Bingocize: A Novel Mobile Application for Older Adult Health

Hypertension Clinical Trial

— Bingocize  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03629912
• Other study ID #: IRB 18-048
• Secondary ID: R15AG055906
• Status: Completed
• Phase: N/A
• Start date: August 13, 2018
• Est. completion date: May 13, 2022

Study information

• Verified date: February 2024
• Source: Western Kentucky University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 241
• Est. completion date: May 13, 2022
• Est. primary completion date: May 13, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 85 Years

Eligibility

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

Related Conditions & MeSH terms

• Accidental Fall
• Activities of Daily Living
• Arteriosclerosis
• Cognitive Aging
• Cognitive Decline
• Cognitive Dysfunction
• Diabetes Mellitus, Type 2
• Executive Function
• Hypertension
• Sarcopenia

Intervention

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

Locations

Country	Name	City	State
United States	Webster County Senior Center	Dixon	Kentucky
United States	Chester County Senior Center	Henderson	Tennessee
United States	Johnson County Senior Center	Johnson City	Tennessee
United States	Scotts Hill Senior Center	Scotts Hill	Tennessee

Sponsors (2)

Lead Sponsor	Collaborator
Western Kentucky University	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

References & Publications (2)

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/S135561771 — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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
Primary	Chair Stands: Change in Lower-body Muscular Strength	number of completed chair stands in 30 seconds, minimum=0, higher = better	Baseline and 12 Weeks
Primary	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
Primary	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
Primary	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	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
Secondary	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
Secondary	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
Secondary	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
Secondary	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
Secondary	Changes in Weight	Weight calculated by scale measurement	Baseline and 12 Weeks
Secondary	Systolic Blood Pressure	Systolic Blood pressure calculated by sphygmomanometer.	Baseline and 12 Weeks
Secondary	Diastolic Blood Pressure	Diastolic Blood pressure calculated by sphygmomanometer	Baseline and 12 Weeks

External Links

•   Link to Center for Applied Science in Health & Aging