The goal of this quasi-experimental clinical trial is to evaluate the effects of the "HAPPY GO GO" somatosensory game on physical and mental health in community-dwelling older adults aged 65 years and above living in rural Chiayi County, Taiwan. The main questions it aims to answer are: * Does participation in the somatosensory game improve physical health outcomes (e.g., balance, mobility, functional fitness)? * Does participation improve mental health outcomes (e.g., mood, depressive symptoms)? Researchers will compare an intervention group, which participates in the game-based exercise program, with a control group that does not receive the intervention, to evaluate changes in health status. Participants in the intervention group will take part in structured game-based physical activity sessions over several weeks, designed to promote engagement, improve physical performance, and support psychological well-being.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
110
Participants in the intervention group will engage in the "HAPPY GO GO" somatosensory exergame program. The intervention consists of structured game-based physical activity sessions, conducted once per week for a total duration of 12 weeks. Each session includes interactive, movement-based tasks designed to promote physical health, and mental well-being among community-dwelling older adults.
Chang Gung University of Science and Technology, Chiayi Campus
Chiayi City, Taiwan
RECRUITINGChange in Frailty Status
Frailty will be assessed using the Study of Osteoporotic Fractures (SOF) Index, which consists of three items commonly used in Taiwan's Ministry of Health and Welfare community frailty screening program. The SOF Index has a score range from 0 to 3, where a higher score indicates greater frailty (worse outcome). Score = 0: Robust Score = 1: Pre-frail Score = 2-3: Frail
Time frame: Baseline and 12 weeks after intervention
Change in Lower Limb Flexibility
Flexibility of the lower limbs will be assessed using the chair sit-and-reach test. Higher scores (in centimeters) indicate better flexibility.
Time frame: Baseline and 12 weeks after intervention
Change in Upper Limb Flexibility
Flexibility of the upper limbs will be assessed using the back scratch test. Higher scores (in centimeters) indicate better flexibility.
Time frame: Baseline and 12 weeks after intervention.
Change in Agility and Dynamic Balance
Agility and dynamic balance will be assessed using the 2.44-meter timed up-and-go test. Shorter times indicate better performance.
Time frame: Baseline and 12 weeks after intervention
Change in Muscle Strength
Muscle strength will be assessed using the 30-second chair stand test (lower limb strength) and the 30-second biceps curl test (upper limb strength, 8 lbs men / 5 lbs women). Higher repetitions indicate better strength.
Time frame: Baseline and 12 weeks after intervention
Change in Cardiopulmonary Endurance
Cardiopulmonary endurance will be measured using the 2-minute step test. Higher step counts indicate better endurance.
Time frame: Baseline and 12 weeks after intervention
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