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Huang H, Huang M, Chen Q, Hayter M, Watson R. Effects of Serious Games for Patients With Chronic Obstructive Pulmonary Disease: Systematic Literature Review. JMIR Serious Games 2023; 11:e46358. [PMID: 37747768 PMCID: PMC10562969 DOI: 10.2196/46358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 05/12/2023] [Accepted: 08/21/2023] [Indexed: 09/26/2023] Open
Abstract
BACKGROUND The use of serious games for rehabilitation has been an emerging intervention in health care fields, referred to as an entertaining and positive activity. Although related studies have been conducted on patients with chronic obstructive pulmonary disease (COPD), a more comprehensive study that summarizes and evaluates its effects in this area is needed. OBJECTIVE This review aimed to systematically evaluate the effects of serious games in promoting rehabilitation and related outcome measures of serious game-based engagement in patients with COPD. METHODS This review adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Searches were performed in the following databases: PubMed, Scopus, Embase (via Ovid), CINAHL, Science Direct, and China Biology Medicine disc. Only quantitative studies were included in this review, and the methodological quality and bias of the included studies were evaluated using related tools. Several outcomes, including clinical outcomes and serious game-based engagement outcomes, were ultimately collected in this review. The results were summarized and evaluated using descriptive methods due to significant heterogeneity. RESULTS In total, 11 studies were included. Serious games played a potentially positive effect on pulmonary function and exercise capacity. However, no consistent findings were reported on dyspnea and psychological status. Additionally, serious game engagement showed favorable findings on adherence, enjoyment, and acceptability. Furthermore, no serious adverse effects were identified in all included studies. CONCLUSIONS This review preliminarily indicated the potential benefits of serious games in promoting rehabilitation for patients with COPD, despite the limited quality of the included studies. More studies with high methodological quality are needed to further explore the effects of serious games in this field.
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Affiliation(s)
- Houqiang Huang
- Nursing Department, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Min Huang
- Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Qi Chen
- Department of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Mark Hayter
- School of Nursing & Public Health, Manchester Metropolitan University, Manchester, United Kingdom
| | - Roger Watson
- Nursing Faculty, Southwest Medical University, Luzhou, China
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Ojuawo OB, Desalu OO, Aladesanmi AO, Opeyemi CM, Azeez AT, Fawibe AE, Salami AK. Outpatient burden of adult respiratory diseases in University of Ilorin Teaching Hospital, Nigeria. Niger J Clin Pract 2022; 25:1233-1238. [DOI: 10.4103/njcp.njcp_1864_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Simmich J, Deacon AJ, Russell TG. Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis. JMIR Serious Games 2019; 7:e10116. [PMID: 30801256 PMCID: PMC6409512 DOI: 10.2196/10116] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 06/11/2018] [Accepted: 07/12/2018] [Indexed: 12/13/2022] Open
Abstract
Background Exercise and physical activity are key components of treatment for chronic respiratory diseases. However, the level of physical activity and adherence to exercise programs are low in people with these diseases. Active video games (AVGs) may provide a more engaging alternative to traditional forms of exercise. Objective This review examines the effectiveness of game-based interventions on physiological outcome measures, as well as adherence and enjoyment in subjects with chronic respiratory diseases. Methods A systematic search of the literature was conducted, with full texts and abstracts included where they involved an AVG intervention for participants diagnosed with respiratory conditions. A narrative synthesis of included studies was performed. Additionally, meta-analysis comparing AVGs with traditional exercise was undertaken for 4 outcome measures: mean heart rate (HR) during exercise, peripheral blood oxygen saturation (SpO2) during exercise, dyspnea induced by the exercise, and enjoyment of the exercise. Results A total of 13 full-text papers corresponding to 12 studies were included in the review. Interventions predominantly used games released for the Nintendo Wii (8 studies) and Microsoft Xbox Kinect (3 studies). There were 5 studies that examined the acute effects of a single session of AVGs and 7 studies that examined the long-term effects after multiple sessions of AVGs. Trials conducted over more than 1 session varied in duration between 3 and 12 weeks. In these, AVG interventions were associated with either similar or slightly greater improvements in outcomes such as exercise capacity when compared with a traditional exercise control, and they also generally demonstrated improvements over baseline or nonintervention comparators. There were a few studies of unsupervised AVG interventions, but the reported adherence was high and maintained throughout the intervention period. Additionally, AVGs were generally reported to be well liked and considered feasible by participants. For outcome measures measured during a single exercise session, there was no significant difference between an AVG and traditional exercise for HR (mean difference 1.44 beats per minute, 95% CI –14.31 to 17.18), SpO2 (mean difference 1.12 percentage points, 95% CI –1.91 to 4.16), and dyspnea (mean difference 0.43 Borg units, 95% CI –0.79 to 1.66), but AVGs were significantly more enjoyable than traditional exercise (Hedges g standardized mean difference 1.36, 95% CI 0.04-2.68). Conclusions This review provides evidence that AVG interventions, undertaken for several weeks, can provide similar or greater improvements in exercise capacity and other outcomes as traditional exercise. Within a single session of cardiovascular exercise, an AVG can evoke similar physiological responses as traditional exercise modalities but is more enjoyable to subjects with chronic respiratory diseases. However, there is very limited evidence for adherence and effectiveness in long-term unsupervised trials, which should be the focus of future research.
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Affiliation(s)
- Joshua Simmich
- Centre for Research Excellence in Telehealth, University of Queensland, Brisbane, Australia.,School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Anthony J Deacon
- Centre for Research Excellence in Telehealth, University of Queensland, Brisbane, Australia.,School of Electrical Engineering and Computer Science, Queensland University of Technology, Brisbane, Australia
| | - Trevor G Russell
- Centre for Research Excellence in Telehealth, University of Queensland, Brisbane, Australia.,School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
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Cox NS, McDonald CF, Hill CJ, O'Halloran P, Alison JA, Zanaboni P, Macdonald H, Holland AE. Telerehabilitation for chronic respiratory disease. Hippokratia 2018. [DOI: 10.1002/14651858.cd013040] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Narelle S Cox
- School of Allied Health, Department of Rehabilitation, Nutrition and Sport, La Trobe University; Discipline of Physiotherapy; Melbourne Victoria Australia 3004
- Institute for Breathing and Sleep; Melbourne Australia
| | - Christine F McDonald
- Institute for Breathing and Sleep; Melbourne Australia
- University of Melbourne; Department of Medicine; Melbourne Australia
- Austin Health; Department of Respiratory and Sleep Medicine; Melbourne Victoria Australia 3084
| | - Catherine J Hill
- Institute for Breathing and Sleep; Melbourne Australia
- Austin Health; Department of Physiotherapy; 145 Studley Rd PO Box 5555 Melbourne Australia 3084
| | - Paul O'Halloran
- La Trobe University; School of Psychology and Public Health; Melbourne Australia
| | - Jennifer A Alison
- The University of Sydney; Discipline of Physiotherapy, Faculty of Health Sciences; Lidcombe Australia
| | - Paolo Zanaboni
- University Hospital of North Norway; Norwegian Centre for E-health Research; Tromsø Norway
- UiT The Arctic University of Norway; Department of Clinical Medicine, Faculty of Health Sciences; Tromsø Norway
| | - Heather Macdonald
- Wimmera Health Care Group; Community Rehabilitation; Horsham Victoria Australia
| | - Anne E Holland
- School of Allied Health, Department of Rehabilitation, Nutrition and Sport, La Trobe University; Discipline of Physiotherapy; Melbourne Victoria Australia 3004
- Institute for Breathing and Sleep; Melbourne Australia
- Physiotherapy Alfred Health; Melbourne Victoria Australia 3181
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Cox NS, McDonald CF, Alison JA, Mahal A, Wootton R, Hill CJ, Bondarenko J, Macdonald H, O’Halloran P, Zanaboni P, Clarke K, Rennick D, Borgelt K, Burge AT, Lahham A, Wageck B, Crute H, Czupryn P, Nichols A, Holland AE. Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial. BMC Pulm Med 2018; 18:71. [PMID: 29764393 PMCID: PMC5952573 DOI: 10.1186/s12890-018-0646-0] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 05/08/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Pulmonary rehabilitation is an effective therapeutic intervention for people with chronic respiratory disease. However, fewer than 5% of eligible individuals receive pulmonary rehabilitation on an annual basis, largely due to limited availability of services and difficulties associated with travel and transport. The Rehabilitation Exercise At Home (REAcH) study is an assessor-blinded, multi-centre, randomised controlled equivalence trial designed to compare the efficacy of home-based telerehabilitation and traditional centre-based pulmonary rehabilitation in people with chronic respiratory disease. METHODS Participants will undertake an 8-week group-based pulmonary rehabilitation program of twice-weekly supervised exercise training, either in-person at a centre-based pulmonary rehabilitation program or remotely from their home via the Internet. Supervised exercise training sessions will include 30 min of aerobic exercise (cycle and/or walking training). Individualised education and self-management training will be delivered. All participants will be prescribed a home exercise program of walking and strengthening activities. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and 12-months post intervention. The primary outcome is change in dyspnea score as measured by the Chronic Respiratory Questionnaire - dyspnea domain (CRQ-D). Secondary outcomes will evaluate the efficacy of telerehabilitation on 6-min walk distance, endurance cycle time during a constant work rate test, physical activity and quality of life. Adherence to pulmonary rehabilitation between the two models will be compared. A full economic analysis from a societal perspective will be undertaken to determine the cost-effectiveness of telerehabilitation compared to centre-based pulmonary rehabilitation. DISCUSSION Alternative models of pulmonary rehabilitation are required to improve both equity of access and patient-related outcomes. This trial will establish whether telerehabilitation can achieve equivalent improvement in outcomes compared to traditional centre-based pulmonary rehabilitation. If efficacious and cost-effective, the proposed telerehabilitation model is designed to be rapidly deployed into clinical practice. TRIAL REGISTRATION Clinical trial registered with the Australian and New Zealand Clinical Trials Register at ( ACTRN12616000360415 ). Registered 21 March 2016.
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Affiliation(s)
- Narelle S. Cox
- Discipline of Physiotherapy, La Trobe University and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC Australia
| | - Christine F. McDonald
- Department of Respiratory Medicine Austin Health; Institute for Breathing and Sleep and University of Melbourne, Austin Health, Heidelberg, VIC Australia
| | - Jennifer A. Alison
- Discipline of Physiotherapy, University of Sydney and Sydney Local Health District, University of Sydney, Lidcombe, NSW Australia
| | - Ajay Mahal
- The Nossal Institute for Global Health, The University of Melbourne, Melbourne, VIC Australia
| | - Richard Wootton
- Norwegian Center for E-health Research, University Hospital of North Norway, Tromsø, Norway
| | - Catherine J. Hill
- Physiotherapy Department Austin Health and Institute for Breathing and Sleep, Austin Health, Heidelberg, VIC Australia
| | | | | | - Paul O’Halloran
- School of Psychology and Public Health, La Trobe University, Melbourne, VIC Australia
| | - Paolo Zanaboni
- Norwegian Center for E-health Research, University Hospital of North Norway, Tromsø, Norway
| | - Ken Clarke
- Melbourne Networked Society Institute, University of Melbourne, Melbourne, VIC Australia
| | | | - Kaye Borgelt
- West Wimmera Health Service, Nhill, VIC Australia
| | - Angela T. Burge
- Discipline of Physiotherapy, La Trobe University; Department of Physiotherapy, Alfred Health and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC Australia
| | - Aroub Lahham
- Discipline of Physiotherapy, La Trobe University and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC Australia
| | - Bruna Wageck
- Discipline of Physiotherapy, La Trobe University, Melbourne, VIC Australia
| | - Hayley Crute
- Wimmera Health Care Group, Horsham, VIC Australia
| | | | | | - Anne E. Holland
- Discipline of Physiotherapy, La Trobe University; Department of Physiotherapy, Alfred Health and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC Australia
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Carpenter DO, Ma J, Lessner L. Asthma and infectious respiratory disease in relation to residence near hazardous waste sites. Ann N Y Acad Sci 2008; 1140:201-8. [PMID: 18991918 DOI: 10.1196/annals.1454.000] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The hypothesis that simply living near a hazardous waste site increases risk of exposure to chemicals was tested. Using data from the New York Statewide Planning and Research Cooperative System, which provides information on hospitalized patients, plus information on the location and contents of every known hazardous waste site in New York, the rates of hospitalization for asthma (ICD-9 493), infectious respiratory disease (ICD-9 460-466, 480-487, and 490-491), and Chronic obstructive pulmonary disease (COPD) (ICD-9 490-492 and 494-496) were determined among individuals who lived in (a) zip codes containing or abutting a hazardous waste site with persistent organic pollutants (POPs), (b) zip codes containing or abutting a hazardous waste site, but not one with POPs, and (c) zip codes that do not contain or abut an identified hazardous waste site. After adjustment for MHI, race, gender and urban or rural residence, there was a significantly elevated risk of asthma (rate ratio (RR) = 1.09), infectious respiratory disease (RR = 1.15), and COPD (RR = 1.19) in individuals living in a zip code with a POP waste site, and a significantly elevated risk of asthma (RR = 1.09), infectious respiratory disease (RR = 1.12), and COPD (RR = 1.13) associated with residence in a zip code containing a waste site, but not one with POPs, both relative to residence in a zip code without a waste site. These observations are consistent with the hypothesis that simply living near a hazardous waste site increases risk of exposure to substances that contribute to respiratory disease.
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Affiliation(s)
- David O Carpenter
- Institute for Health and the Environment, University at Albany, Rensselaer, New York, USA.
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