About this trial
The goal of this to determine the effect of tailored exergaming for inactive patients with heart failure to reduce their sedentary time, improve their daily physical activity, exercise capacity, decrease frailty and improve health-related quality of life.
Participants will, on a background of standard guideline-directed medical therapy patients, be randomised to tailored activity advice (control) or the Heart-Exergame (Heart-eXg) intervention for a period of 3 months. Patients randomised to the Heart-eXg group will receive an exergame with feedback and tailoring to adapt the exergaming advice. Patients will also be able to play with a person in their own network.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with symptomatic HF (NYHA II-IV) as diagnosed by cardiologist, (independent of Ejection Fraction: Patients with a preserved ejection fraction (HFpEF), mid-range ejection fraction (HFmrREF) or reduced ejection fraction (HFrEF) can be included.
Clinically stable
Physically inactive
Older than 18 years, there is no upper age limit,
Disqualifiers
Unable to use an exergame due to visual, hearing, cognitive impairment assessed by HF nurse or cardiologist.
Not being able to perform the 6-minute walk test.
Not being able or willing to wear an activity monitor.
Currently included in a rehabilitation program
Trial design
Parallel
Treatments tested in this trial
Heart Farming
Other interventionHeart Farming is a mobile game. which can be played indoors and outdoors and stimulates players to be physically active. The game is built around a theme (farming) and users are challenged to collect products by being active. The phone will register movements and convert them into points and fruits and vegetables. For the basic playing only 10 minutes walking a day with the game is possible and is rewarded. For players who want more challenge and level of trading products and collecting products in groups is added. The game is adaptable to different levels of mobility and players can invite others to play with them. Players can see their own game results, progression, and active time.
Treatment groups
Trial outcomes
Primary outcomes
Sedentary time
Sedentary time measured with activity monitor Actigraph
Secondary outcomes
Exercise Capacity
6-minute walk test
Frailty
Fried Frailty tests
Clinical frailty
Clinical Frailty Scale: a frailty score ranging from 1 (very fit) to 9 (terminally ill)
Heart Failure specific Quality of Life
12 item Kansas City Cardiomyopathy includes that quantifies physical limitations, symptom frequency, Quality of Life, and social limitation, along with a summary scores for each domain, scoring from 0 to 100. Zero denoting the worst and 100 the best possible health status.
Other outcomes
Patient expectations
Open ended interview questions
Exercise motivation
The situational motivation scale (SIMS): 16 items measuring four forms of motivation with exh four items (amotivation, external, identified, and intrinsic motivation). Each item is rated on a 7-point Likert scale ranging from 1 "corresponds not at all" to 7 "corresponds exactly." The score of each form of motivation ranges from 4-28, with a higher score meaning higher motivation.
Cost
Cost logbook
Willingness to pay
Interviews
Sponsors and contacts
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