Savic Nikola, Petry Heidi, de Bruin Eling D, Lehmann Roger, Eggenberger Patrick, Adcock Manuela, Hirschmann Ruth, Knols Ruud H
Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.
Directorate of Research and Education, Physiotherapy and Occupational Therapy Research Center, University Hospital Zurich, Zurich, Switzerland.
Digit Health. 2024 Oct 14;10:20552076241285090. doi: 10.1177/20552076241285090. eCollection 2024 Jan-Dec.
Individuals with Type 2 Diabetes Mellitus may benefit from exergaming training. Exergaming, technology-driven physical activities requiring participants to be physically active or exercise to play the game, allows combining cognitive with motor training. This trial aimed to primarily evaluate the feasibility of an exergame-based training protocol. Secondarily, possible effects on physical, functional, and patient-reported outcomes were explored.
Type 2 diabetic individuals performed an exergaming protocol on a pressure sensitive platform. After a 6-week control period, training was administered 2-3 times weekly for another six weeks for 30-60 minutes per session. Outcome variables were assessed during baseline (T0), pre-intervention (T1) and twice at postintervention (T1 and T2). An interview after completion ended the study program. Feasibility was determined by recruitment, adherence, compliance, attrition rates, motivation, satisfaction, and technology acceptance.
Eleven of 13 participants completed the study protocol. The feasibility criteria adherence-mandatory (86.4%), adherence-voluntary (70.2%), compliance (99.7%), attrition (15.4%) rate, motivation (82%), satisfaction (80%), and technology acceptance (62.5%) were all deemed acceptable, except for the recruitment rate (13.7%). There were inconsistent effects on functional outcomes, appraisal of diabetes, and health-related quality of life. Qualitative patient-reported experience was overall positive, which is in line with the quantitative results.
The exergame-based training program is feasible and safe and type 2 diabetic participants' acceptance of this approach was high, although the recruitment procedure needs minor changes. Furthermore, results were obtained that might be useful in selecting appropriate assessments and sample sizes in future trials.
2型糖尿病患者可能从运动游戏训练中获益。运动游戏是一种由技术驱动的体育活动，要求参与者积极参与身体活动或通过锻炼来玩游戏，它能将认知训练与运动训练结合起来。本试验旨在主要评估基于运动游戏的训练方案的可行性。其次，探索其对身体、功能和患者报告结局的可能影响。
2型糖尿病患者在一个压力感应平台上执行运动游戏方案。经过6周的对照期后，每周进行2 - 3次训练，持续另外六周，每次训练30 - 60分钟。在基线期（T0）、干预前（T1）和干预后两次（T1和T2）评估结局变量。完成后进行一次访谈以结束研究项目。可行性由招募率、依从性、合规性、损耗率、动机、满意度和技术接受度来确定。
13名参与者中有11名完成了研究方案。除招募率（13.7%）外，可行性标准中的强制依从率（86.4%）、自愿依从率（70.2%）、合规性（99.7%）、损耗率（15.4%）、动机（82%）、满意度（80%）和技术接受度（62.5%）均被认为是可接受的。对功能结局、糖尿病评估和健康相关生活质量的影响不一致。患者报告的定性体验总体呈阳性，这与定量结果一致。
基于运动游戏的训练方案是可行且安全的，2型糖尿病参与者对这种方法的接受度很高，尽管招募程序需要进行一些小的改进。此外，研究结果可能有助于未来试验中选择合适的评估方法和样本量。
