Effectiveness of Exergaming in Improving Well-Being of Older Adults Living in Institutionalized Centers: A Pilot Randomized Controlled Trial Study

Arvin Paolo T. Labao, D. Manlapaz, C. Escuadra, Kian Aira P. Marcelo, Raj Janrei N. Bardonido, Janelle Marie R. Catrakl, Stacey Charmelagne P. Evangelista, Kristine Pamela A. Ramos, Matthew Joseph D. Sabatin, Keren L. Tuale
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Abstract

Aim: To determine the effectiveness of exergaming in improving the well-being of older adults living in institutionalized centers. Methods: This two-arm pilot pre-post assessment randomized controlled trial was conducted among older adults living in institutionalized centers in the Philippines. Participating centers were allocated through the fishbowl method for six weeks to the Controlled Group (n = 8) and Experimental Group (n = 6). The pre-posttest outcomes of the interventions were assessed, and well-being was quantified using the Short Form-36 (SF-36). Results: Fourteen participants with mean age, 64.64 years old + 4.57 SD (nine female and five male participants) were included in the study. The results showed an improvement in the SF-36 subsets of Physical Functioning, Energy/Fatigue, and Emotional Well-being (p <0.01) of older adults who used exergaming while those under the control group experienced an improvement in the Physical Functioning, Energy/Fatigue, Emotional Well-being, and General Health subsets (p<0.01). However, comparison of outcomes from baseline until after four-week assessment between groups revealed no significant difference (p >0.05) Conclusion and Implications: Exergaming suggests no improvement in the general well-being as measured by SF-36. However, exergaming effectively improved the subsets of older adults' physical, emotional, and psychological well-being in institutionalized centers. Exergaming also has the same effect as physical/aerobic exercises in older adults living in institutionalized centers. This pilot study serves as a basis for future implementation of a fully powered randomized controlled trial design assessing improvements and long-term effects.
运动对改善机构中心老年人幸福感的有效性:一项随机对照试验研究
目的:确定锻炼在改善机构中心老年人福祉方面的有效性。方法:在菲律宾的机构中心生活的老年人中进行了这项两臂试验前-后评估随机对照试验。通过鱼缸法将参与中心分配给对照组(n = 8)和实验组(n = 6),为期六周。评估干预措施的前后测试结果,并使用SF-36 (SF-36)量化幸福感。结果:14例平均年龄64.64岁+ 4.57 SD(9例女性,5例男性)纳入研究。结果显示,SF-36在身体功能、能量/疲劳和情绪健康方面的亚组有改善(p < 0.05)。结论和意义:运动对SF-36测量的总体健康没有改善。然而,锻炼有效地改善了机构中心老年人的身体、情绪和心理健康。对于住在机构中心的老年人来说,运动和体育/有氧运动也有同样的效果。该试点研究为未来实施全动力随机对照试验设计评估改善和长期效果奠定了基础。
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