Play Mode Effect of Exergames on Subthreshold Depression Older Adults: A Randomized Pilot Trial

Area of Science:

• Gerontology
• Mental Health
• Digital Health

Background:

• Subthreshold depression is prevalent in older adults.
• Exergames show promise in alleviating depressive symptoms.
• The impact of play mode on exergames' efficacy requires investigation.

Purpose of the Study:

• To compare the effects of single-player versus multiple-player exergames.
• To determine how play mode influences exergames' impact on older adults with subthreshold depression.

Main Methods:

• A 6-week between-group experiment involving 52 older adults with subthreshold depression.
• Random assignment to either single-player or multiple-player Nintendo Wii Tennis exergames.
• Measurement of depression, social support, and loneliness pre- and post-intervention.

Main Results:

• Multiple-player exergames led to significantly lower loneliness and reduced subthreshold depression compared to single-player.
• Social support levels were not significantly affected by play mode.
• A significant association was found between social support, loneliness, and depression within the exergaming context.

Conclusions:

• Play mode is a crucial factor in the health outcomes of exergames for older adults.
• Multiplayer exergames may offer an optimized approach to leveraging exergames for antidepressant effects in the elderly.
• Further research can explore optimizing exergames for improved mental well-being in older populations.