Increasing Exercise Capacity of Patients With Heart Failure by Wii Gaming
| Status: | Completed |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/5/2019 |
| Start Date: | September 2013 |
| End Date: | April 2018 |
Increasing Exercise Capacity of Patients With Heart Failure by Wii Gaming (HF-Wii) A Randomized Controlled Trial
The study objectives are to determine the effectiveness of structured access to a Wii game
computer compared to motivational support only in heart failure patients on exercise capacity
and daily activity. Secondly, to determine the effectiveness of structured access to a Wii
game computer compared to motivational support only in heart failure patients on the combined
endpoint of death, readmission and quality of life.
The following research questions will be addressed:
- What is the effectiveness of structured introduction and access to a Wii game computer
in patients with heart failure to improve their exercise capacity compared to patients
with heart failure in a control group who only receive motivational support?
- What is the effectiveness of structured introduction and access to a Wii game computer
in patients with heart failure compared to patients with heart failure in a control
group who only receive motivational support to increase their daily physical activity,
decrease health care use and improve quality of life?
- What are experiences of heart failure patients and how is their exercise motivation when
they are introduced and instructed to play with a Wii game computer?
computer compared to motivational support only in heart failure patients on exercise capacity
and daily activity. Secondly, to determine the effectiveness of structured access to a Wii
game computer compared to motivational support only in heart failure patients on the combined
endpoint of death, readmission and quality of life.
The following research questions will be addressed:
- What is the effectiveness of structured introduction and access to a Wii game computer
in patients with heart failure to improve their exercise capacity compared to patients
with heart failure in a control group who only receive motivational support?
- What is the effectiveness of structured introduction and access to a Wii game computer
in patients with heart failure compared to patients with heart failure in a control
group who only receive motivational support to increase their daily physical activity,
decrease health care use and improve quality of life?
- What are experiences of heart failure patients and how is their exercise motivation when
they are introduced and instructed to play with a Wii game computer?
Substudy
HF-WII PLUS MEDIYOGA
In this substudy Medical Yoga will be tested in a randomized group next to the Wii and the
control group in the HF-Wii study and therefore the substudy will be called HF-Wii plus
MediYoga.
In addition to the usual treatment and information about rehabilitation and daily activities
for heart failure patients, this group will train a 60-minute yoga class twice a week.
Patients will sit on chairs or yoga mats to perform yoga. Each patient will perform a total
of 20-24 sessions over a 12-weeks period. A session will include 10 min warm-up and breathing
exercises, 40 minutes of yoga postures and finally 10 min relaxation and meditation. At the
end of each session, participants have the opportunity to discuss their experiences or
questions. At the first visit, participants will receive a CD and a booklet with yoga
postures and instructions. Patients are encouraged to train Medi Yoga at home with a target
of one session a day. All yoga sessions will be conducted by a certified Medicare Yoga
instructor.
HF-WII PLUS MEDIYOGA
In this substudy Medical Yoga will be tested in a randomized group next to the Wii and the
control group in the HF-Wii study and therefore the substudy will be called HF-Wii plus
MediYoga.
In addition to the usual treatment and information about rehabilitation and daily activities
for heart failure patients, this group will train a 60-minute yoga class twice a week.
Patients will sit on chairs or yoga mats to perform yoga. Each patient will perform a total
of 20-24 sessions over a 12-weeks period. A session will include 10 min warm-up and breathing
exercises, 40 minutes of yoga postures and finally 10 min relaxation and meditation. At the
end of each session, participants have the opportunity to discuss their experiences or
questions. At the first visit, participants will receive a CD and a booklet with yoga
postures and instructions. Patients are encouraged to train Medi Yoga at home with a target
of one session a day. All yoga sessions will be conducted by a certified Medicare Yoga
instructor.
Inclusion Criteria:
- Diagnosed with HF (NYHA I-IV) (independent of Ejection Fraction: both patients with a
preserved ejection fraction (HFPEF) or reduced ejection fraction (HFREF) can be
included)
- Older than 18 years, there is no upper age limit
- Speak/understand the language of the country where the intervention is taken place
Exclusion Criteria:
- The patient is expected to be unable to use the Nintendo Wii due to visual (see a TV
screen at a distance of 3 m) cognitive (assessed by the HF nurse or cardiologist) or
motor impairment (the patient should be able to swing his arm at least 10 times in a
row)
- The patient has restrictions that would them unable patients to fill in data
collection material
- The patient has a life expectancy shorter than 6 months
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