Wii-Hab for Pre-Frail Older Adults

Daniel, Kathryn

doi:10.1002/rnj.25

Cited by 88 publications

(126 citation statements)

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“…We included parallel-group RCTs, 30,31,33,35 one pilot RCT, 32 one randomised crossover trial 36 and one secondary analysis of a RCT 38 in our review, including 506 randomised participants (sample size range 23-194 participants) from a range of countries (see Table 1). Five trials used pre-frailty, defined through the Fried phenotype 10 or modifications of this, to identify eligible older adults or women.…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

“…Five trials used pre-frailty, defined through the Fried phenotype 10 or modifications of this, to identify eligible older adults or women. 32,[34][35][36]38 Two defined mild-moderate frailty according to the modified physical performance test, 31 with two additional fitness and activities of daily living (ADL) criteria in one study. 30 Participants' mean ages ranged from 72 to 83 years (inclusion criteria ranging from ≥ 60 to ≥ 78 years).…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

“…Most interventions were community-based group exercise (eight interventions reported in six studies [30][31][32][34][35][36] ), with one three-arm study containing an additional exercise and nutrition group. 35 Exercise interventions were supervised by trained instructors, exercise physiologists or physiotherapists and delivered in 45-to 60-minute sessions one to three times per week over 12-36 weeks.…”

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

“…One study was rated as having a low risk of bias, 34 but three were unclear (two with some low-risk domains) [30][31][32] and three were rated as having a high risk of bias. 35,36,38 The risk-of-bias plot can be found in the paper arising from this review.…”

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confidence: 99%

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Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Walters

Frost

Kharicha

et al. 2017

Health Technol Assess

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Background Mild frailty or pre-frailty is common and yet is potentially reversible. Preventing progression to worsening frailty may benefit individuals and lower health/social care costs. However, we know little about effective approaches to preventing frailty progression. Objectives (1) To develop an evidence- and theory-based home-based health promotion intervention for older people with mild frailty. (2) To assess feasibility, costs and acceptability of (i) the intervention and (ii) a full-scale clinical effectiveness and cost-effectiveness randomised controlled trial (RCT). Design Evidence reviews, qualitative studies, intervention development and a feasibility RCT with process evaluation. Intervention development Two systematic reviews (including systematic searches of 14 databases and registries, 1990–2016 and 1980–2014), a state-of-the-art review (from inception to 2015) and policy review identified effective components for our intervention. We collected data on health priorities and potential intervention components from semistructured interviews and focus groups with older people (aged 65–94 years) (n = 44), carers (n = 12) and health/social care professionals (n = 27). These data, and our evidence reviews, fed into development of the ‘HomeHealth’ intervention in collaboration with older people and multidisciplinary stakeholders. ‘HomeHealth’ comprised 3–6 sessions with a support worker trained in behaviour change techniques, communication skills, exercise, nutrition and mood. Participants addressed self-directed independence and well-being goals, supported through education, skills training, enabling individuals to overcome barriers, providing feedback, maximising motivation and promoting habit formation. Feasibility RCT Single-blind RCT, individually randomised to ‘HomeHealth’ or treatment as usual (TAU). Setting Community settings in London and Hertfordshire, UK. Participants A total of 51 community-dwelling adults aged ≥ 65 years with mild frailty. Main outcome measures Feasibility – recruitment, retention, acceptability and intervention costs. Clinical and health economic outcome data at 6 months included functioning, frailty status, well-being, psychological distress, quality of life, capability and NHS and societal service utilisation/costs. Results We successfully recruited to target, with good 6-month retention (94%). Trial procedures were acceptable with minimal missing data. Individual randomisation was feasible. The intervention was acceptable, with good fidelity and modest delivery costs (£307 per patient). A total of 96% of participants identified at least one goal, which were mostly exercise related (73%). We found significantly better functioning (Barthel Index +1.68; p = 0.004), better grip strength (+6.48 kg; p = 0.02), reduced psychological distress (12-item General Health Questionnaire –3.92; p = 0.01) and increased capability-adjusted life-years [+0.017; 95% confidence interval (CI) 0.001 to 0.031] at 6 months in the intervention arm than the TAU arm, with no differences in other outcomes. NHS and carer support costs were variable but, overall, were lower in the intervention arm than the TAU arm. The main limitation was difficulty maintaining outcome assessor blinding. Conclusions Evidence is lacking to inform frailty prevention service design, with no large-scale trials of multidomain interventions. From stakeholder/public perspectives, new frailty prevention services should be personalised and encompass multiple domains, particularly socialising and mobility, and can be delivered by trained non-specialists. Our multicomponent health promotion intervention was acceptable and delivered at modest cost. Our small study shows promise for improving clinical outcomes, including functioning and independence. A full-scale individually RCT is feasible. Future work A large, definitive RCT of the HomeHealth service is warranted. Study registration This study is registered as PROSPERO CRD42014010370 and Current Controlled Trials ISRCTN11986672. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 73. See the NIHR Journals Library website for further project information.

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Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

Section: Description Of Included Randomised Controlled Trialsmentioning

confidence: 99%

mentioning

confidence: 99%

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Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Walters

Frost

Kharicha

et al. 2017

Health Technol Assess

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“…Some researchers have shown the Wii can be used in rehabilitation ("Wiihab";Daniel 2012;Taylor et al 2011). Examples include improving leg muscle and function in older adults (Jorgensen et al 2012), improving quality of life in cancer patients (Jahn et al 2012), and recovery after stroke (Neil et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Physiological, psychological, and performance differences between Wii fitness gaming and traditional gym exercises

Bumgarner

Senchina

2013

IJURCA

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This work has undergone a double-blind review by a minimum of two faculty members from institutions of higher learning from around the world. The faculty reviewers have expertise in disciplines closely related to those represented by this work. If possible, the work was also reviewed by undergraduates in collaboration with the faculty reviewers. AbstractVideo gaming systems market themselves as tools for promoting physical activity or physical therapy. In this investigation, we wanted to compare the Wii console system game EA Sports Active to traditional gym exercises using five activities: basketball passing, basketball shooting, biceps curls, body squats, and jogging. Our hypotheses were that: (1) physiological demand would be greater in the gym than on the Wii, (2) psychological measures of exertion would be greater in the gym than on the Wii, and (3) performance would be poorer in the gym than on the Wii. Ten young adults participated in the study, completing all five exercises in both settings. Heart rate recordings were higher for four of the five exercises when performed in the gym versus on the Wii, though estimations of caloric expenditure in the jogging exercise did not differ between the two settings. Ratings of perceived exertion and difficulty were higher in the gym versus on the Wii for half of the exercises but not different for the remaining ones. For the basketball exercises, accuracy was consistently lower in the gym versus on the Wii. These results support use of active video gaming to ameliorate inactivity or to help in physical therapy and rehabilitation, but point out important differences between the gym versus Wii exercise that are important in determining which may be better for general exercise, skill-building, promoting recovery.

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Effects of exergaming in postmenopausal women with high cardiovascular risk: A randomized controlled trial

Han

et al. 2019

Clinical Cardiology

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Objective Recently, exergames have been used an exercise modality as aerobic fitness activities. However, evidence of its effectiveness on cardiovascular (CV)‐related risk factors remain unclear. Hypothesis We evaluate the effects of exergaming on CV‐related risk factors compared with traditional aerobic exercise in high CV risk patients. Methods Sixty‐five postmenopausal women with high CV risk were randomized among exergame (n = 22), treadmill (n = 22), and control (n = 21) groups. The exergame group was engaged in the running‐based exergame using Exer Heart and the treadmill group walked or jogged on a treadmill. Cardiorespiratory fitness, flow‐mediated dilation, endothelial progenitor cells (EPCs), epicardial fat thickness, metabolic parameters, and anthropometric parameters were measured in patients before and 12 weeks after the training. Results Exergaming significantly improved VO2 peak (P < .001; different from control, P < .05), flow‐mediated dilation (P < .001; different from control, P < .05), EPCs (CD34/CD117+, P < .01). Treadmill exercise was effective at improving VO2 peak (P < .01; different from control, P < .05), flow‐mediated dilation (P < .05), EPCs (CD34/CD117+, P < .01; different from control P < .05). Epicardial fat thickness decreased after both exercise programs (exergame, P < .01; treadmill, P < .01; no different from control). Conclusion Exergaming showed similar effects to traditional aerobic exercise in improving cardiorespiratory fitness and endothelial function in postmenopausal women with high CV risk. These findings suggest that the exergames may serve as an alternative to conventional aerobic exercises for prevention and treatment in high CV risk patients.

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Wii-Hab for Pre-Frail Older Adults

Abstract: This pilot study suggests a rehabilitation effect that was similar to the effect of community based senior fitness classes. A home video game console system with weight vest could be an effective alternative for pre-frail senior adults to group exercise classes.

Cited by 88 publications

References 22 publications

Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Home-based health promotion for older people with mild frailty: the HomeHealth intervention development and feasibility RCT

Physiological, psychological, and performance differences between Wii fitness gaming and traditional gym exercises

Effects of exergaming in postmenopausal women with high cardiovascular risk: A randomized controlled trial

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