Bingocize: A Novel Mobile Application for Older Adult Health (Bingocize)

Bingocize: A Novel Mobile Application to Help Maintain or Improve Older Adults' Health, Function, and Cognition

This study tests the effectiveness of using a new mobile application (Bingocize®) to improve older adults' (a) adherence to an engaging exercise program, and (b) aspects of functional performance, health knowledge, dietary habits, and cognition.

Study Overview

• Status: Completed
• Conditions: Arteriosclerosis; Hypertension; Diabetes Mellitus, Type 2; Sarcopenia; Executive Function; Cognitive Decline; Activities of Daily Living; Accidental Fall; Cognitive Aging
• Intervention / Treatment: Behavioral: Socially-Based Exercise Intervention for Older Adults

Detailed Description

Health-promoting interventions designed to improve physical and mental fitness can help reduce health care costs; they can also help maintain, or even improve, older adults' quality of life. However, getting older adults to adhere to health-promoting exercise interventions remains difficult because such programs are often perceived as being time-consuming, painful, or unenjoyable. The present study's objective is to investigate the effectiveness of a novel technological exercise intervention program for older adults (Bingocize); in doing so, the program has the potential to improve older adults' independence and quality of life. Older adults will participate in a pre/post-intervention design with random assignment to either the experimental or one of three comparison/control groups; each group will play Bingocize in a social setting with other older adults. Participants in the experimental group will use the app to engage in twice-weekly Bingocize sessions for twelve weeks (i.e., Bingo+Exercise+Health Education); control groups will also use the app for twelve weeks but for either health education-only, exercise-only, or bingo-only.

• Study Type: Interventional
• Enrollment (Actual): 241
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Kentucky
    • Dixon, Kentucky, United States, 42409
      • Webster County Senior Center
  • Tennessee
    • Henderson, Tennessee, United States, 38340
      • Chester County Senior Center
    • Johnson City, Tennessee, United States, 37601
      • Johnson County Senior Center
    • Scotts Hill, Tennessee, United States, 38374
      • Scotts Hill Senior Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Normal or corrected normal vision
• Mobility (i.e., not wheelchair bound)
• English is native language
• Minimum physical standards (e.g., ability to walk at least 10 meters)
• No structured physical activity programs >150 minutes/week in last 6 months

Exclusion Criteria:

• Severe neurological impairments (e.g., Parkinson's)
• Colorblindness
• Dementia

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Exercise + Health Education + Bingo; Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises AND health information on fall risks + diet/nutrition.	Behavioral: Socially-Based Exercise Intervention for Older Adults; A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors; Other Names: Bingocize
Active Comparator: Exercise + Bingo; Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises ONLY.	Behavioral: Socially-Based Exercise Intervention for Older Adults; A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors; Other Names: Bingocize
Active Comparator: Health Education + Bingo; Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating health information on fall risks + diet/nutrition ONLY.	Behavioral: Socially-Based Exercise Intervention for Older Adults; A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors; Other Names: Bingocize
No Intervention: Bingo Only; Participants use the Bingocize app to play bingo only.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Executive Function Inhibition Measure 1: Flanker Task	Flanker Task designed to measure inhibition, part of the EXAMINER Battery (for scoring method, see References section). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.	Baseline and 12 Weeks
Executive Function Measure: Updating Verbal Working Memory	Dot Counting Task designed to measure verbal working memory, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score is the total number of items correctly recalled across all six trials. Minimum=0, Maximum=27, higher = better.	Baseline and 12 Weeks
Executive Function Measure: Set Shifting Task	Set Shifting Task designed to measure attention during task switching, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.	Baseline and 12 Weeks
Executive Function Measure: Verbal Fluency	Verbal Fluency Task designed to measure fluency, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that represents the total number of words correctly recalled in two tasks: phonemic (letter) and semantic (category). Minimum=0, Maximum=unlimited, higher = better.	Baseline and 12 Weeks
Chair Stands: Change in Lower-body Muscular Strength	number of completed chair stands in 30 seconds, minimum=0, higher = better	Baseline and 12 Weeks
Change in Dynamic Balance: 360 Degree Turns	360 degree turns: time to complete. No minimum or maximum value set. Lower = better.	Baseline and 12 Weeks
Executive Function Measure of Inhibition: Continuous Performance Test	Continuance Performance Task is classic response inhibition task, part of the EXAMINER Battery (for scoring method, see References). The score here represents the number of trials out of 100 that the participant responded correctly (i.e., either successfully responded or successfully inhibited a response). Minimum=0 Maximum=100, higher = better.	Baseline and 12 Weeks
Timed Up and Go (TUG) Test: Change in Dynamic Balance	Timed Up and Go (TUG) Test used to assess mobility and risk for falling. Number of seconds needed to stand up from a chair, walk 10 feet, turn around, walk back 10 feet, and sit back down in chair. No minimum or maximum value is set. Lower = better.	Baseline and 12 Weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in Weight	Weight calculated by scale measurement	Baseline and 12 Weeks
Crystallized Knowledge of Fall Risks and Proper Diet/Nutrition	Multiple-choice questions constructed by project investigators that cover: recognition of health terms, weight management, proper diet, bone health, environmental fall risks, careful movement. Unit of measure = number correct. Minimum = 0, Maximum = 30. Higher = better.	Baseline and 12 Weeks
Grip Strength: Changes in Upper Body Muscular Strength	Grip strength tests using a hand-held dynamometer. No minimum or maximum set. Higher = better.	Baseline and 12 Weeks
Fall Efficacy Scale	Self-reported scale assessing confidence in doing activities that may be perceived as having risk for falling (see References). Minimum = 10, Maximum = 100. Lower = better.	Baseline and 12 Weeks
Changes in Dietary Habits: Total Added Sugar Intake	Dietary Screener Questionnaire (DSQ) assessing total added sugar intake over past 30 days	Baseline and 12 Weeks
Changes in Quality of Life	CDC Health related quality of life measure item 1 (general health). 1 = Excellent, 5 = Poor. Lower = Better.	Baseline and 12 Weeks
Systolic Blood Pressure	Systolic Blood pressure calculated by sphygmomanometer.	Baseline and 12 Weeks
Diastolic Blood Pressure	Diastolic Blood pressure calculated by sphygmomanometer	Baseline and 12 Weeks

Collaborators and Investigators

• Sponsor: Western Kentucky University
• Collaborators: National Institute on Aging (NIA)
• Investigators: Principal Investigator: Matthew C Shake, PhD, Western Kentucky University and Center for Applied Science in Health and Aging; Principal Investigator: Jason Crandall, PhD, Western Kentucky University and Center for Applied Science in Health and Aging

Publications and helpful links

General Publications

• Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990 Nov;45(6):P239-43. doi: 10.1093/geronj/45.6.p239.
• Kramer JH, Mungas D, Possin KL, Rankin KP, Boxer AL, Rosen HJ, Bostrom A, Sinha L, Berhel A, Widmeyer M. NIH EXAMINER: conceptualization and development of an executive function battery. J Int Neuropsychol Soc. 2014 Jan;20(1):11-9. doi: 10.1017/S1355617713001094. Epub 2013 Oct 8.

Helpful Links

• Link to Center for Applied Science in Health & Aging

Study record dates

Study Major Dates

• Study Start (Actual): August 13, 2018
• Primary Completion (Actual): May 13, 2022
• Study Completion (Actual): May 13, 2022

Study Registration Dates

• First Submitted: August 6, 2018
• First Submitted That Met QC Criteria: August 9, 2018
• First Posted (Actual): August 14, 2018

Study Record Updates

• Last Update Posted (Actual): March 12, 2024
• Last Update Submitted That Met QC Criteria: February 13, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Cardiovascular Diseases; Vascular Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nervous System Diseases; Arterial Occlusive Diseases; Neurologic Manifestations; Neurocognitive Disorders; Endocrine System Diseases; Diabetes Mellitus; Neuromuscular Manifestations; Pathological Conditions, Anatomical; Cognition Disorders; Muscular Atrophy; Atrophy; Diabetes Mellitus, Type 2; Cognitive Dysfunction; Sarcopenia; Arteriosclerosis
• Other Study ID Numbers: IRB 18-048; R15AG055906 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: De-identified individual participant data for all primary and secondary outcome measures will be made available.
• IPD Sharing Time Frame: Data will be available within 6 months after publication, and will remain available for a period of at least 3 years following completion of the clinical trial.
• IPD Sharing Access Criteria: Investigators whose proposed use of the data has been approved by the Principal Investigators of the clinical trial.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No