Feasibility of an exergaming training program in type 2 diabetes mellitus: A mixed method study

Area of Science:

• Exercise Science
• Digital Health
• Diabetes Management

Background:

• Type 2 Diabetes Mellitus (T2DM) management can be enhanced by physical activity combining cognitive and motor training.
• Exergaming offers a novel approach to physical activity, integrating game-based interaction with exercise.
• Evaluating the feasibility of exergaming interventions is crucial for T2DM patient populations.

Purpose of the Study:

• To assess the feasibility of an exergame-based training protocol for individuals with Type 2 Diabetes Mellitus.
• To explore potential effects of exergaming on physical, functional, and patient-reported outcomes in T2DM.
• To gather qualitative insights into patient experiences with exergaming.

Main Methods:

• A 6-week control period followed by a 6-week exergame intervention (2-3 sessions/week, 30-60 min/session) using a pressure-sensitive platform.
• Feasibility assessed via recruitment, adherence, compliance, attrition, motivation, satisfaction, and technology acceptance.
• Outcome variables measured at baseline, pre-intervention, and post-intervention; qualitative interviews conducted post-study.

Main Results:

• High adherence (86.4% mandatory, 70.2% voluntary), compliance (99.7%), motivation (82%), and satisfaction (80%) were observed.
• Technology acceptance was 62.5%, but recruitment rate (13.7%) requires improvement.
• Inconsistent effects on functional outcomes and quality of life; qualitative feedback was positive.

Conclusions:

• Exergame-based training is a feasible and safe intervention for Type 2 Diabetes Mellitus patients with high acceptance.
• The study provides valuable data for optimizing assessment tools and sample sizes in future exergame trials for T2DM.
• Minor modifications to recruitment strategies are recommended for enhanced trial participation.