Observational studyJMIR aging2026
Community Exergaming and Maintenance-Related Outcomes in Older Adults: Multi-Wave Observational Evaluation.
Observational study in JMIR aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
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Who cites it
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Community exergaming may help older adults remain physically active by combining movement, enjoyment, and social interaction, but less is known about whether observed changes persist after supervised delivery ends in real-world community settings. Objective: This study evaluated immediate and maintenance-related outcomes of the International Singapore Intergenerational National Games, a community-delivered exergaming program for older adults in Singapore. We examined positive mental health, intrinsic motivation, habit strength, physical activity, and exploratory implementation determinants aligned with the capability, opportunity, and motivation-behavior (COM-B) framework. Methods: We conducted a multi-wave observational evaluation from October 2025 to January 2026 among 280 older adults recruited from 14 senior activity centers or active aging centers in Singapore. Assessments were conducted at baseline (T0), immediately after an 8-week supervised training phase (T1), after a 4-week unsupervised free-play phase (T2), and at a later follow-up for selected measures in 6 centers (T3). Immediate within-person changes were examined using 2-tailed paired Results: Participants had a mean age of 72.54 (SD 6.15) years, and 77.1% (216/280) were female. From T0 to T1, mean positive mental health increased from 55.19 (SD 9.79) to 57.59 (SD 8.70; Cohen Conclusions: In this observational evaluation, positive mental health, intrinsic motivation, and habit strength were higher at T2 than at baseline among respondents with available follow-up data, and intrinsic motivation was also higher at the selected-center T3 follow-up. Because this study lacked a control group and attrition increased over time, these findings represent observed longitudinal trajectories rather than causal evidence of program effectiveness. Opportunity-related supports such as access, reminders, routines, staff facilitation, and peer participation may be useful when community exergaming transitions from supervised delivery to reduced-intensity free play, although this interpretation remains exploratory.
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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.