GamerFit: A Digital Intervention to Improve Physical Activity and Sleep Behaviors in Youth with Psychiatric Diagnoses

GamerFit：通过精神病学诊断改善青少年身体活动和睡眠行为的数字干预

基本信息

批准号：
10450375
负责人：
April Boleyn Bowling
金额：
$ 25.85万
依托单位：
MERRIMACK COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-03-07 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10450375
关键词：
Address Adolescent Age Behavior Therapy Behavioral Belief Child Chronic Disease Clinical Clinical Treatment Cognitive Communities Comparison arm Data Development Diagnosis Exercise Face Feedback Future Goals Guidelines Habits Health Promotion Health behavior High Prevalence Home Hour Intervention Leisures Loneliness Mental Health Methods Mobile Health Application Modeling Monitor Moods Motivation Obesity Online Systems Outcome Parents Participant Patients Persons Physical activity Play Population Positive Reinforcements Psychiatric Diagnosis Psychiatric therapeutic procedure Qualitative Research Randomized Regulation Reporting Research Resources Rewards Science Severities Sleep Social isolation Social support Socialization Sports Stretching Symptoms Technology Testing Text Messaging Time Video Games Work Youth acceptability and feasibility associated symptom base behavior change community based treatment comparison group cost cost effective developmental psychology digital digital intervention disability disorder risk empowerment evidence base exergame experience falls field study fitbit follow-up improved interest mHealth mobile application moderate-to-vigorous physical activity new technology obesity risk peer physical inactivity poor sleep preference psychiatric symptom remote delivery sleep behavior sleep health sleep quality smartphone Application social stigma telehealth theories therapy design tool treatment planning virtual

项目摘要

Project Summary More than 1 in 4 children receive at least one psychiatric diagnosis (PD) before age 17. These youth face significantly elevated chronic disease risk including high prevalence of obesity, which is propelled by low physical activity (PA) levels, poor sleep, and social isolation. Unhealthy PA and sleep behaviors not only increase preventable chronic disease risks, they also worsen the cognitive and behavioral functioning challenges these youth experience. The goal of “GamerFit” is to test the delivery of a theory-based mHealth app that utilizes social support, exergaming, and telehealth coaching to improve PA levels, sleep, and psychiatric symptoms among youth participants (ages 14-17 y) with PD. In order to aid future intervention optimization, we will randomize 60 participants with at least one PD, with 30 using the GamerFit app with weekly telehealth coaching sessions and 30 using a commercial healthy habits app as a comparator group. The GamerFit app will provide access to a menu of exergames, progressive PA and sleep plan, integrated self- monitoring, pre-recorded videos addressing healthy PA and sleep habits, and motivational text messages to help users meet PA and sleep guidelines over 12 weeks. The project leverages our pilot data on exergaming and telehealth coaching to improve PA in youth with PD, and our interdisciplinary team has expertise in developmental psychology, PA and sleep intervention design, technology-based health promotion, and app development. The major research question is: Is a 12-week exergaming and telehealth coaching intervention, delivered via a smartphone app, an acceptable, feasible and effective method to improve PA and sleep behaviors in youth with PD? The specific aims are as follows: Specific Aim 1: To examine feasibility and acceptability of the 12-week GamerFit intervention delivered through a mobile app to youth with PD and their parents. Specific Aim 2: To test the hypothesis that the 12-week GamerFit intervention delivered through a mobile app will improve PA levels and sleep quality and duration compared to a comparator group that uses an unstructured healthy habits tracking app. Exploratory Aims: To test the hypothesis that the 12-week GamerFit intervention delivered through a mobile app will improve mood, behavioral regulation, and perceived social isolation and support compared to the comparator group; and to test the hypothesis that behavioral effects will be sustained at week 16 (i.e. 4-weeks after the end of the intervention). We will also work with clinicians to explore approaches to incorporating the app, specifically PA prescriptions, into psychiatric treatment plans. This project impacts the field by testing the delivery of a theory- and evidence-based exergaming and telehealth coaching intervention targeting multiple health behaviors in youth with PD via a low-cost app.

项目概要超过四分之一的儿童在 17 岁之前接受过至少一项精神病诊断 (PD)。这些青少年面临着慢性病风险升高，包括肥胖患病率显着升高，这是由低水平推动的体力活动 (PA) 水平、睡眠质量不佳以及社交孤立不仅影响身体活动 (PA) 水平，还影响睡眠行为。增加可预防的慢性疾病风险，同时也会恶化行为功能 “GamerFit”的目标是测试基于理论的移动医疗的交付。该应用程序利用社交支持、运动游戏和远程医疗指导来改善 PA 水平、睡眠和患有 PD 的青少年参与者（14-17 岁）的精神症状，以帮助未来的干预。优化时，我们将随机分配 60 名至少有一名 PD 的参与者，其中 30 名使用 GamerFit 应用程序每周远程医疗辅导课程和 30 次使用商业健康习惯应用程序作为比较组。 GamerFit 应用程序将提供对运动游戏、渐进式 PA 和睡眠计划、集成自我管理菜单的访问。监控、针对健康 PA 和睡眠习惯的预先录制视频以及激励性短信帮助用户在 12 周内满足 PA 和睡眠指南。该项目利用我们的运动游戏试点数据。和远程医疗辅导，以改善患有 PD 的青少年的 PA，我们的跨学科团队拥有以下方面的专业知识发展心理学、PA和睡眠干预设计、基于技术的健康促进和应用程序主要研究问题是：为期 12 周的运动游戏和远程健康辅导干预，通过智能手机应用程序提供，这是一种可接受的、可能的且有效的改善 PA 和睡眠的方法具体目标如下：具体目标 1：检查可行性和通过移动应用程序向患有帕金森症的青少年提供为期 12 周的 GamerFit 干预措施的可接受性具体目标 2：检验通过 12 周 GamerFit 干预进行的假设。与使用非结构化健康习惯跟踪应用程序探索性目标：测试 12 周 GamerFit 的假设。通过移动应用程序提供的干预将改善情绪、行为调节和社交感知与对照组相比，隔离和支持；并检验行为影响会发生的假设；持续到第 16 周（即干预结束后 4 周）。探索将应用程序（特别是 PA 处方）纳入精神病治疗计划的方法。该项目通过测试基于理论和证据的运动游戏的交付来影响该领域通过低成本应用程序针对帕金森病青少年的多种健康行为进行远程医疗指导干预。