Accepted for/Published in: JMIR Serious Games
Date Submitted: Jul 31, 2020
Date Accepted: Nov 26, 2020
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A co-designed active video game for physical activity promotion in people with COPD: Pilot trial
ABSTRACT
Background:
People with chronic obstructive pulmonary disease (COPD) who are less active have lower quality of life, greater risk of exacerbations and greater mortality than those who are more active. The effectiveness of physical activity interventions may be facilitated the addition of game elements to improve engagement. The use of a co-design approach with people with COPD and clinicians as co-designers, may also improve the effectiveness of the intervention.
Objective:
The primary aim of this study was to examine the effect of a co-designed mobile game on daily steps and daily moderate-to-vigorous physical activity (MVPA). Secondary outcomes of usage of the game, subjective measures of engagement with the game and adherence to wearing activity trackers, were also considered.
Methods:
Participants with COPD who had previously taken part in the co-design of the active video game (n=9) acted as the experimental group, spending 3 weeks testing the game they helped to develop. Primary outcomes were compared to a control group (n=9) who did not co-design or test the game.
Results:
The daily steps in the experimental group remained roughly similar while testing the game, while the daily steps in the control group decreased by 13% or around 800 steps/day. The experimental group increased their MVPA by an average of 9 minutes, or 26%, while testing the game, while the MVPA in the control group remained unchanged. The change in daily steps was positively correlated to game usage, but negatively correlated to game engagement.
Conclusions:
The co-designed mobile application shows promise as an intervention and should be evaluated in a larger-scale trial in this population.
Citation
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Copyright
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