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Video game or exercise? College students' perceptions and adherence to exergames
Youjeong Kim1, Hyang-Sook Kim2
1School of Communication and Information, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Psychology, Health & Medicine
|May 13, 2026
Summary
College students’ perceptions of exergames influence continued play. Viewing exergames as exercise tools, rather than just video games, more strongly predicts sustained engagement and utility-related gratification.
Area of Science:
- Health Psychology
- Human-Computer Interaction
- Game Studies
Background:
- Exergames blend physical activity with video gaming, offering potential for health promotion.
- Understanding user motivations is crucial for designing effective exergames.
- The Uses and Gratifications (U&G) framework provides a lens to examine media use motivations.
Purpose of the Study:
- To investigate how college students' perceptions of exergames (as video games vs. exercise tools) relate to their gratifications and intention to continue playing.
- To explore the mediating roles of hedonic and utilitarian gratifications in these relationships.
Main Methods:
- A cross-sectional survey was administered to 154 college students.
- Data were analyzed using multiple regression and mediation analyses.
Main Results:
- Both perceptions of exergames as video games and exercise tools were significantly associated with intention to continue playing.
- Perceiving exergames as exercise tools showed a stronger association with continued play than perceiving them as video games.
- Utilitarian gratification fully mediated the link between exercise-tool perceptions and continued play, while hedonic gratification partially mediated the video-game perception link.
Conclusions:
- Continued engagement with exergames is driven by both enjoyment (hedonic) and functional utility (utilitarian) gratifications.
- Designing exergames as both entertaining and functional tools is important for promoting physical activity in young adults.
- Findings highlight the differential impact of perception on user engagement with exergames.
Related Concept Videos
Exercise and Cardiovascular Response
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Exercise Stress Test
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes

