Key result
In a review of 79 patients with heart failure, exergaming platforms were simple and motivating, though boredom, technical issues, and preference for other activities acted as barriers.
Why the study?
To systematically explore the barriers and facilitators experienced by patients with heart failure using popular commercially accessible digital exergaming platforms for self-management.
Does the use of digital exergaming platforms improve exercise self-management in adults with heart failure?
Systematic Review (n=79)
Does the use of digital exergaming platforms improve exercise self-management in adults with heart failure?
Exergaming platforms like Nintendo Wii are perceived as simple and motivating by heart failure patients, though technical issues and boredom present barriers to self-management.
Wii exergaming may motivate HF self-management; leaves open efficacy and adherence in larger trials.
Objective To systematically explore the barriers and facilitators experienced by patients with heart failure when using the most popular commercially-accessible digital exergaming platforms for self-management. Methods A systematic literature search was conducted in: Embase, SCOPUS, PubMed, and ProQuest. Qualitative/mixed methods studies published in English between 2000 and 2024, including adults >18 years with heart failure using digital gaming platforms for exercise as self-management (i.e. Microsoft Xbox/Kinect, Sony PlayStation®, Nintendo™ Wii) were considered. Risk of bias was assessed using the Critical Appraisal Skills Program. The grounded theory method was used to extract, analyze, and synthesize the data. Results Three articles which qualitatively reported on the experiences of the patients with heart failure when using Nintendo™ Wii for self-management were included. Seventy-nine participants (male and female, age 32–81 years) were included in the studies. The three included studies were of high quality. Extracted qualitative data were grouped into subthemes, which were grouped into main themes, namely, Engagement, A pathy, Convenience, Health-related benefits and Gaming Platforms. The main themes were categorized into Barriers and Facilitators. Patients reported that gaming platforms were simple, easy to use, interesting, and motivating ( Facilitators). Boredom while playing specific games, preferring other activities and technical issues were reported as Barriers. Conclusion This review provides the first insights into the barriers and facilitators patients with heart failure experience when using popular digital exergaming platforms to participate in exercise programs in the self-management of their condition. However, few high-quality studies exist which limits the conclusions made and warrants further research in this area.
No takes yet. Share an insight, caveat, or question.
Ravani et al. (2024) conducted a systematic review in Heart failure (n=79). Digital exergaming platforms (Nintendo Wii) was evaluated on Barriers and facilitators to using exergaming platforms. In a review of 79 patients with heart failure, exergaming platforms were simple and motivating, though boredom, technical issues, and preference for other activities acted as barriers.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: