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  3. Nintendo Switch-based Exergaming For Subthreshold Depression: Mixed Methods Randomized Controlled Trial.
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  3. Nintendo Switch-based Exergaming For Subthreshold Depression: Mixed Methods Randomized Controlled Trial.

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Nintendo Switch-Based Exergaming for Subthreshold Depression: Mixed Methods Randomized Controlled Trial.

Kexin Huang1, Lei Song2, Ariadna Albajara Sáenz3

  • 1School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun, 130012, China, +86 13194316883.

JMIR Serious Games
|June 5, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Nintendo Switch exergames significantly reduced depressive symptoms, anxiety, and improved sleep quality in adults with subthreshold depression (StD). This engaging intervention offers a promising approach for accessible mental health support.

Keywords:
Nintendo Ring Fit Adventureexergamingmixed methods designrandomized controlled trialsubthreshold depression

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Area of Science:

  • Mental Health
  • Digital Health
  • Exercise Science

Background:

  • Subthreshold depression (StD) poses a risk for developing major depressive disorder.
  • Exercise is beneficial for depression but adherence is a challenge.
  • Exergames may enhance motivation for physical activity, yet evidence in StD is limited.

Purpose of the Study:

  • To evaluate the impact of a Nintendo Switch exergame intervention on depressive symptoms, anxiety, and sleep quality in adults with StD.
  • To explore participant experiences with the exergaming intervention.

Main Methods:

  • A sequential explanatory mixed methods study involving a randomized controlled trial and semistructured interviews.
  • Eighty-four adults with StD were randomized into an 8-week exergaming intervention group or a control group.
  • Depressive symptoms, anxiety, and sleep quality were assessed longitudinally; qualitative interviews explored participant experiences.

    • Main Results:

    • The exergaming group showed significantly greater reductions in depressive symptoms and improvements in sleep quality compared to the control group across all follow-up points.
    • Significant improvements in anxiety were observed post-intervention and at the 2-month follow-up.
    • Qualitative data revealed immersive engagement and perceived psychophysiological benefits, supporting the quantitative findings.

    Conclusions:

    • A Nintendo Switch-based exergaming intervention effectively improved depressive symptoms, anxiety, and sleep quality in adults with StD.
    • The mixed-methods approach integrated effectiveness data with rich participant experiences.
    • Commercially available exergames present accessible and engaging tools for early mental health support in real-world settings.