This study tests the effectiveness of using a new mobile application (Bingocize®) to improve older adults' (a) adherence to an engaging exercise program, and (b) aspects of functional performance, health knowledge, dietary habits, and cognition.
Health-promoting interventions designed to improve physical and mental fitness can help reduce health care costs; they can also help maintain, or even improve, older adults' quality of life. However, getting older adults to adhere to health-promoting exercise interventions remains difficult because such programs are often perceived as being time-consuming, painful, or unenjoyable. The present study's objective is to investigate the effectiveness of a novel technological exercise intervention program for older adults (Bingocize); in doing so, the program has the potential to improve older adults' independence and quality of life. Older adults will participate in a pre/post-intervention design with random assignment to either the experimental or one of three comparison/control groups; each group will play Bingocize in a social setting with other older adults. Participants in the experimental group will use the app to engage in twice-weekly Bingocize sessions for twelve weeks (i.e., Bingo+Exercise+Health Education); control groups will also use the app for twelve weeks but for either health education-only, exercise-only, or bingo-only.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
241
A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors
Webster County Senior Center
Dixon, Kentucky, United States
Chester County Senior Center
Henderson, Tennessee, United States
Johnson County Senior Center
Johnson City, Tennessee, United States
Scotts Hill Senior Center
Scotts Hill, Tennessee, United States
Executive Function Inhibition Measure 1: Flanker Task
Flanker Task designed to measure inhibition, part of the EXAMINER Battery (for scoring method, see References section). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.
Time frame: Baseline and 12 Weeks
Executive Function Measure: Updating Verbal Working Memory
Dot Counting Task designed to measure verbal working memory, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score is the total number of items correctly recalled across all six trials. Minimum=0, Maximum=27, higher = better.
Time frame: Baseline and 12 Weeks
Executive Function Measure: Set Shifting Task
Set Shifting Task designed to measure attention during task switching, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.
Time frame: Baseline and 12 Weeks
Executive Function Measure: Verbal Fluency
Verbal Fluency Task designed to measure fluency, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that represents the total number of words correctly recalled in two tasks: phonemic (letter) and semantic (category). Minimum=0, Maximum=unlimited, higher = better.
Time frame: Baseline and 12 Weeks
Chair Stands: Change in Lower-body Muscular Strength
number of completed chair stands in 30 seconds, minimum=0, higher = better
Time frame: Baseline and 12 Weeks
Change in Dynamic Balance: 360 Degree Turns
360 degree turns: time to complete. No minimum or maximum value set. Lower = better.
Time frame: Baseline and 12 Weeks
Executive Function Measure of Inhibition: Continuous Performance Test
Continuance Performance Task is classic response inhibition task, part of the EXAMINER Battery (for scoring method, see References). The score here represents the number of trials out of 100 that the participant responded correctly (i.e., either successfully responded or successfully inhibited a response). Minimum=0 Maximum=100, higher = better.
Time frame: Baseline and 12 Weeks
Timed Up and Go (TUG) Test: Change in Dynamic Balance
Timed Up and Go (TUG) Test used to assess mobility and risk for falling. Number of seconds needed to stand up from a chair, walk 10 feet, turn around, walk back 10 feet, and sit back down in chair. No minimum or maximum value is set. Lower = better.
Time frame: Baseline and 12 Weeks
Crystallized Knowledge of Fall Risks and Proper Diet/Nutrition
Multiple-choice questions constructed by project investigators that cover: recognition of health terms, weight management, proper diet, bone health, environmental fall risks, careful movement. Unit of measure = number correct. Minimum = 0, Maximum = 30. Higher = better.
Time frame: Baseline and 12 Weeks
Grip Strength: Changes in Upper Body Muscular Strength
Grip strength tests using a hand-held dynamometer. No minimum or maximum set. Higher = better.
Time frame: Baseline and 12 Weeks
Fall Efficacy Scale
Self-reported scale assessing confidence in doing activities that may be perceived as having risk for falling (see References). Minimum = 10, Maximum = 100. Lower = better.
Time frame: Baseline and 12 Weeks
Changes in Dietary Habits: Total Added Sugar Intake
Dietary Screener Questionnaire (DSQ) assessing total added sugar intake over past 30 days
Time frame: Baseline and 12 Weeks
Changes in Quality of Life
CDC Health related quality of life measure item 1 (general health). 1 = Excellent, 5 = Poor. Lower = Better.
Time frame: Baseline and 12 Weeks
Changes in Weight
Weight calculated by scale measurement
Time frame: Baseline and 12 Weeks
Systolic Blood Pressure
Systolic Blood pressure calculated by sphygmomanometer.
Time frame: Baseline and 12 Weeks
Diastolic Blood Pressure
Diastolic Blood pressure calculated by sphygmomanometer
Time frame: Baseline and 12 Weeks
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