Mobile Exergaming in Type 2 Diabetes (MOBIGAME)

April 26, 2018 updated by: Arno Schmidt-Trucksäss, University of Basel

Mobile Exergaming for Health - Effects of a Serious Game Application for Smartphones on Physical Activity and Exercise Adherence in Type 2 Diabetes Mellitus (Randomized Controlled Trial)

The purpose of this study is to investigate if MOBIGAME (an innovative, mobile phone-based game application) is suitable to increase daily physical activity and physical activity adherence as well as health parameters such as cardiorespiratory fitness, leg strength, glucose metabolism, vascular health and self-determination as well as health related quality of life in the course of a 24-week intervention in comparison to the control group receiving one-time lifestyle counseling.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In recent years, type 2 diabetes mellitus (T2DM) has grown into an emerging pandemic that is a key determinant of morbidity and mortality in both developed and developing countries worldwide. The successful treatment and prevention of T2DM is one of the biggest future health care challenges and most important to manage the enormous socio-economic burden that is associated with T2DM and its various comorbidities. Physical inactivity is known to be one of the most important risk factors for the development of obesity and T2DM. In contrast, increases in physical activity (PA) and fitness can lower the T2DM incidence, improve the patient's glucose metabolism and reduce morbidity and (premature) mortality, independent of body mass index (BMI) or other risk factors. Despite the obvious benefits of regular PA in the treatment and prevention of T2DM, most activity-promoting programs targeting T2DM patients are seldom successful in the long term due to diminishing patient motivation. A novel approach to motivate those individuals that are the least likely to engage in regular PA to be more physically active and adhere to regular PA are active video games or "exergames" that combine PA and video gaming. However, existing exergames do not offer fitness-level adjusted, individualized workouts and are normally stationary and bound to a TV, thus not enabling PA anywhere and at any time. To address these shortcomings, the investigators used sports scientific expertise to develop a smartphone-based, mobile gardening simulation game application, specifically designed for middle-aged T2DM patients, to induce a healthier, more active lifestyle as part of a successful T2DM treatment and management.

Study Type

Interventional

Enrollment (Actual)

36

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Switzerland
    • BS
      • Basel, BS, Switzerland, 4052
        • Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

45 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Informed Consent as documented by signature
  • Non-insulin-dependent diabetes mellitus (doctor diagnosed)
  • Body Mass Index >25 kg/m2
  • Regular smartphone use during the last year before the study
  • Motivation to participate in the study for its entire duration of 24 weeks

Exclusion Criteria:

  • Other clinically significant concomitant disease states (e.g., renal failure, hepatic dysfunction, cardiovascular disease, etc.),
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
  • Previous enrolment into the current study
  • Participation in other studies in the last four weeks
  • Systolic blood pressure > 170mmHg, diastolic blood pressure > 100 mmHg
  • Regular physical activity before the study (≥150 min moderate intensity daily PA per week or >1 endurance or strength training session per week of more than 30 min in duration)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention
MOBIGAME group
Device: MOBIGAME
Mobile phone based game-like software application and platform (MOBIGAME) that includes individualized and structured exercise regimens (endurance, strength, balance and flexibility) that are based on the user's individual fitness evaluation (through established fitness tests) and incorporated into the story line of a gardening simulation game.
Active Comparator: Control
Lifestyle counseling group
Other: Control
One-time standard lifestyle counseling including the promotion of baseline activities of daily life as well as a structured exercise plan including strength and endurance exercises with moderately increasing intensity and duration that is to be implemented autonomously.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline daily physical activity at 24 weeks
Time Frame: Baseline and 24 weeks
Measured as steps per day.
Baseline and 24 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adherence to the intervention
Time Frame: 24 weeks
Measured as usage log entries (intervention group) and self-reported exercise log entries (control group).
24 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline self-determination at 24 weeks
Time Frame: Baseline and 24 weeks
Self-determination (intrinsic motivation, perceived competence, perceived choice, perceived usefulness measured via the score in an abridged, 12-item version of the Intrinsic Motivation Inventory.
Baseline and 24 weeks
Change from baseline cardiorespiratory fitness at 24 weeks
Time Frame: Baseline and 24 weeks
Aerobic capacity measured as VO2peak.
Baseline and 24 weeks
Change from baseline six minute walking distance at 24 weeks
Time Frame: Baseline and 24 weeks
Measured via the Six Minute Walk Test
Baseline and 24 weeks
Change from baseline isometric leg strength at 24 weeks
Time Frame: Baseline and 24 weeks
Measured as maximal isometric force and rate of force development.
Baseline and 24 weeks
Change from baseline leg strength endurance at 24 weeks
Time Frame: Baseline and 24 weeks
Assessed as maximum number of repetitions in the Sit-to-Stand Test (STS)
Baseline and 24 weeks
Change from baseline glucose metabolism at 24 weeks
Time Frame: Baseline and 24 weeks
Fasting glucose, glycated hemoglobin (HbA1c), fasting C-peptides, fasting insulin levels and insulin resistance, measured as homeostasis model assessment (HOMA) index.
Baseline and 24 weeks
Change from baseline inflammatory markers at 24 weeks
Time Frame: Baseline and 24 weeks
Total cholesterol, LDL- and HDL-cholesterol, triglycerides, apolipoprotein B, irisin, adiponectin and interleukin-6
Baseline and 24 weeks
Change from baseline central blood pressure at 24 weeks
Time Frame: Baseline and 24 weeks
Baseline and 24 weeks
Change from baseline pulse wave reflection at 24 weeks
Time Frame: Baseline and 24 weeks
Measured as augmentation index.
Baseline and 24 weeks
Change from baseline arterial stiffness at 24 weeks
Time Frame: Baseline and 24 weeks
Measured as aortic pulse wave velocity.
Baseline and 24 weeks
Change from baseline microvascular function at 24 weeks
Time Frame: Baseline and 24 weeks
Measured as retinal vessel diameters.
Baseline and 24 weeks
Change from baseline health-related quality of life (HRQOL) at 24 weeks
Time Frame: Baseline and 24 weeks
Assessed with score in the 36-item Short Form questionnaire (SF-36).
Baseline and 24 weeks
Change from baseline fatigue at 24 weeks
Time Frame: Baseline and 24 weeks
Measured via the score in the 13-item FACIT Fatigue Scale.
Baseline and 24 weeks
Perceived acceptance of intervention
Time Frame: 24 weeks
Measured via the Technology Acceptance Model (TAM) questionnaire.
24 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Basel

Collaborators

Swiss National Science Foundation

Investigators

  • Principal Investigator: Arno Schmidt-Trucksäss, MD, MA, FESC, University of Basel

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 1, 2016

Primary Completion (Actual)

April 1, 2018

Study Completion (Actual)

April 1, 2018

Study Registration Dates

First Submitted

January 11, 2016

First Submitted That Met QC Criteria

January 13, 2016

First Posted (Estimate)

January 15, 2016

Study Record Updates

Last Update Posted (Actual)

April 27, 2018

Last Update Submitted That Met QC Criteria

April 26, 2018

Last Verified

April 1, 2018

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • EKNZ 2015-424

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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