Evidence map›Paper›PMID 31128953›Full record

Trial reportAmerican journal of preventive medicine2019

Novel Smartphone Game Improves Physical Activity Behavior in Type 2 Diabetes.

Christoph Höchsmann, Olivia Müller, Muriel Ambühl, Christopher Klenk, Karsten Königstein, Denis Infanger, Steffen P Walz, Arno Schmidt-Trucksäss

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02657018 (Mobile Exergaming for Health - Effects of a Serious Game Application for Smartphones on Physical Activity and Exercise Adherence in Type 2 Diabetes Mellitus), which is not on this map. Cited by 35 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 11 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02657018 nacompletednot on this map

Mobile Exergaming for Health - Effects of a Serious Game Application for Smartphones on Physical Activity and Exercise Adherence in Type 2 Diabetes Mellitus (Randomized Controlled Trial)

TypeinterventionalSponsorUniversity of BaselRan2016 to 2018Enrolled36ConditionsOverweight, Obesity, Diabetes Mellitus, Type 2ArmsMOBIGAME, Control
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 11 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  10. Gamification for Family Engagement in Lifestyle Interventions: A Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Christoph HöchsmannDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland; Pennington Biomedical Research Center, Baton Rouge, Louisiana.
Olivia MüllerDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Muriel AmbühlDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Christopher KlenkDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Karsten KönigsteinDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Denis InfangerDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Steffen P WalzCentre for Design Innovation, Swinburne University of Technology, Melbourne, Australia.
Arno Schmidt-TrucksässDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland. Electronic address: arno.schmidt-trucksaess@unibas.ch.
University of Basel · CHPennington Biomedical Research Center · USSwinburne University of Technology · AU

Funding

Training in Obesity ResearchT32DK064584 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI CORBY K MARTIN, Christopher D Morrison · 2003 to 2026
$5.3M
NIDDK NIH HHS T32 DK064584
6 · The paper itself

Abstract

introductionMany type 2 diabetes patients show insufficient levels of physical activity and are often unmotivated to change physical activity behaviors. This study investigated whether a newly developed smartphone game delivering individualized exercise and physical activity promotion through an elaborate storyline can generate sustained improvements in daily physical activity (steps/day). STUDY

designThirty-six participants were enrolled in this 24-week RCT between August 2016 and April 2018. After baseline assessment, participants were randomized in equal numbers to the intervention or control condition. Data analysis was performed in May-June 2018. SETTING/

participantsInactive, overweight type 2 diabetes patients, aged 45-70 years, were recruited through advertising and from hospitals and diabetes care centers in the Basel, Switzerland, metropolitan area.

interventionParticipants were instructed to play the innovative smartphone game (intervention group) or to implement the recommendations from the baseline lifestyle counseling (control group) autonomously during the 24-week intervention period.

main outcome measuresPrimary outcomes were changes in daily physical activity (steps/day); changes in aerobic capacity, measured as oxygen uptake at the first ventilatory threshold; and changes in glycemic control, measured as HbA1c.

resultsDaily physical activity increased by an average of 3,998 (SD=1,293) steps/day in the intervention group and by an average of 939 (SD=1,156) steps/day in the control group. The adjusted difference between the two groups was 3,128 steps/day (95% CI=2,313, 3,943, p<0.001). The increase in daily physical activity was accompanied by an improved aerobic capacity (adjusted difference of oxygen uptake at the first ventilatory threshold of 1.9 mL/(kg·min), 95% CI=0.9, 2.9, p<0.001). Glycemic control (HbA1c) did not change over the course of the intervention.

conclusionsA novel, self-developed smartphone game, delivering multidimensional home-based exercise and physical activity promotion, significantly increases daily physical activity (steps/day) and aerobic capacity in inactive type 2 diabetes patients after 24 weeks. The ability of the game to elicit a sustained physical activity motivation may be relevant for other inactive target groups with chronic diseases.

trial registrationThis study is registered at www.clinicaltrials.gov NCT02657018.

Indexed as

ExerciseMotivationSedentary BehaviorSmartphoneBehavior TherapyDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedSwitzerland

Identifiers

PMID31128953
PMCPMC7719398
OpenAlexW2945404953

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.