2025

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

May 1, 2025

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 11, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2025

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

May 11, 2025

Status Verified

April 1, 2025

Enrollment Period

4 months

First QC Date

May 1, 2025

Last Update Submit

May 1, 2025

Conditions

ElderlyGameWell Being

Keywords

ElderlyJengaBocce gamelife satisfactionPsychological Well-Being

Outcome Measures

Primary Outcomes (2)

  • Psychological Well-Being

    The scale was developed by Tennant et al. (2007) to assess the mental well-being levels of the general population in the United Kingdom. It is a unidimensional, 14-item, 5-point Likert-type scale. Participants respond to each item using the following options: 1 = Strongly disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5 = Strongly agree. The total score ranges from 14 to 70, with higher scores indicating higher levels of psychological well-being.

    Pre-intervention and 5th week post-intervention

  • Life Satisfaction

    The "Satisfaction with Life Scale" (SWLS), developed by Diener, Emmons, Larsen, and Griffin (1985), consists of five items to assess individuals' life satisfaction. The scale is a Likert-type instrument, with responses ranging from "strongly disagree" to "strongly agree," and is scored on a 1-7 point scale. The total score can range from 5 to 35, with higher scores indicating higher life satisfaction.

    Pre-intervention and 5th week post-intervention

Study Arms (3)

Jenga game group

EXPERIMENTAL

In the Jenga game group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE) before the intervention. As pre-tests, the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) will also be administered. Participants will play Jenga in pairs for at least 30 minutes once a week over four weeks. Grouping will consider participant preferences and promote social interaction. After the intervention, the same scales (LSS and WEMWBS) will be re-administered as post-tests to evaluate changes in life satisfaction and mental well-being.

Other: Jenga game

Bocce game group

EXPERIMENTAL

In the Bocce game group, participants will first complete the Elderly Information Form and Mini-Mental State Examination (MMSE), followed by pre-tests including the SF-36, Life Satisfaction Scale (LSS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Bocce sessions will take place once a week for four weeks, with each session lasting at least 30 minutes. Games will be played in pairs to enhance social interaction and psychomotor skills. Participants will be randomly assigned to six groups of two, considering individual preferences. Pairings will rotate weekly based on game outcomes to encourage diverse interaction. After the final week, the LSS and WEMWBS will be re-administered as post-tests by the researcher.

Other: Bocce game

Control group

NO INTERVENTION

In the control group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE), along with pre-tests including the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). These participants will continue receiving the institution's standard care without any additional intervention from the researcher. At the end of the fourth week, the LSS and WEMWBS will be re-administered as post-tests.

Interventions

Jenga gameOTHER

In the Jenga game group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE) before the intervention. As pre-tests, the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) will also be administered. Participants will play Jenga in pairs for at least 30 minutes once a week over four weeks. Grouping will consider participant preferences and promote social interaction. After the intervention, the same scales (LSS and WEMWBS) will be re-administered as post-tests to evaluate changes in life satisfaction and mental well-being.

Also known as: intervention group 1
Jenga game group
Bocce gameOTHER

In the Bocce game group, participants will first complete the Elderly Information Form and Mini-Mental State Examination (MMSE), followed by pre-tests including the SF-36, Life Satisfaction Scale (LSS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Bocce sessions will take place once a week for four weeks, with each session lasting at least 30 minutes. Games will be played in pairs to enhance social interaction and psychomotor skills. Participants will be randomly assigned to six groups of two, considering individual preferences. Pairings will rotate weekly based on game outcomes to encourage diverse interaction. After the final week, the LSS and WEMWBS will be re-administered as post-tests by the researcher.

Bocce game group

Eligibility Criteria

Age60 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be 60 years old or older
  • Be literate
  • Not have visual or hearing impairments
  • Be able to communicate verbally
  • Not have sensory loss, arthritis, phlebitis, inflammation, eczema, fractures, etc.
  • Not have any loss of fingers or limbs
  • Have a score of 25 or higher on the Standardized Mini-Mental State Examination (SMMSE)
  • Not have been diagnosed with mental illnesses such as Parkinson's, Alzheimer's, or major depression
  • Be enrolled in the 60+ Lifelong University
  • Agree to participate in the study

You may not qualify if:

  • Have sensory problems in the hands
  • Have deformities in the hands and nails
  • Have open wounds or burns on the hands
  • Have limb loss in the fingers
  • Have neuropathy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mersin University

Mersin, Yenişehir, Turkey (Türkiye)

Location

Related Publications (1)

  • Tse MMY, Lau JL, Kwan R, Cheung D, Tang ASK, Ng SSM, Lee PH, Yeung SSY. Effects of play activities program for nursing home residents with dementia on pain and psychological well-being: Cluster randomized controlled trial. Geriatr Gerontol Int. 2018 Oct;18(10):1485-1490. doi: 10.1111/ggi.13509. Epub 2018 Sep 25.

    PMID: 30255637BACKGROUND

MeSH Terms

Conditions

Personal SatisfactionPsychological Well-Being

Condition Hierarchy (Ancestors)

Behavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The study is planned to be conducted with a total of 36 volunteer participants, with 12 individuals in each group that meets the inclusion criteria (Jenga game group, Bocce game group, and control group)."
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

May 1, 2025

First Posted

May 11, 2025

Study Start

April 16, 2025

Primary Completion

July 30, 2025

Study Completion

August 1, 2025

Last Updated

May 11, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations

TU(1)